Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE TICRON 5 30 BLUE GS18

Facility

$13.41

Hospital Charge Code	270661495
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$6.71
Rate for Payer: Aetna Commercial	$4.02
Rate for Payer: Aetna Medicare Advantage	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.42
Rate for Payer: Cigna Commercial	$6.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.74
Rate for Payer: Oxford Commercial	$6.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.01
Rate for Payer: UnitedHealthcare Commercial	$6.71

SUTURE TICRON 5 30 BLUE GS18

Facility

$13.41

Hospital Charge Code	270661495
Hospital Revenue Code	272
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$2.01
Rate for Payer: Qualcare PPO/HMO/WC	$2.01

SUTURE TICRON 5 BLUE 30 T-56

Facility

$10.30

Hospital Charge Code	270665643
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SUTURE TICRON 5 BLUE 30 T-56

Facility

$10.30

Hospital Charge Code	270665643
Hospital Revenue Code	272
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$5.15
Rate for Payer: Aetna Commercial	$3.09
Rate for Payer: Aetna Medicare Advantage	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.63
Rate for Payer: Cigna Commercial	$5.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.34
Rate for Payer: Oxford Commercial	$5.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$5.15

SUTURE TICRON COATED BRAIDED

Facility

$7.26

Hospital Charge Code	270651243
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

SUTURE TICRON COATED BRAIDED

Facility

$7.26

Hospital Charge Code	270651243
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 TICRON COATED BRAIDED

Facility

$12.55

Hospital Charge Code	270651247
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$6.28
Rate for Payer: Aetna Commercial	$3.77
Rate for Payer: Aetna Medicare Advantage	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.20
Rate for Payer: Cigna Commercial	$6.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.63
Rate for Payer: Oxford Commercial	$6.28
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$6.28

SUTURE TICRON COATED BRAIDED

Facility

$12.55

Hospital Charge Code	270651247
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

SUTURE TICRON CT1 GS21 2/0 BLU

Facility

$7.19

Hospital Charge Code	270656044
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

SUTURE TICRON CT1 GS21 2/0 BLU

Facility

$7.19

Hospital Charge Code	270656044
Hospital Revenue Code	272
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$3.60
Rate for Payer: Aetna Commercial	$2.16
Rate for Payer: Aetna Medicare Advantage	$2.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.93
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$3.60

SUTURE TICRON II BLUE GC-21

Facility

$14.73

Hospital Charge Code	270646028
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

SUTURE TICRON II BLUE GC-21

Facility

$14.73

Hospital Charge Code	270646028
Hospital Revenue Code	272
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$7.37
Rate for Payer: Aetna Commercial	$4.42
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Oxford Commercial	$7.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$7.37

SUTURE TRICON COATED BRAIDED

Facility

$15.30

Hospital Charge Code	270651249
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$7.65
Rate for Payer: Aetna Commercial	$4.59
Rate for Payer: Aetna Medicare Advantage	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.90
Rate for Payer: Cigna Commercial	$7.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.99
Rate for Payer: Oxford Commercial	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$2.29
Rate for Payer: UnitedHealthcare Commercial	$7.65

SUTURE TRICON COATED BRAIDED

Facility

$15.30

Hospital Charge Code	270651249
Hospital Revenue Code	272
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$2.29
Rate for Payer: Qualcare PPO/HMO/WC	$2.29

SUTURE TRU-LINK BLUE 38 INCH S

Facility

$2,400.00

Hospital Charge Code	270666207
Hospital Revenue Code	272
Min. Negotiated Rate	$312.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$720.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.00
Rate for Payer: Oxford Commercial	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$1,200.00

SUTURE TRU-LINK BLUE 38 INCH S

Facility

$2,400.00

Hospital Charge Code	270666207
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

SUTURE TRU-LINK WHITE / BLUE 3

Facility

$2,400.00

Hospital Charge Code	270666205
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

SUTURE TRU-LINK WHITE / BLUE 3

Facility

$2,400.00

Hospital Charge Code	270666205
Hospital Revenue Code	272
Min. Negotiated Rate	$312.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$720.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.00
Rate for Payer: Oxford Commercial	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$1,200.00

SUTURE ULTRABRAID #2 WHT

Facility

$98.50

Hospital Charge Code	270676714
Hospital Revenue Code	272
Min. Negotiated Rate	$12.80
Max. Negotiated Rate	$49.25
Rate for Payer: Aetna Commercial	$29.55
Rate for Payer: Aetna Medicare Advantage	$29.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.12
Rate for Payer: Cigna Commercial	$49.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.80
Rate for Payer: Oxford Commercial	$49.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.78
Rate for Payer: UnitedHealthcare Commercial	$49.25

SUTURE ULTRABRAID #2 WHT

Facility

$107.10

Hospital Charge Code	270686304
Hospital Revenue Code	272
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$16.07
Rate for Payer: Qualcare PPO/HMO/WC	$16.07

SUTURE ULTRABRAID #2 WHT

Facility

$107.10

Hospital Charge Code	270686304
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$53.55
Rate for Payer: Aetna Commercial	$32.13
Rate for Payer: Aetna Medicare Advantage	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.31
Rate for Payer: Cigna Commercial	$53.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.92
Rate for Payer: Oxford Commercial	$53.55
Rate for Payer: Qualcare PPO/HMO/WC	$16.07
Rate for Payer: UnitedHealthcare Commercial	$53.55

SUTURE ULTRABRAID #2 WHT

Facility

$98.50

Hospital Charge Code	270676714
Hospital Revenue Code	272
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$14.78
Rate for Payer: Qualcare PPO/HMO/WC	$14.78

SUTURE ULTRATAPE 2MM BLUE

Facility

$667.50

Hospital Charge Code	270676715
Hospital Revenue Code	272
Min. Negotiated Rate	$86.78
Max. Negotiated Rate	$333.75
Rate for Payer: Aetna Commercial	$200.25
Rate for Payer: Aetna Medicare Advantage	$200.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.21
Rate for Payer: Cigna Commercial	$333.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.78
Rate for Payer: Oxford Commercial	$333.75
Rate for Payer: Qualcare PPO/HMO/WC	$100.12
Rate for Payer: UnitedHealthcare Commercial	$333.75

SUTURE ULTRATAPE 2MM BLUE

Facility

$667.50

Hospital Charge Code	270676715
Hospital Revenue Code	272
Min. Negotiated Rate	$100.12
Max. Negotiated Rate	$100.12
Rate for Payer: Qualcare PPO/HMO/WC	$100.12

SUTURE UMBILICAL TAPE

Facility

$6.60

Hospital Charge Code	270604718
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$3.30
Rate for Payer: Aetna Commercial	$1.98
Rate for Payer: Aetna Medicare Advantage	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.68
Rate for Payer: Cigna Commercial	$3.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.86
Rate for Payer: Oxford Commercial	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.99
Rate for Payer: UnitedHealthcare Commercial	$3.30

Know your out-of-pocket cost for care.

All Charges