Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOSOF 4/0 18 BLK PC5

Facility

$141.08

Hospital Charge Code	270600779
Hospital Revenue Code	272
Min. Negotiated Rate	$21.16
Max. Negotiated Rate	$21.16
Rate for Payer: Qualcare PPO/HMO/WC	$21.16

SUTURE MONOSOF 4/0 18 BLK PC5

Facility

$141.08

Hospital Charge Code	270600779
Hospital Revenue Code	272
Min. Negotiated Rate	$18.34
Max. Negotiated Rate	$70.54
Rate for Payer: Aetna Commercial	$42.32
Rate for Payer: Aetna Medicare Advantage	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.98
Rate for Payer: Cigna Commercial	$70.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.34
Rate for Payer: Oxford Commercial	$70.54
Rate for Payer: Qualcare PPO/HMO/WC	$21.16
Rate for Payer: UnitedHealthcare Commercial	$70.54

SUTURE MONOSOF 4/0 30 BLK FSL

Facility

$5.87

Hospital Charge Code	270675690
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.88

SUTURE MONOSOF 4/0 30 BLK FSL

Facility

$5.87

Hospital Charge Code	270675690
Hospital Revenue Code	272
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$2.94
Rate for Payer: Aetna Commercial	$1.76
Rate for Payer: Aetna Medicare Advantage	$1.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.50
Rate for Payer: Cigna Commercial	$2.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.76
Rate for Payer: Oxford Commercial	$2.94
Rate for Payer: Qualcare PPO/HMO/WC	$0.88
Rate for Payer: UnitedHealthcare Commercial	$2.94

SUTURE MONOSOF 4/0 30 BLK SC2

Facility

$5.81

Hospital Charge Code	270675607
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

SUTURE MONOSOF 4/0 30 BLK SC2

Facility

$5.81

Hospital Charge Code	270675607
Hospital Revenue Code	272
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$2.90
Rate for Payer: Aetna Commercial	$1.74
Rate for Payer: Aetna Medicare Advantage	$1.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.48
Rate for Payer: Cigna Commercial	$2.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.76
Rate for Payer: Oxford Commercial	$2.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.87
Rate for Payer: UnitedHealthcare Commercial	$2.90

SUTURE MONOSOF 4-0 P-13 18

Facility

$13.39

Hospital Charge Code	270651312
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$6.70
Rate for Payer: Aetna Commercial	$4.02
Rate for Payer: Aetna Medicare Advantage	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.41
Rate for Payer: Cigna Commercial	$6.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.74
Rate for Payer: Oxford Commercial	$6.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.01
Rate for Payer: UnitedHealthcare Commercial	$6.70

SUTURE MONOSOF 4-0 P-13 18

Facility

$13.39

Hospital Charge Code	270651312
Hospital Revenue Code	272
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$2.01
Rate for Payer: Qualcare PPO/HMO/WC	$2.01

SUTURE MONOSOF 5/0 18 BLK P13

Facility

$34.72

Hospital Charge Code	270604513S
Hospital Revenue Code	272
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$5.21

SUTURE MONOSOF 5/0 18 BLK P13

Facility

$34.72

Hospital Charge Code	270604513
Hospital Revenue Code	272
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$5.21

SUTURE MONOSOF 5/0 18 BLK P13

Facility

$34.72

Hospital Charge Code	270604513S
Hospital Revenue Code	272
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$17.36
Rate for Payer: Aetna Commercial	$10.42
Rate for Payer: Aetna Medicare Advantage	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.85
Rate for Payer: Cigna Commercial	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.51
Rate for Payer: Oxford Commercial	$17.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.21
Rate for Payer: UnitedHealthcare Commercial	$17.36

SUTURE MONOSOF 5/0 18 BLK P13

Facility

$13.26

Hospital Charge Code	270604513N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$6.63
Rate for Payer: Aetna Commercial	$3.98
Rate for Payer: Aetna Medicare Advantage	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.38
Rate for Payer: Cigna Commercial	$6.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.72
Rate for Payer: Oxford Commercial	$6.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.99
Rate for Payer: UnitedHealthcare Commercial	$6.63

