Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE NUROLON 1 OS-8

Facility

$69.50

Hospital Charge Code	270677888
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$34.75
Rate for Payer: Aetna Commercial	$26.41
Rate for Payer: Aetna Medicare Advantage	$20.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.72
Rate for Payer: Cigna Commercial	$34.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.07
Rate for Payer: Oxford Commercial	$13.90
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Commercial	$13.90
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.97

SUTURE NUROLON 1 OS-8

Facility

$69.50

Hospital Charge Code	270677888
Hospital Revenue Code	272
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$10.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SUTURE NUROLON 2-0 CT-1

Facility

$19.62

Hospital Charge Code	270655811
Hospital Revenue Code	272
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$9.81
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.00
Rate for Payer: Cigna Commercial	$9.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.10
Rate for Payer: Oxford Commercial	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.94
Rate for Payer: UnitedHealthcare Commercial	$3.92
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

SUTURE NUROLON 2-0 CT-1

Facility

$19.62

Hospital Charge Code	270655811
Hospital Revenue Code	272
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$2.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.94

SUTURE NUROLON 2-0 CT-2

Facility

$111.20

Hospital Charge Code	270671440
Hospital Revenue Code	272
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$55.60
Rate for Payer: Aetna Commercial	$42.26
Rate for Payer: Aetna Medicare Advantage	$33.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.36
Rate for Payer: Cigna Commercial	$55.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.91
Rate for Payer: Oxford Commercial	$22.24
Rate for Payer: Qualcare PPO/HMO/WC	$16.68
Rate for Payer: UnitedHealthcare Commercial	$22.24
Rate for Payer: UnitedHealthcare Community & State	$3.51
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

SUTURE NUROLON 2-0 CT-2

Facility

$111.20

Hospital Charge Code	270671440
Hospital Revenue Code	272
Min. Negotiated Rate	$16.68
Max. Negotiated Rate	$16.68
Rate for Payer: Qualcare PPO/HMO/WC	$16.68

SUTURE NUROLON 3-0 CP-2

Facility

$73.70

Hospital Charge Code	270671441
Hospital Revenue Code	272
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$36.85
Rate for Payer: Aetna Commercial	$28.01
Rate for Payer: Aetna Medicare Advantage	$22.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.79
Rate for Payer: Cigna Commercial	$36.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.16
Rate for Payer: Oxford Commercial	$14.74
Rate for Payer: Qualcare PPO/HMO/WC	$11.05
Rate for Payer: UnitedHealthcare Commercial	$14.74
Rate for Payer: UnitedHealthcare Community & State	$2.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.09

SUTURE NUROLON 3-0 CP-2

Facility

$73.70

Hospital Charge Code	270671441
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.05

SUTURE NUROLON 4-0 RB-1 CR

Facility

$61.35

Hospital Charge Code	270690130
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$30.68
Rate for Payer: Aetna Commercial	$23.31
Rate for Payer: Aetna Medicare Advantage	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.64
Rate for Payer: Cigna Commercial	$30.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.95
Rate for Payer: Oxford Commercial	$12.27
Rate for Payer: Qualcare PPO/HMO/WC	$9.20
Rate for Payer: UnitedHealthcare Commercial	$12.27
Rate for Payer: UnitedHealthcare Community & State	$1.94
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SUTURE NUROLON 4-0 RB-1 CR

Facility

$61.35

Hospital Charge Code	270690130
Hospital Revenue Code	272
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$9.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.20

SUTURE NYLON 3/0 MONOFILAMENT

Facility

$12.90

Hospital Charge Code	270649089
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$6.45
Rate for Payer: Aetna Commercial	$4.90
Rate for Payer: Aetna Medicare Advantage	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.29
Rate for Payer: Cigna Commercial	$6.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.35
Rate for Payer: Oxford Commercial	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$1.94
Rate for Payer: UnitedHealthcare Commercial	$2.58
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

SUTURE NYLON 3/0 MONOFILAMENT

Facility

$12.90

Hospital Charge Code	270649089
Hospital Revenue Code	272
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$1.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.94

