Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PROLENE 3-0 V-7

Facility

$35.21

Hospital Charge Code	270671428
Hospital Revenue Code	272
Min. Negotiated Rate	$5.28
Max. Negotiated Rate	$5.28
Rate for Payer: Qualcare PPO/HMO/WC	$5.28

SUTURE PROLENE 3-0 V-7

Facility

$35.21

Hospital Charge Code	270671428
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$17.61
Rate for Payer: Aetna Commercial	$10.56
Rate for Payer: Aetna Medicare Advantage	$10.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.98
Rate for Payer: Cigna Commercial	$17.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.58
Rate for Payer: Oxford Commercial	$17.61
Rate for Payer: Qualcare PPO/HMO/WC	$5.28
Rate for Payer: UnitedHealthcare Commercial	$17.61

SUTURE PROLENE 4/0

Facility

$600.00

Hospital Charge Code	270659089
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SUTURE PROLENE 4/0

Facility

$600.00

Hospital Charge Code	270659089
Hospital Revenue Code	272
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$300.00

SUTURE PROLENE 4-0 FS-1

Facility

$15.90

Hospital Charge Code	270661975
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$7.95
Rate for Payer: Aetna Commercial	$4.77
Rate for Payer: Aetna Medicare Advantage	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.05
Rate for Payer: Cigna Commercial	$7.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.07
Rate for Payer: Oxford Commercial	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.38
Rate for Payer: UnitedHealthcare Commercial	$7.95

SUTURE PROLENE 4-0 FS-1

Facility

$15.90

Hospital Charge Code	270661975
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.38

SUTURE PROLENE 4-0 FS-2

Facility

$12.98

Hospital Charge Code	270671412
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.49
Rate for Payer: Aetna Commercial	$3.89
Rate for Payer: Aetna Medicare Advantage	$3.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.49

SUTURE PROLENE 4-0 FS-2

Facility

$12.98

Hospital Charge Code	270671412
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

SUTURE PROLENE 4-0 PS-2

Facility

$21.50

Hospital Charge Code	270671411
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$3.23
Rate for Payer: Qualcare PPO/HMO/WC	$3.23

SUTURE PROLENE 4-0 PS-2

Facility

$21.50

Hospital Charge Code	270671411
Hospital Revenue Code	272
Min. Negotiated Rate	$2.79
Max. Negotiated Rate	$10.75
Rate for Payer: Aetna Commercial	$6.45
Rate for Payer: Aetna Medicare Advantage	$6.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.48
Rate for Payer: Cigna Commercial	$10.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.79
Rate for Payer: Oxford Commercial	$10.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.23
Rate for Payer: UnitedHealthcare Commercial	$10.75

SUTURE PROLENE 4-0 RB-1

Facility

$14.38

Hospital Charge Code	270673737
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 PROLENE 4-0 RB-1

Facility

$14.38

Hospital Charge Code	270673737
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.16

SUTURE PROLENE 4-0 RB-1

Facility

$41.67

Hospital Charge Code	270671408
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$20.84
Rate for Payer: Aetna Commercial	$12.50
Rate for Payer: Aetna Medicare Advantage	$12.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.63
Rate for Payer: Cigna Commercial	$20.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.42
Rate for Payer: Oxford Commercial	$20.84
Rate for Payer: Qualcare PPO/HMO/WC	$6.25
Rate for Payer: UnitedHealthcare Commercial	$20.84

SUTURE PROLENE 4-0 RB-1

Facility

$41.67

Hospital Charge Code	270671408
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.25

SUTURE PROLENE 4-0 SH

Facility

$35.52

Hospital Charge Code	270666706
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

SUTURE PROLENE 4-0 SH

Facility

$21.66

Hospital Charge Code	270671422
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$3.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.25

SUTURE PROLENE 4-0 SH

Facility

$35.52

Hospital Charge Code	270666706
Hospital Revenue Code	272
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$17.76
Rate for Payer: Aetna Commercial	$10.66
Rate for Payer: Aetna Medicare Advantage	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.06
Rate for Payer: Cigna Commercial	$17.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.62
Rate for Payer: Oxford Commercial	$17.76
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$17.76

SUTURE PROLENE 4-0 SH

Facility

$21.66

Hospital Charge Code	270671422
Hospital Revenue Code	272
Min. Negotiated Rate	$2.82
Max. Negotiated Rate	$10.83
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	$5.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.52
Rate for Payer: Cigna Commercial	$10.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.82
Rate for Payer: Oxford Commercial	$10.83
Rate for Payer: Qualcare PPO/HMO/WC	$3.25
Rate for Payer: UnitedHealthcare Commercial	$10.83

SUTURE PROLENE 4-0 SH-1 1/2C

Facility

$26.99

Hospital Charge Code	270678685
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$13.49
Rate for Payer: Aetna Commercial	$8.10
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$13.49
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$13.49

SUTURE PROLENE 4-0 SH-1 1/2C

Facility

$26.99

Hospital Charge Code	270678685
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

SUTURE PROLENE 4-0 V-5

Facility

$35.49

Hospital Charge Code	270671426
Hospital Revenue Code	272
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$17.75
Rate for Payer: Aetna Commercial	$10.65
Rate for Payer: Aetna Medicare Advantage	$10.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.05
Rate for Payer: Cigna Commercial	$17.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.61
Rate for Payer: Oxford Commercial	$17.75
Rate for Payer: Qualcare PPO/HMO/WC	$5.32
Rate for Payer: UnitedHealthcare Commercial	$17.75

SUTURE PROLENE 4-0 V-5

Facility

$35.49

Hospital Charge Code	270671426
Hospital Revenue Code	272
Min. Negotiated Rate	$5.32
Max. Negotiated Rate	$5.32
Rate for Payer: Qualcare PPO/HMO/WC	$5.32

SUTURE PROLENE 5-0 C-1

Facility

$80.43

Hospital Charge Code	270671419
Hospital Revenue Code	272
Min. Negotiated Rate	$12.06
Max. Negotiated Rate	$12.06
Rate for Payer: Qualcare PPO/HMO/WC	$12.06

SUTURE PROLENE 5-0 C-1

Facility

$80.43

Hospital Charge Code	270671419
Hospital Revenue Code	272
Min. Negotiated Rate	$10.46
Max. Negotiated Rate	$40.22
Rate for Payer: Aetna Commercial	$24.13
Rate for Payer: Aetna Medicare Advantage	$24.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.51
Rate for Payer: Cigna Commercial	$40.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.46
Rate for Payer: Oxford Commercial	$40.22
Rate for Payer: Qualcare PPO/HMO/WC	$12.06
Rate for Payer: UnitedHealthcare Commercial	$40.22

SUTURE PROLENE 5-0 C-1

Facility

$51.22

Hospital Charge Code	270671418
Hospital Revenue Code	272
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$7.68
Rate for Payer: Qualcare PPO/HMO/WC	$7.68

Know your out-of-pocket cost for care.

All Charges