Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIPRO II CV-11 5-0

Facility

$22.95

Hospital Charge Code	270656169
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$11.47
Rate for Payer: Aetna Commercial	$8.72
Rate for Payer: Aetna Medicare Advantage	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.85
Rate for Payer: Cigna Commercial	$11.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.97
Rate for Payer: Oxford Commercial	$4.59
Rate for Payer: Qualcare PPO/HMO/WC	$3.44
Rate for Payer: UnitedHealthcare Commercial	$4.59
Rate for Payer: UnitedHealthcare Community & State	$0.73
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

SUTURE SURGIPRO II CV-11 5-0

Facility

$22.95

Hospital Charge Code	270656169
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$3.44

SUTURE SURGIPRO II CV-1 6-0 30

Facility

$36.72

Hospital Charge Code	270643909
Hospital Revenue Code	272
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$5.51

SUTURE SURGIPRO II CV-1 6-0 30

Facility

$36.72

Hospital Charge Code	270643909
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$18.36
Rate for Payer: Aetna Commercial	$13.95
Rate for Payer: Aetna Medicare Advantage	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.36
Rate for Payer: Cigna Commercial	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.55
Rate for Payer: Oxford Commercial	$7.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.51
Rate for Payer: UnitedHealthcare Commercial	$7.34
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.04

SUTURE SURGIPRO KV11 5-0

Facility

$27.96

Hospital Charge Code	270604679
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

SUTURE SURGIPRO KV11 5-0

Facility

$27.96

Hospital Charge Code	270604679
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$13.98
Rate for Payer: Aetna Commercial	$10.62
Rate for Payer: Aetna Medicare Advantage	$8.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.13
Rate for Payer: Cigna Commercial	$13.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.27
Rate for Payer: Oxford Commercial	$5.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$5.59
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.79

SUTURE SURGIPRO KV-1 7-0 24

Facility

$43.21

Hospital Charge Code	270651336
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$21.61
Rate for Payer: Aetna Commercial	$16.42
Rate for Payer: Aetna Medicare Advantage	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.02
Rate for Payer: Cigna Commercial	$21.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.23
Rate for Payer: Oxford Commercial	$8.64
Rate for Payer: Qualcare PPO/HMO/WC	$6.48
Rate for Payer: UnitedHealthcare Commercial	$8.64
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

SUTURE SURGIPRO KV-1 7-0 24

Facility

$43.21

Hospital Charge Code	270651336
Hospital Revenue Code	272
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$6.48
Rate for Payer: Qualcare PPO/HMO/WC	$6.48

SUTURE SURGIPRO P13 4-0

Facility

$17.35

Hospital Charge Code	270606791
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.60

SUTURE SURGIPRO P13 4-0

Facility

$17.35

Hospital Charge Code	270606791
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.68
Rate for Payer: Aetna Commercial	$6.59
Rate for Payer: Aetna Medicare Advantage	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.42
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.51
Rate for Payer: Oxford Commercial	$3.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.60
Rate for Payer: UnitedHealthcare Commercial	$3.47
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

SUTURE SURGIPRO P13 5-0

Facility

$47.25

Hospital Charge Code	270604682
Hospital Revenue Code	272
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$23.62
Rate for Payer: Aetna Commercial	$17.95
Rate for Payer: Aetna Medicare Advantage	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.05
Rate for Payer: Cigna Commercial	$23.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.29
Rate for Payer: Oxford Commercial	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
Rate for Payer: UnitedHealthcare Commercial	$9.45
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.34

SUTURE SURGIPRO P13 5-0

Facility

$47.25

Hospital Charge Code	270604682
Hospital Revenue Code	272
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

SUTURE SURGIPRO PC-11 5-0 18

Facility

$17.85

Hospital Charge Code	270651315
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.68

SUTURE SURGIPRO PC-11 5-0 18

Facility

$17.85

Hospital Charge Code	270651315
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$8.93
Rate for Payer: Aetna Commercial	$6.78
Rate for Payer: Aetna Medicare Advantage	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.55
Rate for Payer: Cigna Commercial	$8.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.64
Rate for Payer: Oxford Commercial	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.68
Rate for Payer: UnitedHealthcare Commercial	$3.57
Rate for Payer: UnitedHealthcare Community & State	$0.56
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

