Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE VCL PLUS 8X18 IN 2-0 CR

Facility

$79.57

Hospital Charge Code	270690889
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$39.78
Rate for Payer: Aetna Commercial	$30.24
Rate for Payer: Aetna Medicare Advantage	$23.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.69
Rate for Payer: Oxford Commercial	$15.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.94
Rate for Payer: UnitedHealthcare Commercial	$15.91
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

SUTURE VCL PLUS UD 27 IN 4-0

Facility

$11.10

Hospital Charge Code	270690890
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.67

SUTURE VCL PLUS UD 27 IN 4-0

Facility

$11.10

Hospital Charge Code	270690890
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$5.55
Rate for Payer: Aetna Commercial	$4.22
Rate for Payer: Aetna Medicare Advantage	$3.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.83
Rate for Payer: Cigna Commercial	$5.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.89
Rate for Payer: Oxford Commercial	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.67
Rate for Payer: UnitedHealthcare Commercial	$2.22
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

SUTURE VELOSORB 2-0 GS21 36 UD

Facility

$23.51

Hospital Charge Code	270660435
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.76
Rate for Payer: Aetna Commercial	$8.93
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.00
Rate for Payer: Cigna Commercial	$11.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.11
Rate for Payer: Oxford Commercial	$4.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$4.70
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

SUTURE VELOSORB 2-0 GS21 36 UD

Facility

$23.51

Hospital Charge Code	270660435
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

SUTURE VELOSORB 2-0 UD 30 V-20

Facility

$284.90

Hospital Charge Code	270665888
Hospital Revenue Code	272
Min. Negotiated Rate	$8.09
Max. Negotiated Rate	$142.45
Rate for Payer: Aetna Commercial	$108.26
Rate for Payer: Aetna Medicare Advantage	$85.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.65
Rate for Payer: Cigna Commercial	$142.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.07
Rate for Payer: Oxford Commercial	$56.98
Rate for Payer: Qualcare PPO/HMO/WC	$42.73
Rate for Payer: UnitedHealthcare Commercial	$56.98
Rate for Payer: UnitedHealthcare Community & State	$9.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.09

SUTURE VELOSORB 2-0 UD 30 V-20

Facility

$23.51

Hospital Charge Code	270663828
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.76
Rate for Payer: Aetna Commercial	$8.93
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.00
Rate for Payer: Cigna Commercial	$11.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.11
Rate for Payer: Oxford Commercial	$4.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$4.70
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

SUTURE VELOSORB 2-0 UD 30 V-20

Facility

$284.90

Hospital Charge Code	270665888
Hospital Revenue Code	272
Min. Negotiated Rate	$42.73
Max. Negotiated Rate	$42.73
Rate for Payer: Qualcare PPO/HMO/WC	$42.73

SUTURE VELOSORB 2-0 UD 30 V-20

Facility

$23.51

Hospital Charge Code	270663828
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

SUTURE VELOSORB 3-0 UD 30 V-21

Facility

$23.51

Hospital Charge Code	270664584
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

SUTURE VELOSORB 3-0 UD 30 V-21

Facility

$23.51

Hospital Charge Code	270664584
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.76
Rate for Payer: Aetna Commercial	$8.93
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.00
Rate for Payer: Cigna Commercial	$11.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.11
Rate for Payer: Oxford Commercial	$4.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$4.70
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

SUTURE VELOSORB FAST BRAIDED A

Facility

$854.70

Hospital Charge Code	270665889
Hospital Revenue Code	272
Min. Negotiated Rate	$24.27
Max. Negotiated Rate	$427.35
Rate for Payer: Aetna Commercial	$324.79
Rate for Payer: Aetna Medicare Advantage	$256.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.95
Rate for Payer: Cigna Commercial	$427.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.22
Rate for Payer: Oxford Commercial	$170.94
Rate for Payer: Qualcare PPO/HMO/WC	$128.21
Rate for Payer: UnitedHealthcare Commercial	$170.94
Rate for Payer: UnitedHealthcare Community & State	$27.01
Rate for Payer: Wellpoint Medicaid Managed Care	$24.27

