Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHIBOND 4-0 RB-1

Facility

$31.59

Hospital Charge Code	270672857
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$15.79
Rate for Payer: Aetna Commercial	$9.48
Rate for Payer: Aetna Medicare Advantage	$9.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.06
Rate for Payer: Cigna Commercial	$15.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.11
Rate for Payer: Oxford Commercial	$15.79
Rate for Payer: Qualcare PPO/HMO/WC	$4.74
Rate for Payer: UnitedHealthcare Commercial	$15.79

SUTURE ETHIBOND 4-0 SH

Facility

$10.71

Hospital Charge Code	270673099
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$1.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.61

SUTURE ETHIBOND 4-0 SH

Facility

$10.71

Hospital Charge Code	270673099
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$5.36
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	$5.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.39
Rate for Payer: Oxford Commercial	$5.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.61
Rate for Payer: UnitedHealthcare Commercial	$5.36

SUTURE ETHIBOND 4-0 SH V-20

Facility

$57.47

Hospital Charge Code	270673098
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.73
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.65
Rate for Payer: Cigna Commercial	$28.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.73
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.73

SUTURE ETHIBOND 4-0 SH V-20

Facility

$57.47

Hospital Charge Code	270673098
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

SUTURE ETHIBOND 5-0 RB-1

Facility

$10.50

Hospital Charge Code	270678043
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$3.15
Rate for Payer: Aetna Medicare Advantage	$3.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.68
Rate for Payer: Cigna Commercial	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.25

SUTURE ETHIBOND 5-0 RB-1

Facility

$10.50

Hospital Charge Code	270678043
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

SUTURE ETHIBOND 5-0 V-37

Facility

$79.58

Hospital Charge Code	270672367
Hospital Revenue Code	272
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$39.79
Rate for Payer: Aetna Commercial	$23.87
Rate for Payer: Aetna Medicare Advantage	$23.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.35
Rate for Payer: Oxford Commercial	$39.79
Rate for Payer: Qualcare PPO/HMO/WC	$11.94
Rate for Payer: UnitedHealthcare Commercial	$39.79

SUTURE ETHIBOND 5-0 V-37

Facility

$79.58

Hospital Charge Code	270672367
Hospital Revenue Code	272
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$11.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.94

SUTURE ETHIBOND 5 GS-18

Facility

$13.82

Hospital Charge Code	270671436
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE ETHIBOND 5 GS-18

Facility

$13.82

Hospital Charge Code	270671436
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$6.91
Rate for Payer: Aetna Commercial	$4.15
Rate for Payer: Aetna Medicare Advantage	$4.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.52
Rate for Payer: Cigna Commercial	$6.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$6.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$6.91

SUTURE ETHIBOND EXTRA 5-0 V-37

Facility

$79.58

Hospital Charge Code	270628893
Hospital Revenue Code	272
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$11.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.94

SUTURE ETHIBOND EXTRA 5-0 V-37

Facility

$79.58

Hospital Charge Code	270628893
Hospital Revenue Code	272
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$39.79
Rate for Payer: Aetna Commercial	$23.87
Rate for Payer: Aetna Medicare Advantage	$23.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.35
Rate for Payer: Oxford Commercial	$39.79
Rate for Payer: Qualcare PPO/HMO/WC	$11.94
Rate for Payer: UnitedHealthcare Commercial	$39.79

SUTURE ETHIBON EXCEL 5 30IN

Facility

$131.61

Hospital Charge Code	270678399
Hospital Revenue Code	272
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$19.74
Rate for Payer: Qualcare PPO/HMO/WC	$19.74

SUTURE ETHIBON EXCEL 5 30IN

Facility

$131.61

Hospital Charge Code	270678399
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$65.81
Rate for Payer: Aetna Commercial	$39.48
Rate for Payer: Aetna Medicare Advantage	$39.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.56
Rate for Payer: Cigna Commercial	$65.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.11
Rate for Payer: Oxford Commercial	$65.81
Rate for Payer: Qualcare PPO/HMO/WC	$19.74
Rate for Payer: UnitedHealthcare Commercial	$65.81

