Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CTD VICRYL PLUS 4/0 27I

Facility

$8.65

Hospital Charge Code	270684400
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$4.33
Rate for Payer: Aetna Commercial	$3.29
Rate for Payer: Aetna Medicare Advantage	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.21
Rate for Payer: Cigna Commercial	$4.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.25
Rate for Payer: Oxford Commercial	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$1.73
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

SUTURE CTD VICRYL PLUS 4/0 27I

Facility

$8.65

Hospital Charge Code	270684400
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

SUTURE CV6/TT9 NEEDLE

Facility

$128.33

Hospital Charge Code	270603871
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$64.17
Rate for Payer: Aetna Commercial	$48.77
Rate for Payer: Aetna Medicare Advantage	$38.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.72
Rate for Payer: Cigna Commercial	$64.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.37
Rate for Payer: Oxford Commercial	$25.67
Rate for Payer: Qualcare PPO/HMO/WC	$19.25
Rate for Payer: UnitedHealthcare Commercial	$25.67
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: Wellpoint Medicaid Managed Care	$3.64

SUTURE CV6/TT9 NEEDLE

Facility

$128.33

Hospital Charge Code	270603871
Hospital Revenue Code	272
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$19.25
Rate for Payer: Qualcare PPO/HMO/WC	$19.25

SUTURE DOUBLE LOADED 3x14.5

Facility

$1,700.00

Hospital Charge Code	270659657
Hospital Revenue Code	272
Min. Negotiated Rate	$48.28
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$646.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.00
Rate for Payer: Oxford Commercial	$340.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Commercial	$340.00
Rate for Payer: UnitedHealthcare Community & State	$53.72
Rate for Payer: Wellpoint Medicaid Managed Care	$48.28

SUTURE DOUBLE LOADED 3x14.5

Facility

$1,700.00

Hospital Charge Code	270659657
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

SUTURE D SPECIAL

Facility

$39.73

Hospital Charge Code	270670693
Hospital Revenue Code	272
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$5.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

SUTURE D SPECIAL

Facility

$147.64

Hospital Charge Code	270670806
Hospital Revenue Code	272
Min. Negotiated Rate	$22.15
Max. Negotiated Rate	$22.15
Rate for Payer: Qualcare PPO/HMO/WC	$22.15

SUTURE D SPECIAL

Facility

$39.73

Hospital Charge Code	270670693
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$19.86
Rate for Payer: Aetna Commercial	$15.10
Rate for Payer: Aetna Medicare Advantage	$11.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.13
Rate for Payer: Cigna Commercial	$19.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.33
Rate for Payer: Oxford Commercial	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Commercial	$7.95
Rate for Payer: UnitedHealthcare Community & State	$1.26
Rate for Payer: Wellpoint Medicaid Managed Care	$1.13

SUTURE D SPECIAL

Facility

$147.64

Hospital Charge Code	270670806
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$73.82
Rate for Payer: Aetna Commercial	$56.10
Rate for Payer: Aetna Medicare Advantage	$44.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.65
Rate for Payer: Cigna Commercial	$73.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.39
Rate for Payer: Oxford Commercial	$29.53
Rate for Payer: Qualcare PPO/HMO/WC	$22.15
Rate for Payer: UnitedHealthcare Commercial	$29.53
Rate for Payer: UnitedHealthcare Community & State	$4.67
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

SUTURE ENDOKNOT PDS II 0 ST-3

Facility

$152.00

Hospital Charge Code	270628667
Hospital Revenue Code	272
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

SUTURE ENDOKNOT PDS II 0 ST-3

Facility

$152.00

Hospital Charge Code	270628667
Hospital Revenue Code	272
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$57.76
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.52
Rate for Payer: Oxford Commercial	$30.40
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$30.40
Rate for Payer: UnitedHealthcare Community & State	$4.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4.32

SUTURE ENDOLOOP LIGA 0 PDS II

Facility

$197.40

Hospital Charge Code	270664791
Hospital Revenue Code	272
Min. Negotiated Rate	$29.61
Max. Negotiated Rate	$29.61
Rate for Payer: Qualcare PPO/HMO/WC	$29.61

