Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SOFSILK TIES 1

Facility

$13.65

Hospital Charge Code	270604588
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

SUTURE SOFSILK TIES 2

Facility

$13.65

Hospital Charge Code	270604587
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

SUTURE SOFSILK TIES 2

Facility

$13.65

Hospital Charge Code	270604587
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

SUTURE SOFSILK TIES 2-0 24

Facility

$19.25

Hospital Charge Code	270604592
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$5.78
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.50
Rate for Payer: Oxford Commercial	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$9.62

SUTURE SOFSILK TIES 2-0 24

Facility

$19.25

Hospital Charge Code	270604592
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

SUTURE SOFSILK TIES 3-0 24

Facility

$6.11

Hospital Charge Code	270604594
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$3.06
Rate for Payer: Aetna Commercial	$1.83
Rate for Payer: Aetna Medicare Advantage	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.56
Rate for Payer: Cigna Commercial	$3.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.79
Rate for Payer: Oxford Commercial	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$0.92
Rate for Payer: UnitedHealthcare Commercial	$3.06

SUTURE SOFSILK TIES 3-0 24

Facility

$6.11

Hospital Charge Code	270604594
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$0.92
Rate for Payer: Qualcare PPO/HMO/WC	$0.92

SUTURE SOFSILK V20 0

Facility

$16.85

Hospital Charge Code	270604598
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

SUTURE SOFSILK V20 0

Facility

$16.85

Hospital Charge Code	270604598
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

SUTURE SOFSILK V20 4-0

Facility

$36.85

Hospital Charge Code	270604604
Hospital Revenue Code	272
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$5.53
Rate for Payer: Qualcare PPO/HMO/WC	$5.53

SUTURE SOFSILK V20 4-0

Facility

$36.85

Hospital Charge Code	270604604
Hospital Revenue Code	272
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$18.43
Rate for Payer: Aetna Commercial	$11.05
Rate for Payer: Aetna Medicare Advantage	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.40
Rate for Payer: Cigna Commercial	$18.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.79
Rate for Payer: Oxford Commercial	$18.43
Rate for Payer: Qualcare PPO/HMO/WC	$5.53
Rate for Payer: UnitedHealthcare Commercial	$18.43

SUTURE SOFSILK V-26 1 30 BLACK

Facility

$5.25

Hospital Charge Code	270651242
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 V-26 1 30 BLACK

Facility

$5.25

Hospital Charge Code	270651242
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

SUTURE SPECIALITY

Facility

$161.65

Hospital Charge Code	270999003
Hospital Revenue Code	272
Min. Negotiated Rate	$21.01
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$48.49
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.01
Rate for Payer: Oxford Commercial	$80.83
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$80.83

SUTURE SPECIALITY

Facility

$161.65

Hospital Charge Code	270999003
Hospital Revenue Code	272
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

SUTURE SPEEDSTITCH MAGNUMWIRE

Facility

$1,625.00

Hospital Charge Code	270668393
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

SUTURE SPEEDSTITCH MAGNUMWIRE

Facility

$1,625.00

Hospital Charge Code	270668393
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE SPIRA L-PCL 4-0 PS-2

Facility

$210.72

Hospital Charge Code	270672264
Hospital Revenue Code	272
Min. Negotiated Rate	$31.61
Max. Negotiated Rate	$31.61
Rate for Payer: Qualcare PPO/HMO/WC	$31.61

SUTURE SPIRA L-PCL 4-0 PS-2

Facility

$210.72

Hospital Charge Code	270672264
Hospital Revenue Code	272
Min. Negotiated Rate	$27.39
Max. Negotiated Rate	$105.36
Rate for Payer: Aetna Commercial	$63.22
Rate for Payer: Aetna Medicare Advantage	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.73
Rate for Payer: Cigna Commercial	$105.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.39
Rate for Payer: Oxford Commercial	$105.36
Rate for Payer: Qualcare PPO/HMO/WC	$31.61
Rate for Payer: UnitedHealthcare Commercial	$105.36

SUTURE SPIRAL PDS PLUS 45X45CM

Facility

$107.25

Hospital Charge Code	270699003
Hospital Revenue Code	272
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$53.62
Rate for Payer: Aetna Commercial	$32.17
Rate for Payer: Aetna Medicare Advantage	$32.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.35
Rate for Payer: Cigna Commercial	$53.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.94
Rate for Payer: Oxford Commercial	$53.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.09
Rate for Payer: UnitedHealthcare Commercial	$53.62

SUTURE SPIRAL PDS PLUS 45X45CM

Facility

$107.25

Hospital Charge Code	270699003
Hospital Revenue Code	272
Min. Negotiated Rate	$16.09
Max. Negotiated Rate	$16.09
Rate for Payer: Qualcare PPO/HMO/WC	$16.09

SUTURE SR6LON 4-0 BK 5X18

Facility

$7.90

Hospital Charge Code	270656034
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.95
Rate for Payer: Aetna Commercial	$2.37
Rate for Payer: Aetna Medicare Advantage	$2.37
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	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$3.95

SUTURE SR6LON 4-0 BK 5X18

Facility

$7.90

Hospital Charge Code	270656034
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SUTURE STEEL 0 TIES

Facility

$30.56

Hospital Charge Code	270659091
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$15.28
Rate for Payer: Aetna Commercial	$9.17
Rate for Payer: Aetna Medicare Advantage	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.79
Rate for Payer: Cigna Commercial	$15.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.97
Rate for Payer: Oxford Commercial	$15.28
Rate for Payer: Qualcare PPO/HMO/WC	$4.58
Rate for Payer: UnitedHealthcare Commercial	$15.28

SUTURE STEEL 0 TIES

Facility

$30.56

Hospital Charge Code	270659091
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$4.58
Rate for Payer: Qualcare PPO/HMO/WC	$4.58

Know your out-of-pocket cost for care.

All Charges