Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SOFSILK 4/0 18 BLACK

Facility

$13.46

Hospital Charge Code	270604606
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

SUTURE SOFSILK 4/0 30 BLK V20

Facility

$5.10

Hospital Charge Code	270604605
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 4/0 30 BLK V20

Facility

$5.10

Hospital Charge Code	270604605
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 4-0 BLACK 18

Facility

$13.60

Hospital Charge Code	270651330
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Qualcare PPO/HMO/WC	$2.04

SUTURE SOFSILK 4-0 BLACK 18

Facility

$13.60

Hospital Charge Code	270651330
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.80
Rate for Payer: Aetna Commercial	$4.08
Rate for Payer: Aetna Medicare Advantage	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.47
Rate for Payer: Cigna Commercial	$6.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.04
Rate for Payer: UnitedHealthcare Commercial	$6.80

SUTURE SOFSILK 5/0 18 BLACK

Facility

$46.88

Hospital Charge Code	270600791
Hospital Revenue Code	272
Min. Negotiated Rate	$7.03
Max. Negotiated Rate	$7.03
Rate for Payer: Qualcare PPO/HMO/WC	$7.03

SUTURE SOFSILK 5/0 18 BLACK

Facility

$46.88

Hospital Charge Code	270600791
Hospital Revenue Code	272
Min. Negotiated Rate	$6.09
Max. Negotiated Rate	$23.44
Rate for Payer: Aetna Commercial	$14.06
Rate for Payer: Aetna Medicare Advantage	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.95
Rate for Payer: Cigna Commercial	$23.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.09
Rate for Payer: Oxford Commercial	$23.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.03
Rate for Payer: UnitedHealthcare Commercial	$23.44

SUTURE SOFSILK 5/0 18IN BLACK

Facility

$13.71

Hospital Charge Code	270660025
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

SUTURE SOFSILK 5/0 18IN BLACK

Facility

$13.71

Hospital Charge Code	270660025
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$6.86
Rate for Payer: Aetna Commercial	$4.11
Rate for Payer: Aetna Medicare Advantage	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.50
Rate for Payer: Cigna Commercial	$6.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.78
Rate for Payer: Oxford Commercial	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$6.86

SUTURE SOFSILK 6/0 18 BLACK

Facility

$13.52

Hospital Charge Code	270600790
Hospital Revenue Code	272
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$6.76
Rate for Payer: Aetna Commercial	$4.06
Rate for Payer: Aetna Medicare Advantage	$4.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.45
Rate for Payer: Cigna Commercial	$6.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.76
Rate for Payer: Oxford Commercial	$6.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.03
Rate for Payer: UnitedHealthcare Commercial	$6.76

SUTURE SOFSILK 6/0 18 BLACK

Facility

$13.52

Hospital Charge Code	270600790
Hospital Revenue Code	272
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$2.03
Rate for Payer: Qualcare PPO/HMO/WC	$2.03

SUTURE SOFSILK 6-0 NDL CV-1

Facility

$14.06

Hospital Charge Code	270646967C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$7.03
Rate for Payer: Aetna Commercial	$4.22
Rate for Payer: Aetna Medicare Advantage	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.59
Rate for Payer: Cigna Commercial	$7.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.83
Rate for Payer: Oxford Commercial	$7.03
Rate for Payer: Qualcare PPO/HMO/WC	$2.11
Rate for Payer: UnitedHealthcare Commercial	$7.03

SUTURE SOFSILK 6-0 NDL CV-1

Facility

$14.06

Hospital Charge Code	270646967
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$7.03
Rate for Payer: Aetna Commercial	$4.22
Rate for Payer: Aetna Medicare Advantage	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.59
Rate for Payer: Cigna Commercial	$7.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.83
Rate for Payer: Oxford Commercial	$7.03
Rate for Payer: Qualcare PPO/HMO/WC	$2.11
Rate for Payer: UnitedHealthcare Commercial	$7.03

SUTURE SOFSILK 6-0 NDL CV-1

Facility

$14.06

Hospital Charge Code	270646967C
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$2.11
Rate for Payer: Qualcare PPO/HMO/WC	$2.11

SUTURE SOFSILK 6-0 NDL CV-1

Facility

$14.06

Hospital Charge Code	270646967
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$2.11
Rate for Payer: Qualcare PPO/HMO/WC	$2.11

SUTURE SOFSILK 7-0

Facility

$59.53

Hospital Charge Code	270651168
Hospital Revenue Code	272
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$29.77
Rate for Payer: Aetna Commercial	$17.86
Rate for Payer: Aetna Medicare Advantage	$17.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.18
Rate for Payer: Cigna Commercial	$29.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.74
Rate for Payer: Oxford Commercial	$29.77
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$29.77

SUTURE SOFSILK 7-0

Facility

$59.53

Hospital Charge Code	270651168
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

SUTURE SOFSILK C-1 4-0 12 BLK

Facility

$12.05

Hospital Charge Code	270651167
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

SUTURE SOFSILK C-1 4-0 12 BLK

Facility

$12.05

Hospital Charge Code	270651167
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.03
Rate for Payer: Aetna Commercial	$3.62
Rate for Payer: Aetna Medicare Advantage	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.07
Rate for Payer: Cigna Commercial	$6.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.03

SUTURE SOFSILK C-15 2-0 18 BLK

Facility

$5.30

Hospital Charge Code	270651332
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$2.65
Rate for Payer: Aetna Commercial	$1.59
Rate for Payer: Aetna Medicare Advantage	$1.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.35
Rate for Payer: Cigna Commercial	$2.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.69
Rate for Payer: Oxford Commercial	$2.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Commercial	$2.65

SUTURE SOFSILK C-15 2-0 18 BLK

Facility

$5.30

Hospital Charge Code	270651332
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 HE1 6-0

Facility

$88.00

Hospital Charge Code	270604700
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

SUTURE SOFSILK HE1 6-0

Facility

$88.00

Hospital Charge Code	270604700
Hospital Revenue Code	272
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

SUTURE SOFSILK HE7 7-0

Facility

$96.85

Hospital Charge Code	270604701
Hospital Revenue Code	272
Min. Negotiated Rate	$12.59
Max. Negotiated Rate	$48.42
Rate for Payer: Aetna Commercial	$29.05
Rate for Payer: Aetna Medicare Advantage	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.70
Rate for Payer: Cigna Commercial	$48.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.59
Rate for Payer: Oxford Commercial	$48.42
Rate for Payer: Qualcare PPO/HMO/WC	$14.53
Rate for Payer: UnitedHealthcare Commercial	$48.42

SUTURE SOFSILK HE7 7-0

Facility

$96.85

Hospital Charge Code	270604701
Hospital Revenue Code	272
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$14.53
Rate for Payer: Qualcare PPO/HMO/WC	$14.53

Know your out-of-pocket cost for care.

All Charges