Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE NUROLON 2-0 CT-2

Facility

$111.20

Hospital Charge Code	270671440
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$55.60
Rate for Payer: Aetna Commercial	$33.36
Rate for Payer: Aetna Medicare Advantage	$33.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.36
Rate for Payer: Cigna Commercial	$55.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.46
Rate for Payer: Oxford Commercial	$55.60
Rate for Payer: Qualcare PPO/HMO/WC	$16.68
Rate for Payer: UnitedHealthcare Commercial	$55.60

SUTURE NUROLON 2-0 CT-2

Facility

$111.20

Hospital Charge Code	270671440
Hospital Revenue Code	272
Min. Negotiated Rate	$16.68
Max. Negotiated Rate	$16.68
Rate for Payer: Qualcare PPO/HMO/WC	$16.68

SUTURE NUROLON 3-0 CP-2

Facility

$73.70

Hospital Charge Code	270671441
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.05

SUTURE NUROLON 3-0 CP-2

Facility

$73.70

Hospital Charge Code	270671441
Hospital Revenue Code	272
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$36.85
Rate for Payer: Aetna Commercial	$22.11
Rate for Payer: Aetna Medicare Advantage	$22.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.79
Rate for Payer: Cigna Commercial	$36.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.58
Rate for Payer: Oxford Commercial	$36.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.05
Rate for Payer: UnitedHealthcare Commercial	$36.85

SUTURE NUROLON 4-0 RB-1 CR

Facility

$61.35

Hospital Charge Code	270690130
Hospital Revenue Code	272
Min. Negotiated Rate	$7.98
Max. Negotiated Rate	$30.68
Rate for Payer: Aetna Commercial	$18.41
Rate for Payer: Aetna Medicare Advantage	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.64
Rate for Payer: Cigna Commercial	$30.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.98
Rate for Payer: Oxford Commercial	$30.68
Rate for Payer: Qualcare PPO/HMO/WC	$9.20
Rate for Payer: UnitedHealthcare Commercial	$30.68

SUTURE NUROLON 4-0 RB-1 CR

Facility

$61.35

Hospital Charge Code	270690130
Hospital Revenue Code	272
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$9.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.20

SUTURE NYLON 3/0 MONOFILAMENT

Facility

$12.90

Hospital Charge Code	270649089
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$6.45
Rate for Payer: Aetna Commercial	$3.87
Rate for Payer: Aetna Medicare Advantage	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.29
Rate for Payer: Cigna Commercial	$6.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.68
Rate for Payer: Oxford Commercial	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.94
Rate for Payer: UnitedHealthcare Commercial	$6.45

SUTURE NYLON 3/0 MONOFILAMENT

Facility

$12.90

Hospital Charge Code	270649089
Hospital Revenue Code	272
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$1.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.94

SUTURE NYLON 5/0 PS-2

Facility

$16.61

Hospital Charge Code	270655950
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$8.30
Rate for Payer: Aetna Commercial	$4.98
Rate for Payer: Aetna Medicare Advantage	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.24
Rate for Payer: Cigna Commercial	$8.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Oxford Commercial	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$2.49
Rate for Payer: UnitedHealthcare Commercial	$8.30

SUTURE NYLON 5/0 PS-2

Facility

$16.61

Hospital Charge Code	270655950
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.49

SUTURE NYLON 8-0 13CM 5 INCH

Facility

$155.37

Hospital Charge Code	270671300
Hospital Revenue Code	272
Min. Negotiated Rate	$23.31
Max. Negotiated Rate	$23.31
Rate for Payer: Qualcare PPO/HMO/WC	$23.31

SUTURE NYLON 8-0 13CM 5 INCH

Facility

$155.37

Hospital Charge Code	270671300
Hospital Revenue Code	272
Min. Negotiated Rate	$20.20
Max. Negotiated Rate	$77.69
Rate for Payer: Aetna Commercial	$46.61
Rate for Payer: Aetna Medicare Advantage	$46.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.62
Rate for Payer: Cigna Commercial	$77.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.20
Rate for Payer: Oxford Commercial	$77.69
Rate for Payer: Qualcare PPO/HMO/WC	$23.31
Rate for Payer: UnitedHealthcare Commercial	$77.69

