Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PROLENE 4-0 24 NEEDLE

Facility

$3,412.00

Hospital Charge Code	270334757
Hospital Revenue Code	272
Min. Negotiated Rate	$96.90
Max. Negotiated Rate	$1,706.00
Rate for Payer: Aetna Commercial	$1,296.56
Rate for Payer: Aetna Medicare Advantage	$1,023.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.06
Rate for Payer: Cigna Commercial	$1,706.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.12
Rate for Payer: Oxford Commercial	$682.40
Rate for Payer: Qualcare PPO/HMO/WC	$511.80
Rate for Payer: UnitedHealthcare Commercial	$682.40
Rate for Payer: UnitedHealthcare Community & State	$107.82
Rate for Payer: Wellpoint Medicaid Managed Care	$96.90

SUTURE PROLENE 4-0 24 NEEDLE

Facility

$3,412.00

Hospital Charge Code	270334757
Hospital Revenue Code	272
Min. Negotiated Rate	$511.80
Max. Negotiated Rate	$511.80
Rate for Payer: Qualcare PPO/HMO/WC	$511.80

SUTURE PROLENE 4-0 FS-1

Facility

$15.90

Hospital Charge Code	270661975
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.95
Rate for Payer: Aetna Commercial	$6.04
Rate for Payer: Aetna Medicare Advantage	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.05
Rate for Payer: Cigna Commercial	$7.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.13
Rate for Payer: Oxford Commercial	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$2.38
Rate for Payer: UnitedHealthcare Commercial	$3.18
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

SUTURE PROLENE 4-0 FS-1

Facility

$15.90

Hospital Charge Code	270661975
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.38

SUTURE PROLENE 4-0 FS-2

Facility

$12.98

Hospital Charge Code	270671412
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

SUTURE PROLENE 4-0 FS-2

Facility

$12.98

Hospital Charge Code	270671412
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$6.49
Rate for Payer: Aetna Commercial	$4.93
Rate for Payer: Aetna Medicare Advantage	$3.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.37
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

SUTURE PROLENE 4-0 PS-2

Facility

$26.29

Hospital Charge Code	270671411
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$13.14
Rate for Payer: Aetna Commercial	$9.99
Rate for Payer: Aetna Medicare Advantage	$7.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.70
Rate for Payer: Cigna Commercial	$13.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.84
Rate for Payer: Oxford Commercial	$5.26
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$5.26
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

SUTURE PROLENE 4-0 PS-2

Facility

$26.29

Hospital Charge Code	270671411
Hospital Revenue Code	272
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

SUTURE PROLENE 4-0 RB-1

Facility

$41.67

Hospital Charge Code	270671408
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$20.84
Rate for Payer: Aetna Commercial	$15.83
Rate for Payer: Aetna Medicare Advantage	$12.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.63
Rate for Payer: Cigna Commercial	$20.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.83
Rate for Payer: Oxford Commercial	$8.33
Rate for Payer: Qualcare PPO/HMO/WC	$6.25
Rate for Payer: UnitedHealthcare Commercial	$8.33
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

SUTURE PROLENE 4-0 RB-1

Facility

$14.38

Hospital Charge Code	270673737
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$7.19
Rate for Payer: Aetna Commercial	$5.46
Rate for Payer: Aetna Medicare Advantage	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.67
Rate for Payer: Cigna Commercial	$7.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.74
Rate for Payer: Oxford Commercial	$2.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.16
Rate for Payer: UnitedHealthcare Commercial	$2.88
Rate for Payer: UnitedHealthcare Community & State	$0.45
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

SUTURE PROLENE 4-0 RB-1

Facility

$14.38

Hospital Charge Code	270673737
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.16

SUTURE PROLENE 4-0 RB-1

Facility

$41.67

Hospital Charge Code	270671408
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.25

SUTURE PROLENE 4-0 SH

Facility

$21.66

Hospital Charge Code	270671422
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$3.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.25

SUTURE PROLENE 4-0 SH

Facility

$35.52

Hospital Charge Code	270666706
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

