Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHIBOND 2-0 EN3

Facility

$103.66

Hospital Charge Code	270669199
Hospital Revenue Code	272
Min. Negotiated Rate	$15.55
Max. Negotiated Rate	$15.55
Rate for Payer: Qualcare PPO/HMO/WC	$15.55

SUTURE ETHIBOND 2-0 EN3

Facility

$103.66

Hospital Charge Code	270669199
Hospital Revenue Code	272
Min. Negotiated Rate	$13.48
Max. Negotiated Rate	$51.83
Rate for Payer: Aetna Commercial	$31.10
Rate for Payer: Aetna Medicare Advantage	$31.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.43
Rate for Payer: Cigna Commercial	$51.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.48
Rate for Payer: Oxford Commercial	$51.83
Rate for Payer: Qualcare PPO/HMO/WC	$15.55
Rate for Payer: UnitedHealthcare Commercial	$51.83

SUTURE ETHIBOND 2-0 FS

Facility

$15.70

Hospital Charge Code	270671516
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$7.85
Rate for Payer: Aetna Commercial	$4.71
Rate for Payer: Aetna Medicare Advantage	$4.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.00
Rate for Payer: Cigna Commercial	$7.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.04
Rate for Payer: Oxford Commercial	$7.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.35
Rate for Payer: UnitedHealthcare Commercial	$7.85

SUTURE ETHIBOND 2-0 FS

Facility

$15.70

Hospital Charge Code	270671516
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$2.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.35

SUTURE ETHIBOND 2-0 RB-1

Facility

$10.70

Hospital Charge Code	270672855
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$5.35
Rate for Payer: Aetna Commercial	$3.21
Rate for Payer: Aetna Medicare Advantage	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.73
Rate for Payer: Cigna Commercial	$5.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.39
Rate for Payer: Oxford Commercial	$5.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.60
Rate for Payer: UnitedHealthcare Commercial	$5.35

SUTURE ETHIBOND 2-0 RB-1

Facility

$10.70

Hospital Charge Code	270672855
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.60

SUTURE ETHIBOND 2-0 SH

Facility

$10.67

Hospital Charge Code	270669531
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.60

SUTURE ETHIBOND 2-0 SH

Facility

$10.67

Hospital Charge Code	270669531
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$5.33
Rate for Payer: Aetna Commercial	$3.20
Rate for Payer: Aetna Medicare Advantage	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.72
Rate for Payer: Cigna Commercial	$5.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.39
Rate for Payer: Oxford Commercial	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.60
Rate for Payer: UnitedHealthcare Commercial	$5.33

SUTURE ETHIBOND 2-0 TIES

Facility

$28.28

Hospital Charge Code	270672862
Hospital Revenue Code	272
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$4.24
Rate for Payer: Qualcare PPO/HMO/WC	$4.24

SUTURE ETHIBOND 2-0 TIES

Facility

$28.28

Hospital Charge Code	270672862
Hospital Revenue Code	272
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$14.14
Rate for Payer: Aetna Commercial	$8.48
Rate for Payer: Aetna Medicare Advantage	$8.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.21
Rate for Payer: Cigna Commercial	$14.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.68
Rate for Payer: Oxford Commercial	$14.14
Rate for Payer: Qualcare PPO/HMO/WC	$4.24
Rate for Payer: UnitedHealthcare Commercial	$14.14

SUTURE ETHIBOND 2 OS-4

Facility

$12.43

Hospital Charge Code	270604642
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$6.21
Rate for Payer: Aetna Commercial	$3.73
Rate for Payer: Aetna Medicare Advantage	$3.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.17
Rate for Payer: Cigna Commercial	$6.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Oxford Commercial	$6.21
Rate for Payer: Qualcare PPO/HMO/WC	$1.86
Rate for Payer: UnitedHealthcare Commercial	$6.21

SUTURE ETHIBOND 2 OS-4

Facility

$12.43

Hospital Charge Code	270604642
Hospital Revenue Code	272
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$1.86
Rate for Payer: Qualcare PPO/HMO/WC	$1.86

SUTURE ETHIBOND 3-0 RB-1

Facility

$10.63

Hospital Charge Code	270672856
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

SUTURE ETHIBOND 3-0 RB-1

Facility

$10.63

Hospital Charge Code	270672856
Hospital Revenue Code	272
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$5.32
Rate for Payer: Aetna Commercial	$3.19
Rate for Payer: Aetna Medicare Advantage	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.71
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.38
Rate for Payer: Oxford Commercial	$5.32
Rate for Payer: Qualcare PPO/HMO/WC	$1.59
Rate for Payer: UnitedHealthcare Commercial	$5.32

SUTURE ETHIBOND 3-0 SH

Facility

$10.80

Hospital Charge Code	270673100
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.62

SUTURE ETHIBOND 3-0 SH

Facility

$10.80

Hospital Charge Code	270673100
Hospital Revenue Code	272
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$5.40
Rate for Payer: Aetna Commercial	$3.24
Rate for Payer: Aetna Medicare Advantage	$3.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.75
Rate for Payer: Cigna Commercial	$5.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.40
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.62
Rate for Payer: UnitedHealthcare Commercial	$5.40

SUTURE ETHIBOND 3-0 SH

Facility

$21.39

Hospital Charge Code	270672609
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.45
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.78
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$10.70

SUTURE ETHIBOND 3-0 SH

Facility

$21.39

Hospital Charge Code	270672609
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

SUTURE ETHIBOND 3-0 SH V-20

Facility

$52.80

Hospital Charge Code	270673097
Hospital Revenue Code	272
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$26.40
Rate for Payer: Aetna Commercial	$15.84
Rate for Payer: Aetna Medicare Advantage	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.46
Rate for Payer: Cigna Commercial	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.86
Rate for Payer: Oxford Commercial	$26.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.92
Rate for Payer: UnitedHealthcare Commercial	$26.40

SUTURE ETHIBOND 3-0 SH V-20

Facility

$52.80

Hospital Charge Code	270673097
Hospital Revenue Code	272
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$7.92

SUTURE ETHIBOND 4-0 CV15

Facility

$37.88

Hospital Charge Code	270672753
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$5.68
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

SUTURE ETHIBOND 4-0 CV15

Facility

$37.88

Hospital Charge Code	270672753
Hospital Revenue Code	272
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$18.94
Rate for Payer: Aetna Commercial	$11.36
Rate for Payer: Aetna Medicare Advantage	$11.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.92
Rate for Payer: Oxford Commercial	$18.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Commercial	$18.94

SUTURE ETHIBOND 4-0 PS-4

Facility

$17.80

Hospital Charge Code	270604640
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SUTURE ETHIBOND 4-0 PS-4

Facility

$17.80

Hospital Charge Code	270604640
Hospital Revenue Code	272
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$8.90
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	$8.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.67
Rate for Payer: UnitedHealthcare Commercial	$8.90

SUTURE ETHIBOND 4-0 RB-1

Facility

$31.59

Hospital Charge Code	270672857
Hospital Revenue Code	272
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$4.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.74

Know your out-of-pocket cost for care.

All Charges