Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PROLENE SZ 0 CTX 75 CM

Facility

$11.25

Hospital Charge Code	270682525
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

SUTURE PROLENE SZ 0 CTX 75 CM

Facility

$11.25

Hospital Charge Code	270682525
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

SUTURE PROLENE SZ 0 UR 6 30

Facility

$173.45

Hospital Charge Code	270680623
Hospital Revenue Code	272
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$86.72
Rate for Payer: Aetna Commercial	$65.91
Rate for Payer: Aetna Medicare Advantage	$52.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.23
Rate for Payer: Cigna Commercial	$86.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.10
Rate for Payer: Oxford Commercial	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$26.02
Rate for Payer: UnitedHealthcare Commercial	$34.69
Rate for Payer: UnitedHealthcare Community & State	$5.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4.93

SUTURE PROLENE SZ 0 UR 6 30

Facility

$173.45

Hospital Charge Code	270680623
Hospital Revenue Code	272
Min. Negotiated Rate	$26.02
Max. Negotiated Rate	$26.02
Rate for Payer: Qualcare PPO/HMO/WC	$26.02

SUTURE QUAD/HAMSTNG MSCL RUPT

Facility

$30,595.00

Service Code	HCPCS 27385
Hospital Charge Code	16000398
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

SUTURE QUAD/HAMSTNG MSCL RUPT

Facility

$30,595.00

Service Code	HCPCS 27385
Hospital Charge Code	16000398
Hospital Revenue Code	360
Min. Negotiated Rate	$868.90
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,954.70
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$966.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$868.90

SUTURE QUILL #2

Facility

$97.14

Hospital Charge Code	270655973
Hospital Revenue Code	272
Min. Negotiated Rate	$14.57
Max. Negotiated Rate	$14.57
Rate for Payer: Qualcare PPO/HMO/WC	$14.57

SUTURE QUILL #2

Facility

$97.14

Hospital Charge Code	270655973
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$48.57
Rate for Payer: Aetna Commercial	$36.91
Rate for Payer: Aetna Medicare Advantage	$29.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.77
Rate for Payer: Cigna Commercial	$48.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.26
Rate for Payer: Oxford Commercial	$19.43
Rate for Payer: Qualcare PPO/HMO/WC	$14.57
Rate for Payer: UnitedHealthcare Commercial	$19.43
Rate for Payer: UnitedHealthcare Community & State	$3.07
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

SUTURE QUILL PDO 2-1 20CM 1/2

Facility

$56.44

Hospital Charge Code	270686781
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$28.22
Rate for Payer: Aetna Commercial	$21.45
Rate for Payer: Aetna Medicare Advantage	$16.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.39
Rate for Payer: Cigna Commercial	$28.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.67
Rate for Payer: Oxford Commercial	$11.29
Rate for Payer: Qualcare PPO/HMO/WC	$8.47
Rate for Payer: UnitedHealthcare Commercial	$11.29
Rate for Payer: UnitedHealthcare Community & State	$1.78
Rate for Payer: Wellpoint Medicaid Managed Care	$1.60

SUTURE QUILL PDO 2-1 20CM 1/2

Facility

$56.44

Hospital Charge Code	270686781
Hospital Revenue Code	272
Min. Negotiated Rate	$8.47
Max. Negotiated Rate	$8.47
Rate for Payer: Qualcare PPO/HMO/WC	$8.47

SUTURE QUILL PDO 2 UNI 20CM

Facility

$58.91

Hospital Charge Code	270686783
Hospital Revenue Code	272
Min. Negotiated Rate	$8.84
Max. Negotiated Rate	$8.84
Rate for Payer: Qualcare PPO/HMO/WC	$8.84

SUTURE QUILL PDO 2 UNI 20CM

Facility

$58.91

Hospital Charge Code	270686783
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$29.45
Rate for Payer: Aetna Commercial	$22.39
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	$15.32
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 QUILL PDO VIOLET 15 CM

