Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MCV PGS 0 TC43 80-3248

Facility

$119.25

Hospital Charge Code	270616785
Hospital Revenue Code	272
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$59.62
Rate for Payer: Aetna Commercial	$35.77
Rate for Payer: Aetna Medicare Advantage	$35.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.41
Rate for Payer: Cigna Commercial	$59.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.50
Rate for Payer: Oxford Commercial	$59.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$59.62

SUTURE MERSELINE 3-0 BP

Facility

$992.70

Hospital Charge Code	270655931
Hospital Revenue Code	272
Min. Negotiated Rate	$148.91
Max. Negotiated Rate	$148.91
Rate for Payer: Qualcare PPO/HMO/WC	$148.91

SUTURE MERSELINE 3-0 BP

Facility

$992.70

Hospital Charge Code	270655931
Hospital Revenue Code	272
Min. Negotiated Rate	$129.05
Max. Negotiated Rate	$496.35
Rate for Payer: Aetna Commercial	$297.81
Rate for Payer: Aetna Medicare Advantage	$297.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.14
Rate for Payer: Cigna Commercial	$496.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.05
Rate for Payer: Oxford Commercial	$496.35
Rate for Payer: Qualcare PPO/HMO/WC	$148.91
Rate for Payer: UnitedHealthcare Commercial	$496.35

SUTURE MERSELINE 5-0 P-3

Facility

$20.62

Hospital Charge Code	270655806
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$10.31
Rate for Payer: Aetna Commercial	$6.19
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$10.31
Rate for Payer: Qualcare PPO/HMO/WC	$3.09
Rate for Payer: UnitedHealthcare Commercial	$10.31

SUTURE MERSELINE 5-0 P-3

Facility

$20.62

Hospital Charge Code	270655806
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

SUTURE MERSELINE 5/0 P-3

Facility

$15.41

Hospital Charge Code	270658814
Hospital Revenue Code	272
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$7.71
Rate for Payer: Aetna Commercial	$4.62
Rate for Payer: Aetna Medicare Advantage	$4.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.93
Rate for Payer: Cigna Commercial	$7.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.00
Rate for Payer: Oxford Commercial	$7.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.31
Rate for Payer: UnitedHealthcare Commercial	$7.71

SUTURE MERSELINE 5/0 P-3

Facility

$15.41

Hospital Charge Code	270658814
Hospital Revenue Code	272
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$2.31

SUTURE MERSILENE 10-0 CS160-6

Facility

$119.09

Hospital Charge Code	270681830
Hospital Revenue Code	272
Min. Negotiated Rate	$15.48
Max. Negotiated Rate	$59.55
Rate for Payer: Aetna Commercial	$35.73
Rate for Payer: Aetna Medicare Advantage	$35.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.37
Rate for Payer: Cigna Commercial	$59.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.48
Rate for Payer: Oxford Commercial	$59.55
Rate for Payer: Qualcare PPO/HMO/WC	$17.86
Rate for Payer: UnitedHealthcare Commercial	$59.55

SUTURE MERSILENE 10-0 CS160-6

Facility

$119.09

Hospital Charge Code	270681830
Hospital Revenue Code	272
Min. Negotiated Rate	$17.86
Max. Negotiated Rate	$17.86
Rate for Payer: Qualcare PPO/HMO/WC	$17.86

SUTURE MERSILENE 11-0 TG160-4

Facility

$136.78

Hospital Charge Code	270681832
Hospital Revenue Code	272
Min. Negotiated Rate	$17.78
Max. Negotiated Rate	$68.39
Rate for Payer: Aetna Commercial	$41.03
Rate for Payer: Aetna Medicare Advantage	$41.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.88
Rate for Payer: Cigna Commercial	$68.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.78
Rate for Payer: Oxford Commercial	$68.39
Rate for Payer: Qualcare PPO/HMO/WC	$20.52
Rate for Payer: UnitedHealthcare Commercial	$68.39

SUTURE MERSILENE 11-0 TG160-4

Facility

$136.78

Hospital Charge Code	270681832
Hospital Revenue Code	272
Min. Negotiated Rate	$20.52
Max. Negotiated Rate	$20.52
Rate for Payer: Qualcare PPO/HMO/WC	$20.52

