Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PROLENE 2-0 KS

Facility

$19.95

Hospital Charge Code	270659087
Hospital Revenue Code	272
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$9.97
Rate for Payer: Aetna Commercial	$5.99
Rate for Payer: Aetna Medicare Advantage	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.09
Rate for Payer: Cigna Commercial	$9.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.59
Rate for Payer: Oxford Commercial	$9.97
Rate for Payer: Qualcare PPO/HMO/WC	$2.99
Rate for Payer: UnitedHealthcare Commercial	$9.97

SUTURE PROLENE 2-0 MHMH

Facility

$27.40

Hospital Charge Code	270671424
Hospital Revenue Code	272
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$13.70
Rate for Payer: Aetna Commercial	$8.22
Rate for Payer: Aetna Medicare Advantage	$8.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.99
Rate for Payer: Cigna Commercial	$13.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.56
Rate for Payer: Oxford Commercial	$13.70
Rate for Payer: Qualcare PPO/HMO/WC	$4.11
Rate for Payer: UnitedHealthcare Commercial	$13.70

SUTURE PROLENE 2-0 MHMH

Facility

$27.40

Hospital Charge Code	270671424
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$4.11
Rate for Payer: Qualcare PPO/HMO/WC	$4.11

SUTURE PROLENE 2-0 SH

Facility

$20.94

Hospital Charge Code	270671423
Hospital Revenue Code	272
Min. Negotiated Rate	$2.72
Max. Negotiated Rate	$10.47
Rate for Payer: Aetna Commercial	$6.28
Rate for Payer: Aetna Medicare Advantage	$6.28
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	$10.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.72
Rate for Payer: Oxford Commercial	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$3.14
Rate for Payer: UnitedHealthcare Commercial	$10.47

SUTURE PROLENE 2-0 SH

Facility

$20.94

Hospital Charge Code	270671423
Hospital Revenue Code	272
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$3.14
Rate for Payer: Qualcare PPO/HMO/WC	$3.14

SUTURE PROLENE 2 TP-1

Facility

$21.24

Hospital Charge Code	270655899
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$10.62
Rate for Payer: Aetna Commercial	$6.37
Rate for Payer: Aetna Medicare Advantage	$6.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.42
Rate for Payer: Cigna Commercial	$10.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.76
Rate for Payer: Oxford Commercial	$10.62
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$10.62

SUTURE PROLENE 2 TP-1

Facility

$21.24

Hospital Charge Code	270655899
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

SUTURE PROLENE 3/0 30 SH 8832H

Facility

$13.59

Hospital Charge Code	270655616
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Qualcare PPO/HMO/WC	$2.04

SUTURE PROLENE 3/0 30 SH 8832H

Facility

$13.59

Hospital Charge Code	270655616
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.79
Rate for Payer: Aetna Commercial	$4.08
Rate for Payer: Aetna Medicare Advantage	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.47
Rate for Payer: Cigna Commercial	$6.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.79
Rate for Payer: Qualcare PPO/HMO/WC	$2.04
Rate for Payer: UnitedHealthcare Commercial	$6.79

SUTURE PROLENE 3-0 CT-2

Facility

$12.17

Hospital Charge Code	270661976
Hospital Revenue Code	272
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$6.08
Rate for Payer: Aetna Commercial	$3.65
Rate for Payer: Aetna Medicare Advantage	$3.65
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	$6.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.58
Rate for Payer: Oxford Commercial	$6.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.83
Rate for Payer: UnitedHealthcare Commercial	$6.08

SUTURE PROLENE 3-0 CT-2

Facility

$12.17

Hospital Charge Code	270661976
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$1.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.83

SUTURE PROLENE 3-0 FS-1

Facility

$14.95

Hospital Charge Code	270661974
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$2.24
Rate for Payer: Qualcare PPO/HMO/WC	$2.24

SUTURE PROLENE 3-0 FS-1

Facility

$14.95

Hospital Charge Code	270661974
Hospital Revenue Code	272
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$7.47
Rate for Payer: Aetna Commercial	$4.49
Rate for Payer: Aetna Medicare Advantage	$4.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.81
Rate for Payer: Cigna Commercial	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.94
Rate for Payer: Oxford Commercial	$7.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.24
Rate for Payer: UnitedHealthcare Commercial	$7.47

