Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PDS PLUS CTX 0

Facility

$21.68

Hospital Charge Code	270663650
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$3.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.25

SUTURE PDS PLUS CTX 0

Facility

$21.68

Hospital Charge Code	270663650
Hospital Revenue Code	272
Min. Negotiated Rate	$2.82
Max. Negotiated Rate	$10.84
Rate for Payer: Aetna Commercial	$6.50
Rate for Payer: Aetna Medicare Advantage	$6.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.53
Rate for Payer: Cigna Commercial	$10.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.82
Rate for Payer: Oxford Commercial	$10.84
Rate for Payer: Qualcare PPO/HMO/WC	$3.25
Rate for Payer: UnitedHealthcare Commercial	$10.84

SUTURE PDS PLUS XLH 96 IN

Facility

$29.02

Hospital Charge Code	270692378
Hospital Revenue Code	272
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SUTURE PDS PLUS XLH 96 IN

Facility

$29.02

Hospital Charge Code	270692378
Hospital Revenue Code	272
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$14.51
Rate for Payer: Aetna Commercial	$8.71
Rate for Payer: Aetna Medicare Advantage	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.40
Rate for Payer: Cigna Commercial	$14.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.77
Rate for Payer: Oxford Commercial	$14.51
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$14.51

SUTURE PDS SFX UNI 6IN S/A

Facility

$185.85

Hospital Charge Code	270697557
Hospital Revenue Code	272
Min. Negotiated Rate	$24.16
Max. Negotiated Rate	$92.92
Rate for Payer: Aetna Commercial	$55.76
Rate for Payer: Aetna Medicare Advantage	$55.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.39
Rate for Payer: Cigna Commercial	$92.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.16
Rate for Payer: Oxford Commercial	$92.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.88
Rate for Payer: UnitedHealthcare Commercial	$92.92

SUTURE PDS SFX UNI 6IN S/A

Facility

$185.85

Hospital Charge Code	270697557
Hospital Revenue Code	272
Min. Negotiated Rate	$27.88
Max. Negotiated Rate	$27.88
Rate for Payer: Qualcare PPO/HMO/WC	$27.88

SUTURE PDS STRATAFIX 0 30 CT-2

Facility

$124.15

Hospital Charge Code	270681813
Hospital Revenue Code	272
Min. Negotiated Rate	$16.14
Max. Negotiated Rate	$62.08
Rate for Payer: Aetna Commercial	$37.24
Rate for Payer: Aetna Medicare Advantage	$37.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.66
Rate for Payer: Cigna Commercial	$62.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.14
Rate for Payer: Oxford Commercial	$62.08
Rate for Payer: Qualcare PPO/HMO/WC	$18.62
Rate for Payer: UnitedHealthcare Commercial	$62.08

SUTURE PDS STRATAFIX 0 30 CT-2

Facility

$124.15

Hospital Charge Code	270681813
Hospital Revenue Code	272
Min. Negotiated Rate	$18.62
Max. Negotiated Rate	$18.62
Rate for Payer: Qualcare PPO/HMO/WC	$18.62

SUTURE PDS STRATAFIX 3-0 70CM

Facility

$122.98

Hospital Charge Code	270681812
Hospital Revenue Code	272
Min. Negotiated Rate	$18.45
Max. Negotiated Rate	$18.45
Rate for Payer: Qualcare PPO/HMO/WC	$18.45

SUTURE PDS STRATAFIX 3-0 70CM

Facility

$122.98

Hospital Charge Code	270681812
Hospital Revenue Code	272
Min. Negotiated Rate	$15.99
Max. Negotiated Rate	$61.49
Rate for Payer: Aetna Commercial	$36.89
Rate for Payer: Aetna Medicare Advantage	$36.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.36
Rate for Payer: Cigna Commercial	$61.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.99
Rate for Payer: Oxford Commercial	$61.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.45
Rate for Payer: UnitedHealthcare Commercial	$61.49

SUTURE PDS SZ 0 CT 45 CM

Facility

$97.53

Hospital Charge Code	270690244
Hospital Revenue Code	272
Min. Negotiated Rate	$12.68
Max. Negotiated Rate	$48.77
Rate for Payer: Aetna Commercial	$29.26
Rate for Payer: Aetna Medicare Advantage	$29.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.87
Rate for Payer: Cigna Commercial	$48.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.68
Rate for Payer: Oxford Commercial	$48.77
Rate for Payer: Qualcare PPO/HMO/WC	$14.63
Rate for Payer: UnitedHealthcare Commercial	$48.77

