Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIPRO II CV-1 6-0 18

Facility

$36.62

Hospital Charge Code	270651342
Hospital Revenue Code	272
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$18.31
Rate for Payer: Aetna Commercial	$10.99
Rate for Payer: Aetna Medicare Advantage	$10.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.34
Rate for Payer: Cigna Commercial	$18.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.76
Rate for Payer: Oxford Commercial	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$5.49
Rate for Payer: UnitedHealthcare Commercial	$18.31

SUTURE SURGIPRO II CV-1 6-0 30

Facility

$36.72

Hospital Charge Code	270643909
Hospital Revenue Code	272
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$18.36
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.36
Rate for Payer: Cigna Commercial	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.77
Rate for Payer: Oxford Commercial	$18.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.51
Rate for Payer: UnitedHealthcare Commercial	$18.36

SUTURE SURGIPRO II CV-1 6-0 30

Facility

$36.72

Hospital Charge Code	270643909
Hospital Revenue Code	272
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$5.51

SUTURE SURGIPRO KV11 5-0

Facility

$27.96

Hospital Charge Code	270604679
Hospital Revenue Code	272
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$13.98
Rate for Payer: Aetna Commercial	$8.39
Rate for Payer: Aetna Medicare Advantage	$8.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.13
Rate for Payer: Cigna Commercial	$13.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Oxford Commercial	$13.98
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$13.98

SUTURE SURGIPRO KV11 5-0

Facility

$27.96

Hospital Charge Code	270604679
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

SUTURE SURGIPRO KV-1 7-0 24

Facility

$43.21

Hospital Charge Code	270651336
Hospital Revenue Code	272
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$6.48
Rate for Payer: Qualcare PPO/HMO/WC	$6.48

SUTURE SURGIPRO KV-1 7-0 24

Facility

$43.21

Hospital Charge Code	270651336
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.61
Rate for Payer: Aetna Commercial	$12.96
Rate for Payer: Aetna Medicare Advantage	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.02
Rate for Payer: Cigna Commercial	$21.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.61
Rate for Payer: Qualcare PPO/HMO/WC	$6.48
Rate for Payer: UnitedHealthcare Commercial	$21.61

SUTURE SURGIPRO P-10 7-0 18

Facility

$17.05

Hospital Charge Code	270651317
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$2.56
Rate for Payer: Qualcare PPO/HMO/WC	$2.56

SUTURE SURGIPRO P-10 7-0 18

Facility

$17.05

Hospital Charge Code	270651317
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$8.53
Rate for Payer: Aetna Commercial	$5.12
Rate for Payer: Aetna Medicare Advantage	$5.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.35
Rate for Payer: Cigna Commercial	$8.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.22
Rate for Payer: Oxford Commercial	$8.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.56
Rate for Payer: UnitedHealthcare Commercial	$8.53

SUTURE SURGIPRO P-11 6-0 BLUE

Facility

$16.84

Hospital Charge Code	270651318
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.42
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	$4.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.29
Rate for Payer: Cigna Commercial	$8.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.42
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.42

SUTURE SURGIPRO P-11 6-0 BLUE

Facility

$16.84

Hospital Charge Code	270651318
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 P13 4-0

Facility

$17.35

Hospital Charge Code	270606791
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$8.68
Rate for Payer: Aetna Commercial	$5.21
Rate for Payer: Aetna Medicare Advantage	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.42
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.26
Rate for Payer: Oxford Commercial	$8.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.60
Rate for Payer: UnitedHealthcare Commercial	$8.68

SUTURE SURGIPRO P13 4-0

Facility

$17.35

Hospital Charge Code	270606791
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.60

SUTURE SURGIPRO P13 5-0

Facility

$47.25

Hospital Charge Code	270604682
Hospital Revenue Code	272
Min. Negotiated Rate	$6.14
Max. Negotiated Rate	$23.62
Rate for Payer: Aetna Commercial	$14.18
Rate for Payer: Aetna Medicare Advantage	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.05
Rate for Payer: Cigna Commercial	$23.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.14
Rate for Payer: Oxford Commercial	$23.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
Rate for Payer: UnitedHealthcare Commercial	$23.62

SUTURE SURGIPRO P13 5-0

Facility

$47.25

Hospital Charge Code	270604682
Hospital Revenue Code	272
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

SUTURE SURGIPRO P13 CU5-0

Facility

$16.85

Hospital Charge Code	270604662
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 P13 CU5-0

Facility

$16.85

Hospital Charge Code	270604662
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 PC-11 5-0 18

Facility

$17.85

Hospital Charge Code	270651315
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 PC-11 5-0 18

Facility

$17.85

Hospital Charge Code	270651315
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 SC-2 3-0 30

Facility

$7.67

Hospital Charge Code	270651175
Hospital Revenue Code	272
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.83
Rate for Payer: Aetna Commercial	$2.30
Rate for Payer: Aetna Medicare Advantage	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.15
Rate for Payer: UnitedHealthcare Commercial	$3.83

SUTURE SURGIPRO SC-2 3-0 30

Facility

$7.67

Hospital Charge Code	270651175
Hospital Revenue Code	272
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.15

SUTURE SURGIPRO V-20 2-0 30

Facility

$8.29

Hospital Charge Code	270651241
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$1.24
Rate for Payer: Qualcare PPO/HMO/WC	$1.24

SUTURE SURGIPRO V-20 2-0 30

Facility

$8.29

Hospital Charge Code	270651241
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$4.14
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	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.11
Rate for Payer: Cigna Commercial	$4.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.08
Rate for Payer: Oxford Commercial	$4.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.24
Rate for Payer: UnitedHealthcare Commercial	$4.14

SUTURE SURGIPRO V-20 3-0 30

Facility

$8.70

Hospital Charge Code	270651344
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$4.35
Rate for Payer: Aetna Commercial	$2.61
Rate for Payer: Aetna Medicare Advantage	$2.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.22
Rate for Payer: Cigna Commercial	$4.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.13
Rate for Payer: Oxford Commercial	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$4.35

SUTURE SURGIPRO V-20 3-0 30

Facility

$8.70

Hospital Charge Code	270651344
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

Know your out-of-pocket cost for care.

All Charges