Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE 6-0 PROLENE RB-1 DA 36

Facility

$221.05

Hospital Charge Code	270679572
Hospital Revenue Code	272
Min. Negotiated Rate	$6.28
Max. Negotiated Rate	$110.53
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$66.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.37
Rate for Payer: Cigna Commercial	$110.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.47
Rate for Payer: Oxford Commercial	$44.21
Rate for Payer: Qualcare PPO/HMO/WC	$33.16
Rate for Payer: UnitedHealthcare Commercial	$44.21
Rate for Payer: UnitedHealthcare Community & State	$6.99
Rate for Payer: Wellpoint Medicaid Managed Care	$6.28

SUTURE 6-0 PROLENE RB-1 DA 36

Facility

$221.05

Hospital Charge Code	270679572
Hospital Revenue Code	272
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$33.16
Rate for Payer: Qualcare PPO/HMO/WC	$33.16

SUTURE 7717G

Facility

$33.57

Hospital Charge Code	270654903
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$16.79
Rate for Payer: Aetna Commercial	$12.76
Rate for Payer: Aetna Medicare Advantage	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.56
Rate for Payer: Cigna Commercial	$16.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.73
Rate for Payer: Oxford Commercial	$6.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.04
Rate for Payer: UnitedHealthcare Commercial	$6.71
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

SUTURE 7717G

Facility

$33.57

Hospital Charge Code	270654903
Hospital Revenue Code	272
Min. Negotiated Rate	$5.04
Max. Negotiated Rate	$5.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.04

SUTURE 90 DEG STRGHT AR406890

Facility

$700.00

Hospital Charge Code	270638447
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SUTURE 90 DEG STRGHT AR406890

Facility

$700.00

Hospital Charge Code	270638447
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SUTURE ABS V-LOC 180 P-12 3-0

Facility

$339.86

Hospital Charge Code	270652810
Hospital Revenue Code	272
Min. Negotiated Rate	$9.65
Max. Negotiated Rate	$169.93
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$101.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.66
Rate for Payer: Cigna Commercial	$169.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.36
Rate for Payer: Oxford Commercial	$67.97
Rate for Payer: Qualcare PPO/HMO/WC	$50.98
Rate for Payer: UnitedHealthcare Commercial	$67.97
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.65

SUTURE ABS V-LOC 180 P-12 3-0

Facility

$339.86

Hospital Charge Code	270652810
Hospital Revenue Code	272
Min. Negotiated Rate	$50.98
Max. Negotiated Rate	$50.98
Rate for Payer: Qualcare PPO/HMO/WC	$50.98

SUTURE ANCH BIOCOMP SWIVELOCK

Facility

$1,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270660671
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

SUTURE ANCH BIOCOMP SWIVELOCK

Facility

$1,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270660671
Hospital Revenue Code	278
Min. Negotiated Rate	$53.96
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$722.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00
Rate for Payer: UnitedHealthcare Community & State	$60.04
Rate for Payer: Wellpoint Medicaid Managed Care	$53.96

SUTURE ANCH FORCE FIB SZ2 38IN

Facility

$142.50

Hospital Charge Code	270696185
Hospital Revenue Code	272
Min. Negotiated Rate	$21.38
Max. Negotiated Rate	$21.38
Rate for Payer: Qualcare PPO/HMO/WC	$21.38

SUTURE ANCH FORCE FIB SZ2 38IN

Facility

$142.50

Hospital Charge Code	270696185
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$71.25
Rate for Payer: Aetna Commercial	$54.15
Rate for Payer: Aetna Medicare Advantage	$42.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.34
Rate for Payer: Cigna Commercial	$71.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.38
Rate for Payer: UnitedHealthcare Commercial	$28.50
Rate for Payer: UnitedHealthcare Community & State	$4.50
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

SUTURE ANCH MIC B/COMP 2.4x6.5

Facility

$1,625.00

Hospital Charge Code	270677968
Hospital Revenue Code	272
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$325.00
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

SUTURE ANCH MIC B/COMP 2.4x6.5

Facility

$1,625.00

Hospital Charge Code	270677968
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$775.00

Hospital Charge Code	270683346
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$2,926.90

