Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CHRONIC GUT 2-0 CP-1

Facility

$51.49

Hospital Charge Code	270672863
Hospital Revenue Code	272
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$25.75
Rate for Payer: Aetna Commercial	$15.45
Rate for Payer: Aetna Medicare Advantage	$15.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.13
Rate for Payer: Cigna Commercial	$25.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.69
Rate for Payer: Oxford Commercial	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$7.72
Rate for Payer: UnitedHealthcare Commercial	$25.75

SUTURE CLIPS LAPRA-TY

Facility

$352.64

Hospital Charge Code	270611176
Hospital Revenue Code	272
Min. Negotiated Rate	$52.90
Max. Negotiated Rate	$52.90
Rate for Payer: Qualcare PPO/HMO/WC	$52.90

SUTURE CLIPS LAPRA-TY

Facility

$352.64

Hospital Charge Code	270611176
Hospital Revenue Code	272
Min. Negotiated Rate	$45.84
Max. Negotiated Rate	$176.32
Rate for Payer: Aetna Commercial	$105.79
Rate for Payer: Aetna Medicare Advantage	$105.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.92
Rate for Payer: Cigna Commercial	$176.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.84
Rate for Payer: Oxford Commercial	$176.32
Rate for Payer: Qualcare PPO/HMO/WC	$52.90
Rate for Payer: UnitedHealthcare Commercial	$176.32

SUTURE CORKSCREW LT AR406545L

Facility

$967.25

Hospital Charge Code	270633584
Hospital Revenue Code	272
Min. Negotiated Rate	$125.74
Max. Negotiated Rate	$483.62
Rate for Payer: Aetna Commercial	$290.18
Rate for Payer: Aetna Medicare Advantage	$290.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.65
Rate for Payer: Cigna Commercial	$483.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.74
Rate for Payer: Oxford Commercial	$483.62
Rate for Payer: Qualcare PPO/HMO/WC	$145.09
Rate for Payer: UnitedHealthcare Commercial	$483.62

SUTURE CORKSCREW LT AR406545L

Facility

$967.25

Hospital Charge Code	270633584
Hospital Revenue Code	272
Min. Negotiated Rate	$145.09
Max. Negotiated Rate	$145.09
Rate for Payer: Qualcare PPO/HMO/WC	$145.09

SUTURE CT-2 0 27 PDS PLUS

Facility

$13.64

Hospital Charge Code	270644590
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

SUTURE CT-2 0 27 PDS PLUS

Facility

$13.64

Hospital Charge Code	270644590
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.82
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.82
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.82

SUTURE CT-2 VICRYL 3-0

Facility

$342.95

Hospital Charge Code	270657436
Hospital Revenue Code	272
Min. Negotiated Rate	$51.44
Max. Negotiated Rate	$51.44
Rate for Payer: Qualcare PPO/HMO/WC	$51.44

SUTURE CT-2 VICRYL 3-0

Facility

$342.95

Hospital Charge Code	270657436
Hospital Revenue Code	272
Min. Negotiated Rate	$44.58
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$102.89
Rate for Payer: Aetna Medicare Advantage	$102.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.45
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.58
Rate for Payer: Oxford Commercial	$171.47
Rate for Payer: Qualcare PPO/HMO/WC	$51.44
Rate for Payer: UnitedHealthcare Commercial	$171.47

SUTURE CTD VICRYL 7-0 UND P-1

Facility

$20.64

Hospital Charge Code	270671351
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.10

SUTURE CTD VICRYL 7-0 UND P-1

Facility

$20.64

Hospital Charge Code	270671351
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$10.32
Rate for Payer: Aetna Commercial	$6.19
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$10.32
Rate for Payer: Qualcare PPO/HMO/WC	$3.10
Rate for Payer: UnitedHealthcare Commercial	$10.32

SUTURE CTD VICRYL PLUS 3-0

Facility

$8.85

Hospital Charge Code	270692090
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$1.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.33

