Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SILK 2 TIES

Facility

$6.20

Hospital Charge Code	270671502
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$3.10
Rate for Payer: Aetna Commercial	$1.86
Rate for Payer: Aetna Medicare Advantage	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.58
Rate for Payer: Cigna Commercial	$3.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.81
Rate for Payer: Oxford Commercial	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.93
Rate for Payer: UnitedHealthcare Commercial	$3.10

SUTURE SILK 3-0 BLK PR PS-2 18

Facility

$17.03

Hospital Charge Code	270671378
Hospital Revenue Code	272
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.55

SUTURE SILK 3-0 BLK PR PS-2 18

Facility

$17.03

Hospital Charge Code	270671378
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$8.52
Rate for Payer: Aetna Commercial	$5.11
Rate for Payer: Aetna Medicare Advantage	$5.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.34
Rate for Payer: Cigna Commercial	$8.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$8.52
Rate for Payer: Qualcare PPO/HMO/WC	$2.55
Rate for Payer: UnitedHealthcare Commercial	$8.52

SUTURE SILK 3-0 BLK V-20

Facility

$40.64

Hospital Charge Code	270672378
Hospital Revenue Code	272
Min. Negotiated Rate	$6.10
Max. Negotiated Rate	$6.10
Rate for Payer: Qualcare PPO/HMO/WC	$6.10

SUTURE SILK 3-0 BLK V-20

Facility

$40.64

Hospital Charge Code	270672378
Hospital Revenue Code	272
Min. Negotiated Rate	$5.28
Max. Negotiated Rate	$20.32
Rate for Payer: Aetna Commercial	$12.19
Rate for Payer: Aetna Medicare Advantage	$12.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.36
Rate for Payer: Cigna Commercial	$20.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.28
Rate for Payer: Oxford Commercial	$20.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.10
Rate for Payer: UnitedHealthcare Commercial	$20.32

SUTURE SILK 3-0 CR/SH 8-30

Facility

$82.90

Hospital Charge Code	270636158
Hospital Revenue Code	272
Min. Negotiated Rate	$10.78
Max. Negotiated Rate	$41.45
Rate for Payer: Aetna Commercial	$24.87
Rate for Payer: Aetna Medicare Advantage	$24.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.14
Rate for Payer: Cigna Commercial	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.78
Rate for Payer: Oxford Commercial	$41.45
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$41.45

SUTURE SILK 3-0 CR/SH 8-30

Facility

$82.90

Hospital Charge Code	270636158
Hospital Revenue Code	272
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

SUTURE SILK 3/0 KS

Facility

$7.10

Hospital Charge Code	270655649
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$3.55
Rate for Payer: Aetna Commercial	$2.13
Rate for Payer: Aetna Medicare Advantage	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.81
Rate for Payer: Cigna Commercial	$3.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.92
Rate for Payer: Oxford Commercial	$3.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.06
Rate for Payer: UnitedHealthcare Commercial	$3.55

SUTURE SILK 3/0 KS

Facility

$7.10

Hospital Charge Code	270655649
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.06

SUTURE SILK 3-0 RB-1

Facility

$67.53

Hospital Charge Code	270655675
Hospital Revenue Code	272
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$10.13
Rate for Payer: Qualcare PPO/HMO/WC	$10.13

SUTURE SILK 3-0 RB-1

Facility

$67.53

Hospital Charge Code	270655675
Hospital Revenue Code	272
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$33.77
Rate for Payer: Aetna Commercial	$20.26
Rate for Payer: Aetna Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.22
Rate for Payer: Cigna Commercial	$33.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.78
Rate for Payer: Oxford Commercial	$33.77
Rate for Payer: Qualcare PPO/HMO/WC	$10.13
Rate for Payer: UnitedHealthcare Commercial	$33.77

SUTURE SILK 3-0 SH

Facility

$72.19

Hospital Charge Code	270671437
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$36.09
Rate for Payer: Aetna Commercial	$21.66
Rate for Payer: Aetna Medicare Advantage	$21.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.41
Rate for Payer: Cigna Commercial	$36.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$36.09
Rate for Payer: Qualcare PPO/HMO/WC	$10.83
Rate for Payer: UnitedHealthcare Commercial	$36.09

SUTURE SILK 3-0 SH

Facility

$72.19

Hospital Charge Code	270671437
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$10.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.83

SUTURE SILK 3-0 ST-1

Facility

$7.61

Hospital Charge Code	270676535
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$3.81
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.99
Rate for Payer: Oxford Commercial	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$3.81

SUTURE SILK 3-0 ST-1

Facility

$7.61

Hospital Charge Code	270676535
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

SUTURE SILK 3-0 TIES

Facility

$10.89

Hospital Charge Code	270655712
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$1.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.63

SUTURE SILK 3-0 TIES

Facility

$10.89

Hospital Charge Code	270655712
Hospital Revenue Code	272
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$5.45
Rate for Payer: Aetna Commercial	$3.27
Rate for Payer: Aetna Medicare Advantage	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.78
Rate for Payer: Cigna Commercial	$5.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.42
Rate for Payer: Oxford Commercial	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.63
Rate for Payer: UnitedHealthcare Commercial	$5.45

SUTURE SILK 3-0 TIES

Facility

$21.26

Hospital Charge Code	270671432
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

SUTURE SILK 3-0 TIES

Facility

$21.26

Hospital Charge Code	270671432
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$10.63
Rate for Payer: Aetna Commercial	$6.38
Rate for Payer: Aetna Medicare Advantage	$6.38
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	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.76
Rate for Payer: Oxford Commercial	$10.63
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$10.63

SUTURE SILK 3-0 V-20

Facility

$5.85

Hospital Charge Code	270671492
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.88

SUTURE SILK 3-0 V-20

Facility

$5.85

Hospital Charge Code	270671492
Hospital Revenue Code	272
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna Commercial	$1.75
Rate for Payer: Aetna Medicare Advantage	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.76
Rate for Payer: Oxford Commercial	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$0.88
Rate for Payer: UnitedHealthcare Commercial	$2.92

SUTURE SILK 4-0 C-3

Facility

$19.87

Hospital Charge Code	270604703
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$9.94
Rate for Payer: Aetna Commercial	$5.96
Rate for Payer: Aetna Medicare Advantage	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.07
Rate for Payer: Cigna Commercial	$9.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.58
Rate for Payer: Oxford Commercial	$9.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.98
Rate for Payer: UnitedHealthcare Commercial	$9.94

SUTURE SILK 4-0 C-3

Facility

$19.87

Hospital Charge Code	270604703
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.98

SUTURE SILK 4/0 KS

Facility

$7.23

Hospital Charge Code	270655817
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.17
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.84
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.94
Rate for Payer: Oxford Commercial	$3.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$3.62

SUTURE SILK 4/0 KS

Facility

$7.23

Hospital Charge Code	270655817
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

Know your out-of-pocket cost for care.

All Charges