Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PROLENE RB-1 6-0

Facility

$821.00

Hospital Charge Code	270676569
Hospital Revenue Code	272
Min. Negotiated Rate	$106.73
Max. Negotiated Rate	$410.50
Rate for Payer: Aetna Commercial	$246.30
Rate for Payer: Aetna Medicare Advantage	$246.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.35
Rate for Payer: Cigna Commercial	$410.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.73
Rate for Payer: Oxford Commercial	$410.50
Rate for Payer: Qualcare PPO/HMO/WC	$123.15
Rate for Payer: UnitedHealthcare Commercial	$410.50

SUTURE PROLENE RB-1 6-0

Facility

$821.00

Hospital Charge Code	270676569
Hospital Revenue Code	272
Min. Negotiated Rate	$123.15
Max. Negotiated Rate	$123.15
Rate for Payer: Qualcare PPO/HMO/WC	$123.15

SUTURE PROLENE SURGIPRO 5/0

Facility

$8.59

Hospital Charge Code	270659856
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$4.29
Rate for Payer: Aetna Commercial	$2.58
Rate for Payer: Aetna Medicare Advantage	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.19
Rate for Payer: Cigna Commercial	$4.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$4.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$4.29

SUTURE PROLENE SURGIPRO 5/0

Facility

$8.59

Hospital Charge Code	270659856
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE PROLENE SZ 0 CTX 75 CM

Facility

$11.25

Hospital Charge Code	270682525
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

SUTURE PROLENE SZ 0 CTX 75 CM

Facility

$11.25

Hospital Charge Code	270682525
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

SUTURE PROLENE SZ 0 UR 6 30

Facility

$173.45

Hospital Charge Code	270680623
Hospital Revenue Code	272
Min. Negotiated Rate	$26.02
Max. Negotiated Rate	$26.02
Rate for Payer: Qualcare PPO/HMO/WC	$26.02

SUTURE PROLENE SZ 0 UR 6 30

Facility

$173.45

Hospital Charge Code	270680623
Hospital Revenue Code	272
Min. Negotiated Rate	$22.55
Max. Negotiated Rate	$86.72
Rate for Payer: Aetna Commercial	$52.03
Rate for Payer: Aetna Medicare Advantage	$52.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.23
Rate for Payer: Cigna Commercial	$86.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.55
Rate for Payer: Oxford Commercial	$86.72
Rate for Payer: Qualcare PPO/HMO/WC	$26.02
Rate for Payer: UnitedHealthcare Commercial	$86.72

SUTURE QUAD/HAMSTNG MSCL RUPT

Facility

$30,595.00

Service Code	HCPCS 27385
Hospital Charge Code	16000398
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,801.73
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

SUTURE QUAD/HAMSTNG MSCL RUPT

Facility

$30,595.00

Service Code	HCPCS 27385
Hospital Charge Code	16000398
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

SUTURE QUILL #2

Facility

$97.14

Hospital Charge Code	270655973
Hospital Revenue Code	272
Min. Negotiated Rate	$14.57
Max. Negotiated Rate	$14.57
Rate for Payer: Qualcare PPO/HMO/WC	$14.57

SUTURE QUILL #2

Facility

$97.14

Hospital Charge Code	270655973
Hospital Revenue Code	272
Min. Negotiated Rate	$12.63
Max. Negotiated Rate	$48.57
Rate for Payer: Aetna Commercial	$29.14
Rate for Payer: Aetna Medicare Advantage	$29.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.77
Rate for Payer: Cigna Commercial	$48.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.63
Rate for Payer: Oxford Commercial	$48.57
Rate for Payer: Qualcare PPO/HMO/WC	$14.57
Rate for Payer: UnitedHealthcare Commercial	$48.57

SUTURE QUILL PDO 2-1 20CM 1/2

Facility

$56.44

Hospital Charge Code	270686781
Hospital Revenue Code	272
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$28.22
Rate for Payer: Aetna Commercial	$16.93
Rate for Payer: Aetna Medicare Advantage	$16.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.39
Rate for Payer: Cigna Commercial	$28.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.34
Rate for Payer: Oxford Commercial	$28.22
Rate for Payer: Qualcare PPO/HMO/WC	$8.47
Rate for Payer: UnitedHealthcare Commercial	$28.22

