Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE TICRON COATED BRAIDED

Facility

$7.26

Hospital Charge Code	270651243
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.63
Rate for Payer: Aetna Commercial	$2.76
Rate for Payer: Aetna Medicare Advantage	$2.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.18
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

SUTURE TICRON CT1 GS21 2/0 BLU

Facility

$7.19

Hospital Charge Code	270656044
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.60
Rate for Payer: Aetna Commercial	$2.73
Rate for Payer: Aetna Medicare Advantage	$2.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Oxford Commercial	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$1.44
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

SUTURE TICRON CT1 GS21 2/0 BLU

Facility

$7.19

Hospital Charge Code	270656044
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

SUTURE TICRON II BLUE GC-21

Facility

$14.73

Hospital Charge Code	270646028
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

SUTURE TICRON II BLUE GC-21

Facility

$14.73

Hospital Charge Code	270646028
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$7.37
Rate for Payer: Aetna Commercial	$5.60
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$2.95
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

SUTURE TRICON COATED BRAIDED

Facility

$15.30

Hospital Charge Code	270651249
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$7.65
Rate for Payer: Aetna Commercial	$5.81
Rate for Payer: Aetna Medicare Advantage	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.90
Rate for Payer: Cigna Commercial	$7.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.59
Rate for Payer: Oxford Commercial	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.29
Rate for Payer: UnitedHealthcare Commercial	$3.06
Rate for Payer: UnitedHealthcare Community & State	$0.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

SUTURE TRICON COATED BRAIDED

Facility

$15.30

Hospital Charge Code	270651249
Hospital Revenue Code	272
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$2.29
Rate for Payer: Qualcare PPO/HMO/WC	$2.29

SUTURE TRU-LINK BLUE 38 INCH S

Facility

$2,400.00

Hospital Charge Code	270666207
Hospital Revenue Code	272
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.00
Rate for Payer: Oxford Commercial	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$480.00
Rate for Payer: UnitedHealthcare Community & State	$57.84
Rate for Payer: Wellpoint Medicaid Managed Care	$63.60

SUTURE TRU-LINK BLUE 38 INCH S

Facility

$2,400.00

Hospital Charge Code	270666207
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

SUTURE TRU-LINK WHITE / BLUE 3

Facility

$2,400.00

Hospital Charge Code	270666205
Hospital Revenue Code	272
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.00
Rate for Payer: Oxford Commercial	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$480.00
Rate for Payer: UnitedHealthcare Community & State	$57.84
Rate for Payer: Wellpoint Medicaid Managed Care	$63.60

SUTURE TRU-LINK WHITE / BLUE 3

Facility

$2,400.00

Hospital Charge Code	270666205
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

SUTURE ULTRABRAID #2 WHT

Facility

$98.50

Hospital Charge Code	270676714
Hospital Revenue Code	272
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$14.78
Rate for Payer: Qualcare PPO/HMO/WC	$14.78

SUTURE ULTRABRAID #2 WHT

Facility

$107.10

Hospital Charge Code	270686304
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$53.55
Rate for Payer: Aetna Commercial	$40.70
Rate for Payer: Aetna Medicare Advantage	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.31
Rate for Payer: Cigna Commercial	$53.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.13
Rate for Payer: Oxford Commercial	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$16.07
Rate for Payer: UnitedHealthcare Commercial	$21.42
Rate for Payer: UnitedHealthcare Community & State	$2.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

SUTURE ULTRABRAID #2 WHT

Facility

$107.10

Hospital Charge Code	270686304
Hospital Revenue Code	272
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$16.07
Rate for Payer: Qualcare PPO/HMO/WC	$16.07

SUTURE ULTRABRAID #2 WHT

Facility

$98.50

Hospital Charge Code	270676714
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$49.25
Rate for Payer: Aetna Commercial	$37.43
Rate for Payer: Aetna Medicare Advantage	$29.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.12
Rate for Payer: Cigna Commercial	$49.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.55
Rate for Payer: Oxford Commercial	$19.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.78
Rate for Payer: UnitedHealthcare Commercial	$19.70
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.61

SUTURE ULTRATAPE 2MM BLUE

Facility

$667.50

Hospital Charge Code	270676715
Hospital Revenue Code	272
Min. Negotiated Rate	$100.12
Max. Negotiated Rate	$100.12
Rate for Payer: Qualcare PPO/HMO/WC	$100.12

SUTURE ULTRATAPE 2MM BLUE

Facility

$667.50

Hospital Charge Code	270676715
Hospital Revenue Code	272
Min. Negotiated Rate	$16.09
Max. Negotiated Rate	$333.75
Rate for Payer: Aetna Commercial	$253.65
Rate for Payer: Aetna Medicare Advantage	$200.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.21
Rate for Payer: Cigna Commercial	$333.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.25
Rate for Payer: Oxford Commercial	$133.50
Rate for Payer: Qualcare PPO/HMO/WC	$100.12
Rate for Payer: UnitedHealthcare Commercial	$133.50
Rate for Payer: UnitedHealthcare Community & State	$16.09
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

SUTURE UMBILICAL TAPE

Facility

$6.60

Hospital Charge Code	270604718
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.30
Rate for Payer: Aetna Commercial	$2.51
Rate for Payer: Aetna Medicare Advantage	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.68
Rate for Payer: Cigna Commercial	$3.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.98
Rate for Payer: Oxford Commercial	$1.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.99
Rate for Payer: UnitedHealthcare Commercial	$1.32
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

SUTURE UMBILICAL TAPE

Facility

$6.60

Hospital Charge Code	270604718
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Qualcare PPO/HMO/WC	$0.99

SUTURE VCL PLUS 27 IN 2-0

Facility

$21.07

Hospital Charge Code	270690892
Hospital Revenue Code	272
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$3.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.16

SUTURE VCL PLUS 27 IN 2-0

Facility

$21.07

Hospital Charge Code	270690892
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.54
Rate for Payer: Aetna Commercial	$8.01
Rate for Payer: Aetna Medicare Advantage	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.37
Rate for Payer: Cigna Commercial	$10.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.32
Rate for Payer: Oxford Commercial	$4.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.16
Rate for Payer: UnitedHealthcare Commercial	$4.21
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

SUTURE VCL PLUS 8X18 IN 2-0 CR

Facility

$79.57

Hospital Charge Code	270690889
Hospital Revenue Code	272
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$11.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.94

SUTURE VCL PLUS 8X18 IN 2-0 CR

Facility

$79.57

Hospital Charge Code	270690889
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$39.78
Rate for Payer: Aetna Commercial	$30.24
Rate for Payer: Aetna Medicare Advantage	$23.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.87
Rate for Payer: Oxford Commercial	$15.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.94
Rate for Payer: UnitedHealthcare Commercial	$15.91
Rate for Payer: UnitedHealthcare Community & State	$1.92
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

SUTURE VCL PLUS UD 27 IN 4-0

Facility

$11.10

Hospital Charge Code	270690890
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.55
Rate for Payer: Aetna Commercial	$4.22
Rate for Payer: Aetna Medicare Advantage	$3.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.83
Rate for Payer: Cigna Commercial	$5.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.33
Rate for Payer: Oxford Commercial	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.67
Rate for Payer: UnitedHealthcare Commercial	$2.22
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SUTURE VCL PLUS UD 27 IN 4-0

Facility

$11.10

Hospital Charge Code	270690890
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.67

Know your out-of-pocket cost for care.

All Charges