Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGILON 3/0 30 BK C14

Facility

$19.71

Hospital Charge Code	270618236
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.96

SUTURE SURGILON 4-0 TF CVF-21

Facility

$125.40

Hospital Charge Code	270658811
Hospital Revenue Code	272
Min. Negotiated Rate	$16.30
Max. Negotiated Rate	$62.70
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$37.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.98
Rate for Payer: Cigna Commercial	$62.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.30
Rate for Payer: Oxford Commercial	$62.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.81
Rate for Payer: UnitedHealthcare Commercial	$62.70

SUTURE SURGILON 4-0 TF CVF-21

Facility

$125.40

Hospital Charge Code	270658811
Hospital Revenue Code	272
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$18.81
Rate for Payer: Qualcare PPO/HMO/WC	$18.81

SUTURE SURGILON C-14 2/0 BLK

Facility

$35.36

Hospital Charge Code	270618237
Hospital Revenue Code	272
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$5.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.30

SUTURE SURGILON C-14 2/0 BLK

Facility

$35.36

Hospital Charge Code	270618237
Hospital Revenue Code	272
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$17.68
Rate for Payer: Aetna Commercial	$10.61
Rate for Payer: Aetna Medicare Advantage	$10.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.02
Rate for Payer: Cigna Commercial	$17.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.60
Rate for Payer: Oxford Commercial	$17.68
Rate for Payer: Qualcare PPO/HMO/WC	$5.30
Rate for Payer: UnitedHealthcare Commercial	$17.68

SUTURE SURGIPRO 0 30 BLUE CT1

Facility

$8.11

Hospital Charge Code	270604668
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$4.05
Rate for Payer: Aetna Commercial	$2.43
Rate for Payer: Aetna Medicare Advantage	$2.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.07
Rate for Payer: Cigna Commercial	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.05
Rate for Payer: Oxford Commercial	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$4.05

SUTURE SURGIPRO 0 30 BLUE CT1

Facility

$8.11

Hospital Charge Code	270604668
Hospital Revenue Code	272
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

SUTURE SURGIPRO 0 30 BLUE CT2

Facility

$8.21

Hospital Charge Code	270641078
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$4.11
Rate for Payer: Aetna Commercial	$2.46
Rate for Payer: Aetna Medicare Advantage	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.09
Rate for Payer: Cigna Commercial	$4.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.07
Rate for Payer: Oxford Commercial	$4.11
Rate for Payer: Qualcare PPO/HMO/WC	$1.23
Rate for Payer: UnitedHealthcare Commercial	$4.11

SUTURE SURGIPRO 0 30 BLUE CT2

Facility

$8.21

Hospital Charge Code	270641078
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.23

SUTURE SURGIPRO 0 30 BLUE MO6

Facility

$11.83

Hospital Charge Code	270604669
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.77

SUTURE SURGIPRO 0 30 BLUE MO6

Facility

$11.83

Hospital Charge Code	270604669
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$5.92
Rate for Payer: Aetna Commercial	$3.55
Rate for Payer: Aetna Medicare Advantage	$3.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.02
Rate for Payer: Cigna Commercial	$5.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.54
Rate for Payer: Oxford Commercial	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.77
Rate for Payer: UnitedHealthcare Commercial	$5.92

SUTURE SURGIPRO 0 GS-22 30 BLU

Facility

$8.33

Hospital Charge Code	270656030
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$4.17
Rate for Payer: Aetna Commercial	$2.50
Rate for Payer: Aetna Medicare Advantage	$2.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.12
Rate for Payer: Cigna Commercial	$4.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.08
Rate for Payer: Oxford Commercial	$4.17
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$4.17

SUTURE SURGIPRO 0 GS-22 30 BLU

Facility

$8.33

Hospital Charge Code	270656030
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

SUTURE SURGIPRO 0 TAPER GS2

Facility

$19.25

Hospital Charge Code	270600558
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 SURGIPRO 0 TAPER GS2

Facility

$19.25

Hospital Charge Code	270600558
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

SUTURE SURGIPRO 11 6/0 CV-11 D

Facility

$107.02

Hospital Charge Code	270657219
Hospital Revenue Code	272
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

SUTURE SURGIPRO 11 6/0 CV-11 D

Facility

$107.02

Hospital Charge Code	270657219
Hospital Revenue Code	272
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$53.51
Rate for Payer: Aetna Commercial	$32.11
Rate for Payer: Aetna Medicare Advantage	$32.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$53.51
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$53.51

SUTURE SURGIPRO 1 30 BLUE CTX

Facility

$8.31

Hospital Charge Code	270604666
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$4.16
Rate for Payer: Aetna Commercial	$2.49
Rate for Payer: Aetna Medicare Advantage	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.12
Rate for Payer: Cigna Commercial	$4.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.08
Rate for Payer: Oxford Commercial	$4.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$4.16

SUTURE SURGIPRO 1 30 BLUE CTX

Facility

$8.31

Hospital Charge Code	270604666
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

SUTURE SURGIPRO 2/0 2x18 BLUE

Facility

$50.23

Hospital Charge Code	270651275
Hospital Revenue Code	272
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$7.53
Rate for Payer: Qualcare PPO/HMO/WC	$7.53

SUTURE SURGIPRO 2/0 2x18 BLUE

Facility

$50.23

Hospital Charge Code	270651275
Hospital Revenue Code	272
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$25.11
Rate for Payer: Aetna Commercial	$15.07
Rate for Payer: Aetna Medicare Advantage	$15.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.81
Rate for Payer: Cigna Commercial	$25.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.53
Rate for Payer: Oxford Commercial	$25.11
Rate for Payer: Qualcare PPO/HMO/WC	$7.53
Rate for Payer: UnitedHealthcare Commercial	$25.11

SUTURE SURGIPRO 2/0 30 BLUE

Facility

$8.21

Hospital Charge Code	270651177
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$4.11
Rate for Payer: Aetna Commercial	$2.46
Rate for Payer: Aetna Medicare Advantage	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.09
Rate for Payer: Cigna Commercial	$4.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.07
Rate for Payer: Oxford Commercial	$4.11
Rate for Payer: Qualcare PPO/HMO/WC	$1.23
Rate for Payer: UnitedHealthcare Commercial	$4.11

SUTURE SURGIPRO 2/0 30 BLUE

Facility

$8.21

Hospital Charge Code	270604672N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$4.11
Rate for Payer: Aetna Commercial	$2.46
Rate for Payer: Aetna Medicare Advantage	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.09
Rate for Payer: Cigna Commercial	$4.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.07
Rate for Payer: Oxford Commercial	$4.11
Rate for Payer: Qualcare PPO/HMO/WC	$1.23
Rate for Payer: UnitedHealthcare Commercial	$4.11

SUTURE SURGIPRO 2/0 30 BLUE

Facility

$8.31

Hospital Charge Code	270604671
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

SUTURE SURGIPRO 2/0 30 BLUE

Facility

$8.21

Hospital Charge Code	270604672N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.23

Know your out-of-pocket cost for care.

All Charges