Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CAPROSYN 4-0 UNDYED 30

Facility

$36.10

Hospital Charge Code	270671790
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$5.42
Rate for Payer: Qualcare PPO/HMO/WC	$5.42

SUTURE CAPROSYN 5/0 18 UD P24

Facility

$14.74

Hospital Charge Code	270651283
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

SUTURE CAPROSYN 5/0 18 UD P24

Facility

$14.74

Hospital Charge Code	270651283
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$7.37
Rate for Payer: Aetna Commercial	$5.60
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Oxford Commercial	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$2.95
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

SUTURE CAPROSYN GS-21 36

Facility

$7.85

Hospital Charge Code	270655017
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.18

SUTURE CAPROSYN GS-21 36

Facility

$7.85

Hospital Charge Code	270655017
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.92
Rate for Payer: Aetna Commercial	$2.98
Rate for Payer: Aetna Medicare Advantage	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.00
Rate for Payer: Cigna Commercial	$3.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.04
Rate for Payer: Oxford Commercial	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.18
Rate for Payer: UnitedHealthcare Commercial	$1.57
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE CAPROSYN P-12 3-0

Facility

$15.68

Hospital Charge Code	270633106
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.84
Rate for Payer: Aetna Commercial	$5.96
Rate for Payer: Aetna Medicare Advantage	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.00
Rate for Payer: Cigna Commercial	$7.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.08
Rate for Payer: Oxford Commercial	$3.14
Rate for Payer: Qualcare PPO/HMO/WC	$2.35
Rate for Payer: UnitedHealthcare Commercial	$3.14
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

SUTURE CAPROSYN P-12 3-0

Facility

$15.68

Hospital Charge Code	270633106
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$2.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.35

SUTURE CAPROSYN V-20 2-0 30 UD

Facility

$7.62

Hospital Charge Code	270651142
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.81
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.98
Rate for Payer: Oxford Commercial	$1.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$1.52
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE CAPROSYN V-20 2-0 30 UD

Facility

$7.62

Hospital Charge Code	270651142
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

SUTURE CARTR 2-0 NOVOSTITCH

Facility

$2,375.00

Hospital Charge Code	270689758
Hospital Revenue Code	272
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SUTURE CARTR 2-0 NOVOSTITCH

Facility

$2,375.00

Hospital Charge Code	270689758
Hospital Revenue Code	272
Min. Negotiated Rate	$67.45
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$475.00
Rate for Payer: UnitedHealthcare Community & State	$75.05
Rate for Payer: Wellpoint Medicaid Managed Care	$67.45

SUTURE CARTRDG SMT BLK COBRAID

Facility

$1,377.75

Hospital Charge Code	270670575
Hospital Revenue Code	272
Min. Negotiated Rate	$39.13
Max. Negotiated Rate	$688.88
Rate for Payer: Aetna Commercial	$523.54
Rate for Payer: Aetna Medicare Advantage	$413.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.33
Rate for Payer: Cigna Commercial	$688.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.21
Rate for Payer: Oxford Commercial	$275.55
Rate for Payer: Qualcare PPO/HMO/WC	$206.66
Rate for Payer: UnitedHealthcare Commercial	$275.55
Rate for Payer: UnitedHealthcare Community & State	$43.54
Rate for Payer: Wellpoint Medicaid Managed Care	$39.13

SUTURE CARTRDG SMT BLK COBRAID

Facility

$1,377.75

Hospital Charge Code	270670575
Hospital Revenue Code	272
Min. Negotiated Rate	$206.66
Max. Negotiated Rate	$206.66
Rate for Payer: Qualcare PPO/HMO/WC	$206.66

SUTURE CARTRIDGE MIXED WHITE

Facility

$236.58

Hospital Charge Code	270672939
Hospital Revenue Code	272
Min. Negotiated Rate	$35.49
Max. Negotiated Rate	$35.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.49

SUTURE CARTRIDGE MIXED WHITE

Facility

$236.58

Hospital Charge Code	270672939
Hospital Revenue Code	272
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$118.29
Rate for Payer: Aetna Commercial	$89.90
Rate for Payer: Aetna Medicare Advantage	$70.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.33
Rate for Payer: Cigna Commercial	$118.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.51
Rate for Payer: Oxford Commercial	$47.32
Rate for Payer: Qualcare PPO/HMO/WC	$35.49
Rate for Payer: UnitedHealthcare Commercial	$47.32
Rate for Payer: UnitedHealthcare Community & State	$7.48
Rate for Payer: Wellpoint Medicaid Managed Care	$6.72

SUTURE CARTRIDGE PP CO-BRAID

Facility

$236.58

Hospital Charge Code	270672941
Hospital Revenue Code	272
Min. Negotiated Rate	$35.49
Max. Negotiated Rate	$35.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.49

SUTURE CARTRIDGE PP CO-BRAID

Facility

$236.58

Hospital Charge Code	270672941
Hospital Revenue Code	272
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$118.29
Rate for Payer: Aetna Commercial	$89.90
Rate for Payer: Aetna Medicare Advantage	$70.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.33
Rate for Payer: Cigna Commercial	$118.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.51
Rate for Payer: Oxford Commercial	$47.32
Rate for Payer: Qualcare PPO/HMO/WC	$35.49
Rate for Payer: UnitedHealthcare Commercial	$47.32
Rate for Payer: UnitedHealthcare Community & State	$7.48
Rate for Payer: Wellpoint Medicaid Managed Care	$6.72

SUTURE CARTRIDGE SMARTST BLUE

Facility

$1,625.00

Hospital Charge Code	270668399
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE CARTRIDGE SMARTST BLUE

Facility

$1,625.00

Hospital Charge Code	270668399
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 CARTRIDGE SMARTST WHITE

Facility

$1,625.00

Hospital Charge Code	270668400
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 CARTRIDGE SMARTST WHITE

Facility

$1,625.00

Hospital Charge Code	270668400
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE CARTRIDGE SPEEDSTITCH

Facility

$1,415.00

Hospital Charge Code	270672846
Hospital Revenue Code	272
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$707.50
Rate for Payer: Aetna Commercial	$537.70
Rate for Payer: Aetna Medicare Advantage	$424.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.82
Rate for Payer: Cigna Commercial	$707.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.90
Rate for Payer: Oxford Commercial	$283.00
Rate for Payer: Qualcare PPO/HMO/WC	$212.25
Rate for Payer: UnitedHealthcare Commercial	$283.00
Rate for Payer: UnitedHealthcare Community & State	$44.71
Rate for Payer: Wellpoint Medicaid Managed Care	$40.19

SUTURE CARTRIDGE SPEEDSTITCH

Facility

$1,415.00

Hospital Charge Code	270672846
Hospital Revenue Code	272
Min. Negotiated Rate	$212.25
Max. Negotiated Rate	$212.25
Rate for Payer: Qualcare PPO/HMO/WC	$212.25

SUTURE CH GUT 2/0 30 GS-24 11T

Facility

$6.45

Hospital Charge Code	270656095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.23
Rate for Payer: Aetna Commercial	$2.45
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.68
Rate for Payer: Oxford Commercial	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$1.29
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.18

SUTURE CH GUT 2/0 30 GS-24 11T

Facility

$6.45

Hospital Charge Code	270656095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

Know your out-of-pocket cost for care.

All Charges