Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIPRO P-10 7-0 18

Facility

$17.05

Hospital Charge Code	270651317
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.53
Rate for Payer: Aetna Commercial	$6.48
Rate for Payer: Aetna Medicare Advantage	$5.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.35
Rate for Payer: Cigna Commercial	$8.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.12
Rate for Payer: Oxford Commercial	$3.41
Rate for Payer: Qualcare PPO/HMO/WC	$2.56
Rate for Payer: UnitedHealthcare Commercial	$3.41
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

SUTURE SURGIPRO P-10 7-0 18

Facility

$17.05

Hospital Charge Code	270651317
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$2.56
Rate for Payer: Qualcare PPO/HMO/WC	$2.56

SUTURE SURGIPRO P-11 6-0 BLUE

Facility

$16.84

Hospital Charge Code	270651318
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.42
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.29
Rate for Payer: Cigna Commercial	$8.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

SUTURE SURGIPRO P-11 6-0 BLUE

Facility

$16.84

Hospital Charge Code	270651318
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

SUTURE SURGIPRO P13 4-0

Facility

$17.35

Hospital Charge Code	270606791
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$8.68
Rate for Payer: Aetna Commercial	$6.59
Rate for Payer: Aetna Medicare Advantage	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.42
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.21
Rate for Payer: Oxford Commercial	$3.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.60
Rate for Payer: UnitedHealthcare Commercial	$3.47
Rate for Payer: UnitedHealthcare Community & State	$0.42
Rate for Payer: Wellpoint Medicaid Managed Care	$0.46

SUTURE SURGIPRO P13 4-0

Facility

$17.35

Hospital Charge Code	270606791
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.60

SUTURE SURGIPRO P13 5-0

Facility

$47.25

Hospital Charge Code	270604682
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$23.62
Rate for Payer: Aetna Commercial	$17.95
Rate for Payer: Aetna Medicare Advantage	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.05
Rate for Payer: Cigna Commercial	$23.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.18
Rate for Payer: Oxford Commercial	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
Rate for Payer: UnitedHealthcare Commercial	$9.45
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

SUTURE SURGIPRO P13 5-0

Facility

$47.25

Hospital Charge Code	270604682
Hospital Revenue Code	272
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

SUTURE SURGIPRO P13 CU5-0

Facility

$16.85

Hospital Charge Code	270604662
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

SUTURE SURGIPRO P13 CU5-0

Facility

$16.85

Hospital Charge Code	270604662
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

SUTURE SURGIPRO PC-11 5-0 18

Facility

$17.85

Hospital Charge Code	270651315
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$8.93
Rate for Payer: Aetna Commercial	$6.78
Rate for Payer: Aetna Medicare Advantage	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.55
Rate for Payer: Cigna Commercial	$8.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.36
Rate for Payer: Oxford Commercial	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.68
Rate for Payer: UnitedHealthcare Commercial	$3.57
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

SUTURE SURGIPRO PC-11 5-0 18

Facility

$17.85

Hospital Charge Code	270651315
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.68

SUTURE SURGIPRO SC-2 3-0 30

Facility

$7.67

Hospital Charge Code	270651175
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.83
Rate for Payer: Aetna Commercial	$2.91
Rate for Payer: Aetna Medicare Advantage	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.30
Rate for Payer: Oxford Commercial	$1.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.15
Rate for Payer: UnitedHealthcare Commercial	$1.53
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

SUTURE SURGIPRO SC-2 3-0 30

Facility

$7.67

Hospital Charge Code	270651175
Hospital Revenue Code	272
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.15

SUTURE SURGIPRO V-20 2-0 30

Facility

$8.29

Hospital Charge Code	270651241
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$1.24
Rate for Payer: Qualcare PPO/HMO/WC	$1.24

SUTURE SURGIPRO V-20 2-0 30

Facility

$8.29

Hospital Charge Code	270651241
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.14
Rate for Payer: Aetna Commercial	$3.15
Rate for Payer: Aetna Medicare Advantage	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.11
Rate for Payer: Cigna Commercial	$4.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.49
Rate for Payer: Oxford Commercial	$1.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.24
Rate for Payer: UnitedHealthcare Commercial	$1.66
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE SURGIPRO V-20 3-0 30

Facility

$8.70

Hospital Charge Code	270651344
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

SUTURE SURGIPRO V-20 3-0 30

Facility

$8.70

Hospital Charge Code	270651344
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.35
Rate for Payer: Aetna Commercial	$3.31
Rate for Payer: Aetna Medicare Advantage	$2.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.22
Rate for Payer: Cigna Commercial	$4.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.61
Rate for Payer: Oxford Commercial	$1.74
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$1.74
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE SURGIPRO V-26 3-0 VP842

Facility

$36.00

Hospital Charge Code	270612623
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$13.68
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.80
Rate for Payer: Oxford Commercial	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$7.20
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

SUTURE SURGIPRO V-26 3-0 VP842

Facility

$36.00

Hospital Charge Code	270612623
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

SUTURE SURGISTEEL V26 4-0

Facility

$81.69

Hospital Charge Code	270604725
Hospital Revenue Code	272
Min. Negotiated Rate	$12.25
Max. Negotiated Rate	$12.25
Rate for Payer: Qualcare PPO/HMO/WC	$12.25

SUTURE SURGISTEEL V26 4-0

Facility

$81.69

Hospital Charge Code	270604725
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$40.84
Rate for Payer: Aetna Commercial	$31.04
Rate for Payer: Aetna Medicare Advantage	$24.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.83
Rate for Payer: Cigna Commercial	$40.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.51
Rate for Payer: Oxford Commercial	$16.34
Rate for Payer: Qualcare PPO/HMO/WC	$12.25
Rate for Payer: UnitedHealthcare Commercial	$16.34
Rate for Payer: UnitedHealthcare Community & State	$1.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.16

SUTURE SURGITIE LIG LOOP

Facility

$94.24

Hospital Charge Code	270655348
Hospital Revenue Code	272
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$14.14
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SUTURE SURGITIE LIG LOOP

Facility

$94.24

Hospital Charge Code	270655348
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$35.81
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.27
Rate for Payer: Oxford Commercial	$18.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.14
Rate for Payer: UnitedHealthcare Commercial	$18.85
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

SUTURE SURGITIE LIG LOOP W/

Facility

$453.15

Hospital Charge Code	270655608
Hospital Revenue Code	272
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$226.57
Rate for Payer: Aetna Commercial	$172.20
Rate for Payer: Aetna Medicare Advantage	$135.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.55
Rate for Payer: Cigna Commercial	$226.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.94
Rate for Payer: Oxford Commercial	$90.63
Rate for Payer: Qualcare PPO/HMO/WC	$67.97
Rate for Payer: UnitedHealthcare Commercial	$90.63
Rate for Payer: UnitedHealthcare Community & State	$10.92
Rate for Payer: Wellpoint Medicaid Managed Care	$12.01

Know your out-of-pocket cost for care.

All Charges