Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20

SUTURE ANCHOR BONECAM 2.9X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697472
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SUTURE ANCHOR BONECAM 2.9X10MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697472
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SUTUREANCHORCORKSCRWFTII5.5MM

Facility

$1,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270640168
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$345.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

SUTUREANCHORCORKSCRWFTII5.5MM

Facility

$1,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270640168
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$278.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

SUTURE ANCHOR FIBERTAK

Facility

$2,325.00

Hospital Charge Code	270684479
Hospital Revenue Code	272
Min. Negotiated Rate	$302.25
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.25
Rate for Payer: Oxford Commercial	$1,162.50
Rate for Payer: Qualcare PPO/HMO/WC	$348.75
Rate for Payer: UnitedHealthcare Commercial	$1,162.50

SUTURE ANCHOR FIBERTAK

Facility

$2,325.00

Hospital Charge Code	270684479
Hospital Revenue Code	272
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$348.75
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SUTURE ANCHOR HIP

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688377
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SUTURE ANCHOR HIP

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688377
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SUTURE ANCHOR HIP PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270677467
Hospital Revenue Code	272
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$900.00

SUTURE ANCHOR HIP PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270677467
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SUTURE ANCHOR IMPC 3.5 BXS4218

Facility

$1,215.25

Hospital Charge Code	270633954
Hospital Revenue Code	272
Min. Negotiated Rate	$157.98
Max. Negotiated Rate	$607.62
Rate for Payer: Aetna Commercial	$364.57
Rate for Payer: Aetna Medicare Advantage	$364.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.89
Rate for Payer: Cigna Commercial	$607.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.98
Rate for Payer: Oxford Commercial	$607.62
Rate for Payer: Qualcare PPO/HMO/WC	$182.29
Rate for Payer: UnitedHealthcare Commercial	$607.62

SUTURE ANCHOR IMPC 3.5 BXS4218

Facility

$1,215.25

Hospital Charge Code	270633954
Hospital Revenue Code	272
Min. Negotiated Rate	$182.29
Max. Negotiated Rate	$182.29
Rate for Payer: Qualcare PPO/HMO/WC	$182.29

SUTURE ANCHOR KNOTLES 1.8MM

Facility

$477.10

Hospital Charge Code	270699650
Hospital Revenue Code	272
Min. Negotiated Rate	$71.56
Max. Negotiated Rate	$71.56
Rate for Payer: Qualcare PPO/HMO/WC	$71.56

SUTURE ANCHOR KNOTLES 1.8MM

Facility

$477.10

Hospital Charge Code	270699650
Hospital Revenue Code	272
Min. Negotiated Rate	$62.02
Max. Negotiated Rate	$238.55
Rate for Payer: Aetna Commercial	$143.13
Rate for Payer: Aetna Medicare Advantage	$143.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.66
Rate for Payer: Cigna Commercial	$238.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.02
Rate for Payer: Oxford Commercial	$238.55
Rate for Payer: Qualcare PPO/HMO/WC	$71.56
Rate for Payer: UnitedHealthcare Commercial	$238.55

SUTURE ANCHOR KNOTLES HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690895
Hospital Revenue Code	278
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$490.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

SUTURE ANCHOR KNOTLES HIP

Facility

$2,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270690895
Hospital Revenue Code	278
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$607.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

SUTURE ANCHOR KNOTLESS 3x12.7M

Facility

$1,925.00

Hospital Charge Code	270675563
Hospital Revenue Code	272
Min. Negotiated Rate	$288.75
Max. Negotiated Rate	$288.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.75

SUTURE ANCHOR KNOTLESS 3x12.7M

Facility

$1,925.00

Hospital Charge Code	270675563
Hospital Revenue Code	272
Min. Negotiated Rate	$250.25
Max. Negotiated Rate	$962.50
Rate for Payer: Aetna Commercial	$577.50
Rate for Payer: Aetna Medicare Advantage	$577.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.88
Rate for Payer: Cigna Commercial	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.25
Rate for Payer: Oxford Commercial	$962.50
Rate for Payer: Qualcare PPO/HMO/WC	$288.75
Rate for Payer: UnitedHealthcare Commercial	$962.50

SUTURE ANCHOR MINI BIO 2.5mm

Facility

$2,125.00

Hospital Charge Code	270655937
Hospital Revenue Code	272
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$318.75
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

SUTURE ANCHOR MINI BIO 2.5mm

Facility

$2,125.00

Hospital Charge Code	270655937
Hospital Revenue Code	272
Min. Negotiated Rate	$276.25
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$637.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.25
Rate for Payer: Oxford Commercial	$1,062.50
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Commercial	$1,062.50

SUTURE ANCHOR MORPHIX 2 3.5MM

Facility

$2,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700352
Hospital Revenue Code	278
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$568.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.70
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

SUTURE ANCHOR MORPHIX 2 3.5MM

Facility

$2,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700352
Hospital Revenue Code	278
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$1,175.00
Rate for Payer: Aetna Commercial	$705.00
Rate for Payer: Aetna Medicare Advantage	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.25
Rate for Payer: Cigna Commercial	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.70
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

SUTURE ANCHOR PEEK 4.75MM 3STR

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270700659
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SUTURE ANCHOR PEEK 4.75MM 3STR

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270700659
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges