Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHILON 6-1 P-1

Facility

$20.52

Hospital Charge Code	270604520
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$10.26
Rate for Payer: Aetna Commercial	$6.16
Rate for Payer: Aetna Medicare Advantage	$6.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.23
Rate for Payer: Cigna Commercial	$10.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.67
Rate for Payer: Oxford Commercial	$10.26
Rate for Payer: Qualcare PPO/HMO/WC	$3.08
Rate for Payer: UnitedHealthcare Commercial	$10.26

SUTURE ETHILON 6-1 P-1

Facility

$20.52

Hospital Charge Code	270604520
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$3.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.08

SUTURE ETHILON 7-0 P-6

Facility

$18.69

Hospital Charge Code	270673488
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.80

SUTURE ETHILON 7-0 P-6

Facility

$18.69

Hospital Charge Code	270673488
Hospital Revenue Code	272
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$9.35
Rate for Payer: Aetna Commercial	$5.61
Rate for Payer: Aetna Medicare Advantage	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.77
Rate for Payer: Cigna Commercial	$9.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.43
Rate for Payer: Oxford Commercial	$9.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.80
Rate for Payer: UnitedHealthcare Commercial	$9.35

SUTURE ETHILON 8/0 5IN BLACK B

Facility

$71.31

Hospital Charge Code	270655902
Hospital Revenue Code	272
Min. Negotiated Rate	$9.27
Max. Negotiated Rate	$35.66
Rate for Payer: Aetna Commercial	$21.39
Rate for Payer: Aetna Medicare Advantage	$21.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.18
Rate for Payer: Cigna Commercial	$35.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.27
Rate for Payer: Oxford Commercial	$35.66
Rate for Payer: Qualcare PPO/HMO/WC	$10.70
Rate for Payer: UnitedHealthcare Commercial	$35.66

SUTURE ETHILON 8/0 5IN BLACK B

Facility

$71.31

Hospital Charge Code	270655902
Hospital Revenue Code	272
Min. Negotiated Rate	$10.70
Max. Negotiated Rate	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.70

SUTURE ETHILON 8-0 TG100-8

Facility

$58.90

Hospital Charge Code	270688010
Hospital Revenue Code	272
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$29.45
Rate for Payer: Aetna Commercial	$17.67
Rate for Payer: Aetna Medicare Advantage	$17.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.02
Rate for Payer: Cigna Commercial	$29.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.66
Rate for Payer: Oxford Commercial	$29.45
Rate for Payer: Qualcare PPO/HMO/WC	$8.84
Rate for Payer: UnitedHealthcare Commercial	$29.45

SUTURE ETHILON 8-0 TG100-8

Facility

$58.90

Hospital Charge Code	270688010
Hospital Revenue Code	272
Min. Negotiated Rate	$8.84
Max. Negotiated Rate	$8.84
Rate for Payer: Qualcare PPO/HMO/WC	$8.84

SUTURE ETHILON 9-0 BV100-4

Facility

$98.97

Hospital Charge Code	270671753
Hospital Revenue Code	272
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$49.48
Rate for Payer: Aetna Commercial	$29.69
Rate for Payer: Aetna Medicare Advantage	$29.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.24
Rate for Payer: Cigna Commercial	$49.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.87
Rate for Payer: Oxford Commercial	$49.48
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$49.48

SUTURE ETHILON 9-0 BV100-4

Facility

$98.97

Hospital Charge Code	270671753
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

SUTURE ETHILON 9-0 TG140-8

Facility

$60.22

Hospital Charge Code	270673282
Hospital Revenue Code	272
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$9.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.03

SUTURE ETHILON 9-0 TG140-8

Facility

$60.22

Hospital Charge Code	270673282
Hospital Revenue Code	272
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$30.11
Rate for Payer: Aetna Commercial	$18.07
Rate for Payer: Aetna Medicare Advantage	$18.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.36
Rate for Payer: Cigna Commercial	$30.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.83
Rate for Payer: Oxford Commercial	$30.11
Rate for Payer: Qualcare PPO/HMO/WC	$9.03
Rate for Payer: UnitedHealthcare Commercial	$30.11

SUTURE ETHILON BLK MONO FS-2

Facility

$5.99

Hospital Charge Code	270600771
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

SUTURE ETHILON BLK MONO FS-2

Facility

$5.99

Hospital Charge Code	270600771
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

SUTURE ETHLION 2-0 BLK MONO

Facility

$29.05

Hospital Charge Code	270663889
Hospital Revenue Code	272
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$14.53
Rate for Payer: Aetna Commercial	$8.71
Rate for Payer: Aetna Medicare Advantage	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.41
Rate for Payer: Cigna Commercial	$14.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.78
Rate for Payer: Oxford Commercial	$14.53
Rate for Payer: Qualcare PPO/HMO/WC	$4.36
Rate for Payer: UnitedHealthcare Commercial	$14.53

SUTURE ETHLION 2-0 BLK MONO

Facility

$29.05

Hospital Charge Code	270663889
Hospital Revenue Code	272
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$4.36

SUTURE FIBERLINK 0 BLUE

Facility

$325.00

Hospital Charge Code	270688453
Hospital Revenue Code	272
Min. Negotiated Rate	$42.25
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$97.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$162.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$162.50

SUTURE FIBERLINK 0 BLUE

Facility

$325.00

Hospital Charge Code	270688453
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

SUTURE FIBER LINK 1.3 MM

Facility

$425.00

Hospital Charge Code	270684976
Hospital Revenue Code	272
Min. Negotiated Rate	$55.25
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.25
Rate for Payer: Oxford Commercial	$212.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$212.50

SUTURE FIBER LINK 1.3 MM

Facility

$425.00

Hospital Charge Code	270684976
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

SUTURE FIBERLOOP #2 CRVD NEEDL

Facility

$250.00

Hospital Charge Code	270676804
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SUTURE FIBERLOOP #2 CRVD NEEDL

Facility

$250.00

Hospital Charge Code	270676804
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

SUTURE GORETEX CV6 6.0 6M10A

Facility

$122.92

Hospital Charge Code	270634709
Hospital Revenue Code	272
Min. Negotiated Rate	$18.44
Max. Negotiated Rate	$18.44
Rate for Payer: Qualcare PPO/HMO/WC	$18.44

SUTURE GORETEX CV6 6.0 6M10A

Facility

$122.92

Hospital Charge Code	270634709
Hospital Revenue Code	272
Min. Negotiated Rate	$15.98
Max. Negotiated Rate	$61.46
Rate for Payer: Aetna Commercial	$36.88
Rate for Payer: Aetna Medicare Advantage	$36.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.34
Rate for Payer: Cigna Commercial	$61.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.98
Rate for Payer: Oxford Commercial	$61.46
Rate for Payer: Qualcare PPO/HMO/WC	$18.44
Rate for Payer: UnitedHealthcare Commercial	$61.46

SUTURE GORE-TEX CV-6 76CM TT13

Facility

$124.17

Hospital Charge Code	270650752
Hospital Revenue Code	272
Min. Negotiated Rate	$16.14
Max. Negotiated Rate	$62.09
Rate for Payer: Aetna Commercial	$37.25
Rate for Payer: Aetna Medicare Advantage	$37.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.66
Rate for Payer: Cigna Commercial	$62.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.14
Rate for Payer: Oxford Commercial	$62.09
Rate for Payer: Qualcare PPO/HMO/WC	$18.63
Rate for Payer: UnitedHealthcare Commercial	$62.09

Know your out-of-pocket cost for care.

All Charges