Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SILK CP1 2-0

Facility

$26.45

Hospital Charge Code	270604597
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$7.93
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.22

SUTURE SILK LR REV CUT 1X30

Facility

$28.60

Hospital Charge Code	270702979
Hospital Revenue Code	278
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.29

SUTURE SILK LR REV CUT 1X30

Facility

$28.60

Hospital Charge Code	270702979
Hospital Revenue Code	278
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$14.30
Rate for Payer: Aetna Commercial	$8.58
Rate for Payer: Aetna Medicare Advantage	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.29
Rate for Payer: Cigna Commercial	$14.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.29

SUTURE SILK P3 6-0

Facility

$18.42

Hospital Charge Code	270604608
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$9.21
Rate for Payer: Aetna Commercial	$5.53
Rate for Payer: Aetna Medicare Advantage	$5.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.70
Rate for Payer: Cigna Commercial	$9.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.39
Rate for Payer: Oxford Commercial	$9.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.76
Rate for Payer: UnitedHealthcare Commercial	$9.21

SUTURE SILK P3 6-0

Facility

$18.42

Hospital Charge Code	270604608
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$2.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.76

SUTURE SMALL INTESTINE

Facility

$22,902.00

Service Code	HCPCS 44602
Hospital Charge Code	1600000876
Hospital Revenue Code	360
Min. Negotiated Rate	$3,435.30
Max. Negotiated Rate	$3,435.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,435.30

SUTURE SMALL INTESTINE

Facility

$22,902.00

Service Code	HCPCS 44602
Hospital Charge Code	1600000876
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,181.40
Rate for Payer: Aetna Commercial	$6,870.60
Rate for Payer: Aetna Medicare Advantage	$6,870.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,840.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,840.01
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	$5,840.01
Rate for Payer: Cigna Commercial	$9,181.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,977.26
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,435.30
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

SUTURES MAXON GREEN 0 T-12

Facility

$7.88

Hospital Charge Code	270651250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$3.94
Rate for Payer: Aetna Commercial	$2.36
Rate for Payer: Aetna Medicare Advantage	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.01
Rate for Payer: Cigna Commercial	$3.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.02
Rate for Payer: Oxford Commercial	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.18
Rate for Payer: UnitedHealthcare Commercial	$3.94

SUTURES MAXON GREEN 0 T-12

Facility

$7.88

Hospital Charge Code	270651250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.18

SUTURE SNGLE ARM THX-26 36IN

Facility

$122.08

Hospital Charge Code	270643251
Hospital Revenue Code	272
Min. Negotiated Rate	$15.87
Max. Negotiated Rate	$61.04
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.13
Rate for Payer: Cigna Commercial	$61.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.87
Rate for Payer: Oxford Commercial	$61.04
Rate for Payer: Qualcare PPO/HMO/WC	$18.31
Rate for Payer: UnitedHealthcare Commercial	$61.04

SUTURE SNGLE ARM THX-26 36IN

Facility

$122.08

Hospital Charge Code	270643251
Hospital Revenue Code	272
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SUTURE SOFSILK 0 12x24 BLK

Facility

$4.18

Hospital Charge Code	270651120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$2.09
Rate for Payer: Aetna Commercial	$1.25
Rate for Payer: Aetna Medicare Advantage	$1.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.07
Rate for Payer: Cigna Commercial	$2.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.54
Rate for Payer: Oxford Commercial	$2.09
Rate for Payer: Qualcare PPO/HMO/WC	$0.63
Rate for Payer: UnitedHealthcare Commercial	$2.09

SUTURE SOFSILK 0 12x24 BLK

Facility

$4.18

Hospital Charge Code	270651120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$0.63
Rate for Payer: Qualcare PPO/HMO/WC	$0.63

SUTURE SOFSILK 0 12x30 BLK

Facility

$2.86

Hospital Charge Code	270625278
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.43

SUTURE SOFSILK 0 12x30 BLK

Facility

$2.86

Hospital Charge Code	270625278
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$1.43
Rate for Payer: Aetna Commercial	$0.86
Rate for Payer: Aetna Medicare Advantage	$0.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.73
Rate for Payer: Cigna Commercial	$1.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.37
Rate for Payer: Oxford Commercial	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.43
Rate for Payer: UnitedHealthcare Commercial	$1.43

SUTURE SOFSILK 0 30 BLACK

Facility

$5.36

Hospital Charge Code	270604596N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.80

SUTURE SOFSILK 0 30 BLACK

Facility

$5.00

Hospital Charge Code	270659736
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

SUTURE SOFSILK 0 30 BLACK

Facility

$5.36

Hospital Charge Code	270604596
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.80

SUTURE SOFSILK 0 30 BLACK

Facility

$5.36

Hospital Charge Code	270604596N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$2.68
Rate for Payer: Aetna Commercial	$1.61
Rate for Payer: Aetna Medicare Advantage	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.37
Rate for Payer: Cigna Commercial	$2.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.70
Rate for Payer: Oxford Commercial	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Commercial	$2.68

SUTURE SOFSILK 0 30 BLACK

Facility

$5.36

Hospital Charge Code	270604596
Hospital Revenue Code	272
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$2.68
Rate for Payer: Aetna Commercial	$1.61
Rate for Payer: Aetna Medicare Advantage	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.37
Rate for Payer: Cigna Commercial	$2.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.70
Rate for Payer: Oxford Commercial	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Commercial	$2.68

SUTURE SOFSILK 0 30 BLACK

Facility

$5.36

Hospital Charge Code	270604596S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$2.68
Rate for Payer: Aetna Commercial	$1.61
Rate for Payer: Aetna Medicare Advantage	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.37
Rate for Payer: Cigna Commercial	$2.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.70
Rate for Payer: Oxford Commercial	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Commercial	$2.68

SUTURE SOFSILK 0 30 BLACK

Facility

$5.00

Hospital Charge Code	270659736
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

SUTURE SOFSILK 0 30 BLACK

Facility

$5.36

Hospital Charge Code	270604596S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.80

SUTURE SOFSILK 0 30 BLACK CT1

Facility

$5.10

Hospital Charge Code	270613699
Hospital Revenue Code	272
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$2.55
Rate for Payer: Aetna Commercial	$1.53
Rate for Payer: Aetna Medicare Advantage	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.30
Rate for Payer: Cigna Commercial	$2.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.66
Rate for Payer: Oxford Commercial	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$0.77
Rate for Payer: UnitedHealthcare Commercial	$2.55

SUTURE SOFSILK 0 30 BLACK CT1

Facility

$5.10

Hospital Charge Code	270613699N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$2.55
Rate for Payer: Aetna Commercial	$1.53
Rate for Payer: Aetna Medicare Advantage	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.30
Rate for Payer: Cigna Commercial	$2.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.66
Rate for Payer: Oxford Commercial	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$0.77
Rate for Payer: UnitedHealthcare Commercial	$2.55

Know your out-of-pocket cost for care.

All Charges