Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHILON 4-0 P-3

Facility

$19.24

Hospital Charge Code	270671399
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

SUTURE ETHILON 4-0 P-3

Facility

$19.24

Hospital Charge Code	270671399
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$5.77
Rate for Payer: Aetna Medicare Advantage	$5.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.50
Rate for Payer: Oxford Commercial	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$9.62

SUTURE ETHILON 4-0 P-3

Facility

$27.92

Hospital Charge Code	270671397
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

SUTURE ETHILON 4-0 PC-3

Facility

$20.10

Hospital Charge Code	270671384
Hospital Revenue Code	272
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$3.02
Rate for Payer: Qualcare PPO/HMO/WC	$3.02

SUTURE ETHILON 4-0 PC-3

Facility

$20.10

Hospital Charge Code	270671384
Hospital Revenue Code	272
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$10.05
Rate for Payer: Aetna Commercial	$6.03
Rate for Payer: Aetna Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.13
Rate for Payer: Cigna Commercial	$10.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.61
Rate for Payer: Oxford Commercial	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.02
Rate for Payer: UnitedHealthcare Commercial	$10.05

SUTURE ETHILON 4-0 PC-5

Facility

$20.43

Hospital Charge Code	270651496
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

SUTURE ETHILON 4-0 PC-5

Facility

$20.43

Hospital Charge Code	270651496
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 ETHILON 4-0 PS-2

Facility

$18.30

Hospital Charge Code	270678102
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.75

SUTURE ETHILON 4-0 PS-2

Facility

$18.30

Hospital Charge Code	270678102
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$9.15
Rate for Payer: Aetna Commercial	$5.49
Rate for Payer: Aetna Medicare Advantage	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.67
Rate for Payer: Cigna Commercial	$9.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.38
Rate for Payer: Oxford Commercial	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$2.75
Rate for Payer: UnitedHealthcare Commercial	$9.15

SUTURE ETHILON 4/0 PS-2 BK

Facility

$17.11

Hospital Charge Code	270655615
Hospital Revenue Code	272
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.57

SUTURE ETHILON 4/0 PS-2 BK

Facility

$17.11

Hospital Charge Code	270655615
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$8.55
Rate for Payer: Aetna Commercial	$5.13
Rate for Payer: Aetna Medicare Advantage	$5.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.36
Rate for Payer: Cigna Commercial	$8.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.22
Rate for Payer: Oxford Commercial	$8.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.57
Rate for Payer: UnitedHealthcare Commercial	$8.55

SUTURE ETHILON 4-0 PS-4 PS-24

Facility

$17.15

Hospital Charge Code	270676612
Hospital Revenue Code	272
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.57

SUTURE ETHILON 4-0 PS-4 PS-24

Facility

$17.15

Hospital Charge Code	270676612
Hospital Revenue Code	272
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$8.57
Rate for Payer: Aetna Commercial	$5.14
Rate for Payer: Aetna Medicare Advantage	$5.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.37
Rate for Payer: Cigna Commercial	$8.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.23
Rate for Payer: Oxford Commercial	$8.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.57
Rate for Payer: UnitedHealthcare Commercial	$8.57

SUTURE ETHILON 5-0 BLK MONO PC

Facility

$20.43

Hospital Charge Code	270661979
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 ETHILON 5-0 BLK MONO PC

Facility

$20.43

Hospital Charge Code	270661979
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

SUTURE ETHILON 5-0 P-1

Facility

$20.27

Hospital Charge Code	270676735
Hospital Revenue Code	272
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$10.13
Rate for Payer: Aetna Commercial	$6.08
Rate for Payer: Aetna Medicare Advantage	$6.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.17
Rate for Payer: Cigna Commercial	$10.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.64
Rate for Payer: Oxford Commercial	$10.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$10.13

SUTURE ETHILON 5-0 P-1

Facility

$20.27

Hospital Charge Code	270676735
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

SUTURE ETHILON 5-0 P-3

Facility

$17.16

Hospital Charge Code	270671398
Hospital Revenue Code	272
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$8.58
Rate for Payer: Aetna Commercial	$5.15
Rate for Payer: Aetna Medicare Advantage	$5.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.38
Rate for Payer: Cigna Commercial	$8.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.23
Rate for Payer: Oxford Commercial	$8.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.57
Rate for Payer: UnitedHealthcare Commercial	$8.58

SUTURE ETHILON 5-0 P-3

Facility

$17.16

Hospital Charge Code	270671398
Hospital Revenue Code	272
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.57

SUTURE ETHILON 5-0 P-3

Facility

$18.23

Hospital Charge Code	270671396
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$9.12
Rate for Payer: Aetna Commercial	$5.47
Rate for Payer: Aetna Medicare Advantage	$5.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.65
Rate for Payer: Cigna Commercial	$9.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.37
Rate for Payer: Oxford Commercial	$9.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.73
Rate for Payer: UnitedHealthcare Commercial	$9.12

SUTURE ETHILON 5-0 P-3

Facility

$18.23

Hospital Charge Code	270671396
Hospital Revenue Code	272
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.73

SUTURE ETHILON 6-0 P-1

Facility

$26.54

Hospital Charge Code	270669632
Hospital Revenue Code	272
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$3.98
Rate for Payer: Qualcare PPO/HMO/WC	$3.98

SUTURE ETHILON 6-0 P-1

Facility

$26.54

Hospital Charge Code	270669632
Hospital Revenue Code	272
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$13.27
Rate for Payer: Aetna Commercial	$7.96
Rate for Payer: Aetna Medicare Advantage	$7.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.77
Rate for Payer: Cigna Commercial	$13.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.45
Rate for Payer: Oxford Commercial	$13.27
Rate for Payer: Qualcare PPO/HMO/WC	$3.98
Rate for Payer: UnitedHealthcare Commercial	$13.27

SUTURE ETHILON 6-0 PC-1/PC-13

Facility

$20.55

Hospital Charge Code	270661978
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$10.28
Rate for Payer: Aetna Commercial	$6.17
Rate for Payer: Aetna Medicare Advantage	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.24
Rate for Payer: Cigna Commercial	$10.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.67
Rate for Payer: Oxford Commercial	$10.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.08
Rate for Payer: UnitedHealthcare Commercial	$10.28

SUTURE ETHILON 6-0 PC-1/PC-13

Facility

$20.55

Hospital Charge Code	270661978
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$3.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.08

Know your out-of-pocket cost for care.

All Charges