Service Code	HCPCS C1713
Hospital Charge Code	270683377
Hospital Revenue Code	278
Min. Negotiated Rate	$439.04
Max. Negotiated Rate	$708.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.31
Rate for Payer: Qualcare PPO/HMO/WC	$439.04

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$775.00

Hospital Charge Code	270683346
Hospital Revenue Code	272
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$2,926.90

Service Code	HCPCS C1713
Hospital Charge Code	270683377
Hospital Revenue Code	278
Min. Negotiated Rate	$83.12
Max. Negotiated Rate	$1,463.45
Rate for Payer: Aetna Commercial	$1,112.22
Rate for Payer: Aetna Medicare Advantage	$878.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$746.36
Rate for Payer: Cigna Commercial	$1,463.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.31
Rate for Payer: Qualcare PPO/HMO/WC	$439.04
Rate for Payer: UnitedHealthcare Community & State	$92.49
Rate for Payer: Wellpoint Medicaid Managed Care	$83.12

SUTURE ANCHOR 2/0 ULTRAFIX

Facility

$1,084.65

Service Code	HCPCS C1713
Hospital Charge Code	270691027
Hospital Revenue Code	278
Min. Negotiated Rate	$162.70
Max. Negotiated Rate	$262.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.49
Rate for Payer: Qualcare PPO/HMO/WC	$162.70

SUTURE ANCHOR 2/0 ULTRAFIX

Facility

$1,084.65

Service Code	HCPCS C1713
Hospital Charge Code	270691027
Hospital Revenue Code	278
Min. Negotiated Rate	$30.80
Max. Negotiated Rate	$542.33
Rate for Payer: Aetna Commercial	$412.17
Rate for Payer: Aetna Medicare Advantage	$325.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.59
Rate for Payer: Cigna Commercial	$542.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.49
Rate for Payer: Qualcare PPO/HMO/WC	$162.70
Rate for Payer: UnitedHealthcare Community & State	$34.27
Rate for Payer: Wellpoint Medicaid Managed Care	$30.80

SUTURE ANCHOR 2.8MM, STERILE

Facility

$2,323.75

Hospital Charge Code	270701718
Hospital Revenue Code	278
Min. Negotiated Rate	$65.99
Max. Negotiated Rate	$1,161.88
Rate for Payer: Aetna Commercial	$883.02
Rate for Payer: Aetna Medicare Advantage	$697.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.56
Rate for Payer: Cigna Commercial	$1,161.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: Qualcare PPO/HMO/WC	$348.56
Rate for Payer: UnitedHealthcare Community & State	$73.43
Rate for Payer: Wellpoint Medicaid Managed Care	$65.99

SUTURE ANCHOR 2.8MM, STERILE

Facility

$2,323.75

Hospital Charge Code	270701718
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

SUTURE ANCHOR 3x12.4MM F/WIRE

Facility

$343.00

Hospital Charge Code	270675964
Hospital Revenue Code	272
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$51.45
Rate for Payer: Qualcare PPO/HMO/WC	$51.45

SUTURE ANCHOR 3x12.4MM F/WIRE

Facility

$343.00

Hospital Charge Code	270675964
Hospital Revenue Code	272
Min. Negotiated Rate	$9.74
Max. Negotiated Rate	$171.50
Rate for Payer: Aetna Commercial	$130.34
Rate for Payer: Aetna Medicare Advantage	$102.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.47
Rate for Payer: Cigna Commercial	$171.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.18
Rate for Payer: Oxford Commercial	$68.60
Rate for Payer: Qualcare PPO/HMO/WC	$51.45
Rate for Payer: UnitedHealthcare Commercial	$68.60
Rate for Payer: UnitedHealthcare Community & State	$10.84
Rate for Payer: Wellpoint Medicaid Managed Care	$9.74

SUTURE ANCHOR 5.5X14.9MM

Facility

$1,751.00

Service Code	HCPCS C1713
Hospital Charge Code	270705658
Hospital Revenue Code	278
Min. Negotiated Rate	$262.65
Max. Negotiated Rate	$423.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.74
Rate for Payer: Qualcare PPO/HMO/WC	$262.65

Know your out-of-pocket cost for care.

All Charges