Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE O 1/2 TP-1 PDS II

Facility

$28.03

Hospital Charge Code	270678590
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.02
Rate for Payer: Aetna Commercial	$8.41
Rate for Payer: Aetna Medicare Advantage	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.15
Rate for Payer: Cigna Commercial	$14.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.02

SUTURE ORTHOCORD 223114

Facility

$1,612.00

Hospital Charge Code	270635263
Hospital Revenue Code	272
Min. Negotiated Rate	$241.80
Max. Negotiated Rate	$241.80
Rate for Payer: Qualcare PPO/HMO/WC	$241.80

SUTURE ORTHOCORD 223114

Facility

$1,612.00

Hospital Charge Code	270635263
Hospital Revenue Code	272
Min. Negotiated Rate	$209.56
Max. Negotiated Rate	$806.00
Rate for Payer: Aetna Commercial	$483.60
Rate for Payer: Aetna Medicare Advantage	$483.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.06
Rate for Payer: Cigna Commercial	$806.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.56
Rate for Payer: Oxford Commercial	$806.00
Rate for Payer: Qualcare PPO/HMO/WC	$241.80
Rate for Payer: UnitedHealthcare Commercial	$806.00

SUTURE ORTH W/NEED VIOL 223104

Facility

$1,325.00

Hospital Charge Code	270636647
Hospital Revenue Code	272
Min. Negotiated Rate	$172.25
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.25
Rate for Payer: Oxford Commercial	$662.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Commercial	$662.50

SUTURE ORTH W/NEED VIOL 223104

Facility

$1,325.00

Hospital Charge Code	270636647
Hospital Revenue Code	272
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$198.75
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SUTURE ORTH W/O NEED VIO/BLUE

Facility

$1,691.25

Hospital Charge Code	270636646
Hospital Revenue Code	272
Min. Negotiated Rate	$253.69
Max. Negotiated Rate	$253.69
Rate for Payer: Qualcare PPO/HMO/WC	$253.69

SUTURE ORTH W/O NEED VIO/BLUE

Facility

$1,691.25

Hospital Charge Code	270636646
Hospital Revenue Code	272
Min. Negotiated Rate	$219.86
Max. Negotiated Rate	$845.62
Rate for Payer: Aetna Commercial	$507.38
Rate for Payer: Aetna Medicare Advantage	$507.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$431.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$431.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$431.27
Rate for Payer: Cigna Commercial	$845.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.86
Rate for Payer: Oxford Commercial	$845.62
Rate for Payer: Qualcare PPO/HMO/WC	$253.69
Rate for Payer: UnitedHealthcare Commercial	$845.62

SUTURE PALIN GUT GS-21 3-0 30

Facility

$6.73

Hospital Charge Code	270651124
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$1.01
Rate for Payer: Qualcare PPO/HMO/WC	$1.01

SUTURE PALIN GUT GS-21 3-0 30

Facility

$6.73

Hospital Charge Code	270651124
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$3.37
Rate for Payer: Aetna Commercial	$2.02
Rate for Payer: Aetna Medicare Advantage	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.72
Rate for Payer: Cigna Commercial	$3.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.87
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$1.01
Rate for Payer: UnitedHealthcare Commercial	$3.37

SUTUREPASSERFIRSTPASSMINIRT

Facility

$2,475.00

Hospital Charge Code	270686254
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SUTUREPASSERFIRSTPASSMINIRT

Facility

$2,475.00

Hospital Charge Code	270686254
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.75
Rate for Payer: Oxford Commercial	$1,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$1,237.50

SUTURE PASSER HIP SWITSTITCH

Facility

$1,200.00

Hospital Charge Code	270687986
Hospital Revenue Code	272
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Commercial	$600.00

SUTURE PASSER HIP SWITSTITCH

Facility

$1,200.00

Hospital Charge Code	270687986
Hospital Revenue Code	272
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SUTURE PASSING WIRE

Facility

$225.00

Hospital Charge Code	270335618
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

SUTURE PASSING WIRE

Facility

$225.00

Hospital Charge Code	270335618
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SUTURE PASSING WIRE

Facility

$540.00

Hospital Charge Code	270667981
Hospital Revenue Code	272
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$162.00
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.20
Rate for Payer: Oxford Commercial	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00
Rate for Payer: UnitedHealthcare Commercial	$270.00

SUTURE PASSING WIRE

Facility

$540.00

Hospital Charge Code	270667981
Hospital Revenue Code	272
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

SUTURE PDO 30CM VIOLET 1/2 C

Facility

$59.06

Hospital Charge Code	270686782
Hospital Revenue Code	272
Min. Negotiated Rate	$8.86
Max. Negotiated Rate	$8.86
Rate for Payer: Qualcare PPO/HMO/WC	$8.86

SUTURE PDO 30CM VIOLET 1/2 C

Facility

$59.06

Hospital Charge Code	270686782
Hospital Revenue Code	272
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$29.53
Rate for Payer: Aetna Commercial	$17.72
Rate for Payer: Aetna Medicare Advantage	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.06
Rate for Payer: Cigna Commercial	$29.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.68
Rate for Payer: Oxford Commercial	$29.53
Rate for Payer: Qualcare PPO/HMO/WC	$8.86
Rate for Payer: UnitedHealthcare Commercial	$29.53

SUTURE PDO SZ0 36MM 1/2 CIRCLE

Facility

$103.44

Hospital Charge Code	270675899
Hospital Revenue Code	272
Min. Negotiated Rate	$15.52
Max. Negotiated Rate	$15.52
Rate for Payer: Qualcare PPO/HMO/WC	$15.52

SUTURE PDO SZ0 36MM 1/2 CIRCLE

Facility

$103.44

Hospital Charge Code	270675899
Hospital Revenue Code	272
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$51.72
Rate for Payer: Aetna Commercial	$31.03
Rate for Payer: Aetna Medicare Advantage	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.38
Rate for Payer: Cigna Commercial	$51.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.45
Rate for Payer: Oxford Commercial	$51.72
Rate for Payer: Qualcare PPO/HMO/WC	$15.52
Rate for Payer: UnitedHealthcare Commercial	$51.72

SUTURE PDS 2-0 CT1 27 IN

Facility

$12.02

Hospital Charge Code	270681804
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

SUTURE PDS 2-0 CT1 27 IN

Facility

$12.02

Hospital Charge Code	270681804
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.01
Rate for Payer: Aetna Commercial	$3.61
Rate for Payer: Aetna Medicare Advantage	$3.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.07
Rate for Payer: Cigna Commercial	$6.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$6.01
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.01

SUTURE PDS 5-0 RB1 DOUBLE ARM

Facility

$49.70

Hospital Charge Code	270685432
Hospital Revenue Code	272
Min. Negotiated Rate	$7.46
Max. Negotiated Rate	$7.46
Rate for Payer: Qualcare PPO/HMO/WC	$7.46

SUTURE PDS 5-0 RB1 DOUBLE ARM

Facility

$49.70

Hospital Charge Code	270685432
Hospital Revenue Code	272
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$24.85
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$14.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.67
Rate for Payer: Cigna Commercial	$24.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.46
Rate for Payer: Oxford Commercial	$24.85
Rate for Payer: Qualcare PPO/HMO/WC	$7.46
Rate for Payer: UnitedHealthcare Commercial	$24.85

Know your out-of-pocket cost for care.

All Charges