Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MAXON SIZE 01 GREEN1X36

Facility

$8.34

Hospital Charge Code	270651254
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

SUTURE MAXON SIZE 01 GREEN1X36

Facility

$8.34

Hospital Charge Code	270651254
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.17
Rate for Payer: Aetna Commercial	$3.17
Rate for Payer: Aetna Medicare Advantage	$2.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.13
Rate for Payer: Cigna Commercial	$4.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$1.67
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

SUTURE MAXXON 0 GS-21 NEEDLE

Facility

$8.45

Hospital Charge Code	270651251
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.22
Rate for Payer: Aetna Commercial	$3.21
Rate for Payer: Aetna Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.15
Rate for Payer: Cigna Commercial	$4.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.20
Rate for Payer: Oxford Commercial	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.27
Rate for Payer: UnitedHealthcare Commercial	$1.69
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

SUTURE MAXXON 0 GS-21 NEEDLE

Facility

$8.45

Hospital Charge Code	270651251
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Qualcare PPO/HMO/WC	$1.27

SUTURE MERSELINE 3-0 BP

Facility

$992.70

Hospital Charge Code	270655931
Hospital Revenue Code	272
Min. Negotiated Rate	$148.91
Max. Negotiated Rate	$148.91
Rate for Payer: Qualcare PPO/HMO/WC	$148.91

SUTURE MERSELINE 3-0 BP

Facility

$992.70

Hospital Charge Code	270655931
Hospital Revenue Code	272
Min. Negotiated Rate	$28.19
Max. Negotiated Rate	$496.35
Rate for Payer: Aetna Commercial	$377.23
Rate for Payer: Aetna Medicare Advantage	$297.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.14
Rate for Payer: Cigna Commercial	$496.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.10
Rate for Payer: Oxford Commercial	$198.54
Rate for Payer: Qualcare PPO/HMO/WC	$148.91
Rate for Payer: UnitedHealthcare Commercial	$198.54
Rate for Payer: UnitedHealthcare Community & State	$31.37
Rate for Payer: Wellpoint Medicaid Managed Care	$28.19

SUTURE MERSELINE 5-0 P-3

Facility

$20.62

Hospital Charge Code	270655806
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

SUTURE MERSELINE 5-0 P-3

Facility

$20.62

Hospital Charge Code	270655806
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$10.31
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	$10.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.36
Rate for Payer: Oxford Commercial	$4.12
Rate for Payer: Qualcare PPO/HMO/WC	$3.09
Rate for Payer: UnitedHealthcare Commercial	$4.12
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

SUTURE MERSELINE 5/0 P-3

Facility

$15.41

Hospital Charge Code	270658814
Hospital Revenue Code	272
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$2.31

SUTURE MERSELINE 5/0 P-3

Facility

$15.41

Hospital Charge Code	270658814
Hospital Revenue Code	272
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$7.71
Rate for Payer: Aetna Commercial	$5.86
Rate for Payer: Aetna Medicare Advantage	$4.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.93
Rate for Payer: Cigna Commercial	$7.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.01
Rate for Payer: Oxford Commercial	$3.08
Rate for Payer: Qualcare PPO/HMO/WC	$2.31
Rate for Payer: UnitedHealthcare Commercial	$3.08
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

SUTURE MERSILENE 10-0 CS160-6

Facility

$119.09

Hospital Charge Code	270681830
Hospital Revenue Code	272
Min. Negotiated Rate	$17.86
Max. Negotiated Rate	$17.86
Rate for Payer: Qualcare PPO/HMO/WC	$17.86

SUTURE MERSILENE 10-0 CS160-6

Facility

$119.09

Hospital Charge Code	270681830
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$59.55
Rate for Payer: Aetna Commercial	$45.25
Rate for Payer: Aetna Medicare Advantage	$35.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.37
Rate for Payer: Cigna Commercial	$59.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.96
Rate for Payer: Oxford Commercial	$23.82
Rate for Payer: Qualcare PPO/HMO/WC	$17.86
Rate for Payer: UnitedHealthcare Commercial	$23.82
Rate for Payer: UnitedHealthcare Community & State	$3.76
Rate for Payer: Wellpoint Medicaid Managed Care	$3.38

