Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PDS II 2-0 SH

Facility

$12.20

Hospital Charge Code	270671534
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$6.10
Rate for Payer: Aetna Commercial	$3.66
Rate for Payer: Aetna Medicare Advantage	$3.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.11
Rate for Payer: Cigna Commercial	$6.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.59
Rate for Payer: Oxford Commercial	$6.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.83
Rate for Payer: UnitedHealthcare Commercial	$6.10

SUTURE PDS II 3-0 SH

Facility

$12.25

Hospital Charge Code	270677550
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$6.12
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.12
Rate for Payer: Cigna Commercial	$6.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.59
Rate for Payer: Oxford Commercial	$6.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.84
Rate for Payer: UnitedHealthcare Commercial	$6.12

SUTURE PDS II 3-0 SH

Facility

$12.25

Hospital Charge Code	270677550
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$1.84
Rate for Payer: Qualcare PPO/HMO/WC	$1.84

SUTURE PDS II 3-0 SH 27 NEEDLE

Facility

$23.72

Hospital Charge Code	270639272
Hospital Revenue Code	272
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

SUTURE PDS II 3-0 SH 27 NEEDLE

Facility

$23.72

Hospital Charge Code	270639272
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$11.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.56
Rate for Payer: Aetna Commercial	$7.12
Rate for Payer: Aetna Medicare Advantage	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.05
Rate for Payer: Cigna Commercial	$11.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.08
Rate for Payer: Oxford Commercial	$11.86
Rate for Payer: UnitedHealthcare Commercial	$11.86

SUTURE PDS II 4-0 PS-2

Facility

$23.70

Hospital Charge Code	270677556
Hospital Revenue Code	272
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

SUTURE PDS II 4-0 PS-2

Facility

$23.70

Hospital Charge Code	270677556
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$11.85
Rate for Payer: Aetna Commercial	$7.11
Rate for Payer: Aetna Medicare Advantage	$7.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.04
Rate for Payer: Cigna Commercial	$11.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.08
Rate for Payer: Oxford Commercial	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$3.56
Rate for Payer: UnitedHealthcare Commercial	$11.85

SUTURE PDS II 4-0 RB-1

Facility

$12.14

Hospital Charge Code	270671533
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$1.82
Rate for Payer: Qualcare PPO/HMO/WC	$1.82

SUTURE PDS II 4-0 RB-1

Facility

$12.14

Hospital Charge Code	270671533
Hospital Revenue Code	272
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$6.07
Rate for Payer: Aetna Commercial	$3.64
Rate for Payer: Aetna Medicare Advantage	$3.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.10
Rate for Payer: Cigna Commercial	$6.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.58
Rate for Payer: Oxford Commercial	$6.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.82
Rate for Payer: UnitedHealthcare Commercial	$6.07

SUTURE PDS II 5-0 RB-1

Facility

$20.46

Hospital Charge Code	270671532
Hospital Revenue Code	272
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$10.23
Rate for Payer: Aetna Commercial	$6.14
Rate for Payer: Aetna Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.22
Rate for Payer: Cigna Commercial	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.66
Rate for Payer: Oxford Commercial	$10.23
Rate for Payer: Qualcare PPO/HMO/WC	$3.07
Rate for Payer: UnitedHealthcare Commercial	$10.23

SUTURE PDS II 5-0 RB-1

Facility

$20.46

Hospital Charge Code	270671532
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$3.07
Rate for Payer: Qualcare PPO/HMO/WC	$3.07

SUTURE PDS II 6-0 TF

Facility

$15.49

Hospital Charge Code	270671537
Hospital Revenue Code	272
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.32

SUTURE PDS II 6-0 TF

Facility

$15.49

Hospital Charge Code	270671537
Hospital Revenue Code	272
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$7.75
Rate for Payer: Aetna Commercial	$4.65
Rate for Payer: Aetna Medicare Advantage	$4.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.95
Rate for Payer: Cigna Commercial	$7.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.01
Rate for Payer: Oxford Commercial	$7.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.32
Rate for Payer: UnitedHealthcare Commercial	$7.75

SUTURE PDS II 7-0 BV-1

Facility

$74.19

Hospital Charge Code	270671531
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$37.09
Rate for Payer: Aetna Commercial	$22.26
Rate for Payer: Aetna Medicare Advantage	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.92
Rate for Payer: Cigna Commercial	$37.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.64
Rate for Payer: Oxford Commercial	$37.09
Rate for Payer: Qualcare PPO/HMO/WC	$11.13
Rate for Payer: UnitedHealthcare Commercial	$37.09

SUTURE PDS II 7-0 BV-1

Facility

$74.19

Hospital Charge Code	270671531
Hospital Revenue Code	272
Min. Negotiated Rate	$11.13
Max. Negotiated Rate	$11.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.13

SUTURE PDS PLUS 1 CTX

Facility

$14.73

Hospital Charge Code	270672369
Hospital Revenue Code	272
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$7.37
Rate for Payer: Aetna Commercial	$4.42
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Oxford Commercial	$7.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$7.37

SUTURE PDS PLUS 1 CTX

Facility

$14.73

Hospital Charge Code	270672369
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

SUTURE PDS PLUS 2-0 CT-2

Facility

$14.03

Hospital Charge Code	270683593
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

SUTURE PDS PLUS 2-0 CT-2

Facility

$14.03

Hospital Charge Code	270683593
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$7.01
Rate for Payer: Aetna Commercial	$4.21
Rate for Payer: Aetna Medicare Advantage	$4.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.58
Rate for Payer: Cigna Commercial	$7.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.82
Rate for Payer: Oxford Commercial	$7.01
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$7.01

SUTURE PDS PLUS 3/0 27 IN SH

Facility

$13.48

Hospital Charge Code	270683604
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$6.74
Rate for Payer: Aetna Commercial	$4.04
Rate for Payer: Aetna Medicare Advantage	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.44
Rate for Payer: Cigna Commercial	$6.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$6.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$6.74

SUTURE PDS PLUS 3/0 27 IN SH

Facility

$13.48

Hospital Charge Code	270683604
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

SUTURE PDS PLUS 6-0 RB-2

Facility

$33.89

Hospital Charge Code	270672372
Hospital Revenue Code	272
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$5.08

SUTURE PDS PLUS 6-0 RB-2

Facility

$33.89

Hospital Charge Code	270672372
Hospital Revenue Code	272
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$16.95
Rate for Payer: Aetna Commercial	$10.17
Rate for Payer: Aetna Medicare Advantage	$10.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.64
Rate for Payer: Cigna Commercial	$16.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.41
Rate for Payer: Oxford Commercial	$16.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.08
Rate for Payer: UnitedHealthcare Commercial	$16.95

SUTURE PDS PLUS CT-1

Facility

$13.03

Hospital Charge Code	270663649
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.51
Rate for Payer: Aetna Commercial	$3.91
Rate for Payer: Aetna Medicare Advantage	$3.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.32
Rate for Payer: Cigna Commercial	$6.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.51

SUTURE PDS PLUS CT-1

Facility

$13.03

Hospital Charge Code	270663649
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

Know your out-of-pocket cost for care.

All Charges