Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SILK 6-0 BLK BR G-7 18

Facility

$1,464.60

Hospital Charge Code	270662653
Hospital Revenue Code	272
Min. Negotiated Rate	$41.59
Max. Negotiated Rate	$732.30
Rate for Payer: Aetna Commercial	$556.55
Rate for Payer: Aetna Medicare Advantage	$439.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.47
Rate for Payer: Cigna Commercial	$732.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.80
Rate for Payer: Oxford Commercial	$292.92
Rate for Payer: Qualcare PPO/HMO/WC	$219.69
Rate for Payer: UnitedHealthcare Commercial	$292.92
Rate for Payer: UnitedHealthcare Community & State	$46.28
Rate for Payer: Wellpoint Medicaid Managed Care	$41.59

SUTURE SILK 6-0 BLK BR G-7 18

Facility

$1,464.60

Hospital Charge Code	270662653
Hospital Revenue Code	272
Min. Negotiated Rate	$219.69
Max. Negotiated Rate	$219.69
Rate for Payer: Qualcare PPO/HMO/WC	$219.69

SUTURE SILK 6-0 G-11

Facility

$23.43

Hospital Charge Code	270655847
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.71
Rate for Payer: Aetna Commercial	$8.90
Rate for Payer: Aetna Medicare Advantage	$7.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.97
Rate for Payer: Cigna Commercial	$11.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.09
Rate for Payer: Oxford Commercial	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$3.51
Rate for Payer: UnitedHealthcare Commercial	$4.69
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

SUTURE SILK 6-0 G-11

Facility

$23.43

Hospital Charge Code	270655847
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$3.51
Rate for Payer: Qualcare PPO/HMO/WC	$3.51

SUTURE SILK 7-0 BLK BR G-7 18

Facility

$1,477.40

Hospital Charge Code	270662652
Hospital Revenue Code	272
Min. Negotiated Rate	$221.61
Max. Negotiated Rate	$221.61
Rate for Payer: Qualcare PPO/HMO/WC	$221.61

SUTURE SILK 7-0 BLK BR G-7 18

Facility

$1,477.40

Hospital Charge Code	270662652
Hospital Revenue Code	272
Min. Negotiated Rate	$41.96
Max. Negotiated Rate	$738.70
Rate for Payer: Aetna Commercial	$561.41
Rate for Payer: Aetna Medicare Advantage	$443.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.74
Rate for Payer: Cigna Commercial	$738.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.12
Rate for Payer: Oxford Commercial	$295.48
Rate for Payer: Qualcare PPO/HMO/WC	$221.61
Rate for Payer: UnitedHealthcare Commercial	$295.48
Rate for Payer: UnitedHealthcare Community & State	$46.69
Rate for Payer: Wellpoint Medicaid Managed Care	$41.96

SUTURE SILK C3 8-0

Facility

$100.95

Hospital Charge Code	270608746
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$50.48
Rate for Payer: Aetna Commercial	$38.36
Rate for Payer: Aetna Medicare Advantage	$30.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.74
Rate for Payer: Cigna Commercial	$50.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.25
Rate for Payer: Oxford Commercial	$20.19
Rate for Payer: Qualcare PPO/HMO/WC	$15.14
Rate for Payer: UnitedHealthcare Commercial	$20.19
Rate for Payer: UnitedHealthcare Community & State	$3.19
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

SUTURE SILK C3 8-0

Facility

$100.95

Hospital Charge Code	270608746
Hospital Revenue Code	272
Min. Negotiated Rate	$15.14
Max. Negotiated Rate	$15.14
Rate for Payer: Qualcare PPO/HMO/WC	$15.14

SUTURE SILK LR REV CUT 1X30

Facility

$28.60

Hospital Charge Code	270702979
Hospital Revenue Code	278
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.29

SUTURE SILK LR REV CUT 1X30

Facility

$28.60

Hospital Charge Code	270702979
Hospital Revenue Code	278
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$14.30
Rate for Payer: Aetna Commercial	$10.87
Rate for Payer: Aetna Medicare Advantage	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.29
Rate for Payer: Cigna Commercial	$14.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.29
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.81

SUTURE SILK P3 6-0

Facility

$18.42

Hospital Charge Code	270604608
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$9.21
Rate for Payer: Aetna Commercial	$7.00
Rate for Payer: Aetna Medicare Advantage	$5.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.70
Rate for Payer: Cigna Commercial	$9.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.79
Rate for Payer: Oxford Commercial	$3.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.76
Rate for Payer: UnitedHealthcare Commercial	$3.68
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

