Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIPRO II 3/0 18 BLU

Facility

$16.78

Hospital Charge Code	270669227
Hospital Revenue Code	272
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$8.39
Rate for Payer: Aetna Commercial	$5.03
Rate for Payer: Aetna Medicare Advantage	$5.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.28
Rate for Payer: Cigna Commercial	$8.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.18
Rate for Payer: Oxford Commercial	$8.39
Rate for Payer: Qualcare PPO/HMO/WC	$2.52
Rate for Payer: UnitedHealthcare Commercial	$8.39

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$4.31
Rate for Payer: Aetna Commercial	$2.59
Rate for Payer: Aetna Medicare Advantage	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$4.31

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$4.31
Rate for Payer: Aetna Commercial	$2.59
Rate for Payer: Aetna Medicare Advantage	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$4.31

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$4.31
Rate for Payer: Aetna Commercial	$2.59
Rate for Payer: Aetna Medicare Advantage	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$4.31

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE SURGIPRO II 3/0 36 BLU

Facility

$23.82

Hospital Charge Code	270604675
Hospital Revenue Code	272
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.57

SUTURE SURGIPRO II 3/0 36 BLU

Facility

$17.24

Hospital Charge Code	270614138
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$8.62
Rate for Payer: Aetna Commercial	$5.17
Rate for Payer: Aetna Medicare Advantage	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.40
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.24
Rate for Payer: Oxford Commercial	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.59
Rate for Payer: UnitedHealthcare Commercial	$8.62

SUTURE SURGIPRO II 3/0 36 BLU

Facility

$17.24

Hospital Charge Code	270614138
Hospital Revenue Code	272
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$2.59
Rate for Payer: Qualcare PPO/HMO/WC	$2.59

SUTURE SURGIPRO II 3/0 36 BLU

Facility

$23.82

Hospital Charge Code	270604675
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$11.91
Rate for Payer: Aetna Commercial	$7.15
Rate for Payer: Aetna Medicare Advantage	$7.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.07
Rate for Payer: Cigna Commercial	$11.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.10
Rate for Payer: Oxford Commercial	$11.91
Rate for Payer: Qualcare PPO/HMO/WC	$3.57
Rate for Payer: UnitedHealthcare Commercial	$11.91

SUTURE SURGIPRO II 4/0 18 BLU

Facility

$16.73

Hospital Charge Code	270649097
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$2.51

SUTURE SURGIPRO II 4/0 18 BLU

Facility

$16.73

Hospital Charge Code	270649097
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$8.37
Rate for Payer: Aetna Commercial	$5.02
Rate for Payer: Aetna Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.27
Rate for Payer: Cigna Commercial	$8.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$8.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.51
Rate for Payer: UnitedHealthcare Commercial	$8.37

SUTURE SURGIPRO II 4/0 18 BLU

Facility

$15.55

Hospital Charge Code	270651320
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$7.78
Rate for Payer: Aetna Commercial	$4.67
Rate for Payer: Aetna Medicare Advantage	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.97
Rate for Payer: Cigna Commercial	$7.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.02
Rate for Payer: Oxford Commercial	$7.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.33
Rate for Payer: UnitedHealthcare Commercial	$7.78

SUTURE SURGIPRO II 4/0 18 BLU

Facility

$15.55

Hospital Charge Code	270651320
Hospital Revenue Code	272
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$2.33

SUTURE SURGIPRO II 4/0 30 BLU

Facility

$8.62

Hospital Charge Code	270617471
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE SURGIPRO II 4/0 30 BLU

Facility

$8.62

Hospital Charge Code	270617471
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$4.31
Rate for Payer: Aetna Commercial	$2.59
Rate for Payer: Aetna Medicare Advantage	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$4.31

SUTURE SURGIPRO II 4/0 36 BLU

Facility

$24.07

Hospital Charge Code	270604677
Hospital Revenue Code	272
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$3.61
Rate for Payer: Qualcare PPO/HMO/WC	$3.61

SUTURE SURGIPRO II 4/0 36 BLU

Facility

$24.07

Hospital Charge Code	270604677
Hospital Revenue Code	272
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$12.04
Rate for Payer: Aetna Commercial	$7.22
Rate for Payer: Aetna Medicare Advantage	$7.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.14
Rate for Payer: Cigna Commercial	$12.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.13
Rate for Payer: Oxford Commercial	$12.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.61
Rate for Payer: UnitedHealthcare Commercial	$12.04

SUTURE SURGIPRO II 4/0 36 IN

Facility

$22.05

Hospital Charge Code	270660279
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$11.03
Rate for Payer: Aetna Commercial	$6.62
Rate for Payer: Aetna Medicare Advantage	$6.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.62
Rate for Payer: Cigna Commercial	$11.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.87
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$3.31
Rate for Payer: UnitedHealthcare Commercial	$11.03

SUTURE SURGIPRO II 4/0 36 IN

Facility

$22.05

Hospital Charge Code	270660279
Hospital Revenue Code	272
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$3.31
Rate for Payer: Qualcare PPO/HMO/WC	$3.31

SUTURE SURGIPRO II 4/0 36 RB1

Facility

$17.24

Hospital Charge Code	270663888
Hospital Revenue Code	272
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$2.59
Rate for Payer: Qualcare PPO/HMO/WC	$2.59

SUTURE SURGIPRO II 4/0 36 RB1

Facility

$17.24

Hospital Charge Code	270663888
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$8.62
Rate for Payer: Aetna Commercial	$5.17
Rate for Payer: Aetna Medicare Advantage	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.40
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.24
Rate for Payer: Oxford Commercial	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.59
Rate for Payer: UnitedHealthcare Commercial	$8.62

SUTURE SURGIPRO II 5/0 18 BLU

Facility

$16.48

Hospital Charge Code	270660190
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$8.24
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	$8.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.14
Rate for Payer: Oxford Commercial	$8.24
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$8.24

SUTURE SURGIPRO II 5/0 18 BLU

Facility

$17.19

Hospital Charge Code	270651326
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.58

Know your out-of-pocket cost for care.

All Charges