Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOCRYL SH SIZE 2-0 X

Facility

$29.60

Hospital Charge Code	270667544
Hospital Revenue Code	272
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$4.44
Rate for Payer: Qualcare PPO/HMO/WC	$4.44

SUTURE MONOCRYL SH SIZE 2-0 X

Facility

$29.60

Hospital Charge Code	270667544
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.80
Rate for Payer: Aetna Commercial	$8.88
Rate for Payer: Aetna Medicare Advantage	$8.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.55
Rate for Payer: Cigna Commercial	$14.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.44
Rate for Payer: UnitedHealthcare Commercial	$14.80

SUTURE MONODERM 0 14x14CM

Facility

$71.20

Hospital Charge Code	270678169
Hospital Revenue Code	272
Min. Negotiated Rate	$10.68
Max. Negotiated Rate	$10.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.68

SUTURE MONODERM 0 14x14CM

Facility

$71.20

Hospital Charge Code	270678169
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.60
Rate for Payer: Aetna Commercial	$21.36
Rate for Payer: Aetna Medicare Advantage	$21.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.16
Rate for Payer: Cigna Commercial	$35.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.60
Rate for Payer: Qualcare PPO/HMO/WC	$10.68
Rate for Payer: UnitedHealthcare Commercial	$35.60

SUTURE MONODERM 0 36CMX36CM

Facility

$113.33

Hospital Charge Code	270668404
Hospital Revenue Code	272
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$56.66
Rate for Payer: Aetna Commercial	$34.00
Rate for Payer: Aetna Medicare Advantage	$34.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.90
Rate for Payer: Cigna Commercial	$56.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.73
Rate for Payer: Oxford Commercial	$56.66
Rate for Payer: Qualcare PPO/HMO/WC	$17.00
Rate for Payer: UnitedHealthcare Commercial	$56.66

SUTURE MONODERM 0 36CMX36CM

Facility

$113.33

Hospital Charge Code	270668404
Hospital Revenue Code	272
Min. Negotiated Rate	$17.00
Max. Negotiated Rate	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.00

SUTURE MONODERM 2-0 14CMX14CM

Facility

$71.20

Hospital Charge Code	270668403
Hospital Revenue Code	272
Min. Negotiated Rate	$10.68
Max. Negotiated Rate	$10.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.68

SUTURE MONODERM 2-0 14CMX14CM

Facility

$71.20

Hospital Charge Code	270668403
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.60
Rate for Payer: Aetna Commercial	$21.36
Rate for Payer: Aetna Medicare Advantage	$21.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.16
Rate for Payer: Cigna Commercial	$35.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.60
Rate for Payer: Qualcare PPO/HMO/WC	$10.68
Rate for Payer: UnitedHealthcare Commercial	$35.60

SUTURE MONODERM 2-0 30CMX30CM

Facility

$97.14

Hospital Charge Code	270668402
Hospital Revenue Code	272
Min. Negotiated Rate	$14.57
Max. Negotiated Rate	$14.57
Rate for Payer: Qualcare PPO/HMO/WC	$14.57

SUTURE MONODERM 2-0 30CMX30CM

Facility

$97.14

Hospital Charge Code	270668402
Hospital Revenue Code	272
Min. Negotiated Rate	$12.63
Max. Negotiated Rate	$48.57
Rate for Payer: Aetna Commercial	$29.14
Rate for Payer: Aetna Medicare Advantage	$29.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.77
Rate for Payer: Cigna Commercial	$48.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.63
Rate for Payer: Oxford Commercial	$48.57
Rate for Payer: Qualcare PPO/HMO/WC	$14.57
Rate for Payer: UnitedHealthcare Commercial	$48.57

SUTURE MONOSOF 10/0 5 BLACK

Facility

$74.92

Hospital Charge Code	270653854
Hospital Revenue Code	272
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$11.24
Rate for Payer: Qualcare PPO/HMO/WC	$11.24

SUTURE MONOSOF 10/0 5 BLACK

Facility

$74.92

Hospital Charge Code	270653854
Hospital Revenue Code	272
Min. Negotiated Rate	$9.74
Max. Negotiated Rate	$37.46
Rate for Payer: Aetna Commercial	$22.48
Rate for Payer: Aetna Medicare Advantage	$22.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.10
Rate for Payer: Cigna Commercial	$37.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: Oxford Commercial	$37.46
Rate for Payer: Qualcare PPO/HMO/WC	$11.24
Rate for Payer: UnitedHealthcare Commercial	$37.46

