Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE GORE-TEX CV-6 76CM TT13

Facility

$124.17

Hospital Charge Code	270650752
Hospital Revenue Code	272
Min. Negotiated Rate	$18.63
Max. Negotiated Rate	$18.63
Rate for Payer: Qualcare PPO/HMO/WC	$18.63

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823S
Hospital Revenue Code	272
Min. Negotiated Rate	$16.74
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$38.62
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.74
Rate for Payer: Oxford Commercial	$64.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$64.38

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823
Hospital Revenue Code	272
Min. Negotiated Rate	$16.74
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$38.62
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.74
Rate for Payer: Oxford Commercial	$64.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$64.38

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823S
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823N
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823N
Hospital Revenue Code	272
Min. Negotiated Rate	$16.74
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$38.62
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.74
Rate for Payer: Oxford Commercial	$64.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$64.38

Suture Gore-Tex TT 9 6-0

Facility

$140.42

Hospital Charge Code	270606765
Hospital Revenue Code	272
Min. Negotiated Rate	$21.06
Max. Negotiated Rate	$21.06
Rate for Payer: Qualcare PPO/HMO/WC	$21.06

Suture Gore-Tex TT 9 6-0

Facility

$140.42

Hospital Charge Code	270606765
Hospital Revenue Code	272
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$70.21
Rate for Payer: Aetna Commercial	$42.13
Rate for Payer: Aetna Medicare Advantage	$42.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.81
Rate for Payer: Cigna Commercial	$70.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.25
Rate for Payer: Oxford Commercial	$70.21
Rate for Payer: Qualcare PPO/HMO/WC	$21.06
Rate for Payer: UnitedHealthcare Commercial	$70.21

SUTURE GORETX TT13 CV5 5-0

Facility

$160.85

Hospital Charge Code	270604730
Hospital Revenue Code	272
Min. Negotiated Rate	$20.91
Max. Negotiated Rate	$80.42
Rate for Payer: Aetna Commercial	$48.26
Rate for Payer: Aetna Medicare Advantage	$48.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.02
Rate for Payer: Cigna Commercial	$80.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.91
Rate for Payer: Oxford Commercial	$80.42
Rate for Payer: Qualcare PPO/HMO/WC	$24.13
Rate for Payer: UnitedHealthcare Commercial	$80.42

SUTURE GORETX TT13 CV5 5-0

Facility

$160.85

Hospital Charge Code	270604730
Hospital Revenue Code	272
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

SUTURE GORETX TT13 CV6 6-0

Facility

$103.75

Hospital Charge Code	270604731
Hospital Revenue Code	272
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$51.88
Rate for Payer: Aetna Commercial	$31.12
Rate for Payer: Aetna Medicare Advantage	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.46
Rate for Payer: Cigna Commercial	$51.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.49
Rate for Payer: Oxford Commercial	$51.88
Rate for Payer: Qualcare PPO/HMO/WC	$15.56
Rate for Payer: UnitedHealthcare Commercial	$51.88

SUTURE GORETX TT13 CV6 6-0

Facility

$103.75

Hospital Charge Code	270604731
Hospital Revenue Code	272
Min. Negotiated Rate	$15.56
Max. Negotiated Rate	$15.56
Rate for Payer: Qualcare PPO/HMO/WC	$15.56

SUTURE GORETX TT13 CV7 7-0

Facility

$109.58

Hospital Charge Code	270604732
Hospital Revenue Code	272
Min. Negotiated Rate	$16.44
Max. Negotiated Rate	$16.44
Rate for Payer: Qualcare PPO/HMO/WC	$16.44

SUTURE GORETX TT13 CV7 7-0

Facility

$109.58

Hospital Charge Code	270604732
Hospital Revenue Code	272
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$54.79
Rate for Payer: Aetna Commercial	$32.87
Rate for Payer: Aetna Medicare Advantage	$32.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.94
Rate for Payer: Cigna Commercial	$54.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.25
Rate for Payer: Oxford Commercial	$54.79
Rate for Payer: Qualcare PPO/HMO/WC	$16.44
Rate for Payer: UnitedHealthcare Commercial	$54.79

SUTURE GORTEX 2-0 W/SH NEEDLE

Facility

$122.08

Hospital Charge Code	270673725
Hospital Revenue Code	272
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SUTURE GORTEX 2-0 W/SH NEEDLE

Facility

$122.08

Hospital Charge Code	270673725
Hospital Revenue Code	272
Min. Negotiated Rate	$15.87
Max. Negotiated Rate	$61.04
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.13
Rate for Payer: Cigna Commercial	$61.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.87
Rate for Payer: Oxford Commercial	$61.04
Rate for Payer: Qualcare PPO/HMO/WC	$18.31
Rate for Payer: UnitedHealthcare Commercial	$61.04

SUTURE GRAVITY SYNCHFIX #5

Facility

$7,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270695344
Hospital Revenue Code	278
Min. Negotiated Rate	$1,192.50
Max. Negotiated Rate	$1,923.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,923.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,192.50

SUTURE GRAVITY SYNCHFIX #5

Facility

$7,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270695344
Hospital Revenue Code	278
Min. Negotiated Rate	$1,192.50
Max. Negotiated Rate	$3,975.00
Rate for Payer: Aetna Commercial	$2,385.00
Rate for Payer: Aetna Medicare Advantage	$2,385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,027.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,027.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,590.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,027.25
Rate for Payer: Cigna Commercial	$3,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,923.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,192.50

SUTURE GUT PLAIN 6-0 18

Facility

$69.00

Hospital Charge Code	270334603
Hospital Revenue Code	272
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$34.50
Rate for Payer: Aetna Commercial	$20.70
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.97
Rate for Payer: Oxford Commercial	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Commercial	$34.50

SUTURE GUT PLAIN 6-0 18

Facility

$69.00

Hospital Charge Code	270334603
Hospital Revenue Code	272
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SUTURE HERCULINE H5000

Facility

$124.00

Hospital Charge Code	270633957
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

SUTURE HERCULINE H5000

Facility

$124.00

Hospital Charge Code	270633957
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

SUTURE HI-FI #2 SNGL 40 BLUE

Facility

$240.00

Hospital Charge Code	270676308
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$120.00

SUTURE HI-FI #2 SNGL 40 BLUE

Facility

$240.00

Hospital Charge Code	270676308
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

Know your out-of-pocket cost for care.

All Charges