Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOCRYL 4-0 PS0-2 70 C

Facility

$93.84

Hospital Charge Code	270681811
Hospital Revenue Code	272
Min. Negotiated Rate	$12.20
Max. Negotiated Rate	$46.92
Rate for Payer: Aetna Commercial	$28.15
Rate for Payer: Aetna Medicare Advantage	$28.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.93
Rate for Payer: Cigna Commercial	$46.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.20
Rate for Payer: Oxford Commercial	$46.92
Rate for Payer: Qualcare PPO/HMO/WC	$14.08
Rate for Payer: UnitedHealthcare Commercial	$46.92

SUTURE MONOCRYL 4-0 PS0-2 70 C

Facility

$93.84

Hospital Charge Code	270681811
Hospital Revenue Code	272
Min. Negotiated Rate	$14.08
Max. Negotiated Rate	$14.08
Rate for Payer: Qualcare PPO/HMO/WC	$14.08

SUTURE MONOCRYL 4-0 PS-1

Facility

$32.32

Hospital Charge Code	270677188
Hospital Revenue Code	272
Min. Negotiated Rate	$4.85
Max. Negotiated Rate	$4.85
Rate for Payer: Qualcare PPO/HMO/WC	$4.85

SUTURE MONOCRYL 4-0 PS-1

Facility

$32.32

Hospital Charge Code	270677188
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$16.16
Rate for Payer: Aetna Commercial	$9.70
Rate for Payer: Aetna Medicare Advantage	$9.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.24
Rate for Payer: Cigna Commercial	$16.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.20
Rate for Payer: Oxford Commercial	$16.16
Rate for Payer: Qualcare PPO/HMO/WC	$4.85
Rate for Payer: UnitedHealthcare Commercial	$16.16

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.36

Hospital Charge Code	270663647
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$3.95
Rate for Payer: Qualcare PPO/HMO/WC	$3.95

SUTURE MONOCRYL 4-0 PS-2

Facility

$31.09

Hospital Charge Code	270643910
Hospital Revenue Code	272
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$15.54
Rate for Payer: Aetna Commercial	$9.33
Rate for Payer: Aetna Medicare Advantage	$9.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.93
Rate for Payer: Cigna Commercial	$15.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.04
Rate for Payer: Oxford Commercial	$15.54
Rate for Payer: Qualcare PPO/HMO/WC	$4.66
Rate for Payer: UnitedHealthcare Commercial	$15.54

SUTURE MONOCRYL 4-0 PS-2

Facility

$27.42

Hospital Charge Code	270646082
Hospital Revenue Code	272
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$13.71
Rate for Payer: Aetna Commercial	$8.23
Rate for Payer: Aetna Medicare Advantage	$8.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.99
Rate for Payer: Cigna Commercial	$13.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.56
Rate for Payer: Oxford Commercial	$13.71
Rate for Payer: Qualcare PPO/HMO/WC	$4.11
Rate for Payer: UnitedHealthcare Commercial	$13.71

SUTURE MONOCRYL 4-0 PS-2

Facility

$31.09

Hospital Charge Code	270643910
Hospital Revenue Code	272
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$4.66
Rate for Payer: Qualcare PPO/HMO/WC	$4.66

SUTURE MONOCRYL 4-0 PS-2

Facility

$27.42

Hospital Charge Code	270646082
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$4.11
Rate for Payer: Qualcare PPO/HMO/WC	$4.11

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.15

Hospital Charge Code	270663647N
Hospital Revenue Code	272
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$13.07
Rate for Payer: Aetna Commercial	$7.84
Rate for Payer: Aetna Medicare Advantage	$7.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.67
Rate for Payer: Cigna Commercial	$13.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.40
Rate for Payer: Oxford Commercial	$13.07
Rate for Payer: Qualcare PPO/HMO/WC	$3.92
Rate for Payer: UnitedHealthcare Commercial	$13.07

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.15

Hospital Charge Code	270663647N
Hospital Revenue Code	272
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$3.92

