Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CHROMIC GUT 3-1 CP-2

Facility

$15.83

Hospital Charge Code	270661112
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$6.02
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.12
Rate for Payer: Oxford Commercial	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$3.17
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

SUTURE CHROMIC GUT 3-1 CP-2

Facility

$15.83

Hospital Charge Code	270661112
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$15.81

Hospital Charge Code	270600788
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$13.77

Hospital Charge Code	270641079
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$15.81

Hospital Charge Code	270600788
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.91
Rate for Payer: Aetna Commercial	$6.01
Rate for Payer: Aetna Medicare Advantage	$4.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.03
Rate for Payer: Cigna Commercial	$7.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.11
Rate for Payer: Oxford Commercial	$3.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$3.16
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$13.77

Hospital Charge Code	270641079
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$6.88
Rate for Payer: Aetna Commercial	$5.23
Rate for Payer: Aetna Medicare Advantage	$4.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.51
Rate for Payer: Cigna Commercial	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.58
Rate for Payer: Oxford Commercial	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$2.75
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

SUTURE CHROMIC GUT 4/0 30 C13

Facility

$7.75

Hospital Charge Code	270604495
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

SUTURE CHROMIC GUT 4/0 30 C13

Facility

$7.75

Hospital Charge Code	270604495
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.94
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.02
Rate for Payer: Oxford Commercial	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.55
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE CHROMIC GUT 4-0 FS-2

Facility

$15.01

Hospital Charge Code	270671390
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

SUTURE CHROMIC GUT 4-0 FS-2

Facility

$15.01

Hospital Charge Code	270671390
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

SUTURE CHROMIC GUT 4-0 J-1

Facility

$16.14

Hospital Charge Code	270659081
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$8.07
Rate for Payer: Aetna Commercial	$6.13
Rate for Payer: Aetna Medicare Advantage	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.12
Rate for Payer: Cigna Commercial	$8.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.20
Rate for Payer: Oxford Commercial	$3.23
Rate for Payer: Qualcare PPO/HMO/WC	$2.42
Rate for Payer: UnitedHealthcare Commercial	$3.23
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.46

SUTURE CHROMIC GUT 4-0 J-1

Facility

$16.14

Hospital Charge Code	270659081
Hospital Revenue Code	272
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$2.42

SUTURE CHROMIC GUT 4-0 RB-1

Facility

$16.65

Hospital Charge Code	270655797
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.50

SUTURE CHROMIC GUT 4-0 RB-1

Facility

$16.65

Hospital Charge Code	270655797
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.32
Rate for Payer: Aetna Commercial	$6.33
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.25
Rate for Payer: Cigna Commercial	$8.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.33
Rate for Payer: Oxford Commercial	$3.33
Rate for Payer: Qualcare PPO/HMO/WC	$2.50
Rate for Payer: UnitedHealthcare Commercial	$3.33
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

SUTURE CHROMIC GUT 4-0 V-20

Facility

$25.71

Hospital Charge Code	270655677
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86

SUTURE CHROMIC GUT 4-0 V-20

Facility

$25.71

Hospital Charge Code	270655677
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$12.86
Rate for Payer: Aetna Commercial	$9.77
Rate for Payer: Aetna Medicare Advantage	$7.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.56
Rate for Payer: Cigna Commercial	$12.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.68
Rate for Payer: Oxford Commercial	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$3.86
Rate for Payer: UnitedHealthcare Commercial	$5.14
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.73

SUTURE CHROMIC GUT 5/0 18 P13

Facility

$46.36

Hospital Charge Code	270600787
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.18
Rate for Payer: Aetna Commercial	$17.62
Rate for Payer: Aetna Medicare Advantage	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.82
Rate for Payer: Cigna Commercial	$23.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.05
Rate for Payer: Oxford Commercial	$9.27
Rate for Payer: Qualcare PPO/HMO/WC	$6.95
Rate for Payer: UnitedHealthcare Commercial	$9.27
Rate for Payer: UnitedHealthcare Community & State	$1.46
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

SUTURE CHROMIC GUT 5/0 18 P13

Facility

$46.36

Hospital Charge Code	270600787
Hospital Revenue Code	272
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$6.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.95

SUTURE CHROMIC GUT 5/0 18 P13

Facility

$40.75

Hospital Charge Code	270660195
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$20.38
Rate for Payer: Aetna Commercial	$15.48
Rate for Payer: Aetna Medicare Advantage	$12.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.39
Rate for Payer: Cigna Commercial	$20.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.60
Rate for Payer: Oxford Commercial	$8.15
Rate for Payer: Qualcare PPO/HMO/WC	$6.11
Rate for Payer: UnitedHealthcare Commercial	$8.15
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

SUTURE CHROMIC GUT 5/0 18 P13

Facility

$40.75

Hospital Charge Code	270660195
Hospital Revenue Code	272
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$6.11
Rate for Payer: Qualcare PPO/HMO/WC	$6.11

SUTURE CHROMIC GUT 5/0 30 C13

Facility

$6.07

Hospital Charge Code	270604498
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.04
Rate for Payer: Aetna Commercial	$2.31
Rate for Payer: Aetna Medicare Advantage	$1.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.55
Rate for Payer: Cigna Commercial	$3.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.58
Rate for Payer: Oxford Commercial	$1.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.91
Rate for Payer: UnitedHealthcare Commercial	$1.21
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

SUTURE CHROMIC GUT 5/0 30 C13

Facility

$6.07

Hospital Charge Code	270604498
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$0.91
Rate for Payer: Qualcare PPO/HMO/WC	$0.91

SUTURE CHROMIC GUT 5-0 FS-2

Facility

$14.80

Hospital Charge Code	270671389
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.22

SUTURE CHROMIC GUT 5-0 FS-2

Facility

$14.80

Hospital Charge Code	270671389
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$7.40
Rate for Payer: Aetna Commercial	$5.62
Rate for Payer: Aetna Medicare Advantage	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.77
Rate for Payer: Cigna Commercial	$7.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.22
Rate for Payer: UnitedHealthcare Commercial	$2.96
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

SUTURE CHROMIC GUT 5-0 P-3

Facility

$31.63

Hospital Charge Code	270671395
Hospital Revenue Code	272
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$4.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.74

Know your out-of-pocket cost for care.

All Charges