Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ANCHOR 5.5X14.9MM

Facility

$1,751.00

Service Code	HCPCS C1713
Hospital Charge Code	270705658
Hospital Revenue Code	278
Min. Negotiated Rate	$49.73
Max. Negotiated Rate	$875.50
Rate for Payer: Aetna Commercial	$665.38
Rate for Payer: Aetna Medicare Advantage	$525.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.50
Rate for Payer: Cigna Commercial	$875.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.74
Rate for Payer: Qualcare PPO/HMO/WC	$262.65
Rate for Payer: UnitedHealthcare Community & State	$55.33
Rate for Payer: Wellpoint Medicaid Managed Care	$49.73

SUTURE ANCHOR 5.5x19.1MM

Facility

$2,000.00

Hospital Charge Code	270664573
Hospital Revenue Code	278
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

SUTURE ANCHOR 5.5x19.1MM

Facility

$2,000.00

Hospital Charge Code	270664573
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SUTURE ANCHOR ALL 1.4 MM

Facility

$20,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270701617
Hospital Revenue Code	278
Min. Negotiated Rate	$591.43
Max. Negotiated Rate	$10,412.50
Rate for Payer: Aetna Commercial	$7,913.50
Rate for Payer: Aetna Medicare Advantage	$6,247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,310.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,310.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,310.38
Rate for Payer: Cigna Commercial	$10,412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,039.65
Rate for Payer: Qualcare PPO/HMO/WC	$3,123.75
Rate for Payer: UnitedHealthcare Community & State	$658.07
Rate for Payer: Wellpoint Medicaid Managed Care	$591.43

SUTURE ANCHOR ALL 1.4 MM

Facility

$20,825.00

Service Code	HCPCS C1713
Hospital Charge Code	270701617
Hospital Revenue Code	278
Min. Negotiated Rate	$3,123.75
Max. Negotiated Rate	$5,039.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,039.65
Rate for Payer: Qualcare PPO/HMO/WC	$3,123.75

SUTURE ANCHOR ARTHREX

Facility

$2,180.00

Hospital Charge Code	270339529
Hospital Revenue Code	278
Min. Negotiated Rate	$61.91
Max. Negotiated Rate	$1,090.00
Rate for Payer: Aetna Commercial	$828.40
Rate for Payer: Aetna Medicare Advantage	$654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.90
Rate for Payer: Cigna Commercial	$1,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: Qualcare PPO/HMO/WC	$327.00
Rate for Payer: UnitedHealthcare Community & State	$68.89
Rate for Payer: Wellpoint Medicaid Managed Care	$61.91

SUTURE ANCHOR ARTHREX

Facility

$2,180.00

Hospital Charge Code	270339529
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

SUTURE ANCHOR BIOCOMP CORKSCRE

Facility

$1,828.25

Service Code	HCPCS C1713
Hospital Charge Code	270705068
Hospital Revenue Code	278
Min. Negotiated Rate	$274.24
Max. Negotiated Rate	$442.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.44
Rate for Payer: Qualcare PPO/HMO/WC	$274.24

SUTURE ANCHOR BIOCOMP CORKSCRE

Facility

$1,828.25

Service Code	HCPCS C1713
Hospital Charge Code	270705068
Hospital Revenue Code	278
Min. Negotiated Rate	$51.92
Max. Negotiated Rate	$914.12
Rate for Payer: Aetna Commercial	$694.74
Rate for Payer: Aetna Medicare Advantage	$548.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$466.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$466.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$466.20
Rate for Payer: Cigna Commercial	$914.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.44
Rate for Payer: Qualcare PPO/HMO/WC	$274.24
Rate for Payer: UnitedHealthcare Community & State	$57.77
Rate for Payer: Wellpoint Medicaid Managed Care	$51.92

SUTURE ANCHOR,BIO COMPOSITE

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270663910
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$387.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

SUTURE ANCHOR,BIO COMPOSITE

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270663910
Hospital Revenue Code	278
Min. Negotiated Rate	$45.44
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Community & State	$50.56
Rate for Payer: Wellpoint Medicaid Managed Care	$45.44

SUTURE ANCHOR BONECAM 2.9X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697472
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

SUTURE ANCHOR BONECAM 2.9X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697472
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SUTUREANCHORCORKSCRWFTII5.5MM

Facility

$1,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270640168
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$278.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

SUTUREANCHORCORKSCRWFTII5.5MM

Facility

$1,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270640168
Hospital Revenue Code	278
Min. Negotiated Rate	$32.66
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$437.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50
Rate for Payer: UnitedHealthcare Community & State	$36.34
Rate for Payer: Wellpoint Medicaid Managed Care	$32.66

SUTURE ANCHOR FIBERTAK

Facility

$2,325.00

Hospital Charge Code	270684479
Hospital Revenue Code	272
Min. Negotiated Rate	$66.03
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$883.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$604.50
Rate for Payer: Oxford Commercial	$465.00
Rate for Payer: Qualcare PPO/HMO/WC	$348.75
Rate for Payer: UnitedHealthcare Commercial	$465.00
Rate for Payer: UnitedHealthcare Community & State	$73.47
Rate for Payer: Wellpoint Medicaid Managed Care	$66.03

SUTURE ANCHOR FIBERTAK

Facility

$2,325.00

Hospital Charge Code	270684479
Hospital Revenue Code	272
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$348.75
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SUTURE ANCHOR HIP

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688377
Hospital Revenue Code	278
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

SUTURE ANCHOR HIP

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688377
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SUTURE ANCHOR HIP PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270677467
Hospital Revenue Code	272
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

SUTURE ANCHOR HIP PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270677467
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SUTURE ANCHOR KNOTLES 1.8MM

Facility

$477.10

Hospital Charge Code	270699650
Hospital Revenue Code	272
Min. Negotiated Rate	$13.55
Max. Negotiated Rate	$238.55
Rate for Payer: Aetna Commercial	$181.30
Rate for Payer: Aetna Medicare Advantage	$143.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.66
Rate for Payer: Cigna Commercial	$238.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.05
Rate for Payer: Oxford Commercial	$95.42
Rate for Payer: Qualcare PPO/HMO/WC	$71.56
Rate for Payer: UnitedHealthcare Commercial	$95.42
Rate for Payer: UnitedHealthcare Community & State	$15.08
Rate for Payer: Wellpoint Medicaid Managed Care	$13.55

SUTURE ANCHOR KNOTLES 1.8MM

Facility

$477.10

Hospital Charge Code	270699650
Hospital Revenue Code	272
Min. Negotiated Rate	$71.56
Max. Negotiated Rate	$71.56
Rate for Payer: Qualcare PPO/HMO/WC	$71.56

SUTURE ANCHOR KNOTLES HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690895
Hospital Revenue Code	278
Min. Negotiated Rate	$57.51
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Community & State	$63.99
Rate for Payer: Wellpoint Medicaid Managed Care	$57.51

SUTURE ANCHOR KNOTLES HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690895
Hospital Revenue Code	278
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$490.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

Know your out-of-pocket cost for care.

All Charges