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.36

Hospital Charge Code	270663647
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$13.18
Rate for Payer: Aetna Commercial	$7.91
Rate for Payer: Aetna Medicare Advantage	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.72
Rate for Payer: Cigna Commercial	$13.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.43
Rate for Payer: Oxford Commercial	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.95
Rate for Payer: UnitedHealthcare Commercial	$13.18

SUTURE MONOCRYL 4-0 PS-2

Facility

$23.95

Hospital Charge Code	270661967
Hospital Revenue Code	272
Min. Negotiated Rate	$3.59
Max. Negotiated Rate	$3.59
Rate for Payer: Qualcare PPO/HMO/WC	$3.59

SUTURE MONOCRYL 4-0 PS-2

Facility

$23.95

Hospital Charge Code	270661967
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$11.97
Rate for Payer: Aetna Commercial	$7.18
Rate for Payer: Aetna Medicare Advantage	$7.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.11
Rate for Payer: Cigna Commercial	$11.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.11
Rate for Payer: Oxford Commercial	$11.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.59
Rate for Payer: UnitedHealthcare Commercial	$11.97

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.36

Hospital Charge Code	270663647S
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$13.18
Rate for Payer: Aetna Commercial	$7.91
Rate for Payer: Aetna Medicare Advantage	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.72
Rate for Payer: Cigna Commercial	$13.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.43
Rate for Payer: Oxford Commercial	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.95
Rate for Payer: UnitedHealthcare Commercial	$13.18

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.36

Hospital Charge Code	270663647S
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$3.95
Rate for Payer: Qualcare PPO/HMO/WC	$3.95

SUTURE MONOCRYL 4-0 PS-2 40CM

Facility

$145.59

Hospital Charge Code	270681810
Hospital Revenue Code	272
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$21.84

SUTURE MONOCRYL 4-0 PS-2 40CM

Facility

$145.59

Hospital Charge Code	270681810
Hospital Revenue Code	272
Min. Negotiated Rate	$18.93
Max. Negotiated Rate	$72.80
Rate for Payer: Aetna Commercial	$43.68
Rate for Payer: Aetna Medicare Advantage	$43.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.13
Rate for Payer: Cigna Commercial	$72.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.93
Rate for Payer: Oxford Commercial	$72.80
Rate for Payer: Qualcare PPO/HMO/WC	$21.84
Rate for Payer: UnitedHealthcare Commercial	$72.80

SUTURE MONOCRYL 4-0 RB-1

Facility

$10.46

Hospital Charge Code	270671517
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

SUTURE MONOCRYL 4-0 RB-1

Facility

$10.46

Hospital Charge Code	270671517
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.23
Rate for Payer: Aetna Commercial	$3.14
Rate for Payer: Aetna Medicare Advantage	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.67
Rate for Payer: Cigna Commercial	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.23

SUTURE MONOCRYL 4-0 RB-1

Facility

$11.08

Hospital Charge Code	270672603
Hospital Revenue Code	272
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$5.54
Rate for Payer: Aetna Commercial	$3.32
Rate for Payer: Aetna Medicare Advantage	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.83
Rate for Payer: Cigna Commercial	$5.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.44
Rate for Payer: Oxford Commercial	$5.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.66
Rate for Payer: UnitedHealthcare Commercial	$5.54

SUTURE MONOCRYL 4-0 RB-1

Facility

$11.08

Hospital Charge Code	270672603
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$1.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.66

SUTURE MONOCRYL 4-0 SH

Facility

$9.91

Hospital Charge Code	270671520
Hospital Revenue Code	272
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$1.49
Rate for Payer: Qualcare PPO/HMO/WC	$1.49

SUTURE MONOCRYL 4-0 SH

Facility

$9.91

Hospital Charge Code	270671520
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$4.96
Rate for Payer: Aetna Commercial	$2.97
Rate for Payer: Aetna Medicare Advantage	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.53
Rate for Payer: Cigna Commercial	$4.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.29
Rate for Payer: Oxford Commercial	$4.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.49
Rate for Payer: UnitedHealthcare Commercial	$4.96

SUTURE MONOCRYL 4-0 V-20

Facility

$10.73

Hospital Charge Code	270672368
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$1.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.61

Know your out-of-pocket cost for care.

All Charges