Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CHROMIC GUT 3-0 V-26

Facility

$16.21

Hospital Charge Code	270658813
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$8.11
Rate for Payer: Aetna Commercial	$4.86
Rate for Payer: Aetna Medicare Advantage	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.13
Rate for Payer: Cigna Commercial	$8.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.11
Rate for Payer: Oxford Commercial	$8.11
Rate for Payer: Qualcare PPO/HMO/WC	$2.43
Rate for Payer: UnitedHealthcare Commercial	$8.11

SUTURE CHROMIC GUT 3-1 CP-2

Facility

$15.83

Hospital Charge Code	270661112
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.06
Rate for Payer: Oxford Commercial	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$7.92

SUTURE CHROMIC GUT 3-1 CP-2

Facility

$15.83

Hospital Charge Code	270661112
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$15.81

Hospital Charge Code	270600788
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$7.91
Rate for Payer: Aetna Commercial	$4.74
Rate for Payer: Aetna Medicare Advantage	$4.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.03
Rate for Payer: Cigna Commercial	$7.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.06
Rate for Payer: Oxford Commercial	$7.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$7.91

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$13.77

Hospital Charge Code	270641079
Hospital Revenue Code	272
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$6.88
Rate for Payer: Aetna Commercial	$4.13
Rate for Payer: Aetna Medicare Advantage	$4.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.51
Rate for Payer: Cigna Commercial	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.79
Rate for Payer: Oxford Commercial	$6.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$6.88

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$13.77

Hospital Charge Code	270641079
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$15.81

Hospital Charge Code	270600788
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

SUTURE CHROMIC GUT 4/0 30 C13

Facility

$7.75

Hospital Charge Code	270604495
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

SUTURE CHROMIC GUT 4/0 30 C13

Facility

$7.75

Hospital Charge Code	270604495
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.33
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.01
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.88

SUTURE CHROMIC GUT 4-0 FS-2

Facility

$15.01

Hospital Charge Code	270671390
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

SUTURE CHROMIC GUT 4-0 FS-2

Facility

$15.01

Hospital Charge Code	270671390
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

SUTURE CHROMIC GUT 4-0 J-1

Facility

$16.14

Hospital Charge Code	270659081
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 CHROMIC GUT 4-0 J-1

Facility

$16.14

Hospital Charge Code	270659081
Hospital Revenue Code	272
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$2.42

SUTURE CHROMIC GUT 4-0 RB-1

Facility

$16.65

Hospital Charge Code	270655797
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.50

SUTURE CHROMIC GUT 4-0 RB-1

Facility

$16.65

Hospital Charge Code	270655797
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$8.32
Rate for Payer: Aetna Commercial	$5.00
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.25
Rate for Payer: Cigna Commercial	$8.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Oxford Commercial	$8.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.50
Rate for Payer: UnitedHealthcare Commercial	$8.32

SUTURE CHROMIC GUT 4-0 V-20

Facility

$25.71

Hospital Charge Code	270655677
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86

SUTURE CHROMIC GUT 4-0 V-20

Facility

$25.71

Hospital Charge Code	270655677
Hospital Revenue Code	272
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$12.86
Rate for Payer: Aetna Commercial	$7.71
Rate for Payer: Aetna Medicare Advantage	$7.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.56
Rate for Payer: Cigna Commercial	$12.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.34
Rate for Payer: Oxford Commercial	$12.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86
Rate for Payer: UnitedHealthcare Commercial	$12.86

SUTURE CHROMIC GUT 5/0 18 P13

Facility

$46.36

Hospital Charge Code	270600787
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$23.18
Rate for Payer: Aetna Commercial	$13.91
Rate for Payer: Aetna Medicare Advantage	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.82
Rate for Payer: Cigna Commercial	$23.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.03
Rate for Payer: Oxford Commercial	$23.18
Rate for Payer: Qualcare PPO/HMO/WC	$6.95
Rate for Payer: UnitedHealthcare Commercial	$23.18

SUTURE CHROMIC GUT 5/0 18 P13

Facility

$40.75

Hospital Charge Code	270660195
Hospital Revenue Code	272
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$6.11
Rate for Payer: Qualcare PPO/HMO/WC	$6.11

SUTURE CHROMIC GUT 5/0 18 P13

Facility

$46.36

Hospital Charge Code	270600787
Hospital Revenue Code	272
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$6.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.95

SUTURE CHROMIC GUT 5/0 18 P13

Facility

$40.75

Hospital Charge Code	270660195
Hospital Revenue Code	272
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$20.38
Rate for Payer: Aetna Commercial	$12.22
Rate for Payer: Aetna Medicare Advantage	$12.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.39
Rate for Payer: Cigna Commercial	$20.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.30
Rate for Payer: Oxford Commercial	$20.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.11
Rate for Payer: UnitedHealthcare Commercial	$20.38

SUTURE CHROMIC GUT 5/0 30 C13

Facility

$6.07

Hospital Charge Code	270604498
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$3.04
Rate for Payer: Aetna Commercial	$1.82
Rate for Payer: Aetna Medicare Advantage	$1.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.55
Rate for Payer: Cigna Commercial	$3.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.79
Rate for Payer: Oxford Commercial	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$0.91
Rate for Payer: UnitedHealthcare Commercial	$3.04

SUTURE CHROMIC GUT 5/0 30 C13

Facility

$6.07

Hospital Charge Code	270604498
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$0.91
Rate for Payer: Qualcare PPO/HMO/WC	$0.91

SUTURE CHROMIC GUT 5-0 FS-2

Facility

$14.80

Hospital Charge Code	270671389
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.22

SUTURE CHROMIC GUT 5-0 FS-2

Facility

$14.80

Hospital Charge Code	270671389
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$7.40
Rate for Payer: Aetna Commercial	$4.44
Rate for Payer: Aetna Medicare Advantage	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.77
Rate for Payer: Cigna Commercial	$7.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.92
Rate for Payer: Oxford Commercial	$7.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.22
Rate for Payer: UnitedHealthcare Commercial	$7.40

Know your out-of-pocket cost for care.

All Charges