SUTURE ETHIL. 8-0 5IN BV130-3

Facility

$73.26

Hospital Charge Code	270684520
Hospital Revenue Code	272
Min. Negotiated Rate	$10.99
Max. Negotiated Rate	$10.99
Rate for Payer: Qualcare PPO/HMO/WC	$10.99

SUTURE ETHIL. 8-0 5IN BV130-3

Facility

$73.26

Hospital Charge Code	270684520
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$36.63
Rate for Payer: Aetna Commercial	$21.98
Rate for Payer: Aetna Medicare Advantage	$21.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.68
Rate for Payer: Cigna Commercial	$36.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.52
Rate for Payer: Oxford Commercial	$36.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.99
Rate for Payer: UnitedHealthcare Commercial	$36.63

SUTURE ETHILON 10-0 BV100-4

Facility

$99.58

Hospital Charge Code	270671752
Hospital Revenue Code	272
Min. Negotiated Rate	$12.95
Max. Negotiated Rate	$49.79
Rate for Payer: Aetna Commercial	$29.87
Rate for Payer: Aetna Medicare Advantage	$29.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.39
Rate for Payer: Cigna Commercial	$49.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.95
Rate for Payer: Oxford Commercial	$49.79
Rate for Payer: Qualcare PPO/HMO/WC	$14.94
Rate for Payer: UnitedHealthcare Commercial	$49.79

SUTURE ETHILON 10-0 BV100-4

Facility

$99.58

Hospital Charge Code	270671752
Hospital Revenue Code	272
Min. Negotiated Rate	$14.94
Max. Negotiated Rate	$14.94
Rate for Payer: Qualcare PPO/HMO/WC	$14.94

SUTURE ETHILON 10-0 TG140-8

Facility

$71.19

Hospital Charge Code	270654999
Hospital Revenue Code	272
Min. Negotiated Rate	$9.25
Max. Negotiated Rate	$35.59
Rate for Payer: Aetna Commercial	$21.36
Rate for Payer: Aetna Medicare Advantage	$21.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.15
Rate for Payer: Cigna Commercial	$35.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.25
Rate for Payer: Oxford Commercial	$35.59
Rate for Payer: Qualcare PPO/HMO/WC	$10.68
Rate for Payer: UnitedHealthcare Commercial	$35.59

SUTURE ETHILON 10-0 TG140-8

Facility

$71.19

Hospital Charge Code	270654999
Hospital Revenue Code	272
Min. Negotiated Rate	$10.68
Max. Negotiated Rate	$10.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.68

SUTURE ETHILON 10-0 TG160-6

Facility

$132.03

Hospital Charge Code	270660118
Hospital Revenue Code	272
Min. Negotiated Rate	$17.16
Max. Negotiated Rate	$66.02
Rate for Payer: Aetna Commercial	$39.61
Rate for Payer: Aetna Medicare Advantage	$39.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.67
Rate for Payer: Cigna Commercial	$66.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$66.02
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$66.02

SUTURE ETHILON 10-0 TG160-6

Facility

$132.03

Hospital Charge Code	270660118
Hospital Revenue Code	272
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SUTURE ETHILON 1 GS-25

Facility

$8.09

Hospital Charge Code	270676700
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$4.04
Rate for Payer: Aetna Commercial	$2.43
Rate for Payer: Aetna Medicare Advantage	$2.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.06
Rate for Payer: Cigna Commercial	$4.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.05
Rate for Payer: Oxford Commercial	$4.04
Rate for Payer: Qualcare PPO/HMO/WC	$1.21
Rate for Payer: UnitedHealthcare Commercial	$4.04

SUTURE ETHILON 1 GS-25

Facility

$8.09

Hospital Charge Code	270676700
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Qualcare PPO/HMO/WC	$1.21

Know your out-of-pocket cost for care.

All Charges