SUTURE PDS SZ 0 CT 45 CM

Facility

$97.53

Hospital Charge Code	270690244
Hospital Revenue Code	272
Min. Negotiated Rate	$14.63
Max. Negotiated Rate	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$14.63

SUTURE PDS SZ. 2-018

Facility

$118.00

Hospital Charge Code	270334668
Hospital Revenue Code	272
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$59.00
Rate for Payer: Aetna Commercial	$35.40
Rate for Payer: Aetna Medicare Advantage	$35.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.09
Rate for Payer: Cigna Commercial	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.34
Rate for Payer: Oxford Commercial	$59.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Commercial	$59.00

SUTURE PDS SZ. 2-018

Facility

$118.00

Hospital Charge Code	270334668
Hospital Revenue Code	272
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

SUTURE PDS SZ 3-0 RB1 27 IN

Facility

$20.96

Hospital Charge Code	270684784
Hospital Revenue Code	272
Min. Negotiated Rate	$2.72
Max. Negotiated Rate	$10.48
Rate for Payer: Aetna Commercial	$6.29
Rate for Payer: Aetna Medicare Advantage	$6.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.34
Rate for Payer: Cigna Commercial	$10.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.72
Rate for Payer: Oxford Commercial	$10.48
Rate for Payer: Qualcare PPO/HMO/WC	$3.14
Rate for Payer: UnitedHealthcare Commercial	$10.48

SUTURE PDS SZ 3-0 RB1 27 IN

Facility

$20.96

Hospital Charge Code	270684784
Hospital Revenue Code	272
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$3.14
Rate for Payer: Qualcare PPO/HMO/WC	$3.14

SUTURE PDS TP-1 96

Facility

$33.57

Hospital Charge Code	270654901
Hospital Revenue Code	272
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$16.79
Rate for Payer: Aetna Commercial	$10.07
Rate for Payer: Aetna Medicare Advantage	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.56
Rate for Payer: Cigna Commercial	$16.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Oxford Commercial	$16.79
Rate for Payer: Qualcare PPO/HMO/WC	$5.04
Rate for Payer: UnitedHealthcare Commercial	$16.79

SUTURE PDS TP-1 96

Facility

$33.57

Hospital Charge Code	270654901
Hospital Revenue Code	272
Min. Negotiated Rate	$5.04
Max. Negotiated Rate	$5.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.04

SUTURE PERMA HAND BLACK 10 X 3

Facility

$10.80

Hospital Charge Code	270692377
Hospital Revenue Code	272
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$5.40
Rate for Payer: Aetna Commercial	$3.24
Rate for Payer: Aetna Medicare Advantage	$3.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.75
Rate for Payer: Cigna Commercial	$5.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.40
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.62
Rate for Payer: UnitedHealthcare Commercial	$5.40

SUTURE PERMA HAND BLACK 10 X 3

Facility

$10.80

Hospital Charge Code	270692377
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.62

SUTURE PERMA-HAND SILK 3-0

Facility

$13.33

Hospital Charge Code	270678893
Hospital Revenue Code	272
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.00

SUTURE PERMA-HAND SILK 3-0

Facility

$13.33

Hospital Charge Code	270678893
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$6.67
Rate for Payer: Aetna Commercial	$4.00
Rate for Payer: Aetna Medicare Advantage	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.40
Rate for Payer: Cigna Commercial	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.73
Rate for Payer: Oxford Commercial	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.00
Rate for Payer: UnitedHealthcare Commercial	$6.67

SUTURE PLAIN 0 30 CT-1 GS-21

Facility

$6.78

Hospital Charge Code	270651862
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$3.39
Rate for Payer: Aetna Commercial	$2.03
Rate for Payer: Aetna Medicare Advantage	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.88
Rate for Payer: Oxford Commercial	$3.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Commercial	$3.39

SUTURE PLAIN 0 30 CT-1 GS-21

Facility

$6.78

Hospital Charge Code	270651862
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

SUTURE PLAIN 0 CT-1

Facility

$24.79

Hospital Charge Code	270671405
Hospital Revenue Code	272
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$3.72
Rate for Payer: Qualcare PPO/HMO/WC	$3.72

Know your out-of-pocket cost for care.

All Charges