Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CAPROSYN P-13 5-0

Facility

$16.15

Hospital Charge Code	270632456
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$8.07
Rate for Payer: Aetna Commercial	$4.84
Rate for Payer: Aetna Medicare Advantage	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.12
Rate for Payer: Cigna Commercial	$8.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.10
Rate for Payer: Oxford Commercial	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.42
Rate for Payer: UnitedHealthcare Commercial	$8.07

SUTURE CAPROSYN P-13 5-0

Facility

$16.15

Hospital Charge Code	270632456
Hospital Revenue Code	272
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$2.42

SUTURE CAPROSYN V-20 2-0 30 UD

Facility

$7.62

Hospital Charge Code	270651142
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$3.81
Rate for Payer: Aetna Commercial	$2.29
Rate for Payer: Aetna Medicare Advantage	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.99
Rate for Payer: Oxford Commercial	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$3.81

SUTURE CAPROSYN V-20 2-0 30 UD

Facility

$7.62

Hospital Charge Code	270651142
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

SUTURE CARTR 2-0 NOVOSTITCH

Facility

$2,375.00

Hospital Charge Code	270689758
Hospital Revenue Code	272
Min. Negotiated Rate	$308.75
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.75
Rate for Payer: Oxford Commercial	$1,187.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$1,187.50

SUTURE CARTR 2-0 NOVOSTITCH

Facility

$2,375.00

Hospital Charge Code	270689758
Hospital Revenue Code	272
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SUTURE CARTRDG SMT BLK COBRAID

Facility

$1,377.75

Hospital Charge Code	270670575
Hospital Revenue Code	272
Min. Negotiated Rate	$179.11
Max. Negotiated Rate	$688.88
Rate for Payer: Aetna Commercial	$413.32
Rate for Payer: Aetna Medicare Advantage	$413.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.33
Rate for Payer: Cigna Commercial	$688.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.11
Rate for Payer: Oxford Commercial	$688.88
Rate for Payer: Qualcare PPO/HMO/WC	$206.66
Rate for Payer: UnitedHealthcare Commercial	$688.88

SUTURE CARTRDG SMT BLK COBRAID

Facility

$1,377.75

Hospital Charge Code	270670575
Hospital Revenue Code	272
Min. Negotiated Rate	$206.66
Max. Negotiated Rate	$206.66
Rate for Payer: Qualcare PPO/HMO/WC	$206.66

SUTURE CARTRIDGE MIXED WHITE

Facility

$236.58

Hospital Charge Code	270672939
Hospital Revenue Code	272
Min. Negotiated Rate	$30.76
Max. Negotiated Rate	$118.29
Rate for Payer: Aetna Commercial	$70.97
Rate for Payer: Aetna Medicare Advantage	$70.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.33
Rate for Payer: Cigna Commercial	$118.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.76
Rate for Payer: Oxford Commercial	$118.29
Rate for Payer: Qualcare PPO/HMO/WC	$35.49
Rate for Payer: UnitedHealthcare Commercial	$118.29

SUTURE CARTRIDGE MIXED WHITE

Facility

$236.58

Hospital Charge Code	270672939
Hospital Revenue Code	272
Min. Negotiated Rate	$35.49
Max. Negotiated Rate	$35.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.49

SUTURE CARTRIDGE PP CO-BRAID

Facility

$236.58

Hospital Charge Code	270672941
Hospital Revenue Code	272
Min. Negotiated Rate	$35.49
Max. Negotiated Rate	$35.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.49

SUTURE CARTRIDGE PP CO-BRAID

Facility

$236.58

Hospital Charge Code	270672941
Hospital Revenue Code	272
Min. Negotiated Rate	$30.76
Max. Negotiated Rate	$118.29
Rate for Payer: Aetna Commercial	$70.97
Rate for Payer: Aetna Medicare Advantage	$70.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.33
Rate for Payer: Cigna Commercial	$118.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.76
Rate for Payer: Oxford Commercial	$118.29
Rate for Payer: Qualcare PPO/HMO/WC	$35.49
Rate for Payer: UnitedHealthcare Commercial	$118.29