SUTURE PROLENE 4-0 SH

Facility

$35.52

Hospital Charge Code	270666706
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$17.76
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna Medicare Advantage	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.06
Rate for Payer: Cigna Commercial	$17.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.24
Rate for Payer: Oxford Commercial	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$7.10
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

SUTURE PROLENE 4-0 SH

Facility

$21.66

Hospital Charge Code	270671422
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$10.83
Rate for Payer: Aetna Commercial	$8.23
Rate for Payer: Aetna Medicare Advantage	$6.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.52
Rate for Payer: Cigna Commercial	$10.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.63
Rate for Payer: Oxford Commercial	$4.33
Rate for Payer: Qualcare PPO/HMO/WC	$3.25
Rate for Payer: UnitedHealthcare Commercial	$4.33
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

SUTURE PROLENE 4-0 SH-1 1/2C

Facility

$26.99

Hospital Charge Code	270678685
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

SUTURE PROLENE 4-0 SH-1 1/2C

Facility

$26.99

Hospital Charge Code	270678685
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$13.49
Rate for Payer: Aetna Commercial	$10.26
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$5.40
Rate for Payer: UnitedHealthcare Community & State	$0.85
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SUTURE PROLENE 4-0 V-5

Facility

$35.49

Hospital Charge Code	270671426
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$17.75
Rate for Payer: Aetna Commercial	$13.49
Rate for Payer: Aetna Medicare Advantage	$10.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.05
Rate for Payer: Cigna Commercial	$17.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.32
Rate for Payer: UnitedHealthcare Commercial	$7.10
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

SUTURE PROLENE 4-0 V-5

Facility

$35.49

Hospital Charge Code	270671426
Hospital Revenue Code	272
Min. Negotiated Rate	$5.32
Max. Negotiated Rate	$5.32
Rate for Payer: Qualcare PPO/HMO/WC	$5.32

SUTURE PROLENE 5-0 C-1

Facility

$80.43

Hospital Charge Code	270671419
Hospital Revenue Code	272
Min. Negotiated Rate	$12.06
Max. Negotiated Rate	$12.06
Rate for Payer: Qualcare PPO/HMO/WC	$12.06

SUTURE PROLENE 5-0 C-1

Facility

$80.43

Hospital Charge Code	270671419
Hospital Revenue Code	272
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$40.22
Rate for Payer: Aetna Commercial	$30.56
Rate for Payer: Aetna Medicare Advantage	$24.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.51
Rate for Payer: Cigna Commercial	$40.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.91
Rate for Payer: Oxford Commercial	$16.09
Rate for Payer: Qualcare PPO/HMO/WC	$12.06
Rate for Payer: UnitedHealthcare Commercial	$16.09
Rate for Payer: UnitedHealthcare Community & State	$2.54
Rate for Payer: Wellpoint Medicaid Managed Care	$2.28

SUTURE PROLENE 5-0 C-1

Facility

$51.22

Hospital Charge Code	270671418
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$25.61
Rate for Payer: Aetna Commercial	$19.46
Rate for Payer: Aetna Medicare Advantage	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.06
Rate for Payer: Cigna Commercial	$25.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.32
Rate for Payer: Oxford Commercial	$10.24
Rate for Payer: Qualcare PPO/HMO/WC	$7.68
Rate for Payer: UnitedHealthcare Commercial	$10.24
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

SUTURE PROLENE 5-0 C-1

Facility

$51.22

Hospital Charge Code	270671418
Hospital Revenue Code	272
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$7.68
Rate for Payer: Qualcare PPO/HMO/WC	$7.68

SUTURE PROLENE 5-0 CC-1

Facility

$81.78

Hospital Charge Code	270671420
Hospital Revenue Code	272
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$40.89
Rate for Payer: Aetna Commercial	$31.08
Rate for Payer: Aetna Medicare Advantage	$24.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.85
Rate for Payer: Cigna Commercial	$40.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.26
Rate for Payer: Oxford Commercial	$16.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.27
Rate for Payer: UnitedHealthcare Commercial	$16.36
Rate for Payer: UnitedHealthcare Community & State	$2.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2.32

Know your out-of-pocket cost for care.

All Charges