Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CHROM GUT 0 18 PCT 122L

Facility

$2.19

Hospital Charge Code	270656128
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.33

SUTURE CHROMIC 2/0 CT

Facility

$64.58

Hospital Charge Code	270655653
Hospital Revenue Code	272
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$9.69
Rate for Payer: Qualcare PPO/HMO/WC	$9.69

SUTURE CHROMIC 2/0 CT

Facility

$64.58

Hospital Charge Code	270655653
Hospital Revenue Code	272
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$32.29
Rate for Payer: Aetna Commercial	$19.37
Rate for Payer: Aetna Medicare Advantage	$19.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.47
Rate for Payer: Cigna Commercial	$32.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$32.29
Rate for Payer: Qualcare PPO/HMO/WC	$9.69
Rate for Payer: UnitedHealthcare Commercial	$32.29

SUTURE CHROMIC 2-0CT

Facility

$28.72

Hospital Charge Code	270655350
Hospital Revenue Code	272
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$4.31

SUTURE CHROMIC 2-0CT

Facility

$28.72

Hospital Charge Code	270655350
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$14.36
Rate for Payer: Aetna Commercial	$8.62
Rate for Payer: Aetna Medicare Advantage	$8.62
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	$14.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.73
Rate for Payer: Oxford Commercial	$14.36
Rate for Payer: Qualcare PPO/HMO/WC	$4.31
Rate for Payer: UnitedHealthcare Commercial	$14.36

SUTURE CHROMIC 2 TP1 60 IN

Facility

$35.38

Hospital Charge Code	270681872
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$5.31
Rate for Payer: Qualcare PPO/HMO/WC	$5.31

SUTURE CHROMIC 2 TP1 60 IN

Facility

$35.38

Hospital Charge Code	270681872
Hospital Revenue Code	272
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$17.69
Rate for Payer: Aetna Commercial	$10.61
Rate for Payer: Aetna Medicare Advantage	$10.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.02
Rate for Payer: Cigna Commercial	$17.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.60
Rate for Payer: Oxford Commercial	$17.69
Rate for Payer: Qualcare PPO/HMO/WC	$5.31
Rate for Payer: UnitedHealthcare Commercial	$17.69

SUTURE CHROMIC 3/0 SH

Facility

$40.40

Hospital Charge Code	270655681
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$20.20
Rate for Payer: Aetna Commercial	$12.12
Rate for Payer: Aetna Medicare Advantage	$12.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.30
Rate for Payer: Cigna Commercial	$20.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.25
Rate for Payer: Oxford Commercial	$20.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.06
Rate for Payer: UnitedHealthcare Commercial	$20.20

SUTURE CHROMIC 3/0 SH

Facility

$40.40

Hospital Charge Code	270655681
Hospital Revenue Code	272
Min. Negotiated Rate	$6.06
Max. Negotiated Rate	$6.06
Rate for Payer: Qualcare PPO/HMO/WC	$6.06

SUTURE CHROMIC BLUE 7-0 18 IN

Facility

$117.92

Hospital Charge Code	270688583
Hospital Revenue Code	272
Min. Negotiated Rate	$15.33
Max. Negotiated Rate	$58.96
Rate for Payer: Aetna Commercial	$35.38
Rate for Payer: Aetna Medicare Advantage	$35.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.07
Rate for Payer: Cigna Commercial	$58.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.33
Rate for Payer: Oxford Commercial	$58.96
Rate for Payer: Qualcare PPO/HMO/WC	$17.69
Rate for Payer: UnitedHealthcare Commercial	$58.96

SUTURE CHROMIC BLUE 7-0 18 IN

Facility

$117.92

Hospital Charge Code	270688583
Hospital Revenue Code	272
Min. Negotiated Rate	$17.69
Max. Negotiated Rate	$17.69
Rate for Payer: Qualcare PPO/HMO/WC	$17.69

SUTURE CHROMIC GUT 0 30 BP27

Facility

$23.77

Hospital Charge Code	270604485
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$11.88
Rate for Payer: Aetna Commercial	$7.13
Rate for Payer: Aetna Medicare Advantage	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.06
Rate for Payer: Cigna Commercial	$11.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.09
Rate for Payer: Oxford Commercial	$11.88
Rate for Payer: Qualcare PPO/HMO/WC	$3.57
Rate for Payer: UnitedHealthcare Commercial	$11.88

SUTURE CHROMIC GUT 0 30 BP27

Facility

$23.77

Hospital Charge Code	270604485
Hospital Revenue Code	272
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.57

SUTURE CHROMIC GUT 0 30 CT1

Facility

$6.78

Hospital Charge Code	270604486
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

SUTURE CHROMIC GUT 0 30 CT1

Facility

$6.78

Hospital Charge Code	270604486
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 CHROMIC GUT 0 30 GS22

Facility

$6.99

Hospital Charge Code	270656123
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

SUTURE CHROMIC GUT 0 30 GS22

Facility

$6.99

Hospital Charge Code	270656123
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

SUTURE CHROMIC GUT 0 30 GS24

Facility

$6.99

Hospital Charge Code	270655057
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

SUTURE CHROMIC GUT 0 30 GS24

Facility

$6.99

Hospital Charge Code	270655057
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

SUTURE CHROMIC GUT 0 36 CT1

Facility

$7.39

Hospital Charge Code	270651126
Hospital Revenue Code	272
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$3.69
Rate for Payer: Aetna Commercial	$2.22
Rate for Payer: Aetna Medicare Advantage	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.88
Rate for Payer: Cigna Commercial	$3.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.96
Rate for Payer: Oxford Commercial	$3.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.11
Rate for Payer: UnitedHealthcare Commercial	$3.69

SUTURE CHROMIC GUT 0 36 CT1

Facility

$7.39

Hospital Charge Code	270651126
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$1.11
Rate for Payer: Qualcare PPO/HMO/WC	$1.11

SUTURE CHROMIC GUT 0 60 REEL

Facility

$7.19

Hospital Charge Code	270605814
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

SUTURE CHROMIC GUT 0 60 REEL

Facility

$7.19

Hospital Charge Code	270605814
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 CHROMIC GUT 0 CT-1

Facility

$13.86

Hospital Charge Code	270658809
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$6.93
Rate for Payer: Aetna Commercial	$4.16
Rate for Payer: Aetna Medicare Advantage	$4.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.53
Rate for Payer: Cigna Commercial	$6.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$6.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.08
Rate for Payer: UnitedHealthcare Commercial	$6.93

SUTURE CHROMIC GUT 0 CT-1

Facility

$13.86

Hospital Charge Code	270658809
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$2.08
Rate for Payer: Qualcare PPO/HMO/WC	$2.08

Know your out-of-pocket cost for care.

All Charges