Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOSOF P13 6-0

Facility

$12.51

Hospital Charge Code	270604514
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

SUTURE MONOSOF P13 6-0

Facility

$12.51

Hospital Charge Code	270604514
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$6.25
Rate for Payer: Aetna Commercial	$3.75
Rate for Payer: Aetna Medicare Advantage	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.63
Rate for Payer: Oxford Commercial	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$6.25

SUTURE MONOSOF P16 7-0

Facility

$29.65

Hospital Charge Code	270600772
Hospital Revenue Code	272
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

SUTURE MONOSOF P16 7-0

Facility

$29.65

Hospital Charge Code	270600772
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$14.82

SUTURE MONOSOF PC-11 5-0

Facility

$16.68

Hospital Charge Code	270600777
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$8.34
Rate for Payer: Aetna Commercial	$5.00
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.25
Rate for Payer: Cigna Commercial	$8.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.50
Rate for Payer: UnitedHealthcare Commercial	$8.34

SUTURE MONOSOF PC-11 5-0

Facility

$16.68

Hospital Charge Code	270600777
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.50

SUTURE MONOSOF PC12 5-0

Facility

$26.45

Hospital Charge Code	270600776
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$7.93
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.22

SUTURE MONOSOF PC12 5-0

Facility

$26.45

Hospital Charge Code	270600776
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

SUTURE MONOSOF PC13 4-0

Facility

$33.65

Hospital Charge Code	270600778
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

SUTURE MONOSOF PC13 4-0

Facility

$33.65

Hospital Charge Code	270600778
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

SUTURE MONOSOF SE1606 10-0

Facility

$164.85

Hospital Charge Code	270604519
Hospital Revenue Code	272
Min. Negotiated Rate	$24.73
Max. Negotiated Rate	$24.73
Rate for Payer: Qualcare PPO/HMO/WC	$24.73

SUTURE MONOSOF SE1606 10-0

Facility

$164.85

Hospital Charge Code	270604519
Hospital Revenue Code	272
Min. Negotiated Rate	$21.43
Max. Negotiated Rate	$82.42
Rate for Payer: Aetna Commercial	$49.45
Rate for Payer: Aetna Medicare Advantage	$49.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.04
Rate for Payer: Cigna Commercial	$82.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.43
Rate for Payer: Oxford Commercial	$82.42
Rate for Payer: Qualcare PPO/HMO/WC	$24.73
Rate for Payer: UnitedHealthcare Commercial	$82.42

SUTURE MONOSOF SE1758 8-0

Facility

$124.85

Hospital Charge Code	270604697
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

SUTURE MONOSOF SE1758 8-0

Facility

$124.85

Hospital Charge Code	270604697
Hospital Revenue Code	272
Min. Negotiated Rate	$16.23
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$37.45
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.23
Rate for Payer: Oxford Commercial	$62.42
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$62.42

SUTURE MONOSOFT 2-0 BLACK 18

Facility

$39.61

Hospital Charge Code	270651309
Hospital Revenue Code	272
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$5.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.94

SUTURE MONOSOFT 2-0 BLACK 18

Facility

$39.61

Hospital Charge Code	270651309
Hospital Revenue Code	272
Min. Negotiated Rate	$5.15
Max. Negotiated Rate	$19.80
Rate for Payer: Aetna Commercial	$11.88
Rate for Payer: Aetna Medicare Advantage	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.10
Rate for Payer: Cigna Commercial	$19.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.15
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.94
Rate for Payer: UnitedHealthcare Commercial	$19.80

SUTURE MONOSOFT 3/0 BLACK 18

Facility

$13.21

Hospital Charge Code	270651308
Hospital Revenue Code	272
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

SUTURE MONOSOFT 3/0 BLACK 18

Facility

$13.21

Hospital Charge Code	270651308
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 MONOSOFT 5-0 BLACK 18

Facility

$13.80

Hospital Charge Code	270651311
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE MONOSOFT 5-0 BLACK 18

Facility

$13.80

Hospital Charge Code	270651311
Hospital Revenue Code	272
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$6.90
Rate for Payer: Aetna Commercial	$4.14
Rate for Payer: Aetna Medicare Advantage	$4.14
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	$6.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.79
Rate for Payer: Oxford Commercial	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$6.90

SUTURE NEEDLE #2 60MM ACL

Facility

$233.60

Hospital Charge Code	270684977
Hospital Revenue Code	272
Min. Negotiated Rate	$30.37
Max. Negotiated Rate	$116.80
Rate for Payer: Aetna Commercial	$70.08
Rate for Payer: Aetna Medicare Advantage	$70.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.57
Rate for Payer: Cigna Commercial	$116.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.37
Rate for Payer: Oxford Commercial	$116.80
Rate for Payer: Qualcare PPO/HMO/WC	$35.04
Rate for Payer: UnitedHealthcare Commercial	$116.80

SUTURE NEEDLE #2 60MM ACL

Facility

$233.60

Hospital Charge Code	270684977
Hospital Revenue Code	272
Min. Negotiated Rate	$35.04
Max. Negotiated Rate	$35.04
Rate for Payer: Qualcare PPO/HMO/WC	$35.04

SUTURE NEEDLE VLOC 180 GS 21

Facility

$142.90

Hospital Charge Code	270670580
Hospital Revenue Code	272
Min. Negotiated Rate	$18.58
Max. Negotiated Rate	$71.45
Rate for Payer: Aetna Commercial	$42.87
Rate for Payer: Aetna Medicare Advantage	$42.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.44
Rate for Payer: Cigna Commercial	$71.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.58
Rate for Payer: Oxford Commercial	$71.45
Rate for Payer: Qualcare PPO/HMO/WC	$21.43
Rate for Payer: UnitedHealthcare Commercial	$71.45

SUTURE NEEDLE VLOC 180 GS 21

Facility

$142.90

Hospital Charge Code	270670580
Hospital Revenue Code	272
Min. Negotiated Rate	$21.43
Max. Negotiated Rate	$21.43
Rate for Payer: Qualcare PPO/HMO/WC	$21.43

SUTURE NOVA BLI X30 T19/GS-22

Facility

$5.15

Hospital Charge Code	270656171
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$2.58
Rate for Payer: Aetna Commercial	$1.54
Rate for Payer: Aetna Medicare Advantage	$1.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.31
Rate for Payer: Cigna Commercial	$2.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.67
Rate for Payer: Oxford Commercial	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.77
Rate for Payer: UnitedHealthcare Commercial	$2.58

Know your out-of-pocket cost for care.

All Charges