Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CHROMIC GUT 5-0 P-3

Facility

$31.63

Hospital Charge Code	270671395
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$15.81
Rate for Payer: Aetna Commercial	$12.02
Rate for Payer: Aetna Medicare Advantage	$9.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.07
Rate for Payer: Cigna Commercial	$15.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$6.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.74
Rate for Payer: UnitedHealthcare Commercial	$6.33
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

SUTURE CHROMIC GUT 5-0 RB-1

Facility

$16.15

Hospital Charge Code	270671513
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 5-0 RB-1

Facility

$16.15

Hospital Charge Code	270671513
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$8.07
Rate for Payer: Aetna Commercial	$6.14
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 6-0 G-1

Facility

$124.26

Hospital Charge Code	270674247
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$62.13
Rate for Payer: Aetna Commercial	$47.22
Rate for Payer: Aetna Medicare Advantage	$37.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.69
Rate for Payer: Cigna Commercial	$62.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.31
Rate for Payer: Oxford Commercial	$24.85
Rate for Payer: Qualcare PPO/HMO/WC	$18.64
Rate for Payer: UnitedHealthcare Commercial	$24.85
Rate for Payer: UnitedHealthcare Community & State	$3.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.53

SUTURE CHROMIC GUT 6-0 G-1

Facility

$124.26

Hospital Charge Code	270674247
Hospital Revenue Code	272
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$18.64
Rate for Payer: Qualcare PPO/HMO/WC	$18.64

SUTURE CHROMIC GUT 6-1 PS-4

Facility

$30.90

Hospital Charge Code	270678101
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$15.45
Rate for Payer: Aetna Commercial	$11.74
Rate for Payer: Aetna Medicare Advantage	$9.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.88
Rate for Payer: Cigna Commercial	$15.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.03
Rate for Payer: Oxford Commercial	$6.18
Rate for Payer: Qualcare PPO/HMO/WC	$4.63
Rate for Payer: UnitedHealthcare Commercial	$6.18
Rate for Payer: UnitedHealthcare Community & State	$0.98
Rate for Payer: Wellpoint Medicaid Managed Care	$0.88

SUTURE CHROMIC GUT 6-1 PS-4

Facility

$30.90

Hospital Charge Code	270678101
Hospital Revenue Code	272
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$4.63
Rate for Payer: Qualcare PPO/HMO/WC	$4.63

SUTURE CHROMIC GUT P-1 5-0 18

Facility

$33.52

Hospital Charge Code	270673324
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$16.76
Rate for Payer: Aetna Commercial	$12.74
Rate for Payer: Aetna Medicare Advantage	$10.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.55
Rate for Payer: Cigna Commercial	$16.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.72
Rate for Payer: Oxford Commercial	$6.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.03
Rate for Payer: UnitedHealthcare Commercial	$6.70
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

SUTURE CHROMIC GUT P-1 5-0 18

Facility

$33.52

Hospital Charge Code	270673324
Hospital Revenue Code	272
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$5.03
Rate for Payer: Qualcare PPO/HMO/WC	$5.03

SUTURE CHROMIC GUT REEL 2-0

Facility

$25.79

Hospital Charge Code	270600573
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$12.89
Rate for Payer: Aetna Commercial	$9.80
Rate for Payer: Aetna Medicare Advantage	$7.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.58
Rate for Payer: Cigna Commercial	$12.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.71
Rate for Payer: Oxford Commercial	$5.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.87
Rate for Payer: UnitedHealthcare Commercial	$5.16
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.73

SUTURE CHROMIC GUT REEL 2-0

Facility

$25.79

Hospital Charge Code	270600573
Hospital Revenue Code	272
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$3.87
Rate for Payer: Qualcare PPO/HMO/WC	$3.87

SUTURE CHROMIC SILK BLK SA 18

Facility

$8.57

Hospital Charge Code	270673325
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE CHROMIC SILK BLK SA 18

Facility

$8.57

Hospital Charge Code	270673325
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.29
Rate for Payer: Aetna Commercial	$3.26
Rate for Payer: Aetna Medicare Advantage	$2.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.19
Rate for Payer: Cigna Commercial	$4.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.23
Rate for Payer: Oxford Commercial	$1.71
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$1.71
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

