Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIPRO 4/0 18 BLUE

Facility

$8.21

Hospital Charge Code	270600784
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 4/0 18 BLU FS1

Facility

$8.21

Hospital Charge Code	270651176
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 4/0 18 BLU FS1

Facility

$8.21

Hospital Charge Code	270651176
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 4/0 30 BLUE

Facility

$7.60

Hospital Charge Code	270656164
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$3.80
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.99
Rate for Payer: Oxford Commercial	$3.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$3.80

SUTURE SURGIPRO 4/0 30 BLUE

Facility

$7.60

Hospital Charge Code	270656164
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

SUTURE SURGIPRO 6/0 18 BLUE

Facility

$17.85

Hospital Charge Code	270600782
Hospital Revenue Code	272
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$8.93
Rate for Payer: Aetna Commercial	$5.36
Rate for Payer: Aetna Medicare Advantage	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.55
Rate for Payer: Cigna Commercial	$8.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.32
Rate for Payer: Oxford Commercial	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.68
Rate for Payer: UnitedHealthcare Commercial	$8.93

SUTURE SURGIPRO 6/0 18 BLUE

Facility

$17.85

Hospital Charge Code	270600782
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.68

SUTURE SURGIPRO 6/0 18 BLU PC3

Facility

$17.85

Hospital Charge Code	270651316
Hospital Revenue Code	272
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$8.93
Rate for Payer: Aetna Commercial	$5.36
Rate for Payer: Aetna Medicare Advantage	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.55
Rate for Payer: Cigna Commercial	$8.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.32
Rate for Payer: Oxford Commercial	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.68
Rate for Payer: UnitedHealthcare Commercial	$8.93

SUTURE SURGIPRO 6/0 18 BLU PC3

Facility

$17.85

Hospital Charge Code	270651316
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.68

SUTURE SURGIPRO 6/0 18 CLEAR

Facility

$16.47

Hospital Charge Code	270604663
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$8.23
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.20
Rate for Payer: Cigna Commercial	$8.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.14
Rate for Payer: Oxford Commercial	$8.23
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$8.23

SUTURE SURGIPRO 6/0 18 CLEAR

Facility

$16.47

Hospital Charge Code	270604663
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

SUTURE SURGIPRO 6-0 NDL P-10

Facility

$15.16

Hospital Charge Code	270646966C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$7.58
Rate for Payer: Aetna Commercial	$4.55
Rate for Payer: Aetna Medicare Advantage	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.87
Rate for Payer: Cigna Commercial	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.97
Rate for Payer: Oxford Commercial	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.27
Rate for Payer: UnitedHealthcare Commercial	$7.58

SUTURE SURGIPRO 6-0 NDL P-10

Facility

$15.16

Hospital Charge Code	270646966C
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.27

SUTURE SURGIPRO 6-0 NDL P-10

Facility

$15.16

Hospital Charge Code	270646966
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$7.58
Rate for Payer: Aetna Commercial	$4.55
Rate for Payer: Aetna Medicare Advantage	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.87
Rate for Payer: Cigna Commercial	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.97
Rate for Payer: Oxford Commercial	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.27
Rate for Payer: UnitedHealthcare Commercial	$7.58

SUTURE SURGIPRO 6-0 NDL P-10

Facility

$15.16

Hospital Charge Code	270646966
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.27

SUTURE SURGIPRO C13 3-0

Facility

$16.85

Hospital Charge Code	270600785
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

SUTURE SURGIPRO C13 3-0

Facility

$16.85

Hospital Charge Code	270600785
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 SURGIPRO C13 5-0

Facility

$16.85

Hospital Charge Code	270600783
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 SURGIPRO C13 5-0

Facility

$16.85

Hospital Charge Code	270600783
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

SUTURE SURGIPRO C15 2-0

Facility

$7.26

Hospital Charge Code	270604670
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$3.63
Rate for Payer: Aetna Commercial	$2.18
Rate for Payer: Aetna Medicare Advantage	$2.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.94
Rate for Payer: Oxford Commercial	$3.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$3.63

SUTURE SURGIPRO C15 2-0

Facility

$7.26

Hospital Charge Code	270604670
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

SUTURE SURGIPRO CV-11 6-0

Facility

$84.45

Hospital Charge Code	270617469
Hospital Revenue Code	272
Min. Negotiated Rate	$10.98
Max. Negotiated Rate	$42.23
Rate for Payer: Aetna Commercial	$25.34
Rate for Payer: Aetna Medicare Advantage	$25.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.53
Rate for Payer: Cigna Commercial	$42.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.98
Rate for Payer: Oxford Commercial	$42.23
Rate for Payer: Qualcare PPO/HMO/WC	$12.67
Rate for Payer: UnitedHealthcare Commercial	$42.23

SUTURE SURGIPRO CV-11 6-0

Facility

$84.45

Hospital Charge Code	270617469
Hospital Revenue Code	272
Min. Negotiated Rate	$12.67
Max. Negotiated Rate	$12.67
Rate for Payer: Qualcare PPO/HMO/WC	$12.67

SUTURE SURGIPRO CV-14 4-0 36

Facility

$18.85

Hospital Charge Code	270651335
Hospital Revenue Code	272
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$9.43
Rate for Payer: Aetna Commercial	$5.66
Rate for Payer: Aetna Medicare Advantage	$5.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.81
Rate for Payer: Cigna Commercial	$9.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.45
Rate for Payer: Oxford Commercial	$9.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.83
Rate for Payer: UnitedHealthcare Commercial	$9.43

SUTURE SURGIPRO CV-14 4-0 36

Facility

$18.85

Hospital Charge Code	270651335
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.83

Know your out-of-pocket cost for care.

All Charges