Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PDS CT 0

Facility

$12.73

Hospital Charge Code	270600574
Hospital Revenue Code	272
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$1.91

SUTURE PDS CT 0

Facility

$12.73

Hospital Charge Code	270600574
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$6.37
Rate for Payer: Aetna Commercial	$3.82
Rate for Payer: Aetna Medicare Advantage	$3.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.25
Rate for Payer: Cigna Commercial	$6.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.65
Rate for Payer: Oxford Commercial	$6.37
Rate for Payer: Qualcare PPO/HMO/WC	$1.91
Rate for Payer: UnitedHealthcare Commercial	$6.37

SUTURE PDS II 0 CP-1

Facility

$12.75

Hospital Charge Code	270673259
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$6.38
Rate for Payer: Aetna Commercial	$3.83
Rate for Payer: Aetna Medicare Advantage	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.25
Rate for Payer: Cigna Commercial	$6.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.66
Rate for Payer: Oxford Commercial	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.91
Rate for Payer: UnitedHealthcare Commercial	$6.38

SUTURE PDS II 0 CP-1

Facility

$12.75

Hospital Charge Code	270673259
Hospital Revenue Code	272
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$1.91

SUTURE PDS II 0 CT-1

Facility

$20.26

Hospital Charge Code	270604719
Hospital Revenue Code	272
Min. Negotiated Rate	$2.63
Max. Negotiated Rate	$10.13
Rate for Payer: Aetna Commercial	$6.08
Rate for Payer: Aetna Medicare Advantage	$6.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.17
Rate for Payer: Cigna Commercial	$10.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.63
Rate for Payer: Oxford Commercial	$10.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$10.13

SUTURE PDS II 0 CT-1

Facility

$20.26

Hospital Charge Code	270604719
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

SUTURE PDS II 0 CT-1

Facility

$12.06

Hospital Charge Code	270671536
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

SUTURE PDS II 0 CT-1

Facility

$12.06

Hospital Charge Code	270671536
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.03
Rate for Payer: Aetna Commercial	$3.62
Rate for Payer: Aetna Medicare Advantage	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.08
Rate for Payer: Cigna Commercial	$6.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.03

SUTURE PDS II 0 CT-2

Facility

$12.60

Hospital Charge Code	270671535
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 PDS II 0 CT-2

Facility

$12.60

Hospital Charge Code	270671535
Hospital Revenue Code	272
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$1.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.89

SUTURE PDS II 0 CTX VIL MONO

Facility

$27.12

Hospital Charge Code	270671539
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$13.56
Rate for Payer: Aetna Commercial	$8.14
Rate for Payer: Aetna Medicare Advantage	$8.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.92
Rate for Payer: Cigna Commercial	$13.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.53
Rate for Payer: Oxford Commercial	$13.56
Rate for Payer: Qualcare PPO/HMO/WC	$4.07
Rate for Payer: UnitedHealthcare Commercial	$13.56

SUTURE PDS II 0 CTX VIL MONO

Facility

$27.12

Hospital Charge Code	270671539
Hospital Revenue Code	272
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$4.07
Rate for Payer: Qualcare PPO/HMO/WC	$4.07

SUTURE PDS II 1-0 CT-1

Facility

$13.80

Hospital Charge Code	270677715
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE PDS II 1-0 CT-1

Facility

$13.80

Hospital Charge Code	270677715
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 PDS II 1 CTX

Facility

$13.90

Hospital Charge Code	270611611
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$2.08
Rate for Payer: Qualcare PPO/HMO/WC	$2.08

SUTURE PDS II 1 CTX

Facility

$13.90

Hospital Charge Code	270611611
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$6.95
Rate for Payer: Aetna Commercial	$4.17
Rate for Payer: Aetna Medicare Advantage	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.54
Rate for Payer: Cigna Commercial	$6.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.81
Rate for Payer: Oxford Commercial	$6.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.08
Rate for Payer: UnitedHealthcare Commercial	$6.95

SUTURE PDS II 1 TP-1

Facility

$23.37

Hospital Charge Code	270608379
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$11.69
Rate for Payer: Aetna Commercial	$7.01
Rate for Payer: Aetna Medicare Advantage	$7.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.96
Rate for Payer: Cigna Commercial	$11.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.04
Rate for Payer: Oxford Commercial	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$3.51
Rate for Payer: UnitedHealthcare Commercial	$11.69

SUTURE PDS II 1 TP-1

Facility

$45.67

Hospital Charge Code	270621617
Hospital Revenue Code	272
Min. Negotiated Rate	$6.85
Max. Negotiated Rate	$6.85
Rate for Payer: Qualcare PPO/HMO/WC	$6.85

SUTURE PDS II 1 TP-1

Facility

$45.67

Hospital Charge Code	270621617
Hospital Revenue Code	272
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$22.84
Rate for Payer: Aetna Commercial	$13.70
Rate for Payer: Aetna Medicare Advantage	$13.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.65
Rate for Payer: Cigna Commercial	$22.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.94
Rate for Payer: Oxford Commercial	$22.84
Rate for Payer: Qualcare PPO/HMO/WC	$6.85
Rate for Payer: UnitedHealthcare Commercial	$22.84

SUTURE PDS II 1 TP-1

Facility

$23.37

Hospital Charge Code	270608379
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$3.51
Rate for Payer: Qualcare PPO/HMO/WC	$3.51

SUTURE PDS II 2-0 CT-2

Facility

$12.99

Hospital Charge Code	270604720
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

SUTURE PDS II 2-0 CT-2

Facility

$12.99

Hospital Charge Code	270604720
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

SUTURE PDS II 2-0 SH

Facility

$12.20

Hospital Charge Code	270671534
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$1.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.83

SUTURE PDS II 2-0 SH

Facility

$91.63

Hospital Charge Code	270671538
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

SUTURE PDS II 2-0 SH

Facility

$91.63

Hospital Charge Code	270671538
Hospital Revenue Code	272
Min. Negotiated Rate	$11.91
Max. Negotiated Rate	$45.81
Rate for Payer: Aetna Commercial	$27.49
Rate for Payer: Aetna Medicare Advantage	$27.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.37
Rate for Payer: Cigna Commercial	$45.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.91
Rate for Payer: Oxford Commercial	$45.81
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$45.81

Know your out-of-pocket cost for care.

All Charges