Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHILON 6-0 PC-1/PC-13

Facility

$20.55

Hospital Charge Code	270661978
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$10.28
Rate for Payer: Aetna Commercial	$7.81
Rate for Payer: Aetna Medicare Advantage	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.24
Rate for Payer: Cigna Commercial	$10.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.34
Rate for Payer: Oxford Commercial	$4.11
Rate for Payer: Qualcare PPO/HMO/WC	$3.08
Rate for Payer: UnitedHealthcare Commercial	$4.11
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

SUTURE ETHILON 6-0 PC-1/PC-13

Facility

$20.55

Hospital Charge Code	270661978
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$3.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.08

SUTURE ETHILON 6-1 P-1

Facility

$20.52

Hospital Charge Code	270604520
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$3.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.08

SUTURE ETHILON 6-1 P-1

Facility

$20.52

Hospital Charge Code	270604520
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$10.26
Rate for Payer: Aetna Commercial	$7.80
Rate for Payer: Aetna Medicare Advantage	$6.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.23
Rate for Payer: Cigna Commercial	$10.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.34
Rate for Payer: Oxford Commercial	$4.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.08
Rate for Payer: UnitedHealthcare Commercial	$4.10
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

SUTURE ETHILON 7-0 P-6

Facility

$18.69

Hospital Charge Code	270673488
Hospital Revenue Code	272
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$9.35
Rate for Payer: Aetna Commercial	$7.10
Rate for Payer: Aetna Medicare Advantage	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.77
Rate for Payer: Cigna Commercial	$9.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.86
Rate for Payer: Oxford Commercial	$3.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.80
Rate for Payer: UnitedHealthcare Commercial	$3.74
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

SUTURE ETHILON 7-0 P-6

Facility

$18.69

Hospital Charge Code	270673488
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.80

SUTURE ETHILON 8/0 5IN BLACK B

Facility

$71.31

Hospital Charge Code	270655902
Hospital Revenue Code	272
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$35.66
Rate for Payer: Aetna Commercial	$27.10
Rate for Payer: Aetna Medicare Advantage	$21.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.18
Rate for Payer: Cigna Commercial	$35.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.54
Rate for Payer: Oxford Commercial	$14.26
Rate for Payer: Qualcare PPO/HMO/WC	$10.70
Rate for Payer: UnitedHealthcare Commercial	$14.26
Rate for Payer: UnitedHealthcare Community & State	$2.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

SUTURE ETHILON 8/0 5IN BLACK B

Facility

$71.31

Hospital Charge Code	270655902
Hospital Revenue Code	272
Min. Negotiated Rate	$10.70
Max. Negotiated Rate	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.70

SUTURE ETHILON 8-0 TG100-8

Facility

$58.90

Hospital Charge Code	270688010
Hospital Revenue Code	272
Min. Negotiated Rate	$8.84
Max. Negotiated Rate	$8.84
Rate for Payer: Qualcare PPO/HMO/WC	$8.84

SUTURE ETHILON 8-0 TG100-8

Facility

$58.90

Hospital Charge Code	270688010
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$29.45
Rate for Payer: Aetna Commercial	$22.38
Rate for Payer: Aetna Medicare Advantage	$17.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.02
Rate for Payer: Cigna Commercial	$29.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Oxford Commercial	$11.78
Rate for Payer: Qualcare PPO/HMO/WC	$8.84
Rate for Payer: UnitedHealthcare Commercial	$11.78
Rate for Payer: UnitedHealthcare Community & State	$1.86
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

SUTURE ETHILON 9-0 BV100-4

Facility

$98.97

Hospital Charge Code	270671753
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$49.48
Rate for Payer: Aetna Commercial	$37.61
Rate for Payer: Aetna Medicare Advantage	$29.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.24
Rate for Payer: Cigna Commercial	$49.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.73
Rate for Payer: Oxford Commercial	$19.79
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.79
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

SUTURE ETHILON 9-0 BV100-4

Facility

$98.97

Hospital Charge Code	270671753
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

SUTURE ETHILON 9-0 TG140-8

Facility

$60.22

Hospital Charge Code	270673282
Hospital Revenue Code	272
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$30.11
Rate for Payer: Aetna Commercial	$22.88
Rate for Payer: Aetna Medicare Advantage	$18.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.36
Rate for Payer: Cigna Commercial	$30.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.66
Rate for Payer: Oxford Commercial	$12.04
Rate for Payer: Qualcare PPO/HMO/WC	$9.03
Rate for Payer: UnitedHealthcare Commercial	$12.04
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: Wellpoint Medicaid Managed Care	$1.71

SUTURE ETHILON 9-0 TG140-8

Facility

$60.22

Hospital Charge Code	270673282
Hospital Revenue Code	272
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$9.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.03

SUTURE ETHILON BLK MONO FS-2

Facility

$5.99

Hospital Charge Code	270600771
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

SUTURE ETHILON BLK MONO FS-2

Facility

$5.99

Hospital Charge Code	270600771
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

SUTURE ETHLION 2-0 BLK MONO

Facility

$29.05

Hospital Charge Code	270663889
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$14.53
Rate for Payer: Aetna Commercial	$11.04
Rate for Payer: Aetna Medicare Advantage	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.41
Rate for Payer: Cigna Commercial	$14.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.55
Rate for Payer: Oxford Commercial	$5.81
Rate for Payer: Qualcare PPO/HMO/WC	$4.36
Rate for Payer: UnitedHealthcare Commercial	$5.81
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$0.83

SUTURE ETHLION 2-0 BLK MONO

Facility

$29.05

Hospital Charge Code	270663889
Hospital Revenue Code	272
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$4.36

SUTURE FIBERLINK 0 BLUE

Facility

$325.00

Hospital Charge Code	270688453
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

SUTURE FIBERLINK 0 BLUE

Facility

$325.00

Hospital Charge Code	270688453
Hospital Revenue Code	272
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$65.00
Rate for Payer: UnitedHealthcare Community & State	$10.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.23

SUTURE FIBER LINK 1.3 MM

Facility

$425.00

Hospital Charge Code	270684976
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

SUTURE FIBER LINK 1.3 MM

Facility

$425.00

Hospital Charge Code	270684976
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

SUTURE FIBERLOOP #2 CRVD NEEDL

Facility

$250.00

Hospital Charge Code	270676804
Hospital Revenue Code	272
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

SUTURE FIBERLOOP #2 CRVD NEEDL

Facility

$250.00

Hospital Charge Code	270676804
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SUTURE GORETEX CV6 6.0 6M10A

Facility

$122.92

Hospital Charge Code	270634709
Hospital Revenue Code	272
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$61.46
Rate for Payer: Aetna Commercial	$46.71
Rate for Payer: Aetna Medicare Advantage	$36.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.34
Rate for Payer: Cigna Commercial	$61.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.96
Rate for Payer: Oxford Commercial	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$18.44
Rate for Payer: UnitedHealthcare Commercial	$24.58
Rate for Payer: UnitedHealthcare Community & State	$3.88
Rate for Payer: Wellpoint Medicaid Managed Care	$3.49

Know your out-of-pocket cost for care.

All Charges