Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE STRATA 2-0 PGA/PCL 20CM

Facility

$111.04

Hospital Charge Code	270672361
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 PGA/PCL 20CM

Facility

$111.04

Hospital Charge Code	270672361
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 PGA/PCL 45CM

Facility

$113.89

Hospital Charge Code	270672226
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$56.95
Rate for Payer: Aetna Commercial	$43.28
Rate for Payer: Aetna Medicare Advantage	$34.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.04
Rate for Payer: Cigna Commercial	$56.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.61
Rate for Payer: Oxford Commercial	$22.78
Rate for Payer: Qualcare PPO/HMO/WC	$17.08
Rate for Payer: UnitedHealthcare Commercial	$22.78
Rate for Payer: UnitedHealthcare Community & State	$3.60
Rate for Payer: Wellpoint Medicaid Managed Care	$3.23

SUTURE STRATA 2-0 PGA/PCL 45CM

Facility

$113.89

Hospital Charge Code	270672226
Hospital Revenue Code	272
Min. Negotiated Rate	$17.08
Max. Negotiated Rate	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$17.08

SUTURE STRATA 2-0 SH 20CM

Facility

$144.84

Hospital Charge Code	270671510
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$21.73
Rate for Payer: Qualcare PPO/HMO/WC	$21.73

SUTURE STRATA 2-0 SH 20CM

Facility

$144.84

Hospital Charge Code	270671510
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$72.42
Rate for Payer: Aetna Commercial	$55.04
Rate for Payer: Aetna Medicare Advantage	$43.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.93
Rate for Payer: Cigna Commercial	$72.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.66
Rate for Payer: Oxford Commercial	$28.97
Rate for Payer: Qualcare PPO/HMO/WC	$21.73
Rate for Payer: UnitedHealthcare Commercial	$28.97
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SUTURE STRATA 2-0 SH 28CM

Facility

$144.84

Hospital Charge Code	270671511
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$21.73
Rate for Payer: Qualcare PPO/HMO/WC	$21.73

SUTURE STRATA 2-0 SH 28CM

Facility

$144.84

Hospital Charge Code	270671511
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$72.42
Rate for Payer: Aetna Commercial	$55.04
Rate for Payer: Aetna Medicare Advantage	$43.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.93
Rate for Payer: Cigna Commercial	$72.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.66
Rate for Payer: Oxford Commercial	$28.97
Rate for Payer: Qualcare PPO/HMO/WC	$21.73
Rate for Payer: UnitedHealthcare Commercial	$28.97
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SUTURE STRATA 3-0 PGA/PCL 30CM

Facility

$106.55

Hospital Charge Code	270673095
Hospital Revenue Code	272
Min. Negotiated Rate	$15.98
Max. Negotiated Rate	$15.98
Rate for Payer: Qualcare PPO/HMO/WC	$15.98

SUTURE STRATA 3-0 PGA/PCL 30CM

Facility

$106.55

Hospital Charge Code	270673095
Hospital Revenue Code	272
Min. Negotiated Rate	$3.03
Max. Negotiated Rate	$53.27
Rate for Payer: Aetna Commercial	$40.49
Rate for Payer: Aetna Medicare Advantage	$31.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.17
Rate for Payer: Cigna Commercial	$53.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.70
Rate for Payer: Oxford Commercial	$21.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.98
Rate for Payer: UnitedHealthcare Commercial	$21.31
Rate for Payer: UnitedHealthcare Community & State	$3.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.03

SUTURE STRATA 3-0 PGA/PCL 60CM

Facility

$104.21

Hospital Charge Code	270671504
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$52.10
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$31.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.57
Rate for Payer: Cigna Commercial	$52.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.09
Rate for Payer: Oxford Commercial	$20.84
Rate for Payer: Qualcare PPO/HMO/WC	$15.63
Rate for Payer: UnitedHealthcare Commercial	$20.84
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.96

SUTURE STRATA 3-0 PGA/PCL 60CM

Facility

$104.21

Hospital Charge Code	270671504
Hospital Revenue Code	272
Min. Negotiated Rate	$15.63
Max. Negotiated Rate	$15.63
Rate for Payer: Qualcare PPO/HMO/WC	$15.63

SUTURE STRATA 4.0 PGA/PCL 60CM

Facility

$92.25

Hospital Charge Code	270672743
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$46.12
Rate for Payer: Aetna Commercial	$35.05
Rate for Payer: Aetna Medicare Advantage	$27.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.52
Rate for Payer: Cigna Commercial	$46.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.98
Rate for Payer: Oxford Commercial	$18.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.84
Rate for Payer: UnitedHealthcare Commercial	$18.45
Rate for Payer: UnitedHealthcare Community & State	$2.92
Rate for Payer: Wellpoint Medicaid Managed Care	$2.62

