Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SPIRAL PDS PLUS 45X45CM

Facility

$107.25

Hospital Charge Code	270699003
Hospital Revenue Code	272
Min. Negotiated Rate	$3.05
Max. Negotiated Rate	$53.62
Rate for Payer: Aetna Commercial	$40.76
Rate for Payer: Aetna Medicare Advantage	$32.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.35
Rate for Payer: Cigna Commercial	$53.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.89
Rate for Payer: Oxford Commercial	$21.45
Rate for Payer: Qualcare PPO/HMO/WC	$16.09
Rate for Payer: UnitedHealthcare Commercial	$21.45
Rate for Payer: UnitedHealthcare Community & State	$3.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.05

SUTURE SR6LON 4-0 BK 5X18

Facility

$7.90

Hospital Charge Code	270656034
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SUTURE SR6LON 4-0 BK 5X18

Facility

$7.90

Hospital Charge Code	270656034
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.95
Rate for Payer: Aetna Commercial	$3.00
Rate for Payer: Aetna Medicare Advantage	$2.37
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	$3.95
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	$1.19
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 STEEL 0 TIES

Facility

$30.56

Hospital Charge Code	270659091
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$4.58
Rate for Payer: Qualcare PPO/HMO/WC	$4.58

SUTURE STEEL 0 TIES

Facility

$30.56

Hospital Charge Code	270659091
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$15.28
Rate for Payer: Aetna Commercial	$11.61
Rate for Payer: Aetna Medicare Advantage	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.79
Rate for Payer: Cigna Commercial	$15.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.95
Rate for Payer: Oxford Commercial	$6.11
Rate for Payer: Qualcare PPO/HMO/WC	$4.58
Rate for Payer: UnitedHealthcare Commercial	$6.11
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

SUTURE STEEL 2-0 FSLX

Facility

$10.13

Hospital Charge Code	270659092
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.07
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna Medicare Advantage	$3.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.58
Rate for Payer: Cigna Commercial	$5.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.63
Rate for Payer: Oxford Commercial	$2.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.52
Rate for Payer: UnitedHealthcare Commercial	$2.03
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SUTURE STEEL 2-0 FSLX

Facility

$10.13

Hospital Charge Code	270659092
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$1.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.52

SUTURE STEEL CCS 7 18IN

Facility

$194.67

Hospital Charge Code	270676502
Hospital Revenue Code	272
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$29.20
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SUTURE STEEL CCS 7 18IN

Facility

$194.67

Hospital Charge Code	270676502
Hospital Revenue Code	272
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.61
Rate for Payer: Oxford Commercial	$38.93
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Commercial	$38.93
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$5.53

SUTURE STEEL NON NEEDLE PRODUC

Facility

$19.16

Hospital Charge Code	270651348
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$9.58
Rate for Payer: Aetna Commercial	$7.28
Rate for Payer: Aetna Medicare Advantage	$5.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.89
Rate for Payer: Cigna Commercial	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.98
Rate for Payer: Oxford Commercial	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.87
Rate for Payer: UnitedHealthcare Commercial	$3.83
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

SUTURE STEEL NON NEEDLE PRODUC

Facility

$19.16

Hospital Charge Code	270651348
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$2.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.87

SUTURE STRATA 0 MH

Facility

$75.68

Hospital Charge Code	270671509
Hospital Revenue Code	272
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$37.84
Rate for Payer: Aetna Commercial	$28.76
Rate for Payer: Aetna Medicare Advantage	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.30
Rate for Payer: Cigna Commercial	$37.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.68
Rate for Payer: Oxford Commercial	$15.14
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$15.14
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

SUTURE STRATA 0 MH

Facility

$75.68

Hospital Charge Code	270671509
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

SUTURE STRATA 1 CT-1

Facility

$112.61

Hospital Charge Code	270671512
Hospital Revenue Code	272
Min. Negotiated Rate	$16.89
Max. Negotiated Rate	$16.89
Rate for Payer: Qualcare PPO/HMO/WC	$16.89

SUTURE STRATA 1 CT-1

Facility

$112.61

Hospital Charge Code	270671512
Hospital Revenue Code	272
Min. Negotiated Rate	$3.20
Max. Negotiated Rate	$56.30
Rate for Payer: Aetna Commercial	$42.79
Rate for Payer: Aetna Medicare Advantage	$33.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.72
Rate for Payer: Cigna Commercial	$56.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.28
Rate for Payer: Oxford Commercial	$22.52
Rate for Payer: Qualcare PPO/HMO/WC	$16.89
Rate for Payer: UnitedHealthcare Commercial	$22.52
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.20