SUTURE CHRONIC GUT 2-0 CP-1

Facility

$51.49

Hospital Charge Code	270672863
Hospital Revenue Code	272
Min. Negotiated Rate	$7.72
Max. Negotiated Rate	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$7.72

SUTURE CHRONIC GUT 2-0 CP-1

Facility

$51.49

Hospital Charge Code	270672863
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$25.75
Rate for Payer: Aetna Commercial	$19.57
Rate for Payer: Aetna Medicare Advantage	$15.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.13
Rate for Payer: Cigna Commercial	$25.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.39
Rate for Payer: Oxford Commercial	$10.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.72
Rate for Payer: UnitedHealthcare Commercial	$10.30
Rate for Payer: UnitedHealthcare Community & State	$1.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

SUTURE CLIPS LAPRA-TY

Facility

$352.64

Hospital Charge Code	270611176
Hospital Revenue Code	272
Min. Negotiated Rate	$52.90
Max. Negotiated Rate	$52.90
Rate for Payer: Qualcare PPO/HMO/WC	$52.90

SUTURE CLIPS LAPRA-TY

Facility

$352.64

Hospital Charge Code	270611176
Hospital Revenue Code	272
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$176.32
Rate for Payer: Aetna Commercial	$134.00
Rate for Payer: Aetna Medicare Advantage	$105.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.92
Rate for Payer: Cigna Commercial	$176.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.69
Rate for Payer: Oxford Commercial	$70.53
Rate for Payer: Qualcare PPO/HMO/WC	$52.90
Rate for Payer: UnitedHealthcare Commercial	$70.53
Rate for Payer: UnitedHealthcare Community & State	$11.14
Rate for Payer: Wellpoint Medicaid Managed Care	$10.01

SUTURE CT-2 0 27 PDS PLUS

Facility

$13.64

Hospital Charge Code	270644590
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

SUTURE CT-2 0 27 PDS PLUS

Facility

$13.64

Hospital Charge Code	270644590
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$6.82
Rate for Payer: Aetna Commercial	$5.18
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.55
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

SUTURE CT-2 VICRYL 3-0

Facility

$342.95

Hospital Charge Code	270657436
Hospital Revenue Code	272
Min. Negotiated Rate	$9.74
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$130.32
Rate for Payer: Aetna Medicare Advantage	$102.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.45
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.17
Rate for Payer: Oxford Commercial	$68.59
Rate for Payer: Qualcare PPO/HMO/WC	$51.44
Rate for Payer: UnitedHealthcare Commercial	$68.59
Rate for Payer: UnitedHealthcare Community & State	$10.84
Rate for Payer: Wellpoint Medicaid Managed Care	$9.74

SUTURE CT-2 VICRYL 3-0

Facility

$342.95

Hospital Charge Code	270657436
Hospital Revenue Code	272
Min. Negotiated Rate	$51.44
Max. Negotiated Rate	$51.44
Rate for Payer: Qualcare PPO/HMO/WC	$51.44

SUTURE CTD VICRYL 7-0 UND P-1

Facility

$20.64

Hospital Charge Code	270671351
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.10

SUTURE CTD VICRYL 7-0 UND P-1

Facility

$20.64

Hospital Charge Code	270671351
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$10.32
Rate for Payer: Aetna Commercial	$7.84
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.37
Rate for Payer: Oxford Commercial	$4.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.10
Rate for Payer: UnitedHealthcare Commercial	$4.13
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

SUTURE CTD VICRYL PLUS 3-0

Facility

$8.85

Hospital Charge Code	270692090
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$1.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.33

SUTURE CTD VICRYL PLUS 3-0

Facility

$8.85

Hospital Charge Code	270692090
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$4.42
Rate for Payer: Aetna Commercial	$3.36
Rate for Payer: Aetna Medicare Advantage	$2.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.26
Rate for Payer: Cigna Commercial	$4.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.30
Rate for Payer: Oxford Commercial	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.33
Rate for Payer: UnitedHealthcare Commercial	$1.77
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

Know your out-of-pocket cost for care.

All Charges