Facility

$56.44

Hospital Charge Code	270688662
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$28.22
Rate for Payer: Aetna Commercial	$21.45
Rate for Payer: Aetna Medicare Advantage	$16.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.39
Rate for Payer: Cigna Commercial	$28.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.67
Rate for Payer: Oxford Commercial	$11.29
Rate for Payer: Qualcare PPO/HMO/WC	$8.47
Rate for Payer: UnitedHealthcare Commercial	$11.29
Rate for Payer: UnitedHealthcare Community & State	$1.78
Rate for Payer: Wellpoint Medicaid Managed Care	$1.60

SUTURE QUILL PDO VIOLET 15 CM

Facility

$56.44

Hospital Charge Code	270688662
Hospital Revenue Code	272
Min. Negotiated Rate	$8.47
Max. Negotiated Rate	$8.47
Rate for Payer: Qualcare PPO/HMO/WC	$8.47

SUTURE REMOVAL KIT LITTAUER

Facility

$3.86

Hospital Charge Code	270653259
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$1.93
Rate for Payer: Aetna Commercial	$1.47
Rate for Payer: Aetna Medicare Advantage	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.98
Rate for Payer: Cigna Commercial	$1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.58
Rate for Payer: UnitedHealthcare Commercial	$0.77
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

SUTURE REMOVAL KIT LITTAUER

Facility

$3.86

Hospital Charge Code	270653259
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

SUTURE RETRIVER

Facility

$2,926.40

Hospital Charge Code	270655803
Hospital Revenue Code	272
Min. Negotiated Rate	$83.11
Max. Negotiated Rate	$1,463.20
Rate for Payer: Aetna Commercial	$1,112.03
Rate for Payer: Aetna Medicare Advantage	$877.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$746.23
Rate for Payer: Cigna Commercial	$1,463.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$760.86
Rate for Payer: Oxford Commercial	$585.28
Rate for Payer: Qualcare PPO/HMO/WC	$438.96
Rate for Payer: UnitedHealthcare Commercial	$585.28
Rate for Payer: UnitedHealthcare Community & State	$92.47
Rate for Payer: Wellpoint Medicaid Managed Care	$83.11

SUTURE RETRIVER

Facility

$2,926.40

Hospital Charge Code	270655803
Hospital Revenue Code	272
Min. Negotiated Rate	$438.96
Max. Negotiated Rate	$438.96
Rate for Payer: Qualcare PPO/HMO/WC	$438.96

SUTURE SH UNDYED VICRYL 3-0

Facility

$58.85

Hospital Charge Code	270657438
Hospital Revenue Code	272
Min. Negotiated Rate	$8.83
Max. Negotiated Rate	$8.83
Rate for Payer: Qualcare PPO/HMO/WC	$8.83

SUTURE SH UNDYED VICRYL 3-0

Facility

$58.85

Hospital Charge Code	270657438
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$29.43
Rate for Payer: Aetna Commercial	$22.36
Rate for Payer: Aetna Medicare Advantage	$17.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.01
Rate for Payer: Cigna Commercial	$29.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.30
Rate for Payer: Oxford Commercial	$11.77
Rate for Payer: Qualcare PPO/HMO/WC	$8.83
Rate for Payer: UnitedHealthcare Commercial	$11.77
Rate for Payer: UnitedHealthcare Community & State	$1.86
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

SUTURE SHUTTLE 90 DEG UP

Facility

$1,175.00

Hospital Charge Code	270670479
Hospital Revenue Code	272
Min. Negotiated Rate	$33.37
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$446.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.50
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Commercial	$235.00
Rate for Payer: UnitedHealthcare Community & State	$37.13
Rate for Payer: Wellpoint Medicaid Managed Care	$33.37

SUTURE SHUTTLE 90 DEG UP

Facility

$1,175.00

Hospital Charge Code	270670479
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SUTURE SHUTTLE STRAIGHT HOOK

Facility

$1,175.00

Hospital Charge Code	270670478
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SUTURE SHUTTLE STRAIGHT HOOK

Facility

$1,175.00

Hospital Charge Code	270670478
Hospital Revenue Code	272
Min. Negotiated Rate	$33.37
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$446.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.50
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Commercial	$235.00
Rate for Payer: UnitedHealthcare Community & State	$37.13
Rate for Payer: Wellpoint Medicaid Managed Care	$33.37

SUTURE SHUTTLE STR CRESCENT

Facility

$1,175.00

Hospital Charge Code	270672270
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

Know your out-of-pocket cost for care.

All Charges