SUTURE MONOSOF 10-0 BLACK

Facility

$110.42

Hospital Charge Code	270651166
Hospital Revenue Code	272
Min. Negotiated Rate	$16.56
Max. Negotiated Rate	$16.56
Rate for Payer: Qualcare PPO/HMO/WC	$16.56

SUTURE MONOSOF 10-0 BLACK

Facility

$110.42

Hospital Charge Code	270651166
Hospital Revenue Code	272
Min. Negotiated Rate	$14.35
Max. Negotiated Rate	$55.21
Rate for Payer: Aetna Commercial	$33.13
Rate for Payer: Aetna Medicare Advantage	$33.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.16
Rate for Payer: Cigna Commercial	$55.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.35
Rate for Payer: Oxford Commercial	$55.21
Rate for Payer: Qualcare PPO/HMO/WC	$16.56
Rate for Payer: UnitedHealthcare Commercial	$55.21

SUTURE MONOSOF 1-0 BLACK

Facility

$181.54

Hospital Charge Code	270651162
Hospital Revenue Code	272
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$27.23

SUTURE MONOSOF 1-0 BLACK

Facility

$181.54

Hospital Charge Code	270651162
Hospital Revenue Code	272
Min. Negotiated Rate	$23.60
Max. Negotiated Rate	$90.77
Rate for Payer: Aetna Commercial	$54.46
Rate for Payer: Aetna Medicare Advantage	$54.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.29
Rate for Payer: Cigna Commercial	$90.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.60
Rate for Payer: Oxford Commercial	$90.77
Rate for Payer: Qualcare PPO/HMO/WC	$27.23
Rate for Payer: UnitedHealthcare Commercial	$90.77

SUTURE MONOSOF 2/0 18 BLK

Facility

$6.33

Hospital Charge Code	270656161
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.95

SUTURE MONOSOF 2/0 18 BLK

Facility

$6.33

Hospital Charge Code	270656161
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$3.17
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.61
Rate for Payer: Cigna Commercial	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.82
Rate for Payer: Oxford Commercial	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.95
Rate for Payer: UnitedHealthcare Commercial	$3.17

SUTURE MONOSOF 2/0 18 BLK PC5

Facility

$12.60

Hospital Charge Code	270661184
Hospital Revenue Code	272
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$6.30
Rate for Payer: Aetna Commercial	$3.78
Rate for Payer: Aetna Medicare Advantage	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.21
Rate for Payer: Cigna Commercial	$6.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.64
Rate for Payer: Oxford Commercial	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.89
Rate for Payer: UnitedHealthcare Commercial	$6.30

SUTURE MONOSOF 2/0 18 BLK PC5

Facility

$12.60

Hospital Charge Code	270661184N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$6.30
Rate for Payer: Aetna Commercial	$3.78
Rate for Payer: Aetna Medicare Advantage	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.21
Rate for Payer: Cigna Commercial	$6.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.64
Rate for Payer: Oxford Commercial	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.89
Rate for Payer: UnitedHealthcare Commercial	$6.30

SUTURE MONOSOF 2/0 18 BLK PC5

Facility

$12.60

Hospital Charge Code	270661184
Hospital Revenue Code	272
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$1.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.89

SUTURE MONOSOF 2/0 18 BLK PC5

Facility

$12.60

Hospital Charge Code	270661184N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$1.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.89

SUTURE MONOSOF 2 18 BLK GS18

Facility

$12.65

Hospital Charge Code	270656029
Hospital Revenue Code	272
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$1.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.90

SUTURE MONOSOF 2 18 BLK GS18

Facility

$12.65

Hospital Charge Code	270656029
Hospital Revenue Code	272
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$6.33
Rate for Payer: Aetna Commercial	$3.79
Rate for Payer: Aetna Medicare Advantage	$3.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.23
Rate for Payer: Cigna Commercial	$6.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.64
Rate for Payer: Oxford Commercial	$6.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.90
Rate for Payer: UnitedHealthcare Commercial	$6.33

SUTURE MONOSOF 2 30 BLK GS18

Facility

$13.62

Hospital Charge Code	270604508
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.81
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
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	$6.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.04
Rate for Payer: UnitedHealthcare Commercial	$6.81

Know your out-of-pocket cost for care.

All Charges