Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHIBOND 4-0 PS-4

Facility

$17.80

Hospital Charge Code	270604640
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$8.90
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	$8.90
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 ETHIBOND 4-0 RB-1

Facility

$31.59

Hospital Charge Code	270672857
Hospital Revenue Code	272
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$4.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.74

SUTURE ETHIBOND 4-0 RB-1

Facility

$31.59

Hospital Charge Code	270672857
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$15.79
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$9.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.06
Rate for Payer: Cigna Commercial	$15.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.21
Rate for Payer: Oxford Commercial	$6.32
Rate for Payer: Qualcare PPO/HMO/WC	$4.74
Rate for Payer: UnitedHealthcare Commercial	$6.32
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

SUTURE ETHIBOND 4-0 SH

Facility

$10.71

Hospital Charge Code	270673099
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$1.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.61

SUTURE ETHIBOND 4-0 SH

Facility

$10.71

Hospital Charge Code	270673099
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$5.36
Rate for Payer: Aetna Commercial	$4.07
Rate for Payer: Aetna Medicare Advantage	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.73
Rate for Payer: Cigna Commercial	$5.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.78
Rate for Payer: Oxford Commercial	$2.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.61
Rate for Payer: UnitedHealthcare Commercial	$2.14
Rate for Payer: UnitedHealthcare Community & State	$0.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

SUTURE ETHIBOND 4-0 SH V-20

Facility

$57.47

Hospital Charge Code	270673098
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$28.73
Rate for Payer: Aetna Commercial	$21.84
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.65
Rate for Payer: Cigna Commercial	$28.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.94
Rate for Payer: Oxford Commercial	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.49
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

SUTURE ETHIBOND 4-0 SH V-20

Facility

$57.47

Hospital Charge Code	270673098
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

SUTURE ETHIBOND 5-0 RB-1

Facility

$10.50

Hospital Charge Code	270678043
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$3.99
Rate for Payer: Aetna Medicare Advantage	$3.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.68
Rate for Payer: Cigna Commercial	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$2.10
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

SUTURE ETHIBOND 5-0 RB-1

Facility

$10.50

Hospital Charge Code	270678043
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

SUTURE ETHIBOND 5-0 V-37

Facility

$79.58

Hospital Charge Code	270672367
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$39.79
Rate for Payer: Aetna Commercial	$30.24
Rate for Payer: Aetna Medicare Advantage	$23.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.69
Rate for Payer: Oxford Commercial	$15.92
Rate for Payer: Qualcare PPO/HMO/WC	$11.94
Rate for Payer: UnitedHealthcare Commercial	$15.92
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

SUTURE ETHIBOND 5-0 V-37

Facility

$79.58

Hospital Charge Code	270672367
Hospital Revenue Code	272
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$11.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.94

SUTURE ETHIBOND 5 GS-18

Facility

$13.82

Hospital Charge Code	270671436
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE ETHIBOND 5 GS-18

Facility

$13.82

Hospital Charge Code	270671436
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$6.91
Rate for Payer: Aetna Commercial	$5.25
Rate for Payer: Aetna Medicare Advantage	$4.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.52
Rate for Payer: Cigna Commercial	$6.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.59
Rate for Payer: Oxford Commercial	$2.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$2.76
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

SUTURE ETHIBOND EXTRA 5-0 V-37

Facility

$79.58

Hospital Charge Code	270628893
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$39.79
Rate for Payer: Aetna Commercial	$30.24
Rate for Payer: Aetna Medicare Advantage	$23.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.69
Rate for Payer: Oxford Commercial	$15.92
Rate for Payer: Qualcare PPO/HMO/WC	$11.94
Rate for Payer: UnitedHealthcare Commercial	$15.92
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

SUTURE ETHIBOND EXTRA 5-0 V-37

Facility

$79.58

Hospital Charge Code	270628893
Hospital Revenue Code	272
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$11.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.94