SUTURE NYLON 9-0 M.E.T POINT

Facility

$215.40

Hospital Charge Code	270667526
Hospital Revenue Code	272
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$107.70
Rate for Payer: Aetna Commercial	$64.62
Rate for Payer: Aetna Medicare Advantage	$64.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.93
Rate for Payer: Cigna Commercial	$107.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.00
Rate for Payer: Oxford Commercial	$107.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.31
Rate for Payer: UnitedHealthcare Commercial	$107.70

SUTURE NYLON 9-0 M.E.T POINT

Facility

$215.40

Hospital Charge Code	270667526
Hospital Revenue Code	272
Min. Negotiated Rate	$32.31
Max. Negotiated Rate	$32.31
Rate for Payer: Qualcare PPO/HMO/WC	$32.31

SUTURE NYLON 9-0 TAPERPOINT A

Facility

$178.30

Hospital Charge Code	270667527
Hospital Revenue Code	272
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$89.15
Rate for Payer: Aetna Commercial	$53.49
Rate for Payer: Aetna Medicare Advantage	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.47
Rate for Payer: Cigna Commercial	$89.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.18
Rate for Payer: Oxford Commercial	$89.15
Rate for Payer: Qualcare PPO/HMO/WC	$26.75
Rate for Payer: UnitedHealthcare Commercial	$89.15

SUTURE NYLON 9-0 TAPERPOINT A

Facility

$178.30

Hospital Charge Code	270667527
Hospital Revenue Code	272
Min. Negotiated Rate	$26.75
Max. Negotiated Rate	$26.75
Rate for Payer: Qualcare PPO/HMO/WC	$26.75

SUTURE NYLON CU5 10-0

Facility

$235.25

Hospital Charge Code	270604739
Hospital Revenue Code	272
Min. Negotiated Rate	$35.29
Max. Negotiated Rate	$35.29
Rate for Payer: Qualcare PPO/HMO/WC	$35.29

SUTURE NYLON CU5 10-0

Facility

$235.25

Hospital Charge Code	270604739
Hospital Revenue Code	272
Min. Negotiated Rate	$30.58
Max. Negotiated Rate	$117.62
Rate for Payer: Aetna Commercial	$70.58
Rate for Payer: Aetna Medicare Advantage	$70.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.99
Rate for Payer: Cigna Commercial	$117.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.58
Rate for Payer: Oxford Commercial	$117.62
Rate for Payer: Qualcare PPO/HMO/WC	$35.29
Rate for Payer: UnitedHealthcare Commercial	$117.62

SUTURE NYLON CU5 10 8065192101

Facility

$150.10

Hospital Charge Code	270608745
Hospital Revenue Code	272
Min. Negotiated Rate	$22.52
Max. Negotiated Rate	$22.52
Rate for Payer: Qualcare PPO/HMO/WC	$22.52

SUTURE NYLON CU5 10 8065192101

Facility

$150.10

Hospital Charge Code	270608745
Hospital Revenue Code	272
Min. Negotiated Rate	$19.51
Max. Negotiated Rate	$75.05
Rate for Payer: Aetna Commercial	$45.03
Rate for Payer: Aetna Medicare Advantage	$45.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.28
Rate for Payer: Cigna Commercial	$75.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.51
Rate for Payer: Oxford Commercial	$75.05
Rate for Payer: Qualcare PPO/HMO/WC	$22.52
Rate for Payer: UnitedHealthcare Commercial	$75.05

SUTURE NYLON LOTRAU S 2-0

Facility

$42.28

Hospital Charge Code	270604726
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

SUTURE NYLON LOTRAU S 2-0

Facility

$42.28

Hospital Charge Code	270604726
Hospital Revenue Code	272
Min. Negotiated Rate	$5.50
Max. Negotiated Rate	$21.14
Rate for Payer: Aetna Commercial	$12.68
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.78
Rate for Payer: Cigna Commercial	$21.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.50
Rate for Payer: Oxford Commercial	$21.14
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$21.14

SUTURE NYLON SZ. 9-0 12L CV-1

Facility

$153.00

Hospital Charge Code	270334661
Hospital Revenue Code	272
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

SUTURE NYLON SZ. 9-0 12L CV-1

Facility

$153.00

Hospital Charge Code	270334661
Hospital Revenue Code	272
Min. Negotiated Rate	$19.89
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$45.90
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.89
Rate for Payer: Oxford Commercial	$76.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$76.50

SUTURE O 1/2 TP-1 PDS II

Facility

$28.03

Hospital Charge Code	270678590
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

Know your out-of-pocket cost for care.

All Charges