Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PLAIN GUT 0 30 GS-21

Facility

$6.45

Hospital Charge Code	27065612
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$3.23
Rate for Payer: Aetna Commercial	$1.94
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.84
Rate for Payer: Oxford Commercial	$3.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$3.23

SUTURE PLAIN GUT 0 30 GS-21

Facility

$6.45

Hospital Charge Code	270656120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$3.23
Rate for Payer: Aetna Commercial	$1.94
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.84
Rate for Payer: Oxford Commercial	$3.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$3.23

SUTURE PLAIN GUT 0 30 GS-21

Facility

$6.45

Hospital Charge Code	27065612
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

SUTURE PLAIN GUT 0 30 GS-21

Facility

$6.45

Hospital Charge Code	270656120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

SUTURE PLAIN GUT 4-0 SH 27 IN

Facility

$13.50

Hospital Charge Code	270690261
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$6.75
Rate for Payer: Aetna Commercial	$4.05
Rate for Payer: Aetna Medicare Advantage	$4.05
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	$6.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$6.75

SUTURE PLAIN GUT 4-0 SH 27 IN

Facility

$13.50

Hospital Charge Code	270690261
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

SUTURE PLAINGUT GS24 2-0

Facility

$19.25

Hospital Charge Code	270604632
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

SUTURE PLAINGUT GS24 2-0

Facility

$19.25

Hospital Charge Code	270604632
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$5.78
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.50
Rate for Payer: Oxford Commercial	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$9.62

SUTURE PLAIN GUT GS-24 2-0 30

Facility

$6.85

Hospital Charge Code	270651125
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$1.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.03

SUTURE PLAIN GUT GS-24 2-0 30

Facility

$6.85

Hospital Charge Code	270651125
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$3.42
Rate for Payer: Aetna Commercial	$2.06
Rate for Payer: Aetna Medicare Advantage	$2.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.75
Rate for Payer: Cigna Commercial	$3.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.89
Rate for Payer: Oxford Commercial	$3.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.03
Rate for Payer: UnitedHealthcare Commercial	$3.42

SUTURE PLAIN GUT PS-2 4-1 18

Facility

$92.14

Hospital Charge Code	270651288
Hospital Revenue Code	272
Min. Negotiated Rate	$11.98
Max. Negotiated Rate	$46.07
Rate for Payer: Aetna Commercial	$27.64
Rate for Payer: Aetna Medicare Advantage	$27.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.50
Rate for Payer: Cigna Commercial	$46.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Oxford Commercial	$46.07
Rate for Payer: Qualcare PPO/HMO/WC	$13.82
Rate for Payer: UnitedHealthcare Commercial	$46.07

SUTURE PLAIN GUT PS-2 4-1 18

Facility

$92.14

Hospital Charge Code	270651288
Hospital Revenue Code	272
Min. Negotiated Rate	$13.82
Max. Negotiated Rate	$13.82
Rate for Payer: Qualcare PPO/HMO/WC	$13.82

SUTURE PLAIN GUT PS-4 4-0 18

Facility

$30.10

Hospital Charge Code	270661963
Hospital Revenue Code	272
Min. Negotiated Rate	$3.91
Max. Negotiated Rate	$15.05
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$9.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.68
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.91
Rate for Payer: Oxford Commercial	$15.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.51
Rate for Payer: UnitedHealthcare Commercial	$15.05

SUTURE PLAIN GUT PS-4 4-0 18

Facility

$30.10

Hospital Charge Code	270661963
Hospital Revenue Code	272
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$4.51
Rate for Payer: Qualcare PPO/HMO/WC	$4.51

SUTURE PLAIN GUT SS-145-0 12

Facility

$75.86

Hospital Charge Code	270651145
Hospital Revenue Code	272
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$37.93
Rate for Payer: Aetna Commercial	$22.76
Rate for Payer: Aetna Medicare Advantage	$22.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.34
Rate for Payer: Cigna Commercial	$37.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.86
Rate for Payer: Oxford Commercial	$37.93
Rate for Payer: Qualcare PPO/HMO/WC	$11.38
Rate for Payer: UnitedHealthcare Commercial	$37.93

SUTURE PLAIN GUT SS-145-0 12

Facility

$75.86

Hospital Charge Code	270651145
Hospital Revenue Code	272
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$11.38
Rate for Payer: Qualcare PPO/HMO/WC	$11.38

SUTURE PLAIN PC-1 6-0

Facility

$30.45

Hospital Charge Code	270604738
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 PC-1 6-0

Facility

$30.45

Hospital Charge Code	270604738
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

SUTURE PLAIN TIE 2-0

Facility

$19.25

Hospital Charge Code	270604629
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

SUTURE PLAIN TIE 2-0

Facility

$19.25

Hospital Charge Code	270604629
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$5.78
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.50
Rate for Payer: Oxford Commercial	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$9.62

SUTURE PLN GUT 4-0 SC-1 18

Facility

$15.58

Hospital Charge Code	270671381
Hospital Revenue Code	272
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$7.79
Rate for Payer: Aetna Commercial	$4.67
Rate for Payer: Aetna Medicare Advantage	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.97
Rate for Payer: Cigna Commercial	$7.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.03
Rate for Payer: Oxford Commercial	$7.79
Rate for Payer: Qualcare PPO/HMO/WC	$2.34
Rate for Payer: UnitedHealthcare Commercial	$7.79

SUTURE PLN GUT 4-0 SC-1 18

Facility

$15.58

Hospital Charge Code	270671381
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$2.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.34

SUTURE POLYPRO 10-0

Facility

$425.65

Hospital Charge Code	270608747
Hospital Revenue Code	272
Min. Negotiated Rate	$63.85
Max. Negotiated Rate	$63.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.85

SUTURE POLYPRO 10-0

Facility

$425.65

Hospital Charge Code	270608747
Hospital Revenue Code	272
Min. Negotiated Rate	$55.33
Max. Negotiated Rate	$212.82
Rate for Payer: Aetna Commercial	$127.69
Rate for Payer: Aetna Medicare Advantage	$127.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.54
Rate for Payer: Cigna Commercial	$212.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.33
Rate for Payer: Oxford Commercial	$212.82
Rate for Payer: Qualcare PPO/HMO/WC	$63.85
Rate for Payer: UnitedHealthcare Commercial	$212.82

SUTURE POLYSORB 0 12x18 U/D

Facility

$26.93

Hospital Charge Code	270654266
Hospital Revenue Code	272
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$4.04
Rate for Payer: Qualcare PPO/HMO/WC	$4.04

Know your out-of-pocket cost for care.

All Charges