Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIPRO II 4/0 36 RB1

Facility

$17.24

Hospital Charge Code	270663888
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.62
Rate for Payer: Aetna Commercial	$6.55
Rate for Payer: Aetna Medicare Advantage	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.40
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.48
Rate for Payer: Oxford Commercial	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.59
Rate for Payer: UnitedHealthcare Commercial	$3.45
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

SUTURE SURGIPRO II 5/0 18 BLU

Facility

$16.48

Hospital Charge Code	270660190
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.24
Rate for Payer: Aetna Commercial	$6.26
Rate for Payer: Aetna Medicare Advantage	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.20
Rate for Payer: Cigna Commercial	$8.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.28
Rate for Payer: Oxford Commercial	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$3.30
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

SUTURE SURGIPRO II 5/0 18 BLU

Facility

$16.48

Hospital Charge Code	270660190
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

SUTURE SURGIPRO II 5/0 18 BLU

Facility

$17.19

Hospital Charge Code	270651326
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.60
Rate for Payer: Aetna Commercial	$6.53
Rate for Payer: Aetna Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.38
Rate for Payer: Cigna Commercial	$8.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.47
Rate for Payer: Oxford Commercial	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$2.58
Rate for Payer: UnitedHealthcare Commercial	$3.44
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

SUTURE SURGIPRO II 5/0 18 BLU

Facility

$17.19

Hospital Charge Code	270651326
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.58

SUTURE SURGIPRO II 5/0 30 BLU

Facility

$16.93

Hospital Charge Code	270604680
Hospital Revenue Code	272
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$2.54
Rate for Payer: Qualcare PPO/HMO/WC	$2.54

SUTURE SURGIPRO II 5/0 30 BLU

Facility

$16.93

Hospital Charge Code	270604680
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$8.46
Rate for Payer: Aetna Commercial	$6.43
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.32
Rate for Payer: Cigna Commercial	$8.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.40
Rate for Payer: Oxford Commercial	$3.39
Rate for Payer: Qualcare PPO/HMO/WC	$2.54
Rate for Payer: UnitedHealthcare Commercial	$3.39
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

SUTURE SURGIPRO II 5/0 30 BLU

Facility

$28.46

Hospital Charge Code	270604678
Hospital Revenue Code	272
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Qualcare PPO/HMO/WC	$4.27

SUTURE SURGIPRO II 5/0 30 BLU

Facility

$28.46

Hospital Charge Code	270604678
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$14.23
Rate for Payer: Aetna Commercial	$10.81
Rate for Payer: Aetna Medicare Advantage	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.26
Rate for Payer: Cigna Commercial	$14.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.40
Rate for Payer: Oxford Commercial	$5.69
Rate for Payer: Qualcare PPO/HMO/WC	$4.27
Rate for Payer: UnitedHealthcare Commercial	$5.69
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.81

SUTURE SURGIPRO II 5/0 36 BLU

Facility

$41.68

Hospital Charge Code	270651334
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.25

SUTURE SURGIPRO II 5/0 36 BLU

Facility

$41.68

Hospital Charge Code	270651334
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$20.84
Rate for Payer: Aetna Commercial	$15.84
Rate for Payer: Aetna Medicare Advantage	$12.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.63
Rate for Payer: Cigna Commercial	$20.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.84
Rate for Payer: Oxford Commercial	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.25
Rate for Payer: UnitedHealthcare Commercial	$8.34
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

SUTURE SURGIPRO II 6/0 18 BLU

Facility

$17.19

Hospital Charge Code	270651323
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.58

SUTURE SURGIPRO II 6/0 18 BLU

Facility

$17.19

Hospital Charge Code	270610211
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.60
Rate for Payer: Aetna Commercial	$6.53
Rate for Payer: Aetna Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.38
Rate for Payer: Cigna Commercial	$8.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.47
Rate for Payer: Oxford Commercial	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$2.58
Rate for Payer: UnitedHealthcare Commercial	$3.44
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

SUTURE SURGIPRO II 6/0 18 BLU

Facility

$17.19

Hospital Charge Code	270610211
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.58