SUTURE MICRO LASSO STRAIGHT

Facility

$700.00

Hospital Charge Code	270671285
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SUTURE MICRO LASSO STRAIGHT

Facility

$700.00

Hospital Charge Code	270671285
Hospital Revenue Code	272
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$350.00

SUTURE MINITAPE BLUE 39.5MM

Facility

$601.20

Hospital Charge Code	270687540
Hospital Revenue Code	272
Min. Negotiated Rate	$78.16
Max. Negotiated Rate	$300.60
Rate for Payer: Aetna Commercial	$180.36
Rate for Payer: Aetna Medicare Advantage	$180.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.31
Rate for Payer: Cigna Commercial	$300.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.16
Rate for Payer: Oxford Commercial	$300.60
Rate for Payer: Qualcare PPO/HMO/WC	$90.18
Rate for Payer: UnitedHealthcare Commercial	$300.60

SUTURE MINITAPE BLUE 39.5MM

Facility

$601.20

Hospital Charge Code	270687540
Hospital Revenue Code	272
Min. Negotiated Rate	$90.18
Max. Negotiated Rate	$90.18
Rate for Payer: Qualcare PPO/HMO/WC	$90.18

SUTURE MINITAPE ULTRALOOP NO.2

Facility

$941.80

Hospital Charge Code	270696203
Hospital Revenue Code	272
Min. Negotiated Rate	$141.27
Max. Negotiated Rate	$141.27
Rate for Payer: Qualcare PPO/HMO/WC	$141.27

SUTURE MINITAPE ULTRALOOP NO.2

Facility

$941.80

Hospital Charge Code	270696203
Hospital Revenue Code	272
Min. Negotiated Rate	$122.43
Max. Negotiated Rate	$470.90
Rate for Payer: Aetna Commercial	$282.54
Rate for Payer: Aetna Medicare Advantage	$282.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.16
Rate for Payer: Cigna Commercial	$470.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.43
Rate for Payer: Oxford Commercial	$470.90
Rate for Payer: Qualcare PPO/HMO/WC	$141.27
Rate for Payer: UnitedHealthcare Commercial	$470.90

SUTURE MOMCRYL 4-0 PC12 18IN

Facility

$27.05

Hospital Charge Code	270681805
Hospital Revenue Code	272
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$13.53
Rate for Payer: Aetna Commercial	$8.12
Rate for Payer: Aetna Medicare Advantage	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.90
Rate for Payer: Cigna Commercial	$13.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.52
Rate for Payer: Oxford Commercial	$13.53
Rate for Payer: Qualcare PPO/HMO/WC	$4.06
Rate for Payer: UnitedHealthcare Commercial	$13.53

SUTURE MOMCRYL 4-0 PC12 18IN

Facility

$27.05

Hospital Charge Code	270681805
Hospital Revenue Code	272
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$4.06
Rate for Payer: Qualcare PPO/HMO/WC	$4.06

SUTURE MONCRYL 2-0 CT-1

Facility

$11.00

Hospital Charge Code	270671530
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$3.30
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.50

SUTURE MONCRYL 2-0 CT-1

Facility

$11.00

Hospital Charge Code	270671530
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

SUTURE MONCRYL 4-0 PC-3

Facility

$26.40

Hospital Charge Code	270671529
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$13.20
Rate for Payer: Aetna Commercial	$7.92
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.43
Rate for Payer: Oxford Commercial	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.96
Rate for Payer: UnitedHealthcare Commercial	$13.20

SUTURE MONCRYL 4-0 PC-3

Facility

$26.40

Hospital Charge Code	270671529
Hospital Revenue Code	272
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

SUTURE MONOCRYL 0 CT

Facility

$10.80

Hospital Charge Code	270675260
Hospital Revenue Code	272
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$5.40
Rate for Payer: Aetna Commercial	$3.24
Rate for Payer: Aetna Medicare Advantage	$3.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.75
Rate for Payer: Cigna Commercial	$5.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.40
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.62
Rate for Payer: UnitedHealthcare Commercial	$5.40

SUTURE MONOCRYL 0 CT

Facility

$10.80

Hospital Charge Code	270675260
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.62

Know your out-of-pocket cost for care.

All Charges