SUTURE PROLENE 3-0 KS

Facility

$15.07

Hospital Charge Code	270659088
Hospital Revenue Code	272
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$7.54
Rate for Payer: Aetna Commercial	$4.52
Rate for Payer: Aetna Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.84
Rate for Payer: Cigna Commercial	$7.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.96
Rate for Payer: Oxford Commercial	$7.54
Rate for Payer: Qualcare PPO/HMO/WC	$2.26
Rate for Payer: UnitedHealthcare Commercial	$7.54

SUTURE PROLENE 3-0 KS

Facility

$15.07

Hospital Charge Code	270659088
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$2.26
Rate for Payer: Qualcare PPO/HMO/WC	$2.26

SUTURE PROLENE 3-0 PC-5

Facility

$40.15

Hospital Charge Code	270661973
Hospital Revenue Code	272
Min. Negotiated Rate	$6.02
Max. Negotiated Rate	$6.02
Rate for Payer: Qualcare PPO/HMO/WC	$6.02

SUTURE PROLENE 3-0 PC-5

Facility

$40.15

Hospital Charge Code	270661973
Hospital Revenue Code	272
Min. Negotiated Rate	$5.22
Max. Negotiated Rate	$20.07
Rate for Payer: Aetna Commercial	$12.04
Rate for Payer: Aetna Medicare Advantage	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.24
Rate for Payer: Cigna Commercial	$20.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.22
Rate for Payer: Oxford Commercial	$20.07
Rate for Payer: Qualcare PPO/HMO/WC	$6.02
Rate for Payer: UnitedHealthcare Commercial	$20.07

SUTURE PROLENE 3-0 PS-1/PS-14

Facility

$34.22

Hospital Charge Code	270633105
Hospital Revenue Code	272
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$17.11
Rate for Payer: Aetna Commercial	$10.27
Rate for Payer: Aetna Medicare Advantage	$10.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.73
Rate for Payer: Cigna Commercial	$17.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.45
Rate for Payer: Oxford Commercial	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$5.13
Rate for Payer: UnitedHealthcare Commercial	$17.11

SUTURE PROLENE 3-0 PS-1/PS-14

Facility

$34.22

Hospital Charge Code	270633105
Hospital Revenue Code	272
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$5.13
Rate for Payer: Qualcare PPO/HMO/WC	$5.13

SUTURE PROLENE 3-0 PS-2

Facility

$25.76

Hospital Charge Code	270672611
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86

SUTURE PROLENE 3-0 PS-2

Facility

$25.76

Hospital Charge Code	270672611
Hospital Revenue Code	272
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$12.88
Rate for Payer: Aetna Commercial	$7.73
Rate for Payer: Aetna Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.57
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.35
Rate for Payer: Oxford Commercial	$12.88
Rate for Payer: Qualcare PPO/HMO/WC	$3.86
Rate for Payer: UnitedHealthcare Commercial	$12.88

SUTURE PROLENE 3-0 SH-1

Facility

$25.74

Hospital Charge Code	270671421
Hospital Revenue Code	272
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$12.87
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	$12.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.35
Rate for Payer: Oxford Commercial	$12.87
Rate for Payer: Qualcare PPO/HMO/WC	$3.86
Rate for Payer: UnitedHealthcare Commercial	$12.87

SUTURE PROLENE 3-0 SH-1

Facility

$25.74

Hospital Charge Code	270671421
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86

SUTURE PROLENE 3-0 SH V-20

Facility

$26.21

Hospital Charge Code	270671407
Hospital Revenue Code	272
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$13.11
Rate for Payer: Aetna Commercial	$7.86
Rate for Payer: Aetna Medicare Advantage	$7.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.68
Rate for Payer: Cigna Commercial	$13.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$13.11
Rate for Payer: Qualcare PPO/HMO/WC	$3.93
Rate for Payer: UnitedHealthcare Commercial	$13.11

SUTURE PROLENE 3-0 SH V-20

Facility

$26.21

Hospital Charge Code	270671407
Hospital Revenue Code	272
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$3.93
Rate for Payer: Qualcare PPO/HMO/WC	$3.93

Know your out-of-pocket cost for care.

All Charges