SUTURE SURGIPRO II 6/0 18 BLU

Facility

$17.19

Hospital Charge Code	270651323
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.60
Rate for Payer: Aetna Commercial	$6.53
Rate for Payer: Aetna Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.38
Rate for Payer: Cigna Commercial	$8.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.47
Rate for Payer: Oxford Commercial	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$2.58
Rate for Payer: UnitedHealthcare Commercial	$3.44
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

SUTURE SURGIPRO II 6/0 30 BLU

Facility

$27.69

Hospital Charge Code	270604685
Hospital Revenue Code	272
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$4.15
Rate for Payer: Qualcare PPO/HMO/WC	$4.15

SUTURE SURGIPRO II 6/0 30 BLU

Facility

$28.46

Hospital Charge Code	270604683
Hospital Revenue Code	272
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Qualcare PPO/HMO/WC	$4.27

SUTURE SURGIPRO II 6/0 30 BLU

Facility

$28.46

Hospital Charge Code	270604683
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$14.23
Rate for Payer: Aetna Commercial	$10.81
Rate for Payer: Aetna Medicare Advantage	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.26
Rate for Payer: Cigna Commercial	$14.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.40
Rate for Payer: Oxford Commercial	$5.69
Rate for Payer: Qualcare PPO/HMO/WC	$4.27
Rate for Payer: UnitedHealthcare Commercial	$5.69
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.81

SUTURE SURGIPRO II 6/0 30 BLU

Facility

$27.69

Hospital Charge Code	270604685
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$13.85
Rate for Payer: Aetna Commercial	$10.52
Rate for Payer: Aetna Medicare Advantage	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.06
Rate for Payer: Cigna Commercial	$13.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.20
Rate for Payer: Oxford Commercial	$5.54
Rate for Payer: Qualcare PPO/HMO/WC	$4.15
Rate for Payer: UnitedHealthcare Commercial	$5.54
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.79

SUTURE SURGIPRO II 6/0 36 BLU

Facility

$32.44

Hospital Charge Code	270604659
Hospital Revenue Code	272
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$4.87
Rate for Payer: Qualcare PPO/HMO/WC	$4.87

SUTURE SURGIPRO II 6/0 36 BLU

Facility

$32.44

Hospital Charge Code	270604659
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$16.22
Rate for Payer: Aetna Commercial	$12.33
Rate for Payer: Aetna Medicare Advantage	$9.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.27
Rate for Payer: Cigna Commercial	$16.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.43
Rate for Payer: Oxford Commercial	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$4.87
Rate for Payer: UnitedHealthcare Commercial	$6.49
Rate for Payer: UnitedHealthcare Community & State	$1.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

SUTURE SURGIPRO II 7/0 24 BLU

Facility

$42.43

Hospital Charge Code	270604686
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$21.21
Rate for Payer: Aetna Commercial	$16.12
Rate for Payer: Aetna Medicare Advantage	$12.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.82
Rate for Payer: Cigna Commercial	$21.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.03
Rate for Payer: Oxford Commercial	$8.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.36
Rate for Payer: UnitedHealthcare Commercial	$8.49
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

SUTURE SURGIPRO II 7/0 24 BLU

Facility

$42.43

Hospital Charge Code	270604686
Hospital Revenue Code	272
Min. Negotiated Rate	$6.36
Max. Negotiated Rate	$6.36
Rate for Payer: Qualcare PPO/HMO/WC	$6.36

SUTURE SURGIPRO II 7/0 30 BLU

Facility

$96.80

Hospital Charge Code	270656856
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$48.40
Rate for Payer: Aetna Commercial	$36.78
Rate for Payer: Aetna Medicare Advantage	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.68
Rate for Payer: Cigna Commercial	$48.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.17
Rate for Payer: Oxford Commercial	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$14.52
Rate for Payer: UnitedHealthcare Commercial	$19.36
Rate for Payer: UnitedHealthcare Community & State	$3.06
Rate for Payer: Wellpoint Medicaid Managed Care	$2.75

SUTURE SURGIPRO II 7/0 30 BLU

Facility

$96.80

Hospital Charge Code	270656856
Hospital Revenue Code	272
Min. Negotiated Rate	$14.52
Max. Negotiated Rate	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$14.52

Know your out-of-pocket cost for care.

All Charges