Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE V-LOC GS21

Facility

$183.76

Hospital Charge Code	270660322
Hospital Revenue Code	272
Min. Negotiated Rate	$27.56
Max. Negotiated Rate	$27.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.56

SUTURE V-LOC GS21

Facility

$183.76

Hospital Charge Code	270660322
Hospital Revenue Code	272
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$91.88
Rate for Payer: Aetna Commercial	$69.83
Rate for Payer: Aetna Medicare Advantage	$55.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.86
Rate for Payer: Cigna Commercial	$91.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.13
Rate for Payer: Oxford Commercial	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.56
Rate for Payer: UnitedHealthcare Commercial	$36.75
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

SUTURE VLOCGS21 1/2 C 2-0 180

Facility

$339.70

Hospital Charge Code	270678499
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$169.85
Rate for Payer: Aetna Commercial	$129.09
Rate for Payer: Aetna Medicare Advantage	$101.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.62
Rate for Payer: Cigna Commercial	$169.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.91
Rate for Payer: Oxford Commercial	$67.94
Rate for Payer: Qualcare PPO/HMO/WC	$50.95
Rate for Payer: UnitedHealthcare Commercial	$67.94
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.00

SUTURE VLOCGS21 1/2 C 2-0 180

Facility

$339.70

Hospital Charge Code	270678499
Hospital Revenue Code	272
Min. Negotiated Rate	$50.95
Max. Negotiated Rate	$50.95
Rate for Payer: Qualcare PPO/HMO/WC	$50.95

SUTURE VLOC NA BLU 15 CM GS21

Facility

$174.50

Hospital Charge Code	270692407
Hospital Revenue Code	272
Min. Negotiated Rate	$26.18
Max. Negotiated Rate	$26.18
Rate for Payer: Qualcare PPO/HMO/WC	$26.18

SUTURE VLOC NA BLU 15 CM GS21

Facility

$174.50

Hospital Charge Code	270692407
Hospital Revenue Code	272
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$87.25
Rate for Payer: Aetna Commercial	$66.31
Rate for Payer: Aetna Medicare Advantage	$52.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.50
Rate for Payer: Cigna Commercial	$87.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.35
Rate for Payer: Oxford Commercial	$34.90
Rate for Payer: Qualcare PPO/HMO/WC	$26.18
Rate for Payer: UnitedHealthcare Commercial	$34.90
Rate for Payer: UnitedHealthcare Community & State	$4.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.62

SUTURE V LOC SH 2-0 GS 22

Facility

$435.72

Hospital Charge Code	270691570
Hospital Revenue Code	272
Min. Negotiated Rate	$65.36
Max. Negotiated Rate	$65.36
Rate for Payer: Qualcare PPO/HMO/WC	$65.36

SUTURE V LOC SH 2-0 GS 22

Facility

$435.72

Hospital Charge Code	270691570
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$217.86
Rate for Payer: Aetna Commercial	$165.57
Rate for Payer: Aetna Medicare Advantage	$130.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.11
Rate for Payer: Cigna Commercial	$217.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.72
Rate for Payer: Oxford Commercial	$87.14
Rate for Payer: Qualcare PPO/HMO/WC	$65.36
Rate for Payer: UnitedHealthcare Commercial	$87.14
Rate for Payer: UnitedHealthcare Community & State	$10.50
Rate for Payer: Wellpoint Medicaid Managed Care	$11.55

SUTURE VLOC SZ 3-0 18 IN 3/8

Facility

$236.54

Hospital Charge Code	270698637
Hospital Revenue Code	272
Min. Negotiated Rate	$35.48
Max. Negotiated Rate	$35.48
Rate for Payer: Qualcare PPO/HMO/WC	$35.48

SUTURE VLOC SZ 3-0 18 IN 3/8

Facility

$236.54

Hospital Charge Code	270698637
Hospital Revenue Code	272
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$118.27
Rate for Payer: Aetna Commercial	$89.89
Rate for Payer: Aetna Medicare Advantage	$70.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.32
Rate for Payer: Cigna Commercial	$118.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.96
Rate for Payer: Oxford Commercial	$47.31
Rate for Payer: Qualcare PPO/HMO/WC	$35.48
Rate for Payer: UnitedHealthcare Commercial	$47.31
Rate for Payer: UnitedHealthcare Community & State	$5.70
Rate for Payer: Wellpoint Medicaid Managed Care	$6.27

