Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIPRO II 5/0 36 BLU

Facility

$41.68

Hospital Charge Code	270651334
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.25

SUTURE SURGIPRO II 6/0 18 BLU

Facility

$17.19

Hospital Charge Code	270610211
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.60
Rate for Payer: Aetna Commercial	$6.53
Rate for Payer: Aetna Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.38
Rate for Payer: Cigna Commercial	$8.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.16
Rate for Payer: Oxford Commercial	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$2.58
Rate for Payer: UnitedHealthcare Commercial	$3.44
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.46

SUTURE SURGIPRO II 6/0 18 BLU

Facility

$17.19

Hospital Charge Code	270610211
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.58

SUTURE SURGIPRO II 6/0 18 BLU

Facility

$17.19

Hospital Charge Code	270651323
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.58

SUTURE SURGIPRO II 6/0 18 BLU

Facility

$17.19

Hospital Charge Code	270651323
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.60
Rate for Payer: Aetna Commercial	$6.53
Rate for Payer: Aetna Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.38
Rate for Payer: Cigna Commercial	$8.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.16
Rate for Payer: Oxford Commercial	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$2.58
Rate for Payer: UnitedHealthcare Commercial	$3.44
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.46

SUTURE SURGIPRO II 6/0 30 BLU

Facility

$28.46

Hospital Charge Code	270604683
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$14.23
Rate for Payer: Aetna Commercial	$10.81
Rate for Payer: Aetna Medicare Advantage	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.26
Rate for Payer: Cigna Commercial	$14.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.54
Rate for Payer: Oxford Commercial	$5.69
Rate for Payer: Qualcare PPO/HMO/WC	$4.27
Rate for Payer: UnitedHealthcare Commercial	$5.69
Rate for Payer: UnitedHealthcare Community & State	$0.69
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

SUTURE SURGIPRO II 6/0 30 BLU

Facility

$27.69

Hospital Charge Code	270604685
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$13.85
Rate for Payer: Aetna Commercial	$10.52
Rate for Payer: Aetna Medicare Advantage	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.06
Rate for Payer: Cigna Commercial	$13.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.31
Rate for Payer: Oxford Commercial	$5.54
Rate for Payer: Qualcare PPO/HMO/WC	$4.15
Rate for Payer: UnitedHealthcare Commercial	$5.54
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.73

SUTURE SURGIPRO II 6/0 30 BLU

Facility

$28.46

Hospital Charge Code	270604683
Hospital Revenue Code	272
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Qualcare PPO/HMO/WC	$4.27

SUTURE SURGIPRO II 6/0 30 BLU

Facility

$27.69

Hospital Charge Code	270604685
Hospital Revenue Code	272
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$4.15
Rate for Payer: Qualcare PPO/HMO/WC	$4.15

SUTURE SURGIPRO II 6/0 36 BLU

Facility

$32.44

Hospital Charge Code	270604659
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$16.22
Rate for Payer: Aetna Commercial	$12.33
Rate for Payer: Aetna Medicare Advantage	$9.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.27
Rate for Payer: Cigna Commercial	$16.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.73
Rate for Payer: Oxford Commercial	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$4.87
Rate for Payer: UnitedHealthcare Commercial	$6.49
Rate for Payer: UnitedHealthcare Community & State	$0.78
Rate for Payer: Wellpoint Medicaid Managed Care	$0.86

SUTURE SURGIPRO II 6/0 36 BLU

Facility

$32.44

Hospital Charge Code	270604659
Hospital Revenue Code	272
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$4.87
Rate for Payer: Qualcare PPO/HMO/WC	$4.87

SUTURE SURGIPRO II 7/0 24 BLU

Facility

$42.43

Hospital Charge Code	270604686
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$21.21
Rate for Payer: Aetna Commercial	$16.12
Rate for Payer: Aetna Medicare Advantage	$12.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.82
Rate for Payer: Cigna Commercial	$21.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.73
Rate for Payer: Oxford Commercial	$8.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.36
Rate for Payer: UnitedHealthcare Commercial	$8.49
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

SUTURE SURGIPRO II 7/0 24 BLU

Facility

$42.43

Hospital Charge Code	270604686
Hospital Revenue Code	272
Min. Negotiated Rate	$6.36
Max. Negotiated Rate	$6.36
Rate for Payer: Qualcare PPO/HMO/WC	$6.36

