Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ANCHOR SPILK WORTHO 5 0 222986

Facility

$1,715.00

Hospital Charge Code	270638181
Hospital Revenue Code	270
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

ANCHOR SUTURE BIOCOMPOSITE SW

Facility

$2,860.00

Hospital Charge Code	270667330
Hospital Revenue Code	272
Min. Negotiated Rate	$81.22
Max. Negotiated Rate	$1,430.00
Rate for Payer: Aetna Commercial	$1,086.80
Rate for Payer: Aetna Medicare Advantage	$858.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$729.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$729.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$729.30
Rate for Payer: Cigna Commercial	$1,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$743.60
Rate for Payer: Oxford Commercial	$572.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.00
Rate for Payer: UnitedHealthcare Commercial	$572.00
Rate for Payer: UnitedHealthcare Community & State	$90.38
Rate for Payer: Wellpoint Medicaid Managed Care	$81.22

ANCHOR SUTURE BIOCOMPOSITE SW

Facility

$2,860.00

Hospital Charge Code	270667330
Hospital Revenue Code	272
Min. Negotiated Rate	$429.00
Max. Negotiated Rate	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.00

ANCHOR SUTURE BIO CORKSCREW

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270651515
Hospital Revenue Code	278
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

ANCHOR SUTURE BIO CORKSCREW

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270651515
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

ANCHOR SUTURE CORKSCREW MICRO

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270683443
Hospital Revenue Code	278
Min. Negotiated Rate	$40.47
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Community & State	$45.03
Rate for Payer: Wellpoint Medicaid Managed Care	$40.47

ANCHOR SUTURE CORKSCREW MICRO

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270683443
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

ANCHOR SUTURE NANO TACK 1.4 MM

Facility

$1,646.25

Hospital Charge Code	270680575
Hospital Revenue Code	272
Min. Negotiated Rate	$246.94
Max. Negotiated Rate	$246.94
Rate for Payer: Qualcare PPO/HMO/WC	$246.94

ANCHOR SUTURE NANO TACK 1.4 MM

Facility

$1,646.25

Hospital Charge Code	270680575
Hospital Revenue Code	272
Min. Negotiated Rate	$46.75
Max. Negotiated Rate	$823.12
Rate for Payer: Aetna Commercial	$625.58
Rate for Payer: Aetna Medicare Advantage	$493.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$419.79
Rate for Payer: Cigna Commercial	$823.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.02
Rate for Payer: Oxford Commercial	$329.25
Rate for Payer: Qualcare PPO/HMO/WC	$246.94
Rate for Payer: UnitedHealthcare Commercial	$329.25
Rate for Payer: UnitedHealthcare Community & State	$52.02
Rate for Payer: Wellpoint Medicaid Managed Care	$46.75

ANCHOR SUTURE PEEK 4.5 X 15 MM

Facility

$2,158.75

Service Code	HCPCS C1713
Hospital Charge Code	270701618
Hospital Revenue Code	278
Min. Negotiated Rate	$323.81
Max. Negotiated Rate	$522.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.42
Rate for Payer: Qualcare PPO/HMO/WC	$323.81

ANCHOR SUTURE PEEK 4.5 X 15 MM

Facility

$2,158.75

Service Code	HCPCS C1713
Hospital Charge Code	270701618
Hospital Revenue Code	278
Min. Negotiated Rate	$61.31
Max. Negotiated Rate	$1,079.38
Rate for Payer: Aetna Commercial	$820.33
Rate for Payer: Aetna Medicare Advantage	$647.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.48
Rate for Payer: Cigna Commercial	$1,079.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.42
Rate for Payer: Qualcare PPO/HMO/WC	$323.81
Rate for Payer: UnitedHealthcare Community & State	$68.22
Rate for Payer: Wellpoint Medicaid Managed Care	$61.31

ANCHOR SUTURE PEEK 5.5 X 15 MM

Facility

$2,158.75

Service Code	HCPCS C1716
Hospital Charge Code	270701619
Hospital Revenue Code	278
Min. Negotiated Rate	$323.81
Max. Negotiated Rate	$522.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.42
Rate for Payer: Qualcare PPO/HMO/WC	$323.81

ANCHOR SUTURE PEEK 5.5 X 15 MM

Facility

$2,158.75

Service Code	HCPCS C1716
Hospital Charge Code	270701619
Hospital Revenue Code	278
Min. Negotiated Rate	$61.31
Max. Negotiated Rate	$2,166.34
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,166.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,166.34
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.42
Rate for Payer: Qualcare PPO/HMO/WC	$323.81
Rate for Payer: UnitedHealthcare Community & State	$68.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$61.31

