Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ANCH BIOCOMP SWIVELOCK

Facility

$1,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270660671
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

SUTURE ANCH BIOCOMP SWIVELOCK

Facility

$1,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270660671
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

SUTURE ANCH FORCE FIB SZ2 38IN

Facility

$142.50

Hospital Charge Code	270696185
Hospital Revenue Code	272
Min. Negotiated Rate	$21.38
Max. Negotiated Rate	$21.38
Rate for Payer: Qualcare PPO/HMO/WC	$21.38

SUTURE ANCH FORCE FIB SZ2 38IN

Facility

$142.50

Hospital Charge Code	270696185
Hospital Revenue Code	272
Min. Negotiated Rate	$18.52
Max. Negotiated Rate	$71.25
Rate for Payer: Aetna Commercial	$42.75
Rate for Payer: Aetna Medicare Advantage	$42.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.34
Rate for Payer: Cigna Commercial	$71.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.52
Rate for Payer: Oxford Commercial	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.38
Rate for Payer: UnitedHealthcare Commercial	$71.25

SUTURE ANCH MIC B/COMP 2.4x6.5

Facility

$1,625.00

Hospital Charge Code	270677968
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
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	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

SUTURE ANCH MIC B/COMP 2.4x6.5

Facility

$1,625.00

Hospital Charge Code	270677968
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$2,926.90

Service Code	HCPCS C1713
Hospital Charge Code	270683377
Hospital Revenue Code	278
Min. Negotiated Rate	$439.04
Max. Negotiated Rate	$1,463.45
Rate for Payer: Aetna Commercial	$878.07
Rate for Payer: Aetna Medicare Advantage	$878.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$746.36
Rate for Payer: Cigna Commercial	$1,463.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.31
Rate for Payer: Qualcare PPO/HMO/WC	$439.04

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$2,926.90

Service Code	HCPCS C1713
Hospital Charge Code	270683377
Hospital Revenue Code	278
Min. Negotiated Rate	$439.04
Max. Negotiated Rate	$708.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.31
Rate for Payer: Qualcare PPO/HMO/WC	$439.04

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$775.00

Hospital Charge Code	270683346
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$775.00

Hospital Charge Code	270683346
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

SUTURE ANCHOR 2/0 ULTRAFIX

Facility

$1,084.65

Service Code	HCPCS C1713
Hospital Charge Code	270691027
Hospital Revenue Code	278
Min. Negotiated Rate	$162.70
Max. Negotiated Rate	$262.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.49
Rate for Payer: Qualcare PPO/HMO/WC	$162.70

SUTURE ANCHOR 2/0 ULTRAFIX

Facility

$1,084.65

Service Code	HCPCS C1713
Hospital Charge Code	270691027
Hospital Revenue Code	278
Min. Negotiated Rate	$162.70
Max. Negotiated Rate	$542.33
Rate for Payer: Aetna Commercial	$325.39
Rate for Payer: Aetna Medicare Advantage	$325.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.59
Rate for Payer: Cigna Commercial	$542.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.49
Rate for Payer: Qualcare PPO/HMO/WC	$162.70

SUTURE ANCHOR 2.8MM, STERILE

Facility

$2,323.75

Hospital Charge Code	270701718
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

SUTURE ANCHOR 2.8MM, STERILE

Facility

$2,323.75

Hospital Charge Code	270701718
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$1,161.88
Rate for Payer: Aetna Commercial	$697.12
Rate for Payer: Aetna Medicare Advantage	$697.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.56
Rate for Payer: Cigna Commercial	$1,161.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

SUTURE ANCHOR 3x12.4MM F/WIRE

Facility

$343.00

Hospital Charge Code	270675964
Hospital Revenue Code	272
Min. Negotiated Rate	$44.59
Max. Negotiated Rate	$171.50
Rate for Payer: Aetna Commercial	$102.90
Rate for Payer: Aetna Medicare Advantage	$102.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.47
Rate for Payer: Cigna Commercial	$171.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.59
Rate for Payer: Oxford Commercial	$171.50
Rate for Payer: Qualcare PPO/HMO/WC	$51.45
Rate for Payer: UnitedHealthcare Commercial	$171.50

SUTURE ANCHOR 3x12.4MM F/WIRE

Facility

$343.00

Hospital Charge Code	270675964
Hospital Revenue Code	272
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$51.45
Rate for Payer: Qualcare PPO/HMO/WC	$51.45

SUTURE ANCHOR 5.5X14.9MM

Facility

$1,751.00

Service Code	HCPCS C1713
Hospital Charge Code	270705658
Hospital Revenue Code	278
Min. Negotiated Rate	$262.65
Max. Negotiated Rate	$423.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.74
Rate for Payer: Qualcare PPO/HMO/WC	$262.65

SUTURE ANCHOR 5.5X14.9MM

Facility

$1,751.00

Service Code	HCPCS C1713
Hospital Charge Code	270705658
Hospital Revenue Code	278
Min. Negotiated Rate	$262.65
Max. Negotiated Rate	$875.50
Rate for Payer: Aetna Commercial	$525.30
Rate for Payer: Aetna Medicare Advantage	$525.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.50
Rate for Payer: Cigna Commercial	$875.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.74
Rate for Payer: Qualcare PPO/HMO/WC	$262.65

SUTURE ANCHOR 5.5x19.1MM

Facility

$2,000.00

Hospital Charge Code	270664573
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SUTURE ANCHOR 5.5x19.1MM

Facility

$2,000.00

Hospital Charge Code	270664573
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SUTURE ANCHOR ALL 1.4 MM

Facility

$2,323.75

Service Code	HCPCS C1713
Hospital Charge Code	270701617
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$1,161.88
Rate for Payer: Aetna Commercial	$697.12
Rate for Payer: Aetna Medicare Advantage	$697.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.56
Rate for Payer: Cigna Commercial	$1,161.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

SUTURE ANCHOR ALL 1.4 MM

Facility

$2,323.75

Service Code	HCPCS C1713
Hospital Charge Code	270701617
Hospital Revenue Code	278
Min. Negotiated Rate	$348.56
Max. Negotiated Rate	$562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.35
Rate for Payer: Qualcare PPO/HMO/WC	$348.56

SUTURE ANCHOR BIOCOMP CORKSCRE

Facility

$1,828.25

Service Code	HCPCS C1713
Hospital Charge Code	270705068
Hospital Revenue Code	278
Min. Negotiated Rate	$274.24
Max. Negotiated Rate	$442.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.44
Rate for Payer: Qualcare PPO/HMO/WC	$274.24

SUTURE ANCHOR BIOCOMP CORKSCRE

Facility

$1,828.25

Service Code	HCPCS C1713
Hospital Charge Code	270705068
Hospital Revenue Code	278
Min. Negotiated Rate	$274.24
Max. Negotiated Rate	$914.12
Rate for Payer: Aetna Commercial	$548.48
Rate for Payer: Aetna Medicare Advantage	$548.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$466.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$466.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$466.20
Rate for Payer: Cigna Commercial	$914.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.44
Rate for Payer: Qualcare PPO/HMO/WC	$274.24

SUTURE ANCHOR,BIO COMPOSITE

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270663910
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$480.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

Know your out-of-pocket cost for care.

All Charges