SUTURE QUILL PDO 2-1 20CM 1/2

Facility

$56.44

Hospital Charge Code	270686781
Hospital Revenue Code	272
Min. Negotiated Rate	$8.47
Max. Negotiated Rate	$8.47
Rate for Payer: Qualcare PPO/HMO/WC	$8.47

SUTURE QUILL PDO 2 UNI 20CM

Facility

$58.91

Hospital Charge Code	270686783
Hospital Revenue Code	272
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$29.45
Rate for Payer: Aetna Commercial	$17.67
Rate for Payer: Aetna Medicare Advantage	$17.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.02
Rate for Payer: Cigna Commercial	$29.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.66
Rate for Payer: Oxford Commercial	$29.45
Rate for Payer: Qualcare PPO/HMO/WC	$8.84
Rate for Payer: UnitedHealthcare Commercial	$29.45

SUTURE QUILL PDO 2 UNI 20CM

Facility

$58.91

Hospital Charge Code	270686783
Hospital Revenue Code	272
Min. Negotiated Rate	$8.84
Max. Negotiated Rate	$8.84
Rate for Payer: Qualcare PPO/HMO/WC	$8.84

SUTURE QUILL PDO VIOLET 15 CM

Facility

$56.44

Hospital Charge Code	270688662
Hospital Revenue Code	272
Min. Negotiated Rate	$8.47
Max. Negotiated Rate	$8.47
Rate for Payer: Qualcare PPO/HMO/WC	$8.47

SUTURE QUILL PDO VIOLET 15 CM

Facility

$56.44

Hospital Charge Code	270688662
Hospital Revenue Code	272
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$28.22
Rate for Payer: Aetna Commercial	$16.93
Rate for Payer: Aetna Medicare Advantage	$16.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.39
Rate for Payer: Cigna Commercial	$28.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.34
Rate for Payer: Oxford Commercial	$28.22
Rate for Payer: Qualcare PPO/HMO/WC	$8.47
Rate for Payer: UnitedHealthcare Commercial	$28.22

SUTURE REELS/TIES

Facility

$24.85

Hospital Charge Code	270999001
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

SUTURE REELS/TIES

Facility

$24.85

Hospital Charge Code	270999001
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$12.43
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.23
Rate for Payer: Oxford Commercial	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$12.43

SUTURE REMOVAL KIT LITTAUER

Facility

$3.86

Hospital Charge Code	270653259
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

SUTURE REMOVAL KIT LITTAUER

Facility

$3.86

Hospital Charge Code	270653259
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$1.93
Rate for Payer: Aetna Commercial	$1.16
Rate for Payer: Aetna Medicare Advantage	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.98
Rate for Payer: Cigna Commercial	$1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.50
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$0.58
Rate for Payer: UnitedHealthcare Commercial	$1.93

SUTURE RETRIVER

Facility

$2,926.40

Hospital Charge Code	270655803
Hospital Revenue Code	272
Min. Negotiated Rate	$438.96
Max. Negotiated Rate	$438.96
Rate for Payer: Qualcare PPO/HMO/WC	$438.96

SUTURE RETRIVER

Facility

$2,926.40

Hospital Charge Code	270655803
Hospital Revenue Code	272
Min. Negotiated Rate	$380.43
Max. Negotiated Rate	$1,463.20
Rate for Payer: Aetna Commercial	$877.92
Rate for Payer: Aetna Medicare Advantage	$877.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$746.23
Rate for Payer: Cigna Commercial	$1,463.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.43
Rate for Payer: Oxford Commercial	$1,463.20
Rate for Payer: Qualcare PPO/HMO/WC	$438.96
Rate for Payer: UnitedHealthcare Commercial	$1,463.20

SUTURES****

Facility

$44.00

Hospital Charge Code	1800267
Hospital Revenue Code	279
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

Know your out-of-pocket cost for care.

All Charges