Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE V LOC SH 2-0 GS 22

Facility

$435.72

Hospital Charge Code	270691570
Hospital Revenue Code	272
Min. Negotiated Rate	$12.37
Max. Negotiated Rate	$217.86
Rate for Payer: Aetna Commercial	$165.57
Rate for Payer: Aetna Medicare Advantage	$130.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.11
Rate for Payer: Cigna Commercial	$217.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.29
Rate for Payer: Oxford Commercial	$87.14
Rate for Payer: Qualcare PPO/HMO/WC	$65.36
Rate for Payer: UnitedHealthcare Commercial	$87.14
Rate for Payer: UnitedHealthcare Community & State	$13.77
Rate for Payer: Wellpoint Medicaid Managed Care	$12.37

SUTURE VLOC SZ 3-0 18 IN 3/8

Facility

$236.54

Hospital Charge Code	270698637
Hospital Revenue Code	272
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$118.27
Rate for Payer: Aetna Commercial	$89.89
Rate for Payer: Aetna Medicare Advantage	$70.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.32
Rate for Payer: Cigna Commercial	$118.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.50
Rate for Payer: Oxford Commercial	$47.31
Rate for Payer: Qualcare PPO/HMO/WC	$35.48
Rate for Payer: UnitedHealthcare Commercial	$47.31
Rate for Payer: UnitedHealthcare Community & State	$7.47
Rate for Payer: Wellpoint Medicaid Managed Care	$6.72

SUTURE VLOC SZ 3-0 18 IN 3/8

Facility

$236.54

Hospital Charge Code	270698637
Hospital Revenue Code	272
Min. Negotiated Rate	$35.48
Max. Negotiated Rate	$35.48
Rate for Payer: Qualcare PPO/HMO/WC	$35.48

SUTURE V-LOC V-20 2-0 12 GRN

Facility

$313.60

Hospital Charge Code	270678354
Hospital Revenue Code	272
Min. Negotiated Rate	$47.04
Max. Negotiated Rate	$47.04
Rate for Payer: Qualcare PPO/HMO/WC	$47.04

SUTURE V-LOC V-20 2-0 12 GRN

Facility

$313.60

Hospital Charge Code	270678354
Hospital Revenue Code	272
Min. Negotiated Rate	$8.91
Max. Negotiated Rate	$156.80
Rate for Payer: Aetna Commercial	$119.17
Rate for Payer: Aetna Medicare Advantage	$94.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.97
Rate for Payer: Cigna Commercial	$156.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.54
Rate for Payer: Oxford Commercial	$62.72
Rate for Payer: Qualcare PPO/HMO/WC	$47.04
Rate for Payer: UnitedHealthcare Commercial	$62.72
Rate for Payer: UnitedHealthcare Community & State	$9.91
Rate for Payer: Wellpoint Medicaid Managed Care	$8.91

SUTURE WIRE: MONOFILAMENT

Facility

$126.00

Hospital Charge Code	270334653
Hospital Revenue Code	272
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

SUTURE WIRE: MONOFILAMENT

Facility

$126.00

Hospital Charge Code	270334653
Hospital Revenue Code	272
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$63.00
Rate for Payer: Aetna Commercial	$47.88
Rate for Payer: Aetna Medicare Advantage	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.13
Rate for Payer: Cigna Commercial	$63.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.76
Rate for Payer: Oxford Commercial	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.90
Rate for Payer: UnitedHealthcare Commercial	$25.20
Rate for Payer: UnitedHealthcare Community & State	$3.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

SUTURE WIRE ZIM 16G 4044-20

Facility

$9.10

Hospital Charge Code	270601261
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 WIRE ZIM 16G 4044-20

Facility

$9.10

Hospital Charge Code	270601261
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.36

SUTURE WIRE ZIM 18G 4044-16

Facility

$112.50

Hospital Charge Code	270601259
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$42.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$22.50
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.19

SUTURE WIRE ZIM 18G 4044-16

Facility

$112.50

Hospital Charge Code	270601259
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

SUTUR SILK 2-0 36 IN NONABS

Facility

$438.30

Hospital Charge Code	270702977
Hospital Revenue Code	278
Min. Negotiated Rate	$65.75
Max. Negotiated Rate	$106.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.07
Rate for Payer: Qualcare PPO/HMO/WC	$65.75

SUTUR SILK 2-0 36 IN NONABS

Facility

$438.30

Hospital Charge Code	270702977
Hospital Revenue Code	278
Min. Negotiated Rate	$12.45
Max. Negotiated Rate	$219.15
Rate for Payer: Aetna Commercial	$166.55
Rate for Payer: Aetna Medicare Advantage	$131.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.77
Rate for Payer: Cigna Commercial	$219.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.07
Rate for Payer: Qualcare PPO/HMO/WC	$65.75
Rate for Payer: UnitedHealthcare Community & State	$13.85
Rate for Payer: Wellpoint Medicaid Managed Care	$12.45

