Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PLAIN 0 CT-1

Facility

$24.79

Hospital Charge Code	270671405
Hospital Revenue Code	272
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$12.39
Rate for Payer: Aetna Commercial	$7.44
Rate for Payer: Aetna Medicare Advantage	$7.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.32
Rate for Payer: Cigna Commercial	$12.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.22
Rate for Payer: Oxford Commercial	$12.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.72
Rate for Payer: UnitedHealthcare Commercial	$12.39

SUTURE PLAIN 0 FN-2

Facility

$47.80

Hospital Charge Code	270655851
Hospital Revenue Code	272
Min. Negotiated Rate	$6.21
Max. Negotiated Rate	$23.90
Rate for Payer: Aetna Commercial	$14.34
Rate for Payer: Aetna Medicare Advantage	$14.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.19
Rate for Payer: Cigna Commercial	$23.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.21
Rate for Payer: Oxford Commercial	$23.90
Rate for Payer: Qualcare PPO/HMO/WC	$7.17
Rate for Payer: UnitedHealthcare Commercial	$23.90

SUTURE PLAIN 0 FN-2

Facility

$47.80

Hospital Charge Code	270655851
Hospital Revenue Code	272
Min. Negotiated Rate	$7.17
Max. Negotiated Rate	$7.17
Rate for Payer: Qualcare PPO/HMO/WC	$7.17

SUTURE PLAIN 2/0 30 CT-1 GS21

Facility

$5.71

Hospital Charge Code	270614225
Hospital Revenue Code	272
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$2.85
Rate for Payer: Aetna Commercial	$1.71
Rate for Payer: Aetna Medicare Advantage	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.46
Rate for Payer: Cigna Commercial	$2.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.86
Rate for Payer: UnitedHealthcare Commercial	$2.85

SUTURE PLAIN 2/0 30 CT-1 GS21

Facility

$5.71

Hospital Charge Code	270614225
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.86

SUTURE PLAIN 2-0 CT-1

Facility

$13.48

Hospital Charge Code	270671404
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

SUTURE PLAIN 2-0 CT-1

Facility

$13.48

Hospital Charge Code	270671404
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 PLAIN 2-0 FS-1

Facility

$16.15

Hospital Charge Code	270673836
Hospital Revenue Code	272
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$2.42

SUTURE PLAIN 2-0 FS-1

Facility

$16.15

Hospital Charge Code	270673836
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$8.07
Rate for Payer: Aetna Commercial	$4.84
Rate for Payer: Aetna Medicare Advantage	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.12
Rate for Payer: Cigna Commercial	$8.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.10
Rate for Payer: Oxford Commercial	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.42
Rate for Payer: UnitedHealthcare Commercial	$8.07

SUTURE PLAIN 3/0 30 C13

Facility

$7.75

Hospital Charge Code	270604630
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

SUTURE PLAIN 3/0 30 C13

Facility

$7.75

Hospital Charge Code	270604630
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.33
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.01
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.88

SUTURE PLAIN 3/0 30 C14

Facility

$7.75

Hospital Charge Code	270600563
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.33
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.01
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.88

SUTURE PLAIN 3/0 30 C14

Facility

$7.75

Hospital Charge Code	270600563
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

SUTURE PLAIN 3-0 CT-1

Facility

$25.00

Hospital Charge Code	270671403
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

SUTURE PLAIN 3-0 CT-1

Facility

$25.00

Hospital Charge Code	270671403
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

SUTURE PLAIN 3-0 FS-2

Facility

$14.38

Hospital Charge Code	270666033
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$7.19
Rate for Payer: Aetna Commercial	$4.31
Rate for Payer: Aetna Medicare Advantage	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.67
Rate for Payer: Cigna Commercial	$7.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.87
Rate for Payer: Oxford Commercial	$7.19
Rate for Payer: Qualcare PPO/HMO/WC	$2.16
Rate for Payer: UnitedHealthcare Commercial	$7.19

SUTURE PLAIN 3-0 FS-2

Facility

$14.38

Hospital Charge Code	270666033
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.16

SUTURE PLAIN 3-0 V-20

Facility

$47.60

Hospital Charge Code	270655800
Hospital Revenue Code	272
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$7.14
Rate for Payer: Qualcare PPO/HMO/WC	$7.14

SUTURE PLAIN 3-0 V-20

Facility

$47.60

Hospital Charge Code	270655800
Hospital Revenue Code	272
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$23.80
Rate for Payer: Aetna Commercial	$14.28
Rate for Payer: Aetna Medicare Advantage	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.14
Rate for Payer: Cigna Commercial	$23.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.19
Rate for Payer: Oxford Commercial	$23.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.14
Rate for Payer: UnitedHealthcare Commercial	$23.80

SUTURE PLAIN 4-0 FS-2

Facility

$25.72

Hospital Charge Code	270666034
Hospital Revenue Code	272
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$12.86
Rate for Payer: Aetna Commercial	$7.72
Rate for Payer: Aetna Medicare Advantage	$7.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.56
Rate for Payer: Cigna Commercial	$12.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.34
Rate for Payer: Oxford Commercial	$12.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86
Rate for Payer: UnitedHealthcare Commercial	$12.86

SUTURE PLAIN 4-0 FS-2

Facility

$25.72

Hospital Charge Code	270666034
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86

SUTURE PLAIN 4/0 PS-2

Facility

$79.99

Hospital Charge Code	270659086
Hospital Revenue Code	272
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$39.99
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$39.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.40
Rate for Payer: Oxford Commercial	$39.99
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$39.99

SUTURE PLAIN 4/0 PS-2

Facility

$79.99

Hospital Charge Code	270659086
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SUTURE PLAIN 5-0 PC-1/PC-13

Facility

$30.45

Hospital Charge Code	270605424
Hospital Revenue Code	272
Min. Negotiated Rate	$4.57
Max. Negotiated Rate	$4.57
Rate for Payer: Qualcare PPO/HMO/WC	$4.57

SUTURE PLAIN 5-0 PC-1/PC-13

Facility

$30.45

Hospital Charge Code	270605424
Hospital Revenue Code	272
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$15.22
Rate for Payer: Aetna Commercial	$9.13
Rate for Payer: Aetna Medicare Advantage	$9.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.76
Rate for Payer: Cigna Commercial	$15.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.96
Rate for Payer: Oxford Commercial	$15.22
Rate for Payer: Qualcare PPO/HMO/WC	$4.57
Rate for Payer: UnitedHealthcare Commercial	$15.22

Know your out-of-pocket cost for care.

All Charges