Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURES****

Facility

$44.00

Hospital Charge Code	1800267
Hospital Revenue Code	279
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

SUTURE SH PROLENE 3-0

Facility

$373.35

Hospital Charge Code	270657435
Hospital Revenue Code	272
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.00

SUTURE SH PROLENE 3-0

Facility

$373.35

Hospital Charge Code	270657435
Hospital Revenue Code	272
Min. Negotiated Rate	$48.54
Max. Negotiated Rate	$186.68
Rate for Payer: Aetna Commercial	$112.00
Rate for Payer: Aetna Medicare Advantage	$112.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.20
Rate for Payer: Cigna Commercial	$186.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.54
Rate for Payer: Oxford Commercial	$186.68
Rate for Payer: Qualcare PPO/HMO/WC	$56.00
Rate for Payer: UnitedHealthcare Commercial	$186.68

SUTURE SH PROLENE 3-0

Facility

$573.45

Hospital Charge Code	207657434
Hospital Revenue Code	272
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$286.73
Rate for Payer: Aetna Commercial	$172.03
Rate for Payer: Aetna Medicare Advantage	$172.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.23
Rate for Payer: Cigna Commercial	$286.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.55
Rate for Payer: Oxford Commercial	$286.73
Rate for Payer: Qualcare PPO/HMO/WC	$86.02
Rate for Payer: UnitedHealthcare Commercial	$286.73

SUTURE SH PROLENE 3-0

Facility

$573.45

Hospital Charge Code	207657434
Hospital Revenue Code	272
Min. Negotiated Rate	$86.02
Max. Negotiated Rate	$86.02
Rate for Payer: Qualcare PPO/HMO/WC	$86.02

SUTURE SH UNDYED VICRYL 3-0

Facility

$58.85

Hospital Charge Code	270657438
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$29.43
Rate for Payer: Aetna Commercial	$17.66
Rate for Payer: Aetna Medicare Advantage	$17.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.01
Rate for Payer: Cigna Commercial	$29.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.65
Rate for Payer: Oxford Commercial	$29.43
Rate for Payer: Qualcare PPO/HMO/WC	$8.83
Rate for Payer: UnitedHealthcare Commercial	$29.43

SUTURE SH UNDYED VICRYL 3-0

Facility

$58.85

Hospital Charge Code	270657438
Hospital Revenue Code	272
Min. Negotiated Rate	$8.83
Max. Negotiated Rate	$8.83
Rate for Payer: Qualcare PPO/HMO/WC	$8.83

SUTURE SHUTTLE 90 DEG UP

Facility

$1,175.00

Hospital Charge Code	270670479
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SUTURE SHUTTLE 90 DEG UP

Facility

$1,175.00

Hospital Charge Code	270670479
Hospital Revenue Code	272
Min. Negotiated Rate	$152.75
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.75
Rate for Payer: Oxford Commercial	$587.50
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Commercial	$587.50

SUTURE SHUTTLE RELAY C6004

Facility

$163.75

Hospital Charge Code	270634266
Hospital Revenue Code	272
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$24.56
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

SUTURE SHUTTLE RELAY C6004

Facility

$163.75

Hospital Charge Code	270634266
Hospital Revenue Code	272
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.29
Rate for Payer: Oxford Commercial	$81.88
Rate for Payer: Qualcare PPO/HMO/WC	$24.56
Rate for Payer: UnitedHealthcare Commercial	$81.88

SUTURE SHUTTLE STRAIGHT HOOK

Facility

$1,175.00

Hospital Charge Code	270670478
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SUTURE SHUTTLE STRAIGHT HOOK

Facility

$1,175.00

Hospital Charge Code	270670478
Hospital Revenue Code	272
Min. Negotiated Rate	$152.75
Max. Negotiated Rate	$587.50
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.75
Rate for Payer: Oxford Commercial	$587.50
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Commercial	$587.50

SUTURE SHUTTLE STR CRESCENT

Facility

$1,175.00

Hospital Charge Code	270672270
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SUTURE SHUTTLE STR CRESCENT

Facility

$1,175.00

Hospital Charge Code	270672270
Hospital Revenue Code	272
Min. Negotiated Rate	$152.75
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.75
Rate for Payer: Oxford Commercial	$587.50
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Commercial	$587.50

SUTURE SILK 0 CT-1/GS-1

Facility

$10.60

Hospital Charge Code	270655640
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

SUTURE SILK 0 CT-1/GS-1

Facility

$10.60

Hospital Charge Code	270655640
Hospital Revenue Code	272
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$5.30
Rate for Payer: Aetna Commercial	$3.18
Rate for Payer: Aetna Medicare Advantage	$3.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.70
Rate for Payer: Cigna Commercial	$5.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.38
Rate for Payer: Oxford Commercial	$5.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.59
Rate for Payer: UnitedHealthcare Commercial	$5.30

SUTURE SILK 0 FSL C-16

Facility

$8.73

Hospital Charge Code	270655819
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$4.37
Rate for Payer: Aetna Commercial	$2.62
Rate for Payer: Aetna Medicare Advantage	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.23
Rate for Payer: Cigna Commercial	$4.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.13
Rate for Payer: Oxford Commercial	$4.37
Rate for Payer: Qualcare PPO/HMO/WC	$1.31
Rate for Payer: UnitedHealthcare Commercial	$4.37

SUTURE SILK 0 FSL C-16

Facility

$8.73

Hospital Charge Code	270655819
Hospital Revenue Code	272
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.31

SUTURE SILK 0 KS

Facility

$7.18

Hospital Charge Code	270660196
Hospital Revenue Code	272
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$3.59
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.93
Rate for Payer: Oxford Commercial	$3.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$3.59

SUTURE SILK 0 KS

Facility

$7.18

Hospital Charge Code	270660196
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

SUTURE SILK 0 PSL

Facility

$18.27

Hospital Charge Code	270672373
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$9.13
Rate for Payer: Aetna Commercial	$5.48
Rate for Payer: Aetna Medicare Advantage	$5.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.66
Rate for Payer: Cigna Commercial	$9.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.38
Rate for Payer: Oxford Commercial	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$2.74
Rate for Payer: UnitedHealthcare Commercial	$9.13

SUTURE SILK 0 PSL

Facility

$18.27

Hospital Charge Code	270672373
Hospital Revenue Code	272
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$2.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.74

SUTURE SILK 0 TIES

Facility

$6.55

Hospital Charge Code	270671434
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$3.27
Rate for Payer: Aetna Commercial	$1.97
Rate for Payer: Aetna Medicare Advantage	$1.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.67
Rate for Payer: Cigna Commercial	$3.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.85
Rate for Payer: Oxford Commercial	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.98
Rate for Payer: UnitedHealthcare Commercial	$3.27

SUTURE SILK 0 TIES

Facility

$11.03

Hospital Charge Code	270671501
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.51
Rate for Payer: Aetna Commercial	$3.31
Rate for Payer: Aetna Medicare Advantage	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.51

Know your out-of-pocket cost for care.

All Charges