SUTURE ENDOLOOP LIGA 0 PDS II

Facility

$197.40

Hospital Charge Code	270664791
Hospital Revenue Code	272
Min. Negotiated Rate	$5.61
Max. Negotiated Rate	$98.70
Rate for Payer: Aetna Commercial	$75.01
Rate for Payer: Aetna Medicare Advantage	$59.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.34
Rate for Payer: Cigna Commercial	$98.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.32
Rate for Payer: Oxford Commercial	$39.48
Rate for Payer: Qualcare PPO/HMO/WC	$29.61
Rate for Payer: UnitedHealthcare Commercial	$39.48
Rate for Payer: UnitedHealthcare Community & State	$6.24
Rate for Payer: Wellpoint Medicaid Managed Care	$5.61

SUTURE ENDOSTITCH POLYSORB 0

Facility

$88.55

Hospital Charge Code	270658689
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$44.27
Rate for Payer: Aetna Commercial	$33.65
Rate for Payer: Aetna Medicare Advantage	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.58
Rate for Payer: Cigna Commercial	$44.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.02
Rate for Payer: Oxford Commercial	$17.71
Rate for Payer: Qualcare PPO/HMO/WC	$13.28
Rate for Payer: UnitedHealthcare Commercial	$17.71
Rate for Payer: UnitedHealthcare Community & State	$2.80
Rate for Payer: Wellpoint Medicaid Managed Care	$2.51

SUTURE ENDOSTITCH POLYSORB 0

Facility

$88.55

Hospital Charge Code	270658689
Hospital Revenue Code	272
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$13.28
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

SUTURE ETHI 3-0 BLK MONO PC-5

Facility

$20.43

Hospital Charge Code	270671386
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

SUTURE ETHI 3-0 BLK MONO PC-5

Facility

$20.43

Hospital Charge Code	270671386
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$7.76
Rate for Payer: Aetna Medicare Advantage	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.21
Rate for Payer: Cigna Commercial	$10.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.31
Rate for Payer: Oxford Commercial	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.06
Rate for Payer: UnitedHealthcare Commercial	$4.09
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

SUTURE ETHI 3-0 BLK MONO PS-1

Facility

$17.79

Hospital Charge Code	270671377
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$8.89
Rate for Payer: Aetna Commercial	$6.76
Rate for Payer: Aetna Medicare Advantage	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.54
Rate for Payer: Cigna Commercial	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.63
Rate for Payer: Oxford Commercial	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$2.67
Rate for Payer: UnitedHealthcare Commercial	$3.56
Rate for Payer: UnitedHealthcare Community & State	$0.56
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

SUTURE ETHI 3-0 BLK MONO PS-1

Facility

$17.79

Hospital Charge Code	270671377
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SUTURE ETHI 3-0 BLK MON PS-1

Facility

$17.79

Hospital Charge Code	270671376
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$8.89
Rate for Payer: Aetna Commercial	$6.76
Rate for Payer: Aetna Medicare Advantage	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.54
Rate for Payer: Cigna Commercial	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.63
Rate for Payer: Oxford Commercial	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$2.67
Rate for Payer: UnitedHealthcare Commercial	$3.56
Rate for Payer: UnitedHealthcare Community & State	$0.56
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

SUTURE ETHI 3-0 BLK MON PS-1

Facility

$17.79

Hospital Charge Code	270671376
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SUTURE ETHI 4-0 BLK MONO FS1

Facility

$8.83

Hospital Charge Code	270671374
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	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.25
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	$1.32
Rate for Payer: UnitedHealthcare Commercial	$1.77
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

SUTURE ETHI 4-0 BLK MONO FS1

Facility

$8.83

Hospital Charge Code	270671374
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$1.32
Rate for Payer: Qualcare PPO/HMO/WC	$1.32

SUTURE ETHI 4-0 BLK MONO PC-1

Facility

$20.43

Hospital Charge Code	270671382
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

Know your out-of-pocket cost for care.

All Charges