Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE BIOSYN V20 3-0

Facility

$63.25

Hospital Charge Code	2706604708
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

SUTURE BIOSYN V20 3-0

Facility

$63.25

Hospital Charge Code	2706604708
Hospital Revenue Code	272
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$18.98
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$31.62
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$31.62

SUTURE BIO TAK 11.8 DISPOSABLE

Facility

$800.00

Hospital Charge Code	270646445
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SUTURE BIO TAK 11.8 DISPOSABLE

Facility

$800.00

Hospital Charge Code	270646445
Hospital Revenue Code	272
Min. Negotiated Rate	$104.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$400.00

SUTURE BIO TAK 3.0 COMPOSITE

Facility

$1,625.00

Hospital Charge Code	270646446
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 BIO TAK 3.0 COMPOSITE

Facility

$1,625.00

Hospital Charge Code	270646446
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE BLACK W/NEEDLE

Facility

$230.00

Hospital Charge Code	270672216
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

SUTURE BLACK W/NEEDLE

Facility

$230.00

Hospital Charge Code	270672216
Hospital Revenue Code	272
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$115.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$115.00

SUTURE BLK BRAIDED PC-5 4-0

Facility

$62.50

Hospital Charge Code	270638533
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.38

SUTURE BLK BRAIDED PC-5 4-0

Facility

$62.50

Hospital Charge Code	270638533
Hospital Revenue Code	272
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$18.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.12
Rate for Payer: Oxford Commercial	$31.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$31.25

SUTURE BLUE W/NEEDLE

Facility

$230.00

Hospital Charge Code	270672215
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

SUTURE BLUE W/NEEDLE

Facility

$230.00

Hospital Charge Code	270672215
Hospital Revenue Code	272
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$115.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$115.00

SUTURE BOLSTERS RETENTION

Facility

$25.13

Hospital Charge Code	270651256
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$12.56
Rate for Payer: Aetna Commercial	$7.54
Rate for Payer: Aetna Medicare Advantage	$7.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.41
Rate for Payer: Cigna Commercial	$12.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.27
Rate for Payer: Oxford Commercial	$12.56
Rate for Payer: Qualcare PPO/HMO/WC	$3.77
Rate for Payer: UnitedHealthcare Commercial	$12.56

SUTURE BOLSTERS RETENTION

Facility

$25.13

Hospital Charge Code	270651256
Hospital Revenue Code	272
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$3.77
Rate for Payer: Qualcare PPO/HMO/WC	$3.77

SUTURE BOOTIES STERION AID

Facility

$52.20

Hospital Charge Code	270663758
Hospital Revenue Code	270
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$7.83
Rate for Payer: Qualcare PPO/HMO/WC	$7.83

SUTURE BOOTIES STERION AID

Facility

$52.20

Hospital Charge Code	270663758
Hospital Revenue Code	270
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$26.10
Rate for Payer: Aetna Commercial	$15.66
Rate for Payer: Aetna Medicare Advantage	$15.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.31
Rate for Payer: Cigna Commercial	$26.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.79
Rate for Payer: Oxford Commercial	$26.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.83
Rate for Payer: UnitedHealthcare Commercial	$26.10

SUTURE BRALON CV22 4-0

Facility

$159.25

Hospital Charge Code	270604724
Hospital Revenue Code	272
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$23.89
Rate for Payer: Qualcare PPO/HMO/WC	$23.89

SUTURE BRALON CV22 4-0

Facility

$159.25

Hospital Charge Code	270604724
Hospital Revenue Code	272
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$79.62
Rate for Payer: Aetna Commercial	$47.77
Rate for Payer: Aetna Medicare Advantage	$47.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.61
Rate for Payer: Cigna Commercial	$79.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.70
Rate for Payer: Oxford Commercial	$79.62
Rate for Payer: Qualcare PPO/HMO/WC	$23.89
Rate for Payer: UnitedHealthcare Commercial	$79.62

SUTURE BRD BLACK NONABS 4X30IN

Facility

$104.17

Service Code	HCPCS A4649
Hospital Charge Code	270699896
Hospital Revenue Code	272
Min. Negotiated Rate	$15.63
Max. Negotiated Rate	$15.63
Rate for Payer: Qualcare PPO/HMO/WC	$15.63

SUTURE BRD BLACK NONABS 4X30IN

Facility

$104.17

Service Code	HCPCS A4649
Hospital Charge Code	270699896
Hospital Revenue Code	272
Min. Negotiated Rate	$13.54
Max. Negotiated Rate	$52.09
Rate for Payer: Aetna Commercial	$31.25
Rate for Payer: Aetna Medicare Advantage	$31.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.56
Rate for Payer: Cigna Commercial	$52.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.54
Rate for Payer: Oxford Commercial	$52.09
Rate for Payer: Qualcare PPO/HMO/WC	$15.63
Rate for Payer: UnitedHealthcare Commercial	$52.09

SUTURE CAPIO ETHIBOND 1/2 TAPE

Facility

$216.75

Hospital Charge Code	270683969
Hospital Revenue Code	272
Min. Negotiated Rate	$32.51
Max. Negotiated Rate	$32.51
Rate for Payer: Qualcare PPO/HMO/WC	$32.51

SUTURE CAPIO ETHIBOND 1/2 TAPE

Facility

$216.75

Hospital Charge Code	270683969
Hospital Revenue Code	272
Min. Negotiated Rate	$28.18
Max. Negotiated Rate	$108.38
Rate for Payer: Aetna Commercial	$65.03
Rate for Payer: Aetna Medicare Advantage	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.27
Rate for Payer: Cigna Commercial	$108.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.18
Rate for Payer: Oxford Commercial	$108.38
Rate for Payer: Qualcare PPO/HMO/WC	$32.51
Rate for Payer: UnitedHealthcare Commercial	$108.38

SUTURE CAPIO PDS SZ 0

Facility

$199.56

Hospital Charge Code	270678356
Hospital Revenue Code	272
Min. Negotiated Rate	$29.93
Max. Negotiated Rate	$29.93
Rate for Payer: Qualcare PPO/HMO/WC	$29.93

SUTURE CAPIO PDS SZ 0

Facility

$199.56

Hospital Charge Code	270678356
Hospital Revenue Code	272
Min. Negotiated Rate	$25.94
Max. Negotiated Rate	$99.78
Rate for Payer: Aetna Commercial	$59.87
Rate for Payer: Aetna Medicare Advantage	$59.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.89
Rate for Payer: Cigna Commercial	$99.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.94
Rate for Payer: Oxford Commercial	$99.78
Rate for Payer: Qualcare PPO/HMO/WC	$29.93
Rate for Payer: UnitedHealthcare Commercial	$99.78

SUTURE CAPIO PROLENE 1/2 CIRCL

Facility

$200.00

Hospital Charge Code	270616241
Hospital Revenue Code	272
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

Know your out-of-pocket cost for care.

All Charges