Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ANCHOR PEEK 7x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674133
Hospital Revenue Code	272
Min. Negotiated Rate	$376.35
Max. Negotiated Rate	$1,447.50
Rate for Payer: Aetna Commercial	$868.50
Rate for Payer: Aetna Medicare Advantage	$868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.23
Rate for Payer: Cigna Commercial	$1,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$376.35
Rate for Payer: Oxford Commercial	$1,447.50
Rate for Payer: Qualcare PPO/HMO/WC	$434.25
Rate for Payer: UnitedHealthcare Commercial	$1,447.50

SUTURE ANCHOR PEEK 7x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674133
Hospital Revenue Code	272
Min. Negotiated Rate	$434.25
Max. Negotiated Rate	$434.25
Rate for Payer: Qualcare PPO/HMO/WC	$434.25

SUTURE ANCHOR PEEK 8x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674134
Hospital Revenue Code	272
Min. Negotiated Rate	$376.35
Max. Negotiated Rate	$1,447.50
Rate for Payer: Aetna Commercial	$868.50
Rate for Payer: Aetna Medicare Advantage	$868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.23
Rate for Payer: Cigna Commercial	$1,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$376.35
Rate for Payer: Oxford Commercial	$1,447.50
Rate for Payer: Qualcare PPO/HMO/WC	$434.25
Rate for Payer: UnitedHealthcare Commercial	$1,447.50

SUTURE ANCHOR PEEK 8x19.5MM

Facility

$2,895.00

Hospital Charge Code	270674134
Hospital Revenue Code	272
Min. Negotiated Rate	$434.25
Max. Negotiated Rate	$434.25
Rate for Payer: Qualcare PPO/HMO/WC	$434.25

SUTURE ANCHOR PEEK MINI 2.5MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270687549
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 PEEK MINI 2.5MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270687549
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 PEEK PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270676353
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 PEEK PUSHLOCK

Facility

$1,800.00

Hospital Charge Code	270676353
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 PUSH 3.5X19.5MM

Facility

$2,000.00

Hospital Charge Code	270663909
Hospital Revenue Code	272
Min. Negotiated Rate	$260.00
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) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00

SUTURE ANCHOR PUSH 3.5X19.5MM

Facility

$2,000.00

Hospital Charge Code	270663909
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SUTURE ANCHOR PUSH LOCK 2.9

Facility

$2,000.00

Hospital Charge Code	270667608
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SUTURE ANCHOR PUSH LOCK 2.9

Facility

$2,000.00

Hospital Charge Code	270667608
Hospital Revenue Code	272
Min. Negotiated Rate	$260.00
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) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00

SUTURE ANCHOR QFIX MINI 1.8MM

Facility

$3,575.00

Service Code	HCPCS A4649
Hospital Charge Code	270687358
Hospital Revenue Code	278
Min. Negotiated Rate	$536.25
Max. Negotiated Rate	$865.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$865.15
Rate for Payer: Qualcare PPO/HMO/WC	$536.25

SUTURE ANCHOR QFIX MINI 1.8MM

Facility

$3,575.00

Service Code	HCPCS A4649
Hospital Charge Code	270687358
Hospital Revenue Code	278
Min. Negotiated Rate	$536.25
Max. Negotiated Rate	$1,787.50
Rate for Payer: Aetna Commercial	$1,072.50
Rate for Payer: Aetna Medicare Advantage	$1,072.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$911.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$911.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$715.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$911.62
Rate for Payer: Cigna Commercial	$1,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$865.15
Rate for Payer: Qualcare PPO/HMO/WC	$536.25

SUTURE ANCHOR SUPER REVO 5MM

Facility

$968.20

Hospital Charge Code	270678104
Hospital Revenue Code	272
Min. Negotiated Rate	$145.23
Max. Negotiated Rate	$145.23
Rate for Payer: Qualcare PPO/HMO/WC	$145.23

SUTURE ANCHOR SUPER REVO 5MM

Facility

$968.20

Hospital Charge Code	270678104
Hospital Revenue Code	272
Min. Negotiated Rate	$125.87
Max. Negotiated Rate	$484.10
Rate for Payer: Aetna Commercial	$290.46
Rate for Payer: Aetna Medicare Advantage	$290.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.89
Rate for Payer: Cigna Commercial	$484.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.87
Rate for Payer: Oxford Commercial	$484.10
Rate for Payer: Qualcare PPO/HMO/WC	$145.23
Rate for Payer: UnitedHealthcare Commercial	$484.10

SUTURE ANCHOR SWIVELLOCK TENDO

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270680783
Hospital Revenue Code	278
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$652.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

SUTURE ANCHOR SWIVELLOCK TENDO

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270680783
Hospital Revenue Code	278
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$526.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

SUTURE ANCHOR SWIVELOCK 4.75MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270664799
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 SWIVELOCK 4.75MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270664799
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 TAPE 3MM 2L

Facility

$10,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692725
Hospital Revenue Code	278
Min. Negotiated Rate	$1,593.75
Max. Negotiated Rate	$2,571.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,593.75

SUTURE ANCHOR TAPE 3MM 2L

Facility

$10,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692725
Hospital Revenue Code	278
Min. Negotiated Rate	$1,593.75
Max. Negotiated Rate	$5,312.50
Rate for Payer: Aetna Commercial	$3,187.50
Rate for Payer: Aetna Medicare Advantage	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,709.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,709.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,709.38
Rate for Payer: Cigna Commercial	$5,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,593.75

SUTURE ANCHOR TITANIUM 3.0X12M

Facility

$2,258.75

Service Code	HCPCS C1713
Hospital Charge Code	270701724
Hospital Revenue Code	278
Min. Negotiated Rate	$338.81
Max. Negotiated Rate	$546.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.62
Rate for Payer: Qualcare PPO/HMO/WC	$338.81

SUTURE ANCHOR TITANIUM 3.0X12M

Facility

$2,258.75

Service Code	HCPCS C1713
Hospital Charge Code	270701724
Hospital Revenue Code	278
Min. Negotiated Rate	$338.81
Max. Negotiated Rate	$1,129.38
Rate for Payer: Aetna Commercial	$677.62
Rate for Payer: Aetna Medicare Advantage	$677.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.98
Rate for Payer: Cigna Commercial	$1,129.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.62
Rate for Payer: Qualcare PPO/HMO/WC	$338.81

SUTURE ANCHR FIBETAK DBL 1.3MM

Facility

$1,850.00

Hospital Charge Code	270683555
Hospital Revenue Code	272
Min. Negotiated Rate	$277.50
Max. Negotiated Rate	$277.50
Rate for Payer: Qualcare PPO/HMO/WC	$277.50

Know your out-of-pocket cost for care.

All Charges