Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE D SPECIAL

Facility

$147.64

Hospital Charge Code	270670806
Hospital Revenue Code	272
Min. Negotiated Rate	$22.15
Max. Negotiated Rate	$22.15
Rate for Payer: Qualcare PPO/HMO/WC	$22.15

SUTURE D SPECIAL

Facility

$39.73

Hospital Charge Code	270670693
Hospital Revenue Code	272
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$5.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

SUTURE D SPECIAL

Facility

$39.73

Hospital Charge Code	270670693
Hospital Revenue Code	272
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$19.86
Rate for Payer: Aetna Commercial	$11.92
Rate for Payer: Aetna Medicare Advantage	$11.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.13
Rate for Payer: Cigna Commercial	$19.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.16
Rate for Payer: Oxford Commercial	$19.86
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Commercial	$19.86

SUTURE D SPECIAL

Facility

$147.64

Hospital Charge Code	270670806
Hospital Revenue Code	272
Min. Negotiated Rate	$19.19
Max. Negotiated Rate	$73.82
Rate for Payer: Aetna Commercial	$44.29
Rate for Payer: Aetna Medicare Advantage	$44.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.65
Rate for Payer: Cigna Commercial	$73.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.19
Rate for Payer: Oxford Commercial	$73.82
Rate for Payer: Qualcare PPO/HMO/WC	$22.15
Rate for Payer: UnitedHealthcare Commercial	$73.82

SUTURE ENDOKNOT PDS II 0 ST-3

Facility

$152.00

Hospital Charge Code	270628667
Hospital Revenue Code	272
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$76.00

SUTURE ENDOKNOT PDS II 0 ST-3

Facility

$152.00

Hospital Charge Code	270628667
Hospital Revenue Code	272
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

SUTURE ENDOLOOP LIGA 0 PDS II

Facility

$197.40

Hospital Charge Code	270664791
Hospital Revenue Code	272
Min. Negotiated Rate	$29.61
Max. Negotiated Rate	$29.61
Rate for Payer: Qualcare PPO/HMO/WC	$29.61

SUTURE ENDOLOOP LIGA 0 PDS II

Facility

$197.40

Hospital Charge Code	270664791
Hospital Revenue Code	272
Min. Negotiated Rate	$25.66
Max. Negotiated Rate	$98.70
Rate for Payer: Aetna Commercial	$59.22
Rate for Payer: Aetna Medicare Advantage	$59.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.34
Rate for Payer: Cigna Commercial	$98.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.66
Rate for Payer: Oxford Commercial	$98.70
Rate for Payer: Qualcare PPO/HMO/WC	$29.61
Rate for Payer: UnitedHealthcare Commercial	$98.70

SUTURE ENDOSTITCH DLU 0

Facility

$228.85

Hospital Charge Code	270604735
Hospital Revenue Code	272
Min. Negotiated Rate	$34.33
Max. Negotiated Rate	$34.33
Rate for Payer: Qualcare PPO/HMO/WC	$34.33

SUTURE ENDOSTITCH DLU 0

Facility

$228.85

Hospital Charge Code	270604735
Hospital Revenue Code	272
Min. Negotiated Rate	$29.75
Max. Negotiated Rate	$114.42
Rate for Payer: Aetna Commercial	$68.66
Rate for Payer: Aetna Medicare Advantage	$68.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.36
Rate for Payer: Cigna Commercial	$114.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.75
Rate for Payer: Oxford Commercial	$114.42
Rate for Payer: Qualcare PPO/HMO/WC	$34.33
Rate for Payer: UnitedHealthcare Commercial	$114.42

SUTURE ENDOSTITCH POLYSORB 0

Facility

$88.55

Hospital Charge Code	270658689
Hospital Revenue Code	272
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$13.28
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