SUTURE VELOSORB FAST BRAIDED A

Facility

$854.70

Hospital Charge Code	270665889
Hospital Revenue Code	272
Min. Negotiated Rate	$128.21
Max. Negotiated Rate	$128.21
Rate for Payer: Qualcare PPO/HMO/WC	$128.21

SUTURE VICRLY CT-1 2-0 J339H

Facility

$8.86

Hospital Charge Code	270698083
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$4.43
Rate for Payer: Aetna Commercial	$3.37
Rate for Payer: Aetna Medicare Advantage	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.26
Rate for Payer: Cigna Commercial	$4.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.30
Rate for Payer: Oxford Commercial	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.33
Rate for Payer: UnitedHealthcare Commercial	$1.77
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

SUTURE VICRLY CT-1 2-0 J339H

Facility

$8.86

Hospital Charge Code	270698083
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$1.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.33

SUTURE VICRYL 0 CP

Facility

$28.19

Hospital Charge Code	270672858
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.10
Rate for Payer: Aetna Commercial	$10.71
Rate for Payer: Aetna Medicare Advantage	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.19
Rate for Payer: Cigna Commercial	$14.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.33
Rate for Payer: Oxford Commercial	$5.64
Rate for Payer: Qualcare PPO/HMO/WC	$4.23
Rate for Payer: UnitedHealthcare Commercial	$5.64
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

SUTURE VICRYL 0 CP

Facility

$28.19

Hospital Charge Code	270672858
Hospital Revenue Code	272
Min. Negotiated Rate	$4.23
Max. Negotiated Rate	$4.23
Rate for Payer: Qualcare PPO/HMO/WC	$4.23

SUTURE VICRYL 0 CT

Facility

$9.10

Hospital Charge Code	270672384
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$4.55
Rate for Payer: Aetna Commercial	$3.46
Rate for Payer: Aetna Medicare Advantage	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.32
Rate for Payer: Cigna Commercial	$4.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.37
Rate for Payer: Oxford Commercial	$1.82
Rate for Payer: Qualcare PPO/HMO/WC	$1.36
Rate for Payer: UnitedHealthcare Commercial	$1.82
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

SUTURE VICRYL 0 CT

Facility

$9.10

Hospital Charge Code	270672384
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.36

SUTURE VICRYL 0 CT-1

Facility

$53.99

Hospital Charge Code	270671484
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$20.52
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

SUTURE VICRYL 0 CT-1

Facility

$53.99

Hospital Charge Code	270671484
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

SUTURE VICRYL 0 CT-1

Facility

$7.31

Hospital Charge Code	270655915
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.65
Rate for Payer: Aetna Commercial	$2.78
Rate for Payer: Aetna Medicare Advantage	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.86
Rate for Payer: Cigna Commercial	$3.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.90
Rate for Payer: Oxford Commercial	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.10
Rate for Payer: UnitedHealthcare Commercial	$1.46
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SUTURE VICRYL 0 CT-1

Facility

$7.80

Hospital Charge Code	270671453
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$1.17

SUTURE VICRYL 0 CT-1

Facility

$7.80

Hospital Charge Code	270671453
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.90
Rate for Payer: Aetna Commercial	$2.96
Rate for Payer: Aetna Medicare Advantage	$2.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.99
Rate for Payer: Cigna Commercial	$3.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.03
Rate for Payer: Oxford Commercial	$1.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.17
Rate for Payer: UnitedHealthcare Commercial	$1.56
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE VICRYL 0 CT-1

Facility

$8.40

Hospital Charge Code	270677189
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.20
Rate for Payer: Aetna Commercial	$3.19
Rate for Payer: Aetna Medicare Advantage	$2.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.14
Rate for Payer: Cigna Commercial	$4.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.18
Rate for Payer: Oxford Commercial	$1.68
Rate for Payer: Qualcare PPO/HMO/WC	$1.26
Rate for Payer: UnitedHealthcare Commercial	$1.68
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

Know your out-of-pocket cost for care.

All Charges