ANCHOR SWIVELOCK 4.75MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689194
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

ANCHOR SWIVELOCK 4.75MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689194
Hospital Revenue Code	278
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

ANCHOR SWIVELOCK 5.2MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270689195
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

ANCHOR SWIVELOCK 5.2MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270689195
Hospital Revenue Code	272
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$22.91
Rate for Payer: Wellpoint Medicaid Managed Care	$20.59

ANCHORS W/ THREADER MITEK

Facility

$2,402.00

Hospital Charge Code	270335286
Hospital Revenue Code	278
Min. Negotiated Rate	$68.22
Max. Negotiated Rate	$1,201.00
Rate for Payer: Aetna Commercial	$912.76
Rate for Payer: Aetna Medicare Advantage	$720.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.51
Rate for Payer: Cigna Commercial	$1,201.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$581.28
Rate for Payer: Qualcare PPO/HMO/WC	$360.30
Rate for Payer: UnitedHealthcare Community & State	$75.90
Rate for Payer: Wellpoint Medicaid Managed Care	$68.22

ANCHORS W/ THREADER MITEK

Facility

$2,402.00

Hospital Charge Code	270335286
Hospital Revenue Code	278
Min. Negotiated Rate	$360.30
Max. Negotiated Rate	$581.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$581.28
Rate for Payer: Qualcare PPO/HMO/WC	$360.30

ANCHOR SYST FLEXBAND 3.85X17MM

Facility

$18,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270697465
Hospital Revenue Code	278
Min. Negotiated Rate	$2,846.25
Max. Negotiated Rate	$4,591.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,591.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,846.25

ANCHOR SYST FLEXBAND 3.85X17MM

Facility

$18,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270697465
Hospital Revenue Code	278
Min. Negotiated Rate	$538.89
Max. Negotiated Rate	$9,487.50
Rate for Payer: Aetna Commercial	$7,210.50
Rate for Payer: Aetna Medicare Advantage	$5,692.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,838.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,838.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,838.62
Rate for Payer: Cigna Commercial	$9,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,591.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,846.25
Rate for Payer: UnitedHealthcare Community & State	$599.61
Rate for Payer: Wellpoint Medicaid Managed Care	$538.89

ANCHOR TAPE XBRAID 1.2

Facility

$619.05

Service Code	HCPCS C1713
Hospital Charge Code	270697226
Hospital Revenue Code	278
Min. Negotiated Rate	$92.86
Max. Negotiated Rate	$149.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.81
Rate for Payer: Qualcare PPO/HMO/WC	$92.86

ANCHOR TAPE XBRAID 1.2

Facility

$619.05

Service Code	HCPCS C1713
Hospital Charge Code	270697226
Hospital Revenue Code	278
Min. Negotiated Rate	$17.58
Max. Negotiated Rate	$309.52
Rate for Payer: Aetna Commercial	$235.24
Rate for Payer: Aetna Medicare Advantage	$185.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.86
Rate for Payer: Cigna Commercial	$309.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.81
Rate for Payer: Qualcare PPO/HMO/WC	$92.86
Rate for Payer: UnitedHealthcare Community & State	$19.56
Rate for Payer: Wellpoint Medicaid Managed Care	$17.58

ANCHOR TIGHT ROPE PCL

Facility

$1,745.00

Service Code	HCPCS C1713
Hospital Charge Code	270666958
Hospital Revenue Code	278
Min. Negotiated Rate	$261.75
Max. Negotiated Rate	$422.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.29
Rate for Payer: Qualcare PPO/HMO/WC	$261.75

ANCHOR TIGHT ROPE PCL

Facility

$1,745.00

Service Code	HCPCS C1713
Hospital Charge Code	270666958
Hospital Revenue Code	278
Min. Negotiated Rate	$49.56
Max. Negotiated Rate	$872.50
Rate for Payer: Aetna Commercial	$663.10
Rate for Payer: Aetna Medicare Advantage	$523.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$444.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$444.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$444.98
Rate for Payer: Cigna Commercial	$872.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.29
Rate for Payer: Qualcare PPO/HMO/WC	$261.75
Rate for Payer: UnitedHealthcare Community & State	$55.14
Rate for Payer: Wellpoint Medicaid Managed Care	$49.56

Know your out-of-pocket cost for care.

All Charges