Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ANCHR FIBETAK DBL 1.3MM

Facility

$1,850.00

Hospital Charge Code	270683555
Hospital Revenue Code	272
Min. Negotiated Rate	$240.50
Max. Negotiated Rate	$925.00
Rate for Payer: Aetna Commercial	$555.00
Rate for Payer: Aetna Medicare Advantage	$555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$471.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$471.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$471.75
Rate for Payer: Cigna Commercial	$925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.50
Rate for Payer: Oxford Commercial	$925.00
Rate for Payer: Qualcare PPO/HMO/WC	$277.50
Rate for Payer: UnitedHealthcare Commercial	$925.00

SUTURE ANCHR FORCEFIB SZ2BLU36

Facility

$1,152.00

Service Code	HCPCS C1713
Hospital Charge Code	270657935
Hospital Revenue Code	278
Min. Negotiated Rate	$172.80
Max. Negotiated Rate	$278.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.78
Rate for Payer: Qualcare PPO/HMO/WC	$172.80

SUTURE ANCHR FORCEFIB SZ2BLU36

Facility

$1,152.00

Service Code	HCPCS C1713
Hospital Charge Code	270657935
Hospital Revenue Code	278
Min. Negotiated Rate	$172.80
Max. Negotiated Rate	$576.00
Rate for Payer: Aetna Commercial	$345.60
Rate for Payer: Aetna Medicare Advantage	$345.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.76
Rate for Payer: Cigna Commercial	$576.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.78
Rate for Payer: Qualcare PPO/HMO/WC	$172.80

SUTURE ASORB BARDED 3-0 GS21

Facility

$175.93

Hospital Charge Code	270671574
Hospital Revenue Code	272
Min. Negotiated Rate	$26.39
Max. Negotiated Rate	$26.39
Rate for Payer: Qualcare PPO/HMO/WC	$26.39

SUTURE ASORB BARDED 3-0 GS21

Facility

$175.93

Hospital Charge Code	270671574
Hospital Revenue Code	272
Min. Negotiated Rate	$22.87
Max. Negotiated Rate	$87.97
Rate for Payer: Aetna Commercial	$52.78
Rate for Payer: Aetna Medicare Advantage	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.86
Rate for Payer: Cigna Commercial	$87.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.87
Rate for Payer: Oxford Commercial	$87.97
Rate for Payer: Qualcare PPO/HMO/WC	$26.39
Rate for Payer: UnitedHealthcare Commercial	$87.97

SUTURE BEADED BLUE #2

Facility

$212.50

Hospital Charge Code	270672173
Hospital Revenue Code	272
Min. Negotiated Rate	$27.62
Max. Negotiated Rate	$106.25
Rate for Payer: Aetna Commercial	$63.75
Rate for Payer: Aetna Medicare Advantage	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.19
Rate for Payer: Cigna Commercial	$106.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Oxford Commercial	$106.25
Rate for Payer: Qualcare PPO/HMO/WC	$31.88
Rate for Payer: UnitedHealthcare Commercial	$106.25

SUTURE BEADED BLUE #2

Facility

$212.50

Hospital Charge Code	270672173
Hospital Revenue Code	272
Min. Negotiated Rate	$31.88
Max. Negotiated Rate	$31.88
Rate for Payer: Qualcare PPO/HMO/WC	$31.88

SUTURE BEALON CV23 4-0

Facility

$71.25

Hospital Charge Code	270605413
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$35.62

SUTURE BEALON CV23 4-0

Facility

$71.25

Hospital Charge Code	270605413
Hospital Revenue Code	272
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SUTURE BIOSYN 0 36 U/D CT1

Facility

$7.19

Hospital Charge Code	270607969
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

SUTURE BIOSYN 0 36 U/D CT1

Facility

$7.19

Hospital Charge Code	270607969
Hospital Revenue Code	272
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$3.60
Rate for Payer: Aetna Commercial	$2.16
Rate for Payer: Aetna Medicare Advantage	$2.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.93
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$3.60

SUTURE BIOSYN 2/0 27 U/D CT1

Facility

$6.78

Hospital Charge Code	270659478
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$3.39
Rate for Payer: Aetna Commercial	$2.03
Rate for Payer: Aetna Medicare Advantage	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.88
Rate for Payer: Oxford Commercial	$3.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Commercial	$3.39

SUTURE BIOSYN 2/0 27 U/D CT1

Facility

$6.78

Hospital Charge Code	270659478
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

SUTURE BIOSYN 2/0 30 U/D V20

Facility

$6.78

Hospital Charge Code	270604706
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$3.39
Rate for Payer: Aetna Commercial	$2.03
Rate for Payer: Aetna Medicare Advantage	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.88
Rate for Payer: Oxford Commercial	$3.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Commercial	$3.39

SUTURE BIOSYN 2/0 30 U/D V20

Facility

$6.78

Hospital Charge Code	270604706
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

SUTURE BIOSYN 2/0 30 UNDYED

Facility

$7.91

Hospital Charge Code	270606792
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$2.37
Rate for Payer: Aetna Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$3.96

SUTURE BIOSYN 2/0 30 UNDYED

Facility

$7.91

Hospital Charge Code	270606792
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SUTURE BIOSYN 2/0 30 VIO GS22

Facility

$6.78

Hospital Charge Code	270675603
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

SUTURE BIOSYN 2/0 30 VIO GS22

Facility

$6.78

Hospital Charge Code	270675603
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$3.39
Rate for Payer: Aetna Commercial	$2.03
Rate for Payer: Aetna Medicare Advantage	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.88
Rate for Payer: Oxford Commercial	$3.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Commercial	$3.39

SUTURE BIOSYN 2/0 36 U/D CT1

Facility

$7.34

Hospital Charge Code	270634863
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$3.67
Rate for Payer: Aetna Commercial	$2.20
Rate for Payer: Aetna Medicare Advantage	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.87
Rate for Payer: Cigna Commercial	$3.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.95
Rate for Payer: Oxford Commercial	$3.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.10
Rate for Payer: UnitedHealthcare Commercial	$3.67

SUTURE BIOSYN 2/0 36 U/D CT1

Facility

$7.34

Hospital Charge Code	270634863
Hospital Revenue Code	272
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.10

SUTURE BIOSYN 3/0 18 U/D P12

Facility

$46.26

Hospital Charge Code	270604709
Hospital Revenue Code	272
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$23.13
Rate for Payer: Aetna Commercial	$13.88
Rate for Payer: Aetna Medicare Advantage	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.80
Rate for Payer: Cigna Commercial	$23.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.01
Rate for Payer: Oxford Commercial	$23.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.94
Rate for Payer: UnitedHealthcare Commercial	$23.13

SUTURE BIOSYN 3/0 18 U/D P12

Facility

$46.26

Hospital Charge Code	270604709
Hospital Revenue Code	272
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$6.94
Rate for Payer: Qualcare PPO/HMO/WC	$6.94

SUTURE BIOSYN 3/0 27 U/D V20

Facility

$6.78

Hospital Charge Code	270604708
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

SUTURE BIOSYN 3/0 27 U/D V20

Facility

$6.78

Hospital Charge Code	270604708
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$3.39
Rate for Payer: Aetna Commercial	$2.03
Rate for Payer: Aetna Medicare Advantage	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.88
Rate for Payer: Oxford Commercial	$3.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Commercial	$3.39

Know your out-of-pocket cost for care.

All Charges