SUTURE CARTRIDGE SMARTST BLUE

Facility

$1,625.00

Hospital Charge Code	270668399
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE CARTRIDGE SMARTST BLUE

Facility

$1,625.00

Hospital Charge Code	270668399
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 CARTRIDGE SMARTST WHITE

Facility

$1,625.00

Hospital Charge Code	270668400
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 CARTRIDGE SMARTST WHITE

Facility

$1,625.00

Hospital Charge Code	270668400
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE CARTRIDGE SPEEDSTITCH

Facility

$1,415.00

Hospital Charge Code	270672846
Hospital Revenue Code	272
Min. Negotiated Rate	$212.25
Max. Negotiated Rate	$212.25
Rate for Payer: Qualcare PPO/HMO/WC	$212.25

SUTURE CARTRIDGE SPEEDSTITCH

Facility

$1,415.00

Hospital Charge Code	270672846
Hospital Revenue Code	272
Min. Negotiated Rate	$183.95
Max. Negotiated Rate	$707.50
Rate for Payer: Aetna Commercial	$424.50
Rate for Payer: Aetna Medicare Advantage	$424.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.82
Rate for Payer: Cigna Commercial	$707.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.95
Rate for Payer: Oxford Commercial	$707.50
Rate for Payer: Qualcare PPO/HMO/WC	$212.25
Rate for Payer: UnitedHealthcare Commercial	$707.50

SUTURE CH GUT 2/0 30 GS-24 11T

Facility

$6.45

Hospital Charge Code	270656095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

SUTURE CH GUT 2/0 30 GS-24 11T

Facility

$6.45

Hospital Charge Code	270656095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$3.23
Rate for Payer: Aetna Commercial	$1.94
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.84
Rate for Payer: Oxford Commercial	$3.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$3.23

SUTURE CHR BUT 4-0 PS-2 18

Facility

$28.70

Hospital Charge Code	270663419
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$14.35
Rate for Payer: Aetna Commercial	$8.61
Rate for Payer: Aetna Medicare Advantage	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.73
Rate for Payer: Oxford Commercial	$14.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.30
Rate for Payer: UnitedHealthcare Commercial	$14.35

SUTURE CHR BUT 4-0 PS-2 18

Facility

$28.70

Hospital Charge Code	270663419
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$4.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.30

SUTURE CHR GUT 6-0 PS-3 18INCH

Facility

$1,185.45

Hospital Charge Code	270664550
Hospital Revenue Code	272
Min. Negotiated Rate	$154.11
Max. Negotiated Rate	$592.73
Rate for Payer: Aetna Commercial	$355.63
Rate for Payer: Aetna Medicare Advantage	$355.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$302.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$302.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$302.29
Rate for Payer: Cigna Commercial	$592.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.11
Rate for Payer: Oxford Commercial	$592.73
Rate for Payer: Qualcare PPO/HMO/WC	$177.82
Rate for Payer: UnitedHealthcare Commercial	$592.73

SUTURE CHR GUT 6-0 PS-3 18INCH

Facility

$1,185.45

Hospital Charge Code	270664550
Hospital Revenue Code	272
Min. Negotiated Rate	$177.82
Max. Negotiated Rate	$177.82
Rate for Payer: Qualcare PPO/HMO/WC	$177.82

SUTURE CHROM GUT 0 18 PCT 122L

Facility

$2.19

Hospital Charge Code	270656128
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$1.09
Rate for Payer: Aetna Commercial	$0.66
Rate for Payer: Aetna Medicare Advantage	$0.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.56
Rate for Payer: Cigna Commercial	$1.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.28
Rate for Payer: Oxford Commercial	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$0.33
Rate for Payer: UnitedHealthcare Commercial	$1.09

Know your out-of-pocket cost for care.

All Charges