Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE LEVEL 4

Facility

$88.00

Hospital Charge Code	270334766
Hospital Revenue Code	272
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

SUTURE LIGAMENT ANKLE,COLLAT

Facility

$45,892.50

Service Code	HCPCS 27695
Hospital Charge Code	160000218
Hospital Revenue Code	360
Min. Negotiated Rate	$6,883.88
Max. Negotiated Rate	$6,883.88
Rate for Payer: Qualcare PPO/HMO/WC	$6,883.88

SUTURE LIGAMENT ANKLE,COLLAT

Facility

$45,892.50

Service Code	HCPCS 27695
Hospital Charge Code	160000218
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,767.75
Rate for Payer: Aetna Medicare Advantage	$13,767.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,702.59
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,966.02
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,883.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

SUTURE LIGAMENT ANKLE,COLLAT

Facility

$45,892.50

Service Code	HCPCS 27695
Hospital Charge Code	16000213
Hospital Revenue Code	360
Min. Negotiated Rate	$6,883.88
Max. Negotiated Rate	$6,883.88
Rate for Payer: Qualcare PPO/HMO/WC	$6,883.88

SUTURE LIGAMENT ANKLE,COLLAT

Facility

$45,892.50

Service Code	HCPCS 27695
Hospital Charge Code	16000213
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,767.75
Rate for Payer: Aetna Medicare Advantage	$13,767.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,702.59
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,966.02
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,883.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

SUTURE LIN RETRIEVER MD 9893

Facility

$165.95

Hospital Charge Code	270611099
Hospital Revenue Code	272
Min. Negotiated Rate	$21.57
Max. Negotiated Rate	$82.97
Rate for Payer: Aetna Commercial	$49.78
Rate for Payer: Aetna Medicare Advantage	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.32
Rate for Payer: Cigna Commercial	$82.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.57
Rate for Payer: Oxford Commercial	$82.97
Rate for Payer: Qualcare PPO/HMO/WC	$24.89
Rate for Payer: UnitedHealthcare Commercial	$82.97

SUTURE LIN RETRIEVER MD 9893

Facility

$165.95

Hospital Charge Code	270611099
Hospital Revenue Code	272
Min. Negotiated Rate	$24.89
Max. Negotiated Rate	$24.89
Rate for Payer: Qualcare PPO/HMO/WC	$24.89

SUTURE MAX BRAID #2

Facility

$164.58

Hospital Charge Code	270656669
Hospital Revenue Code	272
Min. Negotiated Rate	$21.40
Max. Negotiated Rate	$82.29
Rate for Payer: Aetna Commercial	$49.37
Rate for Payer: Aetna Medicare Advantage	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.97
Rate for Payer: Cigna Commercial	$82.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.40
Rate for Payer: Oxford Commercial	$82.29
Rate for Payer: Qualcare PPO/HMO/WC	$24.69
Rate for Payer: UnitedHealthcare Commercial	$82.29

SUTURE MAX BRAID #2

Facility

$164.58

Hospital Charge Code	270656669
Hospital Revenue Code	272
Min. Negotiated Rate	$24.69
Max. Negotiated Rate	$24.69
Rate for Payer: Qualcare PPO/HMO/WC	$24.69

SUTURE MAXON 0 GR 60 GS25 LP

Facility

$17.49

Hospital Charge Code	270665487
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$8.74
Rate for Payer: Aetna Commercial	$5.25
Rate for Payer: Aetna Medicare Advantage	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.46
Rate for Payer: Cigna Commercial	$8.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.27
Rate for Payer: Oxford Commercial	$8.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.62
Rate for Payer: UnitedHealthcare Commercial	$8.74

SUTURE MAXON 0 GR 60 GS25 LP

Facility

$17.49

Hospital Charge Code	270665487
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.62

SUTURE MAXON 0 GS-21 T-12 1X30

Facility

$7.90

Hospital Charge Code	270655958
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.95
Rate for Payer: Aetna Commercial	$2.37
Rate for Payer: Aetna Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.01
Rate for Payer: Cigna Commercial	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$3.95

SUTURE MAXON 0 GS-21 T-12 1X30

Facility

$7.90

Hospital Charge Code	270655958
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SUTURE MAXON 0 GS-24 T25 GRN

Facility

$8.36

Hospital Charge Code	270656060
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

SUTURE MAXON 0 GS-24 T25 GRN

Facility

$8.36

Hospital Charge Code	270656060
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$4.18
Rate for Payer: Aetna Commercial	$2.51
Rate for Payer: Aetna Medicare Advantage	$2.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.13
Rate for Payer: Cigna Commercial	$4.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.09
Rate for Payer: Oxford Commercial	$4.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$4.18

SUTURE MAXON 0 HGU-46 TT20

Facility

$9.48

Hospital Charge Code	270660576
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$4.74
Rate for Payer: Aetna Commercial	$2.84
Rate for Payer: Aetna Medicare Advantage	$2.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.42
Rate for Payer: Cigna Commercial	$4.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.23
Rate for Payer: Oxford Commercial	$4.74
Rate for Payer: Qualcare PPO/HMO/WC	$1.42
Rate for Payer: UnitedHealthcare Commercial	$4.74

SUTURE MAXON 0 HGU-46 TT20

Facility

$9.48

Hospital Charge Code	270660576
Hospital Revenue Code	272
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$1.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.42

SUTURE MAXON 1 36 GRN CTX

Facility

$8.31

Hospital Charge Code	270656067
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

SUTURE MAXON 1 36 GRN CTX

Facility

$8.31

Hospital Charge Code	270656067
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$4.16
Rate for Payer: Aetna Commercial	$2.49
Rate for Payer: Aetna Medicare Advantage	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.12
Rate for Payer: Cigna Commercial	$4.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.08
Rate for Payer: Oxford Commercial	$4.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$4.16

SUTURE MAXON 1 96 GR GS26 LP

Facility

$121.20

Hospital Charge Code	270652994
Hospital Revenue Code	272
Min. Negotiated Rate	$18.18
Max. Negotiated Rate	$18.18
Rate for Payer: Qualcare PPO/HMO/WC	$18.18

SUTURE MAXON 1 96 GR GS26 LP

Facility

$121.20

Hospital Charge Code	270652994
Hospital Revenue Code	272
Min. Negotiated Rate	$15.76
Max. Negotiated Rate	$60.60
Rate for Payer: Aetna Commercial	$36.36
Rate for Payer: Aetna Medicare Advantage	$36.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.91
Rate for Payer: Cigna Commercial	$60.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.76
Rate for Payer: Oxford Commercial	$60.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.18
Rate for Payer: UnitedHealthcare Commercial	$60.60

SUTURE MAXON 1 GREEN 60 GS-26

Facility

$16.45

Hospital Charge Code	270656069
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

SUTURE MAXON 1 GREEN 60 GS-26

Facility

$16.45

Hospital Charge Code	270656069
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$8.22
Rate for Payer: Aetna Commercial	$4.93
Rate for Payer: Aetna Medicare Advantage	$4.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.19
Rate for Payer: Cigna Commercial	$8.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.14
Rate for Payer: Oxford Commercial	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$8.22

SUTURE MAXON 2/0 30 GRN T5

Facility

$7.96

Hospital Charge Code	270659477
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SUTURE MAXON 2/0 30 GRN T5

Facility

$7.96

Hospital Charge Code	270659477
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.98
Rate for Payer: Aetna Commercial	$2.39
Rate for Payer: Aetna Medicare Advantage	$2.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.03
Rate for Payer: Cigna Commercial	$3.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$3.98

Know your out-of-pocket cost for care.

All Charges