Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTR ORTH BLUE WO/NEED 223111

Facility

$1,325.00

Hospital Charge Code	270635836
Hospital Revenue Code	272
Min. Negotiated Rate	$172.25
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.25
Rate for Payer: Oxford Commercial	$662.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Commercial	$662.50

SUT SOFSIL 3-0 C-14 BLK SS684G

Facility

$5.35

Hospital Charge Code	270640893
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.80

SUT SOFSIL 3-0 C-14 BLK SS684G

Facility

$5.35

Hospital Charge Code	270640893
Hospital Revenue Code	272
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$2.67
Rate for Payer: Aetna Commercial	$1.60
Rate for Payer: Aetna Medicare Advantage	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.36
Rate for Payer: Cigna Commercial	$2.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.70
Rate for Payer: Oxford Commercial	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Commercial	$2.67

SUTURE

Facility

$108.41

Hospital Charge Code	270999002
Hospital Revenue Code	272
Min. Negotiated Rate	$16.26
Max. Negotiated Rate	$16.26
Rate for Payer: Qualcare PPO/HMO/WC	$16.26

SUTURE

Facility

$108.41

Hospital Charge Code	270999002
Hospital Revenue Code	272
Min. Negotiated Rate	$14.09
Max. Negotiated Rate	$54.20
Rate for Payer: Aetna Commercial	$32.52
Rate for Payer: Aetna Medicare Advantage	$32.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.64
Rate for Payer: Cigna Commercial	$54.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.09
Rate for Payer: Oxford Commercial	$54.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.26
Rate for Payer: UnitedHealthcare Commercial	$54.20

SUTURE 0 POLYSORB GS-21 NEEDLE

Facility

$26.11

Hospital Charge Code	270654988
Hospital Revenue Code	272
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$3.92

SUTURE 0 POLYSORB GS-21 NEEDLE

Facility

$26.11

Hospital Charge Code	270654988
Hospital Revenue Code	272
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$13.05
Rate for Payer: Aetna Commercial	$7.83
Rate for Payer: Aetna Medicare Advantage	$7.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.66
Rate for Payer: Cigna Commercial	$13.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.39
Rate for Payer: Oxford Commercial	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.92
Rate for Payer: UnitedHealthcare Commercial	$13.05

SUTURE 0 THX26 CV-2 GORE 2U05A

Facility

$107.50

Hospital Charge Code	270641568
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$16.12

SUTURE 0 THX26 CV-2 GORE 2U05A

Facility

$107.50

Hospital Charge Code	270641568
Hospital Revenue Code	272
Min. Negotiated Rate	$13.97
Max. Negotiated Rate	$53.75
Rate for Payer: Aetna Commercial	$32.25
Rate for Payer: Aetna Medicare Advantage	$32.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.41
Rate for Payer: Cigna Commercial	$53.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.97
Rate for Payer: Oxford Commercial	$53.75
Rate for Payer: Qualcare PPO/HMO/WC	$16.12
Rate for Payer: UnitedHealthcare Commercial	$53.75

SUTURE 0 VICRYL PLUS

Facility

$77.98

Hospital Charge Code	270670523
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$11.70
Rate for Payer: Qualcare PPO/HMO/WC	$11.70

SUTURE 0 VICRYL PLUS

Facility

$77.98

Hospital Charge Code	270670523
Hospital Revenue Code	272
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$38.99
Rate for Payer: Aetna Commercial	$23.39
Rate for Payer: Aetna Medicare Advantage	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.88
Rate for Payer: Cigna Commercial	$38.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.14
Rate for Payer: Oxford Commercial	$38.99
Rate for Payer: Qualcare PPO/HMO/WC	$11.70
Rate for Payer: UnitedHealthcare Commercial	$38.99

SUTURE 1 CHROMIC GS-25 36 105P

Facility

$7.63

Hospital Charge Code	270655755
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$3.81
Rate for Payer: Aetna Commercial	$2.29
Rate for Payer: Aetna Medicare Advantage	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.95
Rate for Payer: Cigna Commercial	$3.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.99
Rate for Payer: Oxford Commercial	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$3.81

