Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CHROMIC GUT 5-0 P-3

Facility

$31.63

Hospital Charge Code	270671395
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$15.81
Rate for Payer: Aetna Commercial	$9.49
Rate for Payer: Aetna Medicare Advantage	$9.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.07
Rate for Payer: Cigna Commercial	$15.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.11
Rate for Payer: Oxford Commercial	$15.81
Rate for Payer: Qualcare PPO/HMO/WC	$4.74
Rate for Payer: UnitedHealthcare Commercial	$15.81

SUTURE CHROMIC GUT 5-0 P-3

Facility

$31.63

Hospital Charge Code	270671395
Hospital Revenue Code	272
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$4.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.74

SUTURE CHROMIC GUT 5-0 RB-1

Facility

$16.15

Hospital Charge Code	270671513
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 5-0 RB-1

Facility

$16.15

Hospital Charge Code	270671513
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 6-0 G-1

Facility

$124.26

Hospital Charge Code	270674247
Hospital Revenue Code	272
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$62.13
Rate for Payer: Aetna Commercial	$37.28
Rate for Payer: Aetna Medicare Advantage	$37.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.69
Rate for Payer: Cigna Commercial	$62.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.15
Rate for Payer: Oxford Commercial	$62.13
Rate for Payer: Qualcare PPO/HMO/WC	$18.64
Rate for Payer: UnitedHealthcare Commercial	$62.13

SUTURE CHROMIC GUT 6-0 G-1

Facility

$124.26

Hospital Charge Code	270674247
Hospital Revenue Code	272
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$18.64
Rate for Payer: Qualcare PPO/HMO/WC	$18.64

SUTURE CHROMIC GUT 6-1 PS-4

Facility

$30.90

Hospital Charge Code	270678101
Hospital Revenue Code	272
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$15.45
Rate for Payer: Aetna Commercial	$9.27
Rate for Payer: Aetna Medicare Advantage	$9.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.88
Rate for Payer: Cigna Commercial	$15.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.02
Rate for Payer: Oxford Commercial	$15.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.63
Rate for Payer: UnitedHealthcare Commercial	$15.45

SUTURE CHROMIC GUT 6-1 PS-4

Facility

$30.90

Hospital Charge Code	270678101
Hospital Revenue Code	272
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$4.63
Rate for Payer: Qualcare PPO/HMO/WC	$4.63

SUTURE CHROMIC GUT BGS-28 1 36

Facility

$24.00

Hospital Charge Code	270651113
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

SUTURE CHROMIC GUT BGS-28 1 36

Facility

$24.00

Hospital Charge Code	270651113
Hospital Revenue Code	272
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

SUTURE CHROMIC GUT P-1 5-0 18

Facility

$33.52

Hospital Charge Code	270673324
Hospital Revenue Code	272
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$5.03
Rate for Payer: Qualcare PPO/HMO/WC	$5.03

SUTURE CHROMIC GUT P-1 5-0 18

Facility

$33.52

Hospital Charge Code	270673324
Hospital Revenue Code	272
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$16.76
Rate for Payer: Aetna Commercial	$10.06
Rate for Payer: Aetna Medicare Advantage	$10.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.55
Rate for Payer: Cigna Commercial	$16.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Oxford Commercial	$16.76
Rate for Payer: Qualcare PPO/HMO/WC	$5.03
Rate for Payer: UnitedHealthcare Commercial	$16.76

SUTURE CHROMIC GUT PS-4 4-0

Facility

$53.61

Hospital Charge Code	270638676
Hospital Revenue Code	272
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$26.80
Rate for Payer: Aetna Commercial	$16.08
Rate for Payer: Aetna Medicare Advantage	$16.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.67
Rate for Payer: Cigna Commercial	$26.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.97
Rate for Payer: Oxford Commercial	$26.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.04
Rate for Payer: UnitedHealthcare Commercial	$26.80

SUTURE CHROMIC GUT PS-4 4-0

Facility

$53.61

Hospital Charge Code	270638676
Hospital Revenue Code	272
Min. Negotiated Rate	$8.04
Max. Negotiated Rate	$8.04
Rate for Payer: Qualcare PPO/HMO/WC	$8.04

SUTURE CHROMIC GUT REEL 2-0

Facility

$25.79

Hospital Charge Code	270600573
Hospital Revenue Code	272
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$3.87
Rate for Payer: Qualcare PPO/HMO/WC	$3.87

SUTURE CHROMIC GUT REEL 2-0

Facility

$25.79

Hospital Charge Code	270600573
Hospital Revenue Code	272
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$12.89
Rate for Payer: Aetna Commercial	$7.74
Rate for Payer: Aetna Medicare Advantage	$7.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.58
Rate for Payer: Cigna Commercial	$12.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.35
Rate for Payer: Oxford Commercial	$12.89
Rate for Payer: Qualcare PPO/HMO/WC	$3.87
Rate for Payer: UnitedHealthcare Commercial	$12.89

SUTURE CHROMIC SILK BLK SA 18

Facility

$8.57

Hospital Charge Code	270673325
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE CHROMIC SILK BLK SA 18

Facility

$8.57

Hospital Charge Code	270673325
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$4.29
Rate for Payer: Aetna Commercial	$2.57
Rate for Payer: Aetna Medicare Advantage	$2.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.19
Rate for Payer: Cigna Commercial	$4.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.11
Rate for Payer: Oxford Commercial	$4.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$4.29

SUTURE CHROMI GUT 0 30 GS-22

Facility

$6.65

Hospital Charge Code	2706565123
Hospital Revenue Code	272
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

SUTURE CHROMI GUT 0 30 GS-22

Facility

$6.65

Hospital Charge Code	2706565123
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$3.33
Rate for Payer: Aetna Commercial	$2.00
Rate for Payer: Aetna Medicare Advantage	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.70
Rate for Payer: Cigna Commercial	$3.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.86
Rate for Payer: Oxford Commercial	$3.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.00
Rate for Payer: UnitedHealthcare Commercial	$3.33

SUTURE CHROM LIGAT LOOP 0

Facility

$167.25

Hospital Charge Code	270604728
Hospital Revenue Code	272
Min. Negotiated Rate	$21.74
Max. Negotiated Rate	$83.62
Rate for Payer: Aetna Commercial	$50.17
Rate for Payer: Aetna Medicare Advantage	$50.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.65
Rate for Payer: Cigna Commercial	$83.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.74
Rate for Payer: Oxford Commercial	$83.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.09
Rate for Payer: UnitedHealthcare Commercial	$83.62

SUTURE CHROM LIGAT LOOP 0

Facility

$167.25

Hospital Charge Code	270604728
Hospital Revenue Code	272
Min. Negotiated Rate	$25.09
Max. Negotiated Rate	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$25.09

SUTURE CHROM TG140-8 8-0

Facility

$179.25

Hospital Charge Code	270604704
Hospital Revenue Code	272
Min. Negotiated Rate	$23.30
Max. Negotiated Rate	$89.62
Rate for Payer: Aetna Commercial	$53.77
Rate for Payer: Aetna Medicare Advantage	$53.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.71
Rate for Payer: Cigna Commercial	$89.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$89.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$89.62

SUTURE CHROM TG140-8 8-0

Facility

$179.25

Hospital Charge Code	270604704
Hospital Revenue Code	272
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

SUTURE CHRONIC GUT 2-0 CP-1

Facility

$51.49

Hospital Charge Code	270672863
Hospital Revenue Code	272
Min. Negotiated Rate	$7.72
Max. Negotiated Rate	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$7.72

Know your out-of-pocket cost for care.

All Charges