SUTURE STRATA 4.0 PGA/PCL 60CM

Facility

$92.25

Hospital Charge Code	270672743
Hospital Revenue Code	272
Min. Negotiated Rate	$13.84
Max. Negotiated Rate	$13.84
Rate for Payer: Qualcare PPO/HMO/WC	$13.84

SUTURE STRATA 4-1 PGA/PCL 30CM

Facility

$117.61

Hospital Charge Code	270671505
Hospital Revenue Code	272
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$17.64
Rate for Payer: Qualcare PPO/HMO/WC	$17.64

SUTURE STRATA 4-1 PGA/PCL 30CM

Facility

$117.61

Hospital Charge Code	270671505
Hospital Revenue Code	272
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$58.80
Rate for Payer: Aetna Commercial	$44.69
Rate for Payer: Aetna Medicare Advantage	$35.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.99
Rate for Payer: Cigna Commercial	$58.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.58
Rate for Payer: Oxford Commercial	$23.52
Rate for Payer: Qualcare PPO/HMO/WC	$17.64
Rate for Payer: UnitedHealthcare Commercial	$23.52
Rate for Payer: UnitedHealthcare Community & State	$3.72
Rate for Payer: Wellpoint Medicaid Managed Care	$3.34

SUTURE STRATAFIX 2-0 PDS SH

Facility

$151.13

Hospital Charge Code	270686012
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$75.56
Rate for Payer: Aetna Commercial	$57.43
Rate for Payer: Aetna Medicare Advantage	$45.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.54
Rate for Payer: Cigna Commercial	$75.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.29
Rate for Payer: Oxford Commercial	$30.23
Rate for Payer: Qualcare PPO/HMO/WC	$22.67
Rate for Payer: UnitedHealthcare Commercial	$30.23
Rate for Payer: UnitedHealthcare Community & State	$4.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.29

SUTURE STRATAFIX 2-0 PDS SH

Facility

$151.13

Hospital Charge Code	270686012
Hospital Revenue Code	272
Min. Negotiated Rate	$22.67
Max. Negotiated Rate	$22.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.67

SUTURE STRATAFIX CT-2

Facility

$145.42

Hospital Charge Code	270697831
Hospital Revenue Code	272
Min. Negotiated Rate	$21.81
Max. Negotiated Rate	$21.81
Rate for Payer: Qualcare PPO/HMO/WC	$21.81

SUTURE STRATAFIX CT-2

Facility

$145.42

Hospital Charge Code	270697831
Hospital Revenue Code	272
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.71
Rate for Payer: Aetna Commercial	$55.26
Rate for Payer: Aetna Medicare Advantage	$43.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.08
Rate for Payer: Cigna Commercial	$72.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.81
Rate for Payer: Oxford Commercial	$29.08
Rate for Payer: Qualcare PPO/HMO/WC	$21.81
Rate for Payer: UnitedHealthcare Commercial	$29.08
Rate for Payer: UnitedHealthcare Community & State	$4.60
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

SUTURE STRATAFIX MONO PS2 3.0

Facility

$104.08

Hospital Charge Code	270698429
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$52.04
Rate for Payer: Aetna Commercial	$39.55
Rate for Payer: Aetna Medicare Advantage	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.54
Rate for Payer: Cigna Commercial	$52.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.06
Rate for Payer: Oxford Commercial	$20.82
Rate for Payer: Qualcare PPO/HMO/WC	$15.61
Rate for Payer: UnitedHealthcare Commercial	$20.82
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.96

SUTURE STRATAFIX MONO PS2 3.0

Facility

$104.08

Hospital Charge Code	270698429
Hospital Revenue Code	272
Min. Negotiated Rate	$15.61
Max. Negotiated Rate	$15.61
Rate for Payer: Qualcare PPO/HMO/WC	$15.61

SUTURE STRATAFIX PDS PLUS CT-2

Facility

$141.67

Hospital Charge Code	270697823
Hospital Revenue Code	272
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$53.83
Rate for Payer: Aetna Medicare Advantage	$42.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.13
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.83
Rate for Payer: Oxford Commercial	$28.33
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$28.33
Rate for Payer: UnitedHealthcare Community & State	$4.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4.02

SUTURE STRATAFIX PDS PLUS CT-2

Facility

$141.67

Hospital Charge Code	270697823
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

SUTURE STRATAFIX PS-2 4-0

Facility

$151.17

Hospital Charge Code	270691079
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

Know your out-of-pocket cost for care.

All Charges