SUTURE SURGIPRO II 7/0 30 BLU

Facility

$96.80

Hospital Charge Code	270656856
Hospital Revenue Code	272
Min. Negotiated Rate	$14.52
Max. Negotiated Rate	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$14.52

SUTURE SURGIPRO II 7/0 30 BLU

Facility

$96.80

Hospital Charge Code	270656856
Hospital Revenue Code	272
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$48.40
Rate for Payer: Aetna Commercial	$36.78
Rate for Payer: Aetna Medicare Advantage	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.68
Rate for Payer: Cigna Commercial	$48.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.04
Rate for Payer: Oxford Commercial	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$14.52
Rate for Payer: UnitedHealthcare Commercial	$19.36
Rate for Payer: UnitedHealthcare Community & State	$2.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

SUTURE SURGIPRO II CV-11 5-0

Facility

$22.95

Hospital Charge Code	270656169
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.47
Rate for Payer: Aetna Commercial	$8.72
Rate for Payer: Aetna Medicare Advantage	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.85
Rate for Payer: Cigna Commercial	$11.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.88
Rate for Payer: Oxford Commercial	$4.59
Rate for Payer: Qualcare PPO/HMO/WC	$3.44
Rate for Payer: UnitedHealthcare Commercial	$4.59
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

SUTURE SURGIPRO II CV-11 5-0

Facility

$22.95

Hospital Charge Code	270656169
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$3.44

SUTURE SURGIPRO II CV-1 6-0 18

Facility

$36.62

Hospital Charge Code	270651342
Hospital Revenue Code	272
Min. Negotiated Rate	$5.49
Max. Negotiated Rate	$5.49
Rate for Payer: Qualcare PPO/HMO/WC	$5.49

SUTURE SURGIPRO II CV-1 6-0 18

Facility

$36.62

Hospital Charge Code	270651342
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$18.31
Rate for Payer: Aetna Commercial	$13.92
Rate for Payer: Aetna Medicare Advantage	$10.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.34
Rate for Payer: Cigna Commercial	$18.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.99
Rate for Payer: Oxford Commercial	$7.32
Rate for Payer: Qualcare PPO/HMO/WC	$5.49
Rate for Payer: UnitedHealthcare Commercial	$7.32
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

SUTURE SURGIPRO II CV-1 6-0 30

Facility

$36.72

Hospital Charge Code	270643909
Hospital Revenue Code	272
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$5.51

SUTURE SURGIPRO II CV-1 6-0 30

Facility

$36.72

Hospital Charge Code	270643909
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$18.36
Rate for Payer: Aetna Commercial	$13.95
Rate for Payer: Aetna Medicare Advantage	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.36
Rate for Payer: Cigna Commercial	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.02
Rate for Payer: Oxford Commercial	$7.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.51
Rate for Payer: UnitedHealthcare Commercial	$7.34
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

SUTURE SURGIPRO KV11 5-0

Facility

$27.96

Hospital Charge Code	270604679
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

SUTURE SURGIPRO KV11 5-0

Facility

$27.96

Hospital Charge Code	270604679
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$13.98
Rate for Payer: Aetna Commercial	$10.62
Rate for Payer: Aetna Medicare Advantage	$8.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.13
Rate for Payer: Cigna Commercial	$13.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.39
Rate for Payer: Oxford Commercial	$5.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$5.59
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

SUTURE SURGIPRO KV-1 7-0 24

Facility

$43.21

Hospital Charge Code	270651336
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.61
Rate for Payer: Aetna Commercial	$16.42
Rate for Payer: Aetna Medicare Advantage	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.02
Rate for Payer: Cigna Commercial	$21.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.96
Rate for Payer: Oxford Commercial	$8.64
Rate for Payer: Qualcare PPO/HMO/WC	$6.48
Rate for Payer: UnitedHealthcare Commercial	$8.64
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

SUTURE SURGIPRO KV-1 7-0 24

Facility

$43.21

Hospital Charge Code	270651336
Hospital Revenue Code	272
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$6.48
Rate for Payer: Qualcare PPO/HMO/WC	$6.48

Know your out-of-pocket cost for care.

All Charges