Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOCRYL 0 CT-1

Facility

$17.20

Hospital Charge Code	270655744
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.58

SUTURE MONOCRYL 0 CT-1

Facility

$11.79

Hospital Charge Code	270671519
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.77

SUTURE MONOCRYL 0 CT-1

Facility

$11.66

Hospital Charge Code	270672362
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$5.83
Rate for Payer: Aetna Commercial	$3.50
Rate for Payer: Aetna Medicare Advantage	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.97
Rate for Payer: Cigna Commercial	$5.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.52
Rate for Payer: Oxford Commercial	$5.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.75
Rate for Payer: UnitedHealthcare Commercial	$5.83

SUTURE MONOCRYL 0 CT-1

Facility

$17.20

Hospital Charge Code	270655744
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$8.60
Rate for Payer: Aetna Commercial	$5.16
Rate for Payer: Aetna Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.39
Rate for Payer: Cigna Commercial	$8.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.24
Rate for Payer: Oxford Commercial	$8.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.58
Rate for Payer: UnitedHealthcare Commercial	$8.60

SUTURE MONOCRYL 0 CT-1

Facility

$11.79

Hospital Charge Code	270671519
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$5.89
Rate for Payer: Aetna Commercial	$3.54
Rate for Payer: Aetna Medicare Advantage	$3.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.01
Rate for Payer: Cigna Commercial	$5.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.53
Rate for Payer: Oxford Commercial	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.77
Rate for Payer: UnitedHealthcare Commercial	$5.89

SUTURE MONOCRYL 0 CT-1

Facility

$11.66

Hospital Charge Code	270672362
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.75

SUTURE MONOCRYL 0 CTX

Facility

$11.70

Hospital Charge Code	270675261
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.75

SUTURE MONOCRYL 0 CTX

Facility

$11.70

Hospital Charge Code	270675261
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$5.85
Rate for Payer: Aetna Commercial	$3.51
Rate for Payer: Aetna Medicare Advantage	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.98
Rate for Payer: Cigna Commercial	$5.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.52
Rate for Payer: Oxford Commercial	$5.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.75
Rate for Payer: UnitedHealthcare Commercial	$5.85

SUTURE MONOCRYL 0 CTXB

Facility

$13.61

Hospital Charge Code	270670986
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.80
Rate for Payer: Aetna Commercial	$4.08
Rate for Payer: Aetna Medicare Advantage	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.47
Rate for Payer: Cigna Commercial	$6.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.04
Rate for Payer: UnitedHealthcare Commercial	$6.80

SUTURE MONOCRYL 0 CTXB

Facility

$13.61

Hospital Charge Code	270670986
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Qualcare PPO/HMO/WC	$2.04

SUTURE MONOCRYL 2-0 CT-1

Facility

$56.88

Hospital Charge Code	270671352
Hospital Revenue Code	272
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$8.53
Rate for Payer: Qualcare PPO/HMO/WC	$8.53

SUTURE MONOCRYL 2-0 CT-1

Facility

$56.88

Hospital Charge Code	270671352
Hospital Revenue Code	272
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$28.44
Rate for Payer: Aetna Commercial	$17.06
Rate for Payer: Aetna Medicare Advantage	$17.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.50
Rate for Payer: Cigna Commercial	$28.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.39
Rate for Payer: Oxford Commercial	$28.44
Rate for Payer: Qualcare PPO/HMO/WC	$8.53
Rate for Payer: UnitedHealthcare Commercial	$28.44

SUTURE MONOCRYL 2-0 SH

Facility

$9.83

Hospital Charge Code	270671522
Hospital Revenue Code	272
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$4.92
Rate for Payer: Aetna Commercial	$2.95
Rate for Payer: Aetna Medicare Advantage	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.51
Rate for Payer: Cigna Commercial	$4.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.28
Rate for Payer: Oxford Commercial	$4.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.47
Rate for Payer: UnitedHealthcare Commercial	$4.92

SUTURE MONOCRYL 2-0 SH

Facility

$9.83

Hospital Charge Code	270671522
Hospital Revenue Code	272
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Qualcare PPO/HMO/WC	$1.47

SUTURE MONOCRYL 2-0 UR-5

Facility

$12.12

Hospital Charge Code	270618020
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$1.82
Rate for Payer: Qualcare PPO/HMO/WC	$1.82

SUTURE MONOCRYL 2-0 UR-5

Facility

$12.12

Hospital Charge Code	270618020
Hospital Revenue Code	272
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$6.06
Rate for Payer: Aetna Commercial	$3.64
Rate for Payer: Aetna Medicare Advantage	$3.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.58
Rate for Payer: Oxford Commercial	$6.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.82
Rate for Payer: UnitedHealthcare Commercial	$6.06

SUTURE MONOCRYL 2-0 UR-6

Facility

$12.07

Hospital Charge Code	270671528
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.04
Rate for Payer: Aetna Commercial	$3.62
Rate for Payer: Aetna Medicare Advantage	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.08
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.04
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.04

SUTURE MONOCRYL 2-0 UR-6

Facility

$12.07

Hospital Charge Code	270671528
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

SUTURE MONOCRYL 2-0 V-20

Facility

$10.85

Hospital Charge Code	270672143
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$1.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.63

SUTURE MONOCRYL 2-0 V-20

Facility

$10.85

Hospital Charge Code	270672143
Hospital Revenue Code	272
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$5.42
Rate for Payer: Aetna Commercial	$3.25
Rate for Payer: Aetna Medicare Advantage	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.77
Rate for Payer: Cigna Commercial	$5.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.41
Rate for Payer: Oxford Commercial	$5.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.63
Rate for Payer: UnitedHealthcare Commercial	$5.42

SUTURE MONOCRYL 2-1 UR-6

Facility

$12.79

Hospital Charge Code	270672364
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$6.39
Rate for Payer: Aetna Commercial	$3.84
Rate for Payer: Aetna Medicare Advantage	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.26
Rate for Payer: Cigna Commercial	$6.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.66
Rate for Payer: Oxford Commercial	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.92
Rate for Payer: UnitedHealthcare Commercial	$6.39

SUTURE MONOCRYL 2-1 UR-6

Facility

$12.79

Hospital Charge Code	270672364
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.92

SUTURE MONOCRYL 3-0 CT-1

Facility

$11.93

Hospital Charge Code	270671518
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$5.96
Rate for Payer: Aetna Commercial	$3.58
Rate for Payer: Aetna Medicare Advantage	$3.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.04
Rate for Payer: Cigna Commercial	$5.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.55
Rate for Payer: Oxford Commercial	$5.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.79
Rate for Payer: UnitedHealthcare Commercial	$5.96

SUTURE MONOCRYL 3-0 CT-1

Facility

$11.79

Hospital Charge Code	270672888
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$5.89
Rate for Payer: Aetna Commercial	$3.54
Rate for Payer: Aetna Medicare Advantage	$3.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.01
Rate for Payer: Cigna Commercial	$5.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.53
Rate for Payer: Oxford Commercial	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.77
Rate for Payer: UnitedHealthcare Commercial	$5.89

SUTURE MONOCRYL 3-0 CT-1

Facility

$11.93

Hospital Charge Code	270671518
Hospital Revenue Code	272
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$1.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.79

Know your out-of-pocket cost for care.

All Charges