SUTURE MERSILENE 11-0 TG160-4

Facility

$136.78

Hospital Charge Code	270681832
Hospital Revenue Code	272
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$68.39
Rate for Payer: Aetna Commercial	$51.98
Rate for Payer: Aetna Medicare Advantage	$41.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.88
Rate for Payer: Cigna Commercial	$68.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.56
Rate for Payer: Oxford Commercial	$27.36
Rate for Payer: Qualcare PPO/HMO/WC	$20.52
Rate for Payer: UnitedHealthcare Commercial	$27.36
Rate for Payer: UnitedHealthcare Community & State	$4.32
Rate for Payer: Wellpoint Medicaid Managed Care	$3.88

SUTURE MERSILENE 11-0 TG160-4

Facility

$136.78

Hospital Charge Code	270681832
Hospital Revenue Code	272
Min. Negotiated Rate	$20.52
Max. Negotiated Rate	$20.52
Rate for Payer: Qualcare PPO/HMO/WC	$20.52

SUTURE MICRO LASSO STRAIGHT

Facility

$700.00

Hospital Charge Code	270671285
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SUTURE MICRO LASSO STRAIGHT

Facility

$700.00

Hospital Charge Code	270671285
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SUTURE MINITAPE BLUE 39.5MM

Facility

$601.20

Hospital Charge Code	270687540
Hospital Revenue Code	272
Min. Negotiated Rate	$90.18
Max. Negotiated Rate	$90.18
Rate for Payer: Qualcare PPO/HMO/WC	$90.18

SUTURE MINITAPE BLUE 39.5MM

Facility

$601.20

Hospital Charge Code	270687540
Hospital Revenue Code	272
Min. Negotiated Rate	$17.07
Max. Negotiated Rate	$300.60
Rate for Payer: Aetna Commercial	$228.46
Rate for Payer: Aetna Medicare Advantage	$180.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.31
Rate for Payer: Cigna Commercial	$300.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.31
Rate for Payer: Oxford Commercial	$120.24
Rate for Payer: Qualcare PPO/HMO/WC	$90.18
Rate for Payer: UnitedHealthcare Commercial	$120.24
Rate for Payer: UnitedHealthcare Community & State	$19.00
Rate for Payer: Wellpoint Medicaid Managed Care	$17.07

SUTURE MINITAPE ULTRALOOP NO.2

Facility

$941.80

Hospital Charge Code	270696203
Hospital Revenue Code	272
Min. Negotiated Rate	$26.75
Max. Negotiated Rate	$470.90
Rate for Payer: Aetna Commercial	$357.88
Rate for Payer: Aetna Medicare Advantage	$282.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.16
Rate for Payer: Cigna Commercial	$470.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.87
Rate for Payer: Oxford Commercial	$188.36
Rate for Payer: Qualcare PPO/HMO/WC	$141.27
Rate for Payer: UnitedHealthcare Commercial	$188.36
Rate for Payer: UnitedHealthcare Community & State	$29.76
Rate for Payer: Wellpoint Medicaid Managed Care	$26.75

SUTURE MINITAPE ULTRALOOP NO.2

Facility

$941.80

Hospital Charge Code	270696203
Hospital Revenue Code	272
Min. Negotiated Rate	$141.27
Max. Negotiated Rate	$141.27
Rate for Payer: Qualcare PPO/HMO/WC	$141.27

SUTURE MOMCRYL 4-0 PC12 18IN

Facility

$27.05

Hospital Charge Code	270681805
Hospital Revenue Code	272
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$4.06
Rate for Payer: Qualcare PPO/HMO/WC	$4.06

SUTURE MOMCRYL 4-0 PC12 18IN

Facility

$27.05

Hospital Charge Code	270681805
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$13.53
Rate for Payer: Aetna Commercial	$10.28
Rate for Payer: Aetna Medicare Advantage	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.90
Rate for Payer: Cigna Commercial	$13.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.03
Rate for Payer: Oxford Commercial	$5.41
Rate for Payer: Qualcare PPO/HMO/WC	$4.06
Rate for Payer: UnitedHealthcare Commercial	$5.41
Rate for Payer: UnitedHealthcare Community & State	$0.85
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SUTURE MONCRYL 2-0 CT-1

Facility

$11.00

Hospital Charge Code	270671530
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$4.18
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.86
Rate for Payer: Oxford Commercial	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.20
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

SUTURE MONCRYL 2-0 CT-1

Facility

$11.00

Hospital Charge Code	270671530
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

SUTURE MONCRYL 4-0 PC-3

Facility

$26.40

Hospital Charge Code	270671529
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$13.20
Rate for Payer: Aetna Commercial	$10.03
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.86
Rate for Payer: Oxford Commercial	$5.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.96
Rate for Payer: UnitedHealthcare Commercial	$5.28
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

Know your out-of-pocket cost for care.

All Charges