SUTURTAK PEEK CURVED 2.0MM

Facility

$1,375.00

Hospital Charge Code	270677689
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$43.45
Rate for Payer: Wellpoint Medicaid Managed Care	$39.05

SUTURTAK PEEK CURVED 2.0MM

Facility

$1,375.00

Hospital Charge Code	270677689
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SUTUTE SIK 6-0 TG 140-8

Facility

$56.90

Hospital Charge Code	270665523
Hospital Revenue Code	270
Min. Negotiated Rate	$8.54
Max. Negotiated Rate	$8.54
Rate for Payer: Qualcare PPO/HMO/WC	$8.54

SUTUTE SIK 6-0 TG 140-8

Facility

$56.90

Hospital Charge Code	270665523
Hospital Revenue Code	270
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$28.45
Rate for Payer: Aetna Commercial	$21.62
Rate for Payer: Aetna Medicare Advantage	$17.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.51
Rate for Payer: Cigna Commercial	$28.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.79
Rate for Payer: Oxford Commercial	$11.38
Rate for Payer: Qualcare PPO/HMO/WC	$8.54
Rate for Payer: UnitedHealthcare Commercial	$11.38
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

SUT VICRYL RAPIDE2-0 CT-1/CP-1

Facility

$28.88

Hospital Charge Code	270667334
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$14.44
Rate for Payer: Aetna Commercial	$10.97
Rate for Payer: Aetna Medicare Advantage	$8.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.36
Rate for Payer: Cigna Commercial	$14.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.51
Rate for Payer: Oxford Commercial	$5.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.33
Rate for Payer: UnitedHealthcare Commercial	$5.78
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

SUT VICRYL RAPIDE2-0 CT-1/CP-1

Facility

$28.88

Hospital Charge Code	270667334
Hospital Revenue Code	272
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$4.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.33

SV16 2.5X 16MM CANN SCREW

Facility

$1,918.80

Service Code	HCPCS C1713
Hospital Charge Code	270667213
Hospital Revenue Code	278
Min. Negotiated Rate	$54.49
Max. Negotiated Rate	$959.40
Rate for Payer: Aetna Commercial	$729.14
Rate for Payer: Aetna Medicare Advantage	$575.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.29
Rate for Payer: Cigna Commercial	$959.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.35
Rate for Payer: Qualcare PPO/HMO/WC	$287.82
Rate for Payer: UnitedHealthcare Community & State	$60.63
Rate for Payer: Wellpoint Medicaid Managed Care	$54.49

SV16 2.5X 16MM CANN SCREW

Facility

$1,918.80

Service Code	HCPCS C1713
Hospital Charge Code	270667213
Hospital Revenue Code	278
Min. Negotiated Rate	$287.82
Max. Negotiated Rate	$464.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.35
Rate for Payer: Qualcare PPO/HMO/WC	$287.82

SV20 2.5X20MM CANN SCREW

Facility

$1,918.80

Service Code	HCPCS C1713
Hospital Charge Code	270678804
Hospital Revenue Code	278
Min. Negotiated Rate	$287.82
Max. Negotiated Rate	$464.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.35
Rate for Payer: Qualcare PPO/HMO/WC	$287.82

SV20 2.5X20MM CANN SCREW

Facility

$1,918.80

Service Code	HCPCS C1713
Hospital Charge Code	270678804
Hospital Revenue Code	278
Min. Negotiated Rate	$54.49
Max. Negotiated Rate	$959.40
Rate for Payer: Aetna Commercial	$729.14
Rate for Payer: Aetna Medicare Advantage	$575.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.29
Rate for Payer: Cigna Commercial	$959.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.35
Rate for Payer: Qualcare PPO/HMO/WC	$287.82
Rate for Payer: UnitedHealthcare Community & State	$60.63
Rate for Payer: Wellpoint Medicaid Managed Care	$54.49

SWABSTICK BETADINE SINGLE

Facility

$2.45

Hospital Charge Code	270302090
Hospital Revenue Code	270
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

SWABSTICK BETADINE SINGLE

Facility

$2.45

Hospital Charge Code	270302090
Hospital Revenue Code	270
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.93
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.64
Rate for Payer: Oxford Commercial	$0.49
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$0.49
Rate for Payer: UnitedHealthcare Community & State	$0.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.07

Know your out-of-pocket cost for care.

All Charges