Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ANCHOR KNOTLESS 3x12.7M

Facility

$1,925.00

Hospital Charge Code	270675563
Hospital Revenue Code	272
Min. Negotiated Rate	$288.75
Max. Negotiated Rate	$288.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.75

SUTURE ANCHOR KNOTLESS 3x12.7M

Facility

$1,925.00

Hospital Charge Code	270675563
Hospital Revenue Code	272
Min. Negotiated Rate	$54.67
Max. Negotiated Rate	$962.50
Rate for Payer: Aetna Commercial	$731.50
Rate for Payer: Aetna Medicare Advantage	$577.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.88
Rate for Payer: Cigna Commercial	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.50
Rate for Payer: Oxford Commercial	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.75
Rate for Payer: UnitedHealthcare Commercial	$385.00
Rate for Payer: UnitedHealthcare Community & State	$60.83
Rate for Payer: Wellpoint Medicaid Managed Care	$54.67

SUTURE ANCHOR MINI BIO 2.5mm

Facility

$2,125.00

Hospital Charge Code	270655937
Hospital Revenue Code	272
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$318.75
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

SUTURE ANCHOR MINI BIO 2.5mm

Facility

$2,125.00

Hospital Charge Code	270655937
Hospital Revenue Code	272
Min. Negotiated Rate	$60.35
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$807.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Commercial	$425.00
Rate for Payer: UnitedHealthcare Community & State	$67.15
Rate for Payer: Wellpoint Medicaid Managed Care	$60.35

SUTURE ANCHOR MORPHIX 2 3.5MM

Facility

$2,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700352
Hospital Revenue Code	278
Min. Negotiated Rate	$66.74
Max. Negotiated Rate	$1,175.00
Rate for Payer: Aetna Commercial	$893.00
Rate for Payer: Aetna Medicare Advantage	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.25
Rate for Payer: Cigna Commercial	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.70
Rate for Payer: Qualcare PPO/HMO/WC	$352.50
Rate for Payer: UnitedHealthcare Community & State	$74.26
Rate for Payer: Wellpoint Medicaid Managed Care	$66.74

SUTURE ANCHOR MORPHIX 2 3.5MM

Facility

$2,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700352
Hospital Revenue Code	278
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$568.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.70
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

SUTURE ANCHOR PEEK 4.75MM 3STR

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270700659
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

SUTURE ANCHOR PEEK 4.75MM 3STR

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270700659
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SUTURE ANCHOR PEEK 7x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674133
Hospital Revenue Code	272
Min. Negotiated Rate	$82.22
Max. Negotiated Rate	$1,447.50
Rate for Payer: Aetna Commercial	$1,100.10
Rate for Payer: Aetna Medicare Advantage	$868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.23
Rate for Payer: Cigna Commercial	$1,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$752.70
Rate for Payer: Oxford Commercial	$579.00
Rate for Payer: Qualcare PPO/HMO/WC	$434.25
Rate for Payer: UnitedHealthcare Commercial	$579.00
Rate for Payer: UnitedHealthcare Community & State	$91.48
Rate for Payer: Wellpoint Medicaid Managed Care	$82.22

SUTURE ANCHOR PEEK 7x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674133
Hospital Revenue Code	272
Min. Negotiated Rate	$434.25
Max. Negotiated Rate	$434.25
Rate for Payer: Qualcare PPO/HMO/WC	$434.25

SUTURE ANCHOR PEEK 8x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674134
Hospital Revenue Code	272
Min. Negotiated Rate	$434.25
Max. Negotiated Rate	$434.25
Rate for Payer: Qualcare PPO/HMO/WC	$434.25

SUTURE ANCHOR PEEK 8x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674134
Hospital Revenue Code	272
Min. Negotiated Rate	$82.22
Max. Negotiated Rate	$1,447.50
Rate for Payer: Aetna Commercial	$1,100.10
Rate for Payer: Aetna Medicare Advantage	$868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.23
Rate for Payer: Cigna Commercial	$1,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$752.70
Rate for Payer: Oxford Commercial	$579.00
Rate for Payer: Qualcare PPO/HMO/WC	$434.25
Rate for Payer: UnitedHealthcare Commercial	$579.00
Rate for Payer: UnitedHealthcare Community & State	$91.48
Rate for Payer: Wellpoint Medicaid Managed Care	$82.22

SUTURE ANCHOR PEEK MINI 2.5MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270687549
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 PEEK MINI 2.5MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270687549
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 PEEK PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270676353
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 PEEK PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270676353
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 PUSH 3.5X19.5MM

Facility

$2,000.00

Hospital Charge Code	270663909
Hospital Revenue Code	272
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) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

SUTURE ANCHOR PUSH 3.5X19.5MM

Facility

$2,000.00

Hospital Charge Code	270663909
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SUTURE ANCHOR PUSH LOCK 2.9

Facility

$2,000.00

Hospital Charge Code	270667608
Hospital Revenue Code	272
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) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

SUTURE ANCHOR PUSH LOCK 2.9

Facility

$2,000.00

Hospital Charge Code	270667608
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SUTURE ANCHOR QFIX MINI 1.8MM

Facility

$3,575.00

Service Code	HCPCS A4649
Hospital Charge Code	270687358
Hospital Revenue Code	278
Min. Negotiated Rate	$101.53
Max. Negotiated Rate	$1,787.50
Rate for Payer: Aetna Commercial	$1,358.50
Rate for Payer: Aetna Medicare Advantage	$1,072.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$911.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$911.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$715.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$911.62
Rate for Payer: Cigna Commercial	$1,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$865.15
Rate for Payer: Qualcare PPO/HMO/WC	$536.25
Rate for Payer: UnitedHealthcare Community & State	$112.97
Rate for Payer: Wellpoint Medicaid Managed Care	$101.53

SUTURE ANCHOR QFIX MINI 1.8MM

Facility

$3,575.00

Service Code	HCPCS A4649
Hospital Charge Code	270687358
Hospital Revenue Code	278
Min. Negotiated Rate	$536.25
Max. Negotiated Rate	$865.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$865.15
Rate for Payer: Qualcare PPO/HMO/WC	$536.25

SUTURE ANCHOR SUPER REVO 5MM

Facility

$968.20

Hospital Charge Code	270678104
Hospital Revenue Code	272
Min. Negotiated Rate	$145.23
Max. Negotiated Rate	$145.23
Rate for Payer: Qualcare PPO/HMO/WC	$145.23

SUTURE ANCHOR SUPER REVO 5MM

Facility

$968.20

Hospital Charge Code	270678104
Hospital Revenue Code	272
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$484.10
Rate for Payer: Aetna Commercial	$367.92
Rate for Payer: Aetna Medicare Advantage	$290.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.89
Rate for Payer: Cigna Commercial	$484.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.73
Rate for Payer: Oxford Commercial	$193.64
Rate for Payer: Qualcare PPO/HMO/WC	$145.23
Rate for Payer: UnitedHealthcare Commercial	$193.64
Rate for Payer: UnitedHealthcare Community & State	$30.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.50

SUTURE ANCHOR SWIVELLOCK TENDO

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270680783
Hospital Revenue Code	278
Min. Negotiated Rate	$61.77
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$826.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Community & State	$68.73
Rate for Payer: Wellpoint Medicaid Managed Care	$61.77

Know your out-of-pocket cost for care.

All Charges