SUTURE CTD VICRYL PLUS 3-0

Facility

$8.85

Hospital Charge Code	270692090
Hospital Revenue Code	272
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$4.42
Rate for Payer: Aetna Commercial	$2.65
Rate for Payer: Aetna Medicare Advantage	$2.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.26
Rate for Payer: Cigna Commercial	$4.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.15
Rate for Payer: Oxford Commercial	$4.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.33
Rate for Payer: UnitedHealthcare Commercial	$4.42

SUTURE CTD VICRYL PLUS 4/0 27I

Facility

$8.65

Hospital Charge Code	270684400
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

SUTURE CTD VICRYL PLUS 4/0 27I

Facility

$8.65

Hospital Charge Code	270684400
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$4.33
Rate for Payer: Aetna Commercial	$2.60
Rate for Payer: Aetna Medicare Advantage	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.21
Rate for Payer: Cigna Commercial	$4.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$4.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$4.33

SUTURE CV2 36 INCHES

Facility

$120.80

Hospital Charge Code	270666837
Hospital Revenue Code	272
Min. Negotiated Rate	$18.12
Max. Negotiated Rate	$18.12
Rate for Payer: Qualcare PPO/HMO/WC	$18.12

SUTURE CV2 36 INCHES

Facility

$120.80

Hospital Charge Code	270666837
Hospital Revenue Code	272
Min. Negotiated Rate	$15.70
Max. Negotiated Rate	$60.40
Rate for Payer: Aetna Commercial	$36.24
Rate for Payer: Aetna Medicare Advantage	$36.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.80
Rate for Payer: Cigna Commercial	$60.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.70
Rate for Payer: Oxford Commercial	$60.40
Rate for Payer: Qualcare PPO/HMO/WC	$18.12
Rate for Payer: UnitedHealthcare Commercial	$60.40

SUTURE CV6/TT9 NEEDLE

Facility

$128.33

Hospital Charge Code	270603871
Hospital Revenue Code	272
Min. Negotiated Rate	$16.68
Max. Negotiated Rate	$64.17
Rate for Payer: Aetna Commercial	$38.50
Rate for Payer: Aetna Medicare Advantage	$38.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.72
Rate for Payer: Cigna Commercial	$64.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.68
Rate for Payer: Oxford Commercial	$64.17
Rate for Payer: Qualcare PPO/HMO/WC	$19.25
Rate for Payer: UnitedHealthcare Commercial	$64.17

SUTURE CV6/TT9 NEEDLE

Facility

$128.33

Hospital Charge Code	270603871
Hospital Revenue Code	272
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$19.25
Rate for Payer: Qualcare PPO/HMO/WC	$19.25

SUTURE DERMALON 6-0 BLUE

Facility

$12.00

Hospital Charge Code	270651285
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$3.60
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.00

SUTURE DERMALON 6-0 BLUE

Facility

$12.00

Hospital Charge Code	270651285
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

SUTURE DERMALON MONOFILAMENT

Facility

$14.11

Hospital Charge Code	270651284
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$7.05
Rate for Payer: Aetna Commercial	$4.23
Rate for Payer: Aetna Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.60
Rate for Payer: Cigna Commercial	$7.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.83
Rate for Payer: Oxford Commercial	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.12
Rate for Payer: UnitedHealthcare Commercial	$7.05

SUTURE DERMALON MONOFILAMENT

Facility

$14.11

Hospital Charge Code	270651284
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.12

SUTURE DOUBLE LOADED 3x14.5

Facility

$1,700.00

Hospital Charge Code	270659657
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

SUTURE DOUBLE LOADED 3x14.5

Facility

$1,700.00

Hospital Charge Code	270659657
Hospital Revenue Code	272
Min. Negotiated Rate	$221.00
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$510.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.00
Rate for Payer: Oxford Commercial	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Commercial	$850.00

Know your out-of-pocket cost for care.

All Charges