SUTURE NYLON 5/0 PS-2

Facility

$16.61

Hospital Charge Code	270655950
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.30
Rate for Payer: Aetna Commercial	$6.31
Rate for Payer: Aetna Medicare Advantage	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.24
Rate for Payer: Cigna Commercial	$8.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.32
Rate for Payer: Oxford Commercial	$3.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.49
Rate for Payer: UnitedHealthcare Commercial	$3.32
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

SUTURE NYLON 5/0 PS-2

Facility

$16.61

Hospital Charge Code	270655950
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.49

SUTURE NYLON 8-0 13CM 5 INCH

Facility

$155.37

Hospital Charge Code	270671300
Hospital Revenue Code	272
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$77.69
Rate for Payer: Aetna Commercial	$59.04
Rate for Payer: Aetna Medicare Advantage	$46.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.62
Rate for Payer: Cigna Commercial	$77.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.40
Rate for Payer: Oxford Commercial	$31.07
Rate for Payer: Qualcare PPO/HMO/WC	$23.31
Rate for Payer: UnitedHealthcare Commercial	$31.07
Rate for Payer: UnitedHealthcare Community & State	$4.91
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

SUTURE NYLON 8-0 13CM 5 INCH

Facility

$155.37

Hospital Charge Code	270671300
Hospital Revenue Code	272
Min. Negotiated Rate	$23.31
Max. Negotiated Rate	$23.31
Rate for Payer: Qualcare PPO/HMO/WC	$23.31

SUTURE NYLON CU5 10 8065192101

Facility

$150.10

Hospital Charge Code	270608745
Hospital Revenue Code	272
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$75.05
Rate for Payer: Aetna Commercial	$57.04
Rate for Payer: Aetna Medicare Advantage	$45.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.28
Rate for Payer: Cigna Commercial	$75.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.03
Rate for Payer: Oxford Commercial	$30.02
Rate for Payer: Qualcare PPO/HMO/WC	$22.52
Rate for Payer: UnitedHealthcare Commercial	$30.02
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

SUTURE NYLON CU5 10 8065192101

Facility

$150.10

Hospital Charge Code	270608745
Hospital Revenue Code	272
Min. Negotiated Rate	$22.52
Max. Negotiated Rate	$22.52
Rate for Payer: Qualcare PPO/HMO/WC	$22.52

SUTURE NYLON LOTRAU S 2-0

Facility

$42.28

Hospital Charge Code	270604726
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

SUTURE NYLON LOTRAU S 2-0

Facility

$42.28

Hospital Charge Code	270604726
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$21.14
Rate for Payer: Aetna Commercial	$16.07
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.78
Rate for Payer: Cigna Commercial	$21.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.99
Rate for Payer: Oxford Commercial	$8.46
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$8.46
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.20

SUTURE NYLON SZ. 9-0 12L CV-1

Facility

$153.00

Hospital Charge Code	270334661
Hospital Revenue Code	272
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$58.14
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.78
Rate for Payer: Oxford Commercial	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$30.60
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.35

SUTURE NYLON SZ. 9-0 12L CV-1

Facility

$153.00

Hospital Charge Code	270334661
Hospital Revenue Code	272
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

SUTURE O 1/2 TP-1 PDS II

Facility

$28.03

Hospital Charge Code	270678590
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.02
Rate for Payer: Aetna Commercial	$10.65
Rate for Payer: Aetna Medicare Advantage	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.15
Rate for Payer: Cigna Commercial	$14.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.29
Rate for Payer: Oxford Commercial	$5.61
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.61
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

SUTURE O 1/2 TP-1 PDS II

Facility

$28.03

Hospital Charge Code	270678590
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

SUTURE ORTH W/NEED VIOL 223104

Facility

$1,325.00

Hospital Charge Code	270636647
Hospital Revenue Code	272
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.50
Rate for Payer: Oxford Commercial	$265.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Commercial	$265.00
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

Know your out-of-pocket cost for care.

All Charges