Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIGUT GU45 0

Facility

$57.65

Hospital Charge Code	270604487
Hospital Revenue Code	272
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SUTURE SURGIGUT HE1 6-0

Facility

$37.65

Hospital Charge Code	270604693
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

SUTURE SURGIGUT HE1 6-0

Facility

$37.65

Hospital Charge Code	270604693
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$18.82
Rate for Payer: Aetna Commercial	$11.29
Rate for Payer: Aetna Medicare Advantage	$11.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.60
Rate for Payer: Cigna Commercial	$18.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.89
Rate for Payer: Oxford Commercial	$18.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$18.82

SUTURE SURGIGUT HE2 4-0

Facility

$33.65

Hospital Charge Code	270604691
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

SUTURE SURGIGUT HE2 4-0

Facility

$33.65

Hospital Charge Code	270604691
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

SUTURE SURGIGUT HE3 5-0

Facility

$33.65

Hospital Charge Code	270604692
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

SUTURE SURGIGUT HE3 5-0

Facility

$33.65

Hospital Charge Code	270604692
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

SUTURE SURGIGUT HGS21 0

Facility

$77.65

Hospital Charge Code	270604489
Hospital Revenue Code	272
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SUTURE SURGIGUT HGS21 0

Facility

$77.65

Hospital Charge Code	270604489
Hospital Revenue Code	272
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$23.30
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.09
Rate for Payer: Oxford Commercial	$38.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$38.83

SUTURE SURGIGUT HGS21 1

Facility

$933.65

Hospital Charge Code	270609914
Hospital Revenue Code	272
Min. Negotiated Rate	$140.05
Max. Negotiated Rate	$140.05
Rate for Payer: Qualcare PPO/HMO/WC	$140.05

SUTURE SURGIGUT HGS21 1

Facility

$933.65

Hospital Charge Code	270609914
Hospital Revenue Code	272
Min. Negotiated Rate	$121.37
Max. Negotiated Rate	$466.82
Rate for Payer: Aetna Commercial	$280.10
Rate for Payer: Aetna Medicare Advantage	$280.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.08
Rate for Payer: Cigna Commercial	$466.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.37
Rate for Payer: Oxford Commercial	$466.82
Rate for Payer: Qualcare PPO/HMO/WC	$140.05
Rate for Payer: UnitedHealthcare Commercial	$466.82

SUTURE SURGIGUT HGS21 1

Facility

$933.65

Hospital Charge Code	270609915
Hospital Revenue Code	272
Min. Negotiated Rate	$121.37
Max. Negotiated Rate	$466.82
Rate for Payer: Aetna Commercial	$280.10
Rate for Payer: Aetna Medicare Advantage	$280.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.08
Rate for Payer: Cigna Commercial	$466.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.37
Rate for Payer: Oxford Commercial	$466.82
Rate for Payer: Qualcare PPO/HMO/WC	$140.05
Rate for Payer: UnitedHealthcare Commercial	$466.82

SUTURE SURGIGUT HGS21 1

Facility

$933.65

Hospital Charge Code	270609915
Hospital Revenue Code	272
Min. Negotiated Rate	$140.05
Max. Negotiated Rate	$140.05
Rate for Payer: Qualcare PPO/HMO/WC	$140.05

SUTURE SURGIGUT HOS10 2-0

Facility

$80.00

Hospital Charge Code	270604490
Hospital Revenue Code	272
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.40
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$40.00

SUTURE SURGIGUT HOS10 2-0

Facility

$80.00

Hospital Charge Code	270604490
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SUTURE SURGIGUT P11 5-0

Facility

$43.25

Hospital Charge Code	270604634
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

SUTURE SURGIGUT P11 5-0

Facility

$43.25

Hospital Charge Code	270604634
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

SUTURE SURGIGUT P11 6-0

Facility

$32.00

Hospital Charge Code	270600786
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

SUTURE SURGIGUT P11 6-0

Facility

$32.00

Hospital Charge Code	270600786
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

SUTURE SURGIGUT P12 3-0

Facility

$29.65

Hospital Charge Code	270600789
Hospital Revenue Code	272
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

SUTURE SURGIGUT P12 3-0

Facility

$29.65

Hospital Charge Code	270600789
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$14.82

SUTURE SURGIGUT P24 4-0

Facility

$39.25

Hospital Charge Code	270604496
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

SUTURE SURGIGUT P24 4-0

Facility

$39.25

Hospital Charge Code	270604496
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.10
Rate for Payer: Oxford Commercial	$19.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$19.62

SUTURE SURGIGUT P24 4-0 SG1633

Facility

$1,492.00

Hospital Charge Code	270611060
Hospital Revenue Code	272
Min. Negotiated Rate	$193.96
Max. Negotiated Rate	$746.00
Rate for Payer: Aetna Commercial	$447.60
Rate for Payer: Aetna Medicare Advantage	$447.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.46
Rate for Payer: Cigna Commercial	$746.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.96
Rate for Payer: Oxford Commercial	$746.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.80
Rate for Payer: UnitedHealthcare Commercial	$746.00

SUTURE SURGIGUT P24 4-0 SG1633

Facility

$1,492.00

Hospital Charge Code	270611060
Hospital Revenue Code	272
Min. Negotiated Rate	$223.80
Max. Negotiated Rate	$223.80
Rate for Payer: Qualcare PPO/HMO/WC	$223.80

Know your out-of-pocket cost for care.

All Charges