SUTURE MONOSOF 5/0 18 BLK P13

Facility

$13.26

Hospital Charge Code	270604513N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$1.99
Rate for Payer: Qualcare PPO/HMO/WC	$1.99

SUTURE MONOSOF 5/0 18 BLK P13

Facility

$34.72

Hospital Charge Code	270604513
Hospital Revenue Code	272
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$17.36
Rate for Payer: Aetna Commercial	$10.42
Rate for Payer: Aetna Medicare Advantage	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.85
Rate for Payer: Cigna Commercial	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.51
Rate for Payer: Oxford Commercial	$17.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.21
Rate for Payer: UnitedHealthcare Commercial	$17.36

SUTURE MONOSOF 5/0 18 BLK PC1

Facility

$13.82

Hospital Charge Code	270600775
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE MONOSOF 5/0 18 BLK PC1

Facility

$13.82

Hospital Charge Code	270600775
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$6.91
Rate for Payer: Aetna Commercial	$4.15
Rate for Payer: Aetna Medicare Advantage	$4.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.52
Rate for Payer: Cigna Commercial	$6.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$6.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$6.91

SUTURE MONOSOF 5/0 18 BLK PC5

Facility

$151.99

Hospital Charge Code	270604512
Hospital Revenue Code	272
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$76.00

SUTURE MONOSOF 5/0 18 BLK PC5

Facility

$151.99

Hospital Charge Code	270604512
Hospital Revenue Code	272
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

SUTURE MONOSOF 5/0 18 CLEAR

Facility

$13.72

Hospital Charge Code	270604517
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$6.86
Rate for Payer: Aetna Commercial	$4.12
Rate for Payer: Aetna Medicare Advantage	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.50
Rate for Payer: Cigna Commercial	$6.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.78
Rate for Payer: Oxford Commercial	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$6.86

SUTURE MONOSOF 5/0 18 CLEAR

Facility

$13.72

Hospital Charge Code	270604517
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

SUTURE MONOSOF 5/0 P-11

Facility

$4.35

Hospital Charge Code	270655358
Hospital Revenue Code	272
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$2.17
Rate for Payer: Aetna Commercial	$1.30
Rate for Payer: Aetna Medicare Advantage	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.11
Rate for Payer: Cigna Commercial	$2.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.57
Rate for Payer: Oxford Commercial	$2.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.65
Rate for Payer: UnitedHealthcare Commercial	$2.17

SUTURE MONOSOF 5/0 P-11

Facility

$4.35

Hospital Charge Code	270655358
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.65

SUTURE MONOSOF 6/0 18 BLK P10

Facility

$13.21

Hospital Charge Code	270617478
Hospital Revenue Code	272
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$6.61
Rate for Payer: Aetna Commercial	$3.96
Rate for Payer: Aetna Medicare Advantage	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.37
Rate for Payer: Cigna Commercial	$6.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.72
Rate for Payer: Oxford Commercial	$6.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.98
Rate for Payer: UnitedHealthcare Commercial	$6.61

SUTURE MONOSOF 6/0 18 BLK P10

Facility

$13.21

Hospital Charge Code	270617478
Hospital Revenue Code	272
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

SUTURE MONOSOF 6/0 18 BLK P13

Facility

$47.20

Hospital Charge Code	270651310
Hospital Revenue Code	272
Min. Negotiated Rate	$6.14
Max. Negotiated Rate	$23.60
Rate for Payer: Aetna Commercial	$14.16
Rate for Payer: Aetna Medicare Advantage	$14.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.04
Rate for Payer: Cigna Commercial	$23.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.14
Rate for Payer: Oxford Commercial	$23.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.08
Rate for Payer: UnitedHealthcare Commercial	$23.60

Know your out-of-pocket cost for care.

All Charges