SUTURE V-LOC V-20 2-0 12 GRN

Facility

$313.60

Hospital Charge Code	270678354
Hospital Revenue Code	272
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$156.80
Rate for Payer: Aetna Commercial	$119.17
Rate for Payer: Aetna Medicare Advantage	$94.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.97
Rate for Payer: Cigna Commercial	$156.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.08
Rate for Payer: Oxford Commercial	$62.72
Rate for Payer: Qualcare PPO/HMO/WC	$47.04
Rate for Payer: UnitedHealthcare Commercial	$62.72
Rate for Payer: UnitedHealthcare Community & State	$7.56
Rate for Payer: Wellpoint Medicaid Managed Care	$8.31

SUTURE V-LOC V-20 2-0 12 GRN

Facility

$313.60

Hospital Charge Code	270678354
Hospital Revenue Code	272
Min. Negotiated Rate	$47.04
Max. Negotiated Rate	$47.04
Rate for Payer: Qualcare PPO/HMO/WC	$47.04

SUTURE WIRE: MONOFILAMENT

Facility

$126.00

Hospital Charge Code	270334653
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$63.00
Rate for Payer: Aetna Commercial	$47.88
Rate for Payer: Aetna Medicare Advantage	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.13
Rate for Payer: Cigna Commercial	$63.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.80
Rate for Payer: Oxford Commercial	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.90
Rate for Payer: UnitedHealthcare Commercial	$25.20
Rate for Payer: UnitedHealthcare Community & State	$3.04
Rate for Payer: Wellpoint Medicaid Managed Care	$3.34

SUTURE WIRE: MONOFILAMENT

Facility

$126.00

Hospital Charge Code	270334653
Hospital Revenue Code	272
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

SUTURE WIRE ZIM 16G 4044-20

Facility

$9.10

Hospital Charge Code	270601261
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.55
Rate for Payer: Aetna Commercial	$3.46
Rate for Payer: Aetna Medicare Advantage	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.32
Rate for Payer: Cigna Commercial	$4.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$1.82
Rate for Payer: Qualcare PPO/HMO/WC	$1.36
Rate for Payer: UnitedHealthcare Commercial	$1.82
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

SUTURE WIRE ZIM 16G 4044-20

Facility

$9.10

Hospital Charge Code	270601261
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.36

SUTURE WIRE ZIM 18G 4044-16

Facility

$112.50

Hospital Charge Code	270601259
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

SUTURE WIRE ZIM 18G 4044-16

Facility

$112.50

Hospital Charge Code	270601259
Hospital Revenue Code	272
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$42.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.75
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$22.50
Rate for Payer: UnitedHealthcare Community & State	$2.71
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

SUTURE WIRE ZIM SS .048 191-44

Facility

$190.45

Hospital Charge Code	270601262
Hospital Revenue Code	272
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$95.22
Rate for Payer: Aetna Commercial	$72.37
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.13
Rate for Payer: Oxford Commercial	$38.09
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$38.09
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: Wellpoint Medicaid Managed Care	$5.05

SUTURE WIRE ZIM SS .048 191-44

Facility

$190.45

Hospital Charge Code	270601262
Hospital Revenue Code	272
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

SUTURE WIRE ZIM SS 19G 191-34

Facility

$131.25

Hospital Charge Code	270601260
Hospital Revenue Code	272
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

SUTURE WIRE ZIM SS 19G 191-34

Facility

$131.25

Hospital Charge Code	270601260
Hospital Revenue Code	272
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$49.88
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.38
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$26.25
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.48

SUTUR SILK 2-0 36 IN NONABS

Facility

$438.30

Hospital Charge Code	270702977
Hospital Revenue Code	278
Min. Negotiated Rate	$65.75
Max. Negotiated Rate	$106.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$96.43
Rate for Payer: Qualcare PPO/HMO/WC	$65.75

SUTUR SILK 2-0 36 IN NONABS

Facility

$438.30

Hospital Charge Code	270702977
Hospital Revenue Code	278
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$219.15
Rate for Payer: Aetna Commercial	$166.55
Rate for Payer: Aetna Medicare Advantage	$131.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.77
Rate for Payer: Cigna Commercial	$219.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$96.43
Rate for Payer: Qualcare PPO/HMO/WC	$65.75
Rate for Payer: UnitedHealthcare Community & State	$10.56
Rate for Payer: Wellpoint Medicaid Managed Care	$11.61

SUTURTAK PEEK CURVED 2.0MM

Facility

$1,375.00

Hospital Charge Code	270677689
Hospital Revenue Code	272
Min. Negotiated Rate	$33.14
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$33.14
Rate for Payer: Wellpoint Medicaid Managed Care	$36.44

Know your out-of-pocket cost for care.

All Charges