Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SILK 0 TIES

Facility

$11.03

Hospital Charge Code	270671501
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

SUTURE SILK 0 TIES

Facility

$6.55

Hospital Charge Code	270671434
Hospital Revenue Code	272
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.98

SUTURE SILK 0 V-20

Facility

$5.95

Hospital Charge Code	270655849
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$0.89
Rate for Payer: Qualcare PPO/HMO/WC	$0.89

SUTURE SILK 0 V-20

Facility

$5.95

Hospital Charge Code	270655849
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$2.98
Rate for Payer: Aetna Commercial	$1.78
Rate for Payer: Aetna Medicare Advantage	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.52
Rate for Payer: Cigna Commercial	$2.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.77
Rate for Payer: Oxford Commercial	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.89
Rate for Payer: UnitedHealthcare Commercial	$2.98

SUTURE SILK 1 TIES

Facility

$6.50

Hospital Charge Code	270671435
Hospital Revenue Code	272
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.98

SUTURE SILK 1 TIES

Facility

$6.50

Hospital Charge Code	270671435
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$3.25
Rate for Payer: Aetna Commercial	$1.95
Rate for Payer: Aetna Medicare Advantage	$1.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.66
Rate for Payer: Cigna Commercial	$3.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.85
Rate for Payer: Oxford Commercial	$3.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.98
Rate for Payer: UnitedHealthcare Commercial	$3.25

SUTURE SILK 1 V-20

Facility

$8.06

Hospital Charge Code	270671493
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Qualcare PPO/HMO/WC	$1.21

SUTURE SILK 1 V-20

Facility

$8.06

Hospital Charge Code	270671493
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$4.03
Rate for Payer: Aetna Commercial	$2.42
Rate for Payer: Aetna Medicare Advantage	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.06
Rate for Payer: Cigna Commercial	$4.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.05
Rate for Payer: Oxford Commercial	$4.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.21
Rate for Payer: UnitedHealthcare Commercial	$4.03

SUTURE SILK 2-0 FS C-15

Facility

$13.14

Hospital Charge Code	270662582
Hospital Revenue Code	272
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$6.57
Rate for Payer: Aetna Commercial	$3.94
Rate for Payer: Aetna Medicare Advantage	$3.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.35
Rate for Payer: Cigna Commercial	$6.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.71
Rate for Payer: Oxford Commercial	$6.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.97
Rate for Payer: UnitedHealthcare Commercial	$6.57

SUTURE SILK 2-0 FS C-15

Facility

$13.14

Hospital Charge Code	270662582
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$1.97
Rate for Payer: Qualcare PPO/HMO/WC	$1.97

SUTURE SILK 2-0 FSL C-16

Facility

$8.73

Hospital Charge Code	270671394
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 2-0 FSL C-16

Facility

$8.73

Hospital Charge Code	270671394
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 2-0 KS

Facility

$7.03

Hospital Charge Code	270600770
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.52
Rate for Payer: Aetna Commercial	$2.11
Rate for Payer: Aetna Medicare Advantage	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.79
Rate for Payer: Cigna Commercial	$3.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.52

SUTURE SILK 2-0 KS

Facility

$7.03

Hospital Charge Code	270600770
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

SUTURE SILK 2/0 PS

Facility

$16.60

Hospital Charge Code	270672141
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.49

SUTURE SILK 2/0 PS

Facility

$16.60

Hospital Charge Code	270672141
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$8.30
Rate for Payer: Aetna Commercial	$4.98
Rate for Payer: Aetna Medicare Advantage	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.23
Rate for Payer: Cigna Commercial	$8.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Oxford Commercial	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$2.49
Rate for Payer: UnitedHealthcare Commercial	$8.30

SUTURE SILK 2-0 PS-2

Facility

$24.84

Hospital Charge Code	270671387
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$12.42
Rate for Payer: Aetna Commercial	$7.45
Rate for Payer: Aetna Medicare Advantage	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.33
Rate for Payer: Cigna Commercial	$12.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.23
Rate for Payer: Oxford Commercial	$12.42
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$12.42

SUTURE SILK 2-0 PS-2

Facility

$24.84

Hospital Charge Code	270671387
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

SUTURE SILK 2-0 TIES

Facility

$11.53

Hospital Charge Code	270671433
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

SUTURE SILK 2-0 TIES

Facility

$11.53

Hospital Charge Code	270671433
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$5.76
Rate for Payer: Aetna Commercial	$3.46
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.94
Rate for Payer: Cigna Commercial	$5.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$5.76
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$5.76

SUTURE SILK 2-0 V-20

Facility

$6.56

Hospital Charge Code	270655703
Hospital Revenue Code	272
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.98

SUTURE SILK 2-0 V-20

Facility

$6.56

Hospital Charge Code	270655703
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$3.28
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	$3.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.85
Rate for Payer: Oxford Commercial	$3.28
Rate for Payer: Qualcare PPO/HMO/WC	$0.98
Rate for Payer: UnitedHealthcare Commercial	$3.28

SUTURE SILK 2 MH T-9

Facility

$9.77

Hospital Charge Code	270671494
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$4.88
Rate for Payer: Aetna Commercial	$2.93
Rate for Payer: Aetna Medicare Advantage	$2.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.49
Rate for Payer: Cigna Commercial	$4.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.27
Rate for Payer: Oxford Commercial	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.47
Rate for Payer: UnitedHealthcare Commercial	$4.88

SUTURE SILK 2 MH T-9

Facility

$9.77

Hospital Charge Code	270671494
Hospital Revenue Code	272
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Qualcare PPO/HMO/WC	$1.47

SUTURE SILK 2 TIES

Facility

$6.20

Hospital Charge Code	270671502
Hospital Revenue Code	272
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Qualcare PPO/HMO/WC	$0.93

Know your out-of-pocket cost for care.

All Charges