SUTURE SILK P3 6-0

Facility

$18.42

Hospital Charge Code	270604608
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$2.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.76

SUTURE SMALL INTESTINE

Facility

$22,902.00

Service Code	HCPCS 44602
Hospital Charge Code	1600000876
Hospital Revenue Code	360
Min. Negotiated Rate	$3,435.30
Max. Negotiated Rate	$3,435.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,435.30

SUTURE SMALL INTESTINE

Facility

$22,902.00

Service Code	HCPCS 44602
Hospital Charge Code	1600000876
Hospital Revenue Code	360
Min. Negotiated Rate	$650.42
Max. Negotiated Rate	$16,615.40
Rate for Payer: Aetna Commercial	$12,458.69
Rate for Payer: Aetna Medicare Advantage	$14,840.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,615.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,615.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,580.40
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	$16,615.40
Rate for Payer: Cigna Commercial	$9,181.40
Rate for Payer: Cigna Medicare Advantage	$4,580.40
Rate for Payer: Clover Medicare Advantage	$4,351.38
Rate for Payer: EmblemHealth Commercial	$13,741.20
Rate for Payer: Humana Medicare Advantage	$4,717.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,580.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,954.52
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,435.30
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$723.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,580.40
Rate for Payer: Wellcare Medicare Advantage	$4,580.40
Rate for Payer: Wellpoint Medicaid Managed Care	$650.42

SUTURES MAXON GREEN 0 T-12

Facility

$7.88

Hospital Charge Code	270651250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.18

SUTURES MAXON GREEN 0 T-12

Facility

$7.88

Hospital Charge Code	270651250
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.94
Rate for Payer: Aetna Commercial	$2.99
Rate for Payer: Aetna Medicare Advantage	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.01
Rate for Payer: Cigna Commercial	$3.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.05
Rate for Payer: Oxford Commercial	$1.58
Rate for Payer: Qualcare PPO/HMO/WC	$1.18
Rate for Payer: UnitedHealthcare Commercial	$1.58
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE SNGLE ARM THX-26 36IN

Facility

$122.08

Hospital Charge Code	270643251
Hospital Revenue Code	272
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SUTURE SNGLE ARM THX-26 36IN

Facility

$122.08

Hospital Charge Code	270643251
Hospital Revenue Code	272
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$61.04
Rate for Payer: Aetna Commercial	$46.39
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.13
Rate for Payer: Cigna Commercial	$61.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.74
Rate for Payer: Oxford Commercial	$24.42
Rate for Payer: Qualcare PPO/HMO/WC	$18.31
Rate for Payer: UnitedHealthcare Commercial	$24.42
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

SUTURE SOFSILK 0 12x24 BLK

Facility

$4.18

Hospital Charge Code	270651120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$0.63
Rate for Payer: Qualcare PPO/HMO/WC	$0.63

SUTURE SOFSILK 0 12x24 BLK

Facility

$4.18

Hospital Charge Code	270651120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.09
Rate for Payer: Aetna Commercial	$1.59
Rate for Payer: Aetna Medicare Advantage	$1.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.07
Rate for Payer: Cigna Commercial	$2.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.09
Rate for Payer: Oxford Commercial	$0.84
Rate for Payer: Qualcare PPO/HMO/WC	$0.63
Rate for Payer: UnitedHealthcare Commercial	$0.84
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.12

SUTURE SOFSILK 0 12x30 BLK

Facility

$2.86

Hospital Charge Code	270625278
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.43

SUTURE SOFSILK 0 12x30 BLK

Facility

$2.86

Hospital Charge Code	270625278
Hospital Revenue Code	272
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$1.43
Rate for Payer: Aetna Commercial	$1.09
Rate for Payer: Aetna Medicare Advantage	$0.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.73
Rate for Payer: Cigna Commercial	$1.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$0.57
Rate for Payer: Qualcare PPO/HMO/WC	$0.43
Rate for Payer: UnitedHealthcare Commercial	$0.57
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

SUTURE SOFSILK 0 30 BLACK

Facility

$5.00

Hospital Charge Code	270659736
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

SUTURE SOFSILK 0 30 BLACK

Facility

$5.36

Hospital Charge Code	270604596
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.80

SUTURE SOFSILK 0 30 BLACK

Facility

$5.36

Hospital Charge Code	270604596
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$2.68
Rate for Payer: Aetna Commercial	$2.04
Rate for Payer: Aetna Medicare Advantage	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.37
Rate for Payer: Cigna Commercial	$2.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.39
Rate for Payer: Oxford Commercial	$1.07
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Commercial	$1.07
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

Know your out-of-pocket cost for care.

All Charges