SUTURE STRATA 1 CTX

Facility

$104.05

Hospital Charge Code	270673096
Hospital Revenue Code	272
Min. Negotiated Rate	$15.61
Max. Negotiated Rate	$15.61
Rate for Payer: Qualcare PPO/HMO/WC	$15.61

SUTURE STRATA 1 CTX

Facility

$104.05

Hospital Charge Code	270673096
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$52.02
Rate for Payer: Aetna Commercial	$39.54
Rate for Payer: Aetna Medicare Advantage	$31.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.53
Rate for Payer: Cigna Commercial	$52.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.05
Rate for Payer: Oxford Commercial	$20.81
Rate for Payer: Qualcare PPO/HMO/WC	$15.61
Rate for Payer: UnitedHealthcare Commercial	$20.81
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.96

SUTURE STRATA 2-0 CT-1 20CM

Facility

$111.04

Hospital Charge Code	270671506
Hospital Revenue Code	272
Min. Negotiated Rate	$16.66
Max. Negotiated Rate	$16.66
Rate for Payer: Qualcare PPO/HMO/WC	$16.66

SUTURE STRATA 2-0 CT-1 20CM

Facility

$111.04

Hospital Charge Code	270671506
Hospital Revenue Code	272
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$55.52
Rate for Payer: Aetna Commercial	$42.20
Rate for Payer: Aetna Medicare Advantage	$33.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.32
Rate for Payer: Cigna Commercial	$55.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.87
Rate for Payer: Oxford Commercial	$22.21
Rate for Payer: Qualcare PPO/HMO/WC	$16.66
Rate for Payer: UnitedHealthcare Commercial	$22.21
Rate for Payer: UnitedHealthcare Community & State	$3.51
Rate for Payer: Wellpoint Medicaid Managed Care	$3.15

SUTURE STRATA 2-0 CT-1 30CM

Facility

$86.66

Hospital Charge Code	270671507
Hospital Revenue Code	272
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.00

SUTURE STRATA 2-0 CT-1 30CM

Facility

$86.66

Hospital Charge Code	270671507
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$43.33
Rate for Payer: Aetna Commercial	$32.93
Rate for Payer: Aetna Medicare Advantage	$26.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.10
Rate for Payer: Cigna Commercial	$43.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Oxford Commercial	$17.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.00
Rate for Payer: UnitedHealthcare Commercial	$17.33
Rate for Payer: UnitedHealthcare Community & State	$2.74
Rate for Payer: Wellpoint Medicaid Managed Care	$2.46

SUTURE STRATA 2-0 MH

Facility

$131.51

Hospital Charge Code	270671508
Hospital Revenue Code	272
Min. Negotiated Rate	$19.73
Max. Negotiated Rate	$19.73
Rate for Payer: Qualcare PPO/HMO/WC	$19.73

SUTURE STRATA 2-0 MH

Facility

$131.51

Hospital Charge Code	270671508
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$65.75
Rate for Payer: Aetna Commercial	$49.97
Rate for Payer: Aetna Medicare Advantage	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.54
Rate for Payer: Cigna Commercial	$65.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.19
Rate for Payer: Oxford Commercial	$26.30
Rate for Payer: Qualcare PPO/HMO/WC	$19.73
Rate for Payer: UnitedHealthcare Commercial	$26.30
Rate for Payer: UnitedHealthcare Community & State	$4.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.73

SUTURE STRATA 2-0 PDS CT01

Facility

$113.32

Hospital Charge Code	270681809
Hospital Revenue Code	272
Min. Negotiated Rate	$17.00
Max. Negotiated Rate	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.00

SUTURE STRATA 2-0 PDS CT01

Facility

$113.32

Hospital Charge Code	270681809
Hospital Revenue Code	272
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$56.66
Rate for Payer: Aetna Commercial	$43.06
Rate for Payer: Aetna Medicare Advantage	$34.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.90
Rate for Payer: Cigna Commercial	$56.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.46
Rate for Payer: Oxford Commercial	$22.66
Rate for Payer: Qualcare PPO/HMO/WC	$17.00
Rate for Payer: UnitedHealthcare Commercial	$22.66
Rate for Payer: UnitedHealthcare Community & State	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

Know your out-of-pocket cost for care.

All Charges