SUTURE SURGIPRO V-20 3-0 30

Facility

$8.70

Hospital Charge Code	270651344
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

SUTURE SURGIPRO V-20 3-0 30

Facility

$8.70

Hospital Charge Code	270651344
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$4.35
Rate for Payer: Aetna Commercial	$3.31
Rate for Payer: Aetna Medicare Advantage	$2.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.22
Rate for Payer: Cigna Commercial	$4.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.26
Rate for Payer: Oxford Commercial	$1.74
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$1.74
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

SUTURE SURGITIE LIG LOOP

Facility

$94.24

Hospital Charge Code	270655348
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$35.81
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.50
Rate for Payer: Oxford Commercial	$18.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.14
Rate for Payer: UnitedHealthcare Commercial	$18.85
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

SUTURE SURGITIE LIG LOOP

Facility

$94.24

Hospital Charge Code	270655348
Hospital Revenue Code	272
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$14.14
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SUTURE SURGITIE LIG LOOP W/

Facility

$453.15

Hospital Charge Code	270655608
Hospital Revenue Code	272
Min. Negotiated Rate	$67.97
Max. Negotiated Rate	$67.97
Rate for Payer: Qualcare PPO/HMO/WC	$67.97

SUTURE SURGITIE LIG LOOP W/

Facility

$453.15

Hospital Charge Code	270655608
Hospital Revenue Code	272
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$226.57
Rate for Payer: Aetna Commercial	$172.20
Rate for Payer: Aetna Medicare Advantage	$135.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.55
Rate for Payer: Cigna Commercial	$226.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.82
Rate for Payer: Oxford Commercial	$90.63
Rate for Payer: Qualcare PPO/HMO/WC	$67.97
Rate for Payer: UnitedHealthcare Commercial	$90.63
Rate for Payer: UnitedHealthcare Community & State	$14.32
Rate for Payer: Wellpoint Medicaid Managed Care	$12.87

SUTURE SURGITIE LOOP POLY 0

Facility

$112.71

Hospital Charge Code	270604729
Hospital Revenue Code	272
Min. Negotiated Rate	$16.91
Max. Negotiated Rate	$16.91
Rate for Payer: Qualcare PPO/HMO/WC	$16.91

SUTURE SURGITIE LOOP POLY 0

Facility

$112.71

Hospital Charge Code	270604729
Hospital Revenue Code	272
Min. Negotiated Rate	$3.20
Max. Negotiated Rate	$56.35
Rate for Payer: Aetna Commercial	$42.83
Rate for Payer: Aetna Medicare Advantage	$33.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.74
Rate for Payer: Cigna Commercial	$56.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.30
Rate for Payer: Oxford Commercial	$22.54
Rate for Payer: Qualcare PPO/HMO/WC	$16.91
Rate for Payer: UnitedHealthcare Commercial	$22.54
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.20

SUTURE SWANSON PASSER

Facility

$438.90

Hospital Charge Code	270657893
Hospital Revenue Code	272
Min. Negotiated Rate	$65.83
Max. Negotiated Rate	$65.83
Rate for Payer: Qualcare PPO/HMO/WC	$65.83

SUTURE SWANSON PASSER

Facility

$438.90

Hospital Charge Code	270657893
Hospital Revenue Code	272
Min. Negotiated Rate	$12.46
Max. Negotiated Rate	$219.45
Rate for Payer: Aetna Commercial	$166.78
Rate for Payer: Aetna Medicare Advantage	$131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.92
Rate for Payer: Cigna Commercial	$219.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.11
Rate for Payer: Oxford Commercial	$87.78
Rate for Payer: Qualcare PPO/HMO/WC	$65.83
Rate for Payer: UnitedHealthcare Commercial	$87.78
Rate for Payer: UnitedHealthcare Community & State	$13.87
Rate for Payer: Wellpoint Medicaid Managed Care	$12.46

SUTURETAK MINI BIOCOMP

Facility

$1,625.00

Hospital Charge Code	270655938
Hospital Revenue Code	272
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$325.00
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

Know your out-of-pocket cost for care.

All Charges