Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CHR BUT 4-0 PS-2 18

Facility

$28.70

Hospital Charge Code	270663419
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$14.35
Rate for Payer: Aetna Commercial	$10.91
Rate for Payer: Aetna Medicare Advantage	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.46
Rate for Payer: Oxford Commercial	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.30
Rate for Payer: UnitedHealthcare Commercial	$5.74
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

SUTURE CHR BUT 4-0 PS-2 18

Facility

$28.70

Hospital Charge Code	270663419
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$4.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.30

SUTURE CHR GUT 6-0 PS-3 18INCH

Facility

$1,185.45

Hospital Charge Code	270664550
Hospital Revenue Code	272
Min. Negotiated Rate	$177.82
Max. Negotiated Rate	$177.82
Rate for Payer: Qualcare PPO/HMO/WC	$177.82

SUTURE CHR GUT 6-0 PS-3 18INCH

Facility

$1,185.45

Hospital Charge Code	270664550
Hospital Revenue Code	272
Min. Negotiated Rate	$33.67
Max. Negotiated Rate	$592.73
Rate for Payer: Aetna Commercial	$450.47
Rate for Payer: Aetna Medicare Advantage	$355.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$302.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$302.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$302.29
Rate for Payer: Cigna Commercial	$592.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.22
Rate for Payer: Oxford Commercial	$237.09
Rate for Payer: Qualcare PPO/HMO/WC	$177.82
Rate for Payer: UnitedHealthcare Commercial	$237.09
Rate for Payer: UnitedHealthcare Community & State	$37.46
Rate for Payer: Wellpoint Medicaid Managed Care	$33.67

SUTURE CHROMIC 2-0CT

Facility

$28.72

Hospital Charge Code	270655350
Hospital Revenue Code	272
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$4.31

SUTURE CHROMIC 2-0CT

Facility

$28.72

Hospital Charge Code	270655350
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$14.36
Rate for Payer: Aetna Commercial	$10.91
Rate for Payer: Aetna Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.31
Rate for Payer: UnitedHealthcare Commercial	$5.74
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

SUTURE CHROMIC 2 TP1 60 IN

Facility

$35.38

Hospital Charge Code	270681872
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$5.31
Rate for Payer: Qualcare PPO/HMO/WC	$5.31

SUTURE CHROMIC 2 TP1 60 IN

Facility

$35.38

Hospital Charge Code	270681872
Hospital Revenue Code	272
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$17.69
Rate for Payer: Aetna Commercial	$13.44
Rate for Payer: Aetna Medicare Advantage	$10.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.02
Rate for Payer: Cigna Commercial	$17.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.20
Rate for Payer: Oxford Commercial	$7.08
Rate for Payer: Qualcare PPO/HMO/WC	$5.31
Rate for Payer: UnitedHealthcare Commercial	$7.08
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

SUTURE CHROMIC BLUE 7-0 18 IN

Facility

$117.92

Hospital Charge Code	270688583
Hospital Revenue Code	272
Min. Negotiated Rate	$17.69
Max. Negotiated Rate	$17.69
Rate for Payer: Qualcare PPO/HMO/WC	$17.69

SUTURE CHROMIC BLUE 7-0 18 IN

Facility

$117.92

Hospital Charge Code	270688583
Hospital Revenue Code	272
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$58.96
Rate for Payer: Aetna Commercial	$44.81
Rate for Payer: Aetna Medicare Advantage	$35.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.07
Rate for Payer: Cigna Commercial	$58.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.66
Rate for Payer: Oxford Commercial	$23.58
Rate for Payer: Qualcare PPO/HMO/WC	$17.69
Rate for Payer: UnitedHealthcare Commercial	$23.58
Rate for Payer: UnitedHealthcare Community & State	$3.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.35

SUTURE CHROMIC GUT 0 30 BP27

Facility

$23.77

Hospital Charge Code	270604485
Hospital Revenue Code	272
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.57

SUTURE CHROMIC GUT 0 30 BP27

Facility

$23.77

Hospital Charge Code	270604485
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$11.88
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.06
Rate for Payer: Cigna Commercial	$11.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.18
Rate for Payer: Oxford Commercial	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.57
Rate for Payer: UnitedHealthcare Commercial	$4.75
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

SUTURE CHROMIC GUT 0 30 CT1

Facility

$6.78

Hospital Charge Code	270604486
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.39
Rate for Payer: Aetna Commercial	$2.58
Rate for Payer: Aetna Medicare Advantage	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.76
Rate for Payer: Oxford Commercial	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Commercial	$1.36
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

SUTURE CHROMIC GUT 0 30 CT1

Facility

$6.78

Hospital Charge Code	270604486
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

SUTURE CHROMIC GUT 0 30 GS22

Facility

$6.99

Hospital Charge Code	270656123
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.66
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.82
Rate for Payer: Oxford Commercial	$1.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$1.40
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

SUTURE CHROMIC GUT 0 30 GS22

Facility

$6.99

Hospital Charge Code	270656123
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

SUTURE CHROMIC GUT 0 30 GS24

Facility

$6.99

Hospital Charge Code	270655057
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

SUTURE CHROMIC GUT 0 30 GS24

Facility

$6.99

Hospital Charge Code	270655057
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.66
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.82
Rate for Payer: Oxford Commercial	$1.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$1.40
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

SUTURE CHROMIC GUT 0 36 CT1

Facility

$7.39

Hospital Charge Code	270651126
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$1.11
Rate for Payer: Qualcare PPO/HMO/WC	$1.11

SUTURE CHROMIC GUT 0 36 CT1

Facility

$7.39

Hospital Charge Code	270651126
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.69
Rate for Payer: Aetna Commercial	$2.81
Rate for Payer: Aetna Medicare Advantage	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.88
Rate for Payer: Cigna Commercial	$3.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.92
Rate for Payer: Oxford Commercial	$1.48
Rate for Payer: Qualcare PPO/HMO/WC	$1.11
Rate for Payer: UnitedHealthcare Commercial	$1.48
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SUTURE CHROMIC GUT 0 60 REEL

Facility

$7.19

Hospital Charge Code	270605814
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$3.60
Rate for Payer: Aetna Commercial	$2.73
Rate for Payer: Aetna Medicare Advantage	$2.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.87
Rate for Payer: Oxford Commercial	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$1.44
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

SUTURE CHROMIC GUT 0 60 REEL

Facility

$7.19

Hospital Charge Code	270605814
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

SUTURE CHROMIC GUT 0 CT-1

Facility

$13.86

Hospital Charge Code	270658809
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$2.08
Rate for Payer: Qualcare PPO/HMO/WC	$2.08

SUTURE CHROMIC GUT 0 CT-1

Facility

$26.41

Hospital Charge Code	270664548
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$13.21
Rate for Payer: Aetna Commercial	$10.04
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$13.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.87
Rate for Payer: Oxford Commercial	$5.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.96
Rate for Payer: UnitedHealthcare Commercial	$5.28
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

SUTURE CHROMIC GUT 0 CT-1

Facility

$26.41

Hospital Charge Code	270664548
Hospital Revenue Code	272
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

Know your out-of-pocket cost for care.

All Charges