Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SILK 2/0 PS

Facility

$16.60

Hospital Charge Code	270672141
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.49

SUTURE SILK 2/0 PS

Facility

$16.60

Hospital Charge Code	270672141
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	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.23
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 SILK 2-0 PS-2

Facility

$24.84

Hospital Charge Code	270671387
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

SUTURE SILK 2-0 PS-2

Facility

$24.84

Hospital Charge Code	270671387
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$12.42
Rate for Payer: Aetna Commercial	$9.44
Rate for Payer: Aetna Medicare Advantage	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.33
Rate for Payer: Cigna Commercial	$12.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.46
Rate for Payer: Oxford Commercial	$4.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$4.97
Rate for Payer: UnitedHealthcare Community & State	$0.78
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

SUTURE SILK 2-0 TIES

Facility

$11.53

Hospital Charge Code	270671433
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$5.76
Rate for Payer: Aetna Commercial	$4.38
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.94
Rate for Payer: Cigna Commercial	$5.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.31
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

SUTURE SILK 2-0 TIES

Facility

$11.53

Hospital Charge Code	270671433
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

SUTURE SILK 2-0 V-20

Facility

$6.56

Hospital Charge Code	270655703
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.28
Rate for Payer: Aetna Commercial	$2.49
Rate for Payer: Aetna Medicare Advantage	$1.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.67
Rate for Payer: Cigna Commercial	$3.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.71
Rate for Payer: Oxford Commercial	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.98
Rate for Payer: UnitedHealthcare Commercial	$1.31
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

SUTURE SILK 2-0 V-20

Facility

$6.56

Hospital Charge Code	270655703
Hospital Revenue Code	272
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.98

SUTURE SILK 2 MH T-9

Facility

$9.77

Hospital Charge Code	270671494
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$4.88
Rate for Payer: Aetna Commercial	$3.71
Rate for Payer: Aetna Medicare Advantage	$2.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.49
Rate for Payer: Cigna Commercial	$4.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.54
Rate for Payer: Oxford Commercial	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.47
Rate for Payer: UnitedHealthcare Commercial	$1.95
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

SUTURE SILK 2 MH T-9

Facility

$9.77

Hospital Charge Code	270671494
Hospital Revenue Code	272
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Qualcare PPO/HMO/WC	$1.47

SUTURE SILK 2 TIES

Facility

$6.20

Hospital Charge Code	270671502
Hospital Revenue Code	272
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Qualcare PPO/HMO/WC	$0.93

SUTURE SILK 2 TIES

Facility

$6.20

Hospital Charge Code	270671502
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.10
Rate for Payer: Aetna Commercial	$2.36
Rate for Payer: Aetna Medicare Advantage	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.58
Rate for Payer: Cigna Commercial	$3.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.61
Rate for Payer: Oxford Commercial	$1.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.93
Rate for Payer: UnitedHealthcare Commercial	$1.24
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.18

SUTURE SILK 3-0 BLK PR PS-2 18

Facility

$17.03

Hospital Charge Code	270671378
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$8.52
Rate for Payer: Aetna Commercial	$6.47
Rate for Payer: Aetna Medicare Advantage	$5.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.34
Rate for Payer: Cigna Commercial	$8.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.43
Rate for Payer: Oxford Commercial	$3.41
Rate for Payer: Qualcare PPO/HMO/WC	$2.55
Rate for Payer: UnitedHealthcare Commercial	$3.41
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

SUTURE SILK 3-0 BLK PR PS-2 18

Facility

$17.03

Hospital Charge Code	270671378
Hospital Revenue Code	272
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.55

SUTURE SILK 3-0 BLK V-20

Facility

$40.64

Hospital Charge Code	270672378
Hospital Revenue Code	272
Min. Negotiated Rate	$6.10
Max. Negotiated Rate	$6.10
Rate for Payer: Qualcare PPO/HMO/WC	$6.10

SUTURE SILK 3-0 BLK V-20

Facility

$40.64

Hospital Charge Code	270672378
Hospital Revenue Code	272
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$20.32
Rate for Payer: Aetna Commercial	$15.44
Rate for Payer: Aetna Medicare Advantage	$12.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.36
Rate for Payer: Cigna Commercial	$20.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.57
Rate for Payer: Oxford Commercial	$8.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.10
Rate for Payer: UnitedHealthcare Commercial	$8.13
Rate for Payer: UnitedHealthcare Community & State	$1.28
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

SUTURE SILK 3-0 CR/SH 8-30

Facility

$82.90

Hospital Charge Code	270636158
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$41.45
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$24.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.14
Rate for Payer: Cigna Commercial	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.55
Rate for Payer: Oxford Commercial	$16.58
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$16.58
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

SUTURE SILK 3-0 CR/SH 8-30

Facility

$82.90

Hospital Charge Code	270636158
Hospital Revenue Code	272
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

SUTURE SILK 3/0 KS

Facility

$7.10

Hospital Charge Code	270655649
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.06

SUTURE SILK 3/0 KS

Facility

$7.10

Hospital Charge Code	270655649
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$3.55
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.81
Rate for Payer: Cigna Commercial	$3.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.85
Rate for Payer: Oxford Commercial	$1.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.06
Rate for Payer: UnitedHealthcare Commercial	$1.42
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

SUTURE SILK 3-0 RB-1

Facility

$67.53

Hospital Charge Code	270655675
Hospital Revenue Code	272
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$10.13
Rate for Payer: Qualcare PPO/HMO/WC	$10.13

SUTURE SILK 3-0 RB-1

Facility

$67.53

Hospital Charge Code	270655675
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$33.77
Rate for Payer: Aetna Commercial	$25.66
Rate for Payer: Aetna Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.22
Rate for Payer: Cigna Commercial	$33.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.56
Rate for Payer: Oxford Commercial	$13.51
Rate for Payer: Qualcare PPO/HMO/WC	$10.13
Rate for Payer: UnitedHealthcare Commercial	$13.51
Rate for Payer: UnitedHealthcare Community & State	$2.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

SUTURE SILK 3-0 SH

Facility

$72.19

Hospital Charge Code	270671437
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$10.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.83

SUTURE SILK 3-0 SH

Facility

$72.19

Hospital Charge Code	270671437
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.09
Rate for Payer: Aetna Commercial	$27.43
Rate for Payer: Aetna Medicare Advantage	$21.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.41
Rate for Payer: Cigna Commercial	$36.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.77
Rate for Payer: Oxford Commercial	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$10.83
Rate for Payer: UnitedHealthcare Commercial	$14.44
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

SUTURE SILK 3-0 ST-1

Facility

$7.61

Hospital Charge Code	270676535
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

Know your out-of-pocket cost for care.

All Charges