Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOSOFT 2-0 BLACK 18

Facility

$39.61

Hospital Charge Code	270651309
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$19.80
Rate for Payer: Aetna Commercial	$15.05
Rate for Payer: Aetna Medicare Advantage	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.10
Rate for Payer: Cigna Commercial	$19.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.30
Rate for Payer: Oxford Commercial	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.94
Rate for Payer: UnitedHealthcare Commercial	$7.92
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

SUTURE MONOSOFT 3/0 BLACK 18

Facility

$13.21

Hospital Charge Code	270651308
Hospital Revenue Code	272
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

SUTURE MONOSOFT 3/0 BLACK 18

Facility

$13.21

Hospital Charge Code	270651308
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$6.61
Rate for Payer: Aetna Commercial	$5.02
Rate for Payer: Aetna Medicare Advantage	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.37
Rate for Payer: Cigna Commercial	$6.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.43
Rate for Payer: Oxford Commercial	$2.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.98
Rate for Payer: UnitedHealthcare Commercial	$2.64
Rate for Payer: UnitedHealthcare Community & State	$0.42
Rate for Payer: Wellpoint Medicaid Managed Care	$0.38

SUTURE MONOSOFT 5-0 BLACK 18

Facility

$13.80

Hospital Charge Code	270651311
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE MONOSOFT 5-0 BLACK 18

Facility

$13.80

Hospital Charge Code	270651311
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$6.90
Rate for Payer: Aetna Commercial	$5.24
Rate for Payer: Aetna Medicare Advantage	$4.14
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	$6.90
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 NEEDLE #2 60MM ACL

Facility

$233.60

Hospital Charge Code	270684977
Hospital Revenue Code	272
Min. Negotiated Rate	$35.04
Max. Negotiated Rate	$35.04
Rate for Payer: Qualcare PPO/HMO/WC	$35.04

SUTURE NEEDLE #2 60MM ACL

Facility

$233.60

Hospital Charge Code	270684977
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$116.80
Rate for Payer: Aetna Commercial	$88.77
Rate for Payer: Aetna Medicare Advantage	$70.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.57
Rate for Payer: Cigna Commercial	$116.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.74
Rate for Payer: Oxford Commercial	$46.72
Rate for Payer: Qualcare PPO/HMO/WC	$35.04
Rate for Payer: UnitedHealthcare Commercial	$46.72
Rate for Payer: UnitedHealthcare Community & State	$7.38
Rate for Payer: Wellpoint Medicaid Managed Care	$6.63

SUTURE NEEDLE VLOC 180 GS 21

Facility

$142.90

Hospital Charge Code	270670580
Hospital Revenue Code	272
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$71.45
Rate for Payer: Aetna Commercial	$54.30
Rate for Payer: Aetna Medicare Advantage	$42.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.44
Rate for Payer: Cigna Commercial	$71.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.15
Rate for Payer: Oxford Commercial	$28.58
Rate for Payer: Qualcare PPO/HMO/WC	$21.43
Rate for Payer: UnitedHealthcare Commercial	$28.58
Rate for Payer: UnitedHealthcare Community & State	$4.52
Rate for Payer: Wellpoint Medicaid Managed Care	$4.06

SUTURE NEEDLE VLOC 180 GS 21

Facility

$142.90

Hospital Charge Code	270670580
Hospital Revenue Code	272
Min. Negotiated Rate	$21.43
Max. Negotiated Rate	$21.43
Rate for Payer: Qualcare PPO/HMO/WC	$21.43

SUTURE NOVA BLI X30 T19/GS-22

Facility

$5.15

Hospital Charge Code	270656171
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.77

SUTURE NOVA BLI X30 T19/GS-22

Facility

$5.15

Hospital Charge Code	270656171
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$2.58
Rate for Payer: Aetna Commercial	$1.96
Rate for Payer: Aetna Medicare Advantage	$1.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.31
Rate for Payer: Cigna Commercial	$2.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.34
Rate for Payer: Oxford Commercial	$1.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.77
Rate for Payer: UnitedHealthcare Commercial	$1.03
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

SUTURE NOVAFIL 1 30 BLUE T20

Facility

$34.50

Hospital Charge Code	270605210
Hospital Revenue Code	272
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.17

SUTURE NOVAFIL 1 30 BLUE T20

Facility

$34.50

Hospital Charge Code	270605210
Hospital Revenue Code	272
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$17.25
Rate for Payer: Aetna Commercial	$13.11
Rate for Payer: Aetna Medicare Advantage	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.80
Rate for Payer: Cigna Commercial	$17.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.97
Rate for Payer: Oxford Commercial	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.17
Rate for Payer: UnitedHealthcare Commercial	$6.90
Rate for Payer: UnitedHealthcare Community & State	$1.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

SUTURE NOVAFIL 2/0 30 BLU T19

Facility

$8.16

Hospital Charge Code	270655026
Hospital Revenue Code	272
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

SUTURE NOVAFIL 2/0 30 BLU T19

Facility

$8.16

Hospital Charge Code	270655026
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.08
Rate for Payer: Aetna Commercial	$3.10
Rate for Payer: Aetna Medicare Advantage	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.08
Rate for Payer: Cigna Commercial	$4.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.12
Rate for Payer: Oxford Commercial	$1.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$1.63
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE NOVAFIL O BLUE 30

Facility

$7.75

Hospital Charge Code	270656052
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

SUTURE NOVAFIL O BLUE 30

Facility

$7.75

Hospital Charge Code	270656052
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.94
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.02
Rate for Payer: Oxford Commercial	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.55
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE NOVOCUT MANGER

Facility

$875.00

Hospital Charge Code	270689757
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

SUTURE NOVOCUT MANGER

Facility

$875.00

Hospital Charge Code	270689757
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SUTURE NOVOSTITCH PRO 2-0

Facility

$2,475.00

Hospital Charge Code	270689759
Hospital Revenue Code	272
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

SUTURE NOVOSTITCH PRO 2-0

Facility

$2,475.00

Hospital Charge Code	270689759
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SUTURE NUROLON 0 CT-1

Facility

$53.72

Hospital Charge Code	270655951
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$26.86
Rate for Payer: Aetna Commercial	$20.41
Rate for Payer: Aetna Medicare Advantage	$16.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.70
Rate for Payer: Cigna Commercial	$26.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.97
Rate for Payer: Oxford Commercial	$10.74
Rate for Payer: Qualcare PPO/HMO/WC	$8.06
Rate for Payer: UnitedHealthcare Commercial	$10.74
Rate for Payer: UnitedHealthcare Community & State	$1.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

SUTURE NUROLON 0 CT-1

Facility

$53.72

Hospital Charge Code	270655951
Hospital Revenue Code	272
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$8.06
Rate for Payer: Qualcare PPO/HMO/WC	$8.06

SUTURE NUROLON 1 CT-1

Facility

$54.80

Hospital Charge Code	270677887
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$27.40
Rate for Payer: Aetna Commercial	$20.82
Rate for Payer: Aetna Medicare Advantage	$16.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.97
Rate for Payer: Cigna Commercial	$27.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.25
Rate for Payer: Oxford Commercial	$10.96
Rate for Payer: Qualcare PPO/HMO/WC	$8.22
Rate for Payer: UnitedHealthcare Commercial	$10.96
Rate for Payer: UnitedHealthcare Community & State	$1.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1.56

SUTURE NUROLON 1 CT-1

Facility

$54.80

Hospital Charge Code	270677887
Hospital Revenue Code	272
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$8.22

Know your out-of-pocket cost for care.

All Charges