Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SOFSILK 0 30 BLACK CT1

Facility

$5.10

Hospital Charge Code	270613699S
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	270613699S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.77

SUTURE SOFSILK 0 30 BLACK CT1

Facility

$5.10

Hospital Charge Code	270613699N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.77

SUTURE SOFSILK 0 30 BLACK CT1

Facility

$5.10

Hospital Charge Code	270613699
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.77

SUTURE SOFSILK 0 30 BLACK V20

Facility

$5.92

Hospital Charge Code	270661183N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$0.89
Rate for Payer: Qualcare PPO/HMO/WC	$0.89

SUTURE SOFSILK 0 30 BLACK V20

Facility

$5.92

Hospital Charge Code	270661183S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$0.89
Rate for Payer: Qualcare PPO/HMO/WC	$0.89

SUTURE SOFSILK 0 30 BLACK V20

Facility

$5.92

Hospital Charge Code	270661183N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$2.96
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	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.51
Rate for Payer: Cigna Commercial	$2.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.77
Rate for Payer: Oxford Commercial	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$0.89
Rate for Payer: UnitedHealthcare Commercial	$2.96

SUTURE SOFSILK 0 30 BLACK V20

Facility

$5.92

Hospital Charge Code	270661183
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$2.96
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	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.51
Rate for Payer: Cigna Commercial	$2.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.77
Rate for Payer: Oxford Commercial	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$0.89
Rate for Payer: UnitedHealthcare Commercial	$2.96

SUTURE SOFSILK 0 30 BLACK V20

Facility

$5.92

Hospital Charge Code	270661183
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$0.89
Rate for Payer: Qualcare PPO/HMO/WC	$0.89

SUTURE SOFSILK 0 30 BLACK V20

Facility

$5.92

Hospital Charge Code	270661183S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$2.96
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	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.51
Rate for Payer: Cigna Commercial	$2.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.77
Rate for Payer: Oxford Commercial	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$0.89
Rate for Payer: UnitedHealthcare Commercial	$2.96

SUTURE SOFSILK 0 BLK 48

Facility

$213.65

Hospital Charge Code	270658699
Hospital Revenue Code	272
Min. Negotiated Rate	$27.77
Max. Negotiated Rate	$106.83
Rate for Payer: Aetna Commercial	$64.09
Rate for Payer: Aetna Medicare Advantage	$64.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.48
Rate for Payer: Cigna Commercial	$106.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.77
Rate for Payer: Oxford Commercial	$106.83
Rate for Payer: Qualcare PPO/HMO/WC	$32.05
Rate for Payer: UnitedHealthcare Commercial	$106.83

SUTURE SOFSILK 0 BLK 48

Facility

$213.65

Hospital Charge Code	270658699
Hospital Revenue Code	272
Min. Negotiated Rate	$32.05
Max. Negotiated Rate	$32.05
Rate for Payer: Qualcare PPO/HMO/WC	$32.05

SUTURE SOFSILK 0 GS-21

Facility

$5.02

Hospital Charge Code	2709000486
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 GS-21

Facility

$5.02

Hospital Charge Code	2709000486
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.51
Rate for Payer: Aetna Commercial	$1.51
Rate for Payer: Aetna Medicare Advantage	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.28
Rate for Payer: Cigna Commercial	$2.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.51

SUTURE SOFSILK 1 12x30 BLK

Facility

$2.86

Hospital Charge Code	270626184
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 1 12x30 BLK

Facility

$2.86

Hospital Charge Code	270626184
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 1 30 BLACK V20

Facility

$5.25

Hospital Charge Code	270666266
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

SUTURE SOFSILK 1 30 BLACK V20

Facility

$5.25

Hospital Charge Code	270666266
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$1.57
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.68
Rate for Payer: Oxford Commercial	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$2.62

SUTURE SOFSILK 2/0 12x30 BLK

Facility

$7.45

Hospital Charge Code	270604591
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$3.73
Rate for Payer: Aetna Commercial	$2.23
Rate for Payer: Aetna Medicare Advantage	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.90
Rate for Payer: Cigna Commercial	$3.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.97
Rate for Payer: Oxford Commercial	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.12
Rate for Payer: UnitedHealthcare Commercial	$3.73

SUTURE SOFSILK 2/0 12x30 BLK

Facility

$7.45

Hospital Charge Code	270604591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$1.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.12

SUTURE SOFSILK 2/0 18 BLACK

Facility

$14.18

Hospital Charge Code	270656166N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$7.09
Rate for Payer: Aetna Commercial	$4.25
Rate for Payer: Aetna Medicare Advantage	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.62
Rate for Payer: Cigna Commercial	$7.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.84
Rate for Payer: Oxford Commercial	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$2.13
Rate for Payer: UnitedHealthcare Commercial	$7.09

SUTURE SOFSILK 2/0 18 BLACK

Facility

$14.18

Hospital Charge Code	270656166
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$2.13
Rate for Payer: Qualcare PPO/HMO/WC	$2.13

SUTURE SOFSILK 2/0 18 BLACK

Facility

$14.18

Hospital Charge Code	270656166N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$2.13
Rate for Payer: Qualcare PPO/HMO/WC	$2.13

SUTURE SOFSILK 2/0 18 BLACK

Facility

$14.18

Hospital Charge Code	270656166
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$7.09
Rate for Payer: Aetna Commercial	$4.25
Rate for Payer: Aetna Medicare Advantage	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.62
Rate for Payer: Cigna Commercial	$7.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.84
Rate for Payer: Oxford Commercial	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$2.13
Rate for Payer: UnitedHealthcare Commercial	$7.09

SUTURE SOFSILK 2/0 18 BLACK

Facility

$14.18

Hospital Charge Code	270656166S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$2.13
Rate for Payer: Qualcare PPO/HMO/WC	$2.13

Know your out-of-pocket cost for care.

All Charges