SUTURE ENDOSTITCH POLYSORB 0

Facility

$88.55

Hospital Charge Code	270658689
Hospital Revenue Code	272
Min. Negotiated Rate	$11.51
Max. Negotiated Rate	$44.27
Rate for Payer: Aetna Commercial	$26.57
Rate for Payer: Aetna Medicare Advantage	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.58
Rate for Payer: Cigna Commercial	$44.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.51
Rate for Payer: Oxford Commercial	$44.27
Rate for Payer: Qualcare PPO/HMO/WC	$13.28
Rate for Payer: UnitedHealthcare Commercial	$44.27

SUTURE ENDOSTIT DLU2-0

Facility

$228.85

Hospital Charge Code	270604734
Hospital Revenue Code	272
Min. Negotiated Rate	$29.75
Max. Negotiated Rate	$114.42
Rate for Payer: Aetna Commercial	$68.66
Rate for Payer: Aetna Medicare Advantage	$68.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.36
Rate for Payer: Cigna Commercial	$114.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.75
Rate for Payer: Oxford Commercial	$114.42
Rate for Payer: Qualcare PPO/HMO/WC	$34.33
Rate for Payer: UnitedHealthcare Commercial	$114.42

SUTURE ENDOSTIT DLU2-0

Facility

$228.85

Hospital Charge Code	270604734
Hospital Revenue Code	272
Min. Negotiated Rate	$34.33
Max. Negotiated Rate	$34.33
Rate for Payer: Qualcare PPO/HMO/WC	$34.33

SUTURE ETHI 3-0 BLK MONO PC-5

Facility

$20.43

Hospital Charge Code	270671386
Hospital Revenue Code	272
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$6.13
Rate for Payer: Aetna Medicare Advantage	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.21
Rate for Payer: Cigna Commercial	$10.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.66
Rate for Payer: Oxford Commercial	$10.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.06
Rate for Payer: UnitedHealthcare Commercial	$10.21

SUTURE ETHI 3-0 BLK MONO PC-5

Facility

$20.43

Hospital Charge Code	270671386
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

SUTURE ETHI 3-0 BLK MONO PS-1

Facility

$17.79

Hospital Charge Code	270671377
Hospital Revenue Code	272
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$8.89
Rate for Payer: Aetna Commercial	$5.34
Rate for Payer: Aetna Medicare Advantage	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.54
Rate for Payer: Cigna Commercial	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$8.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.67
Rate for Payer: UnitedHealthcare Commercial	$8.89

SUTURE ETHI 3-0 BLK MONO PS-1

Facility

$17.79

Hospital Charge Code	270671377
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SUTURE ETHI 3-0 BLK MON PS-1

Facility

$17.79

Hospital Charge Code	270671376
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SUTURE ETHI 3-0 BLK MON PS-1

Facility

$17.79

Hospital Charge Code	270671376
Hospital Revenue Code	272
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$8.89
Rate for Payer: Aetna Commercial	$5.34
Rate for Payer: Aetna Medicare Advantage	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.54
Rate for Payer: Cigna Commercial	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$8.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.67
Rate for Payer: UnitedHealthcare Commercial	$8.89

SUTURE ETHI 4-0 BLK MONO FS1

Facility

$8.83

Hospital Charge Code	270671374
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$1.32
Rate for Payer: Qualcare PPO/HMO/WC	$1.32

SUTURE ETHI 4-0 BLK MONO FS1

Facility

$8.83

Hospital Charge Code	270671374
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	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.25
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	$1.32
Rate for Payer: UnitedHealthcare Commercial	$4.42

SUTURE ETHI 4-0 BLK MONO PC-1

Facility

$20.43

Hospital Charge Code	270671382
Hospital Revenue Code	272
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$6.13
Rate for Payer: Aetna Medicare Advantage	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.21
Rate for Payer: Cigna Commercial	$10.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.66
Rate for Payer: Oxford Commercial	$10.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.06
Rate for Payer: UnitedHealthcare Commercial	$10.21

SUTURE ETHI 4-0 BLK MONO PC-1

Facility

$20.43

Hospital Charge Code	270671382
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

SUTURE ETHI 5-0 BLK MONO PC-1

Facility

$20.43

Hospital Charge Code	270671383
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

Know your out-of-pocket cost for care.

All Charges