SUTURE 1 CHROMIC GS-25 36 105P

Facility

$7.63

Hospital Charge Code	270655755
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

SUTURE 2-0 27 PDS PLUS CT-1

Facility

$11.50

Hospital Charge Code	270664321
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$5.75
Rate for Payer: Aetna Commercial	$3.45
Rate for Payer: Aetna Medicare Advantage	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.93
Rate for Payer: Cigna Commercial	$5.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$5.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$5.75

SUTURE 2-0 27 PDS PLUS CT-1

Facility

$11.50

Hospital Charge Code	270664321
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

SUTURE 2-0 CHROMIC GS-21 30

Facility

$6.40

Hospital Charge Code	270655768
Hospital Revenue Code	272
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Qualcare PPO/HMO/WC	$0.96

SUTURE 2-0 CHROMIC GS-21 30

Facility

$6.40

Hospital Charge Code	270655768
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$3.20
Rate for Payer: Aetna Commercial	$1.92
Rate for Payer: Aetna Medicare Advantage	$1.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.63
Rate for Payer: Cigna Commercial	$3.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.83
Rate for Payer: Oxford Commercial	$3.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.96
Rate for Payer: UnitedHealthcare Commercial	$3.20

SUTURE 2-0 POLYSORB GS-21 36U

Facility

$6.40

Hospital Charge Code	270655789
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$3.20
Rate for Payer: Aetna Commercial	$1.92
Rate for Payer: Aetna Medicare Advantage	$1.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.63
Rate for Payer: Cigna Commercial	$3.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.83
Rate for Payer: Oxford Commercial	$3.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.96
Rate for Payer: UnitedHealthcare Commercial	$3.20

SUTURE 2-0 POLYSORB GS-21 36U

Facility

$6.40

Hospital Charge Code	270655789
Hospital Revenue Code	272
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Qualcare PPO/HMO/WC	$0.96

SUTURE 2-0 SILK SH POP OFF MUL

Facility

$65.15

Hospital Charge Code	270685433
Hospital Revenue Code	272
Min. Negotiated Rate	$9.77
Max. Negotiated Rate	$9.77
Rate for Payer: Qualcare PPO/HMO/WC	$9.77

SUTURE 2-0 SILK SH POP OFF MUL

Facility

$65.15

Hospital Charge Code	270685433
Hospital Revenue Code	272
Min. Negotiated Rate	$8.47
Max. Negotiated Rate	$32.58
Rate for Payer: Aetna Commercial	$19.55
Rate for Payer: Aetna Medicare Advantage	$19.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.61
Rate for Payer: Cigna Commercial	$32.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.47
Rate for Payer: Oxford Commercial	$32.58
Rate for Payer: Qualcare PPO/HMO/WC	$9.77
Rate for Payer: UnitedHealthcare Commercial	$32.58

SUTURE 2 CO-BRAID UL TRABRAID

Facility

$645.00

Hospital Charge Code	270681121
Hospital Revenue Code	272
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

SUTURE 2 CO-BRAID UL TRABRAID

Facility

$645.00

Hospital Charge Code	270681121
Hospital Revenue Code	272
Min. Negotiated Rate	$83.85
Max. Negotiated Rate	$322.50
Rate for Payer: Aetna Commercial	$193.50
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.47
Rate for Payer: Cigna Commercial	$322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.85
Rate for Payer: Oxford Commercial	$322.50
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$322.50

SUTURE 2 LR 20 IN

Facility

$50.83

Hospital Charge Code	270690998
Hospital Revenue Code	272
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$7.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.62

SUTURE 2 LR 20 IN

Facility

$50.83

Hospital Charge Code	270690998
Hospital Revenue Code	272
Min. Negotiated Rate	$6.61
Max. Negotiated Rate	$25.41
Rate for Payer: Aetna Commercial	$15.25
Rate for Payer: Aetna Medicare Advantage	$15.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.96
Rate for Payer: Cigna Commercial	$25.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.61
Rate for Payer: Oxford Commercial	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$7.62
Rate for Payer: UnitedHealthcare Commercial	$25.41

Know your out-of-pocket cost for care.

All Charges