SUTURE ETHIBON EXCEL 5 30IN

Facility

$131.61

Hospital Charge Code	270678399
Hospital Revenue Code	272
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$19.74
Rate for Payer: Qualcare PPO/HMO/WC	$19.74

SUTURE ETHIBON EXCEL 5 30IN

Facility

$131.61

Hospital Charge Code	270678399
Hospital Revenue Code	272
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$65.81
Rate for Payer: Aetna Commercial	$50.01
Rate for Payer: Aetna Medicare Advantage	$39.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.56
Rate for Payer: Cigna Commercial	$65.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.22
Rate for Payer: Oxford Commercial	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$19.74
Rate for Payer: UnitedHealthcare Commercial	$26.32
Rate for Payer: UnitedHealthcare Community & State	$4.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.74

SUTURE ETHIL. 8-0 5IN BV130-3

Facility

$73.26

Hospital Charge Code	270684520
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$36.63
Rate for Payer: Aetna Commercial	$27.84
Rate for Payer: Aetna Medicare Advantage	$21.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.68
Rate for Payer: Cigna Commercial	$36.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.05
Rate for Payer: Oxford Commercial	$14.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.99
Rate for Payer: UnitedHealthcare Commercial	$14.65
Rate for Payer: UnitedHealthcare Community & State	$2.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.08

SUTURE ETHIL. 8-0 5IN BV130-3

Facility

$73.26

Hospital Charge Code	270684520
Hospital Revenue Code	272
Min. Negotiated Rate	$10.99
Max. Negotiated Rate	$10.99
Rate for Payer: Qualcare PPO/HMO/WC	$10.99

SUTURE ETHILON 10-0 BV100-4

Facility

$99.58

Hospital Charge Code	270671752
Hospital Revenue Code	272
Min. Negotiated Rate	$14.94
Max. Negotiated Rate	$14.94
Rate for Payer: Qualcare PPO/HMO/WC	$14.94

SUTURE ETHILON 10-0 BV100-4

Facility

$99.58

Hospital Charge Code	270671752
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$49.79
Rate for Payer: Aetna Commercial	$37.84
Rate for Payer: Aetna Medicare Advantage	$29.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.39
Rate for Payer: Cigna Commercial	$49.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.89
Rate for Payer: Oxford Commercial	$19.92
Rate for Payer: Qualcare PPO/HMO/WC	$14.94
Rate for Payer: UnitedHealthcare Commercial	$19.92
Rate for Payer: UnitedHealthcare Community & State	$3.15
Rate for Payer: Wellpoint Medicaid Managed Care	$2.83

SUTURE ETHILON 10-0 TG140-8

Facility

$71.19

Hospital Charge Code	270654999
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$35.59
Rate for Payer: Aetna Commercial	$27.05
Rate for Payer: Aetna Medicare Advantage	$21.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.15
Rate for Payer: Cigna Commercial	$35.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Oxford Commercial	$14.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.68
Rate for Payer: UnitedHealthcare Commercial	$14.24
Rate for Payer: UnitedHealthcare Community & State	$2.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2.02

SUTURE ETHILON 10-0 TG140-8

Facility

$71.19

Hospital Charge Code	270654999
Hospital Revenue Code	272
Min. Negotiated Rate	$10.68
Max. Negotiated Rate	$10.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.68

SUTURE ETHILON 10-0 TG160-6

Facility

$132.03

Hospital Charge Code	270660118
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$66.02
Rate for Payer: Aetna Commercial	$50.17
Rate for Payer: Aetna Medicare Advantage	$39.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.67
Rate for Payer: Cigna Commercial	$66.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.33
Rate for Payer: Oxford Commercial	$26.41
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$26.41
Rate for Payer: UnitedHealthcare Community & State	$4.17
Rate for Payer: Wellpoint Medicaid Managed Care	$3.75

SUTURE ETHILON 10-0 TG160-6

Facility

$132.03

Hospital Charge Code	270660118
Hospital Revenue Code	272
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

Know your out-of-pocket cost for care.

All Charges