Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE UMBILICAL TAPE

Facility

$6.60

Hospital Charge Code	270604718
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Qualcare PPO/HMO/WC	$0.99

SUTURE VCL PLUS 27 IN 2-0

Facility

$21.07

Hospital Charge Code	270690892
Hospital Revenue Code	272
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$3.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.16

SUTURE VCL PLUS 27 IN 2-0

Facility

$21.07

Hospital Charge Code	270690892
Hospital Revenue Code	272
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$10.54
Rate for Payer: Aetna Commercial	$6.32
Rate for Payer: Aetna Medicare Advantage	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.37
Rate for Payer: Cigna Commercial	$10.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.74
Rate for Payer: Oxford Commercial	$10.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.16
Rate for Payer: UnitedHealthcare Commercial	$10.54

SUTURE VCL PLUS 8X18 IN 2-0 CR

Facility

$79.57

Hospital Charge Code	270690889
Hospital Revenue Code	272
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$39.78
Rate for Payer: Aetna Commercial	$23.87
Rate for Payer: Aetna Medicare Advantage	$23.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.34
Rate for Payer: Oxford Commercial	$39.78
Rate for Payer: Qualcare PPO/HMO/WC	$11.94
Rate for Payer: UnitedHealthcare Commercial	$39.78

SUTURE VCL PLUS 8X18 IN 2-0 CR

Facility

$79.57

Hospital Charge Code	270690889
Hospital Revenue Code	272
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$11.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.94

SUTURE VCL PLUS UD 27 IN 4-0

Facility

$11.10

Hospital Charge Code	270690890
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.67

SUTURE VCL PLUS UD 27 IN 4-0

Facility

$11.10

Hospital Charge Code	270690890
Hospital Revenue Code	272
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$5.55
Rate for Payer: Aetna Commercial	$3.33
Rate for Payer: Aetna Medicare Advantage	$3.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.83
Rate for Payer: Cigna Commercial	$5.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.44
Rate for Payer: Oxford Commercial	$5.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.67
Rate for Payer: UnitedHealthcare Commercial	$5.55

SUTURE VELOSORB 2-0 GS21 36 UD

Facility

$23.51

Hospital Charge Code	270660435
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$11.76
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.00
Rate for Payer: Cigna Commercial	$11.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.06
Rate for Payer: Oxford Commercial	$11.76
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$11.76

SUTURE VELOSORB 2-0 GS21 36 UD

Facility

$23.51

Hospital Charge Code	270660435
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

SUTURE VELOSORB 2-0 UD 30 V-20

Facility

$23.51

Hospital Charge Code	270663828
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

SUTURE VELOSORB 2-0 UD 30 V-20

Facility

$284.90

Hospital Charge Code	270665888
Hospital Revenue Code	272
Min. Negotiated Rate	$37.04
Max. Negotiated Rate	$142.45
Rate for Payer: Aetna Commercial	$85.47
Rate for Payer: Aetna Medicare Advantage	$85.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.65
Rate for Payer: Cigna Commercial	$142.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.04
Rate for Payer: Oxford Commercial	$142.45
Rate for Payer: Qualcare PPO/HMO/WC	$42.73
Rate for Payer: UnitedHealthcare Commercial	$142.45

SUTURE VELOSORB 2-0 UD 30 V-20

Facility

$23.51

Hospital Charge Code	270663828
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$11.76
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.00
Rate for Payer: Cigna Commercial	$11.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.06
Rate for Payer: Oxford Commercial	$11.76
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$11.76

SUTURE VELOSORB 2-0 UD 30 V-20

Facility

$284.90

Hospital Charge Code	270665888
Hospital Revenue Code	272
Min. Negotiated Rate	$42.73
Max. Negotiated Rate	$42.73
Rate for Payer: Qualcare PPO/HMO/WC	$42.73

SUTURE VELOSORB 3-0 UD 30 V-21

Facility

$23.51

Hospital Charge Code	270664584
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

SUTURE VELOSORB 3-0 UD 30 V-21

Facility

$23.51

Hospital Charge Code	270664584
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$11.76
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.00
Rate for Payer: Cigna Commercial	$11.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.06
Rate for Payer: Oxford Commercial	$11.76
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$11.76

SUTURE VELOSORB FAST BRAIDED A

Facility

$854.70

Hospital Charge Code	270665889
Hospital Revenue Code	272
Min. Negotiated Rate	$111.11
Max. Negotiated Rate	$427.35
Rate for Payer: Aetna Commercial	$256.41
Rate for Payer: Aetna Medicare Advantage	$256.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.95
Rate for Payer: Cigna Commercial	$427.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.11
Rate for Payer: Oxford Commercial	$427.35
Rate for Payer: Qualcare PPO/HMO/WC	$128.21
Rate for Payer: UnitedHealthcare Commercial	$427.35

SUTURE VELOSORB FAST BRAIDED A

Facility

$854.70

Hospital Charge Code	270665889
Hospital Revenue Code	272
Min. Negotiated Rate	$128.21
Max. Negotiated Rate	$128.21
Rate for Payer: Qualcare PPO/HMO/WC	$128.21

SUTURE VICRLY CT-1 2-0 J339H

Facility

$8.86

Hospital Charge Code	270698083
Hospital Revenue Code	272
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$4.43
Rate for Payer: Aetna Commercial	$2.66
Rate for Payer: Aetna Medicare Advantage	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.26
Rate for Payer: Cigna Commercial	$4.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.15
Rate for Payer: Oxford Commercial	$4.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.33
Rate for Payer: UnitedHealthcare Commercial	$4.43

SUTURE VICRLY CT-1 2-0 J339H

Facility

$8.86

Hospital Charge Code	270698083
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$1.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.33

SUTURE VICRYL 0 CP

Facility

$28.19

Hospital Charge Code	270672858
Hospital Revenue Code	272
Min. Negotiated Rate	$4.23
Max. Negotiated Rate	$4.23
Rate for Payer: Qualcare PPO/HMO/WC	$4.23

SUTURE VICRYL 0 CP

Facility

$28.19

Hospital Charge Code	270672858
Hospital Revenue Code	272
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$14.10
Rate for Payer: Aetna Commercial	$8.46
Rate for Payer: Aetna Medicare Advantage	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.19
Rate for Payer: Cigna Commercial	$14.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.66
Rate for Payer: Oxford Commercial	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$4.23
Rate for Payer: UnitedHealthcare Commercial	$14.10

SUTURE VICRYL 0 CT

Facility

$9.10

Hospital Charge Code	270672384
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$4.55
Rate for Payer: Aetna Commercial	$2.73
Rate for Payer: Aetna Medicare Advantage	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.32
Rate for Payer: Cigna Commercial	$4.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.18
Rate for Payer: Oxford Commercial	$4.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.36
Rate for Payer: UnitedHealthcare Commercial	$4.55

SUTURE VICRYL 0 CT

Facility

$9.10

Hospital Charge Code	270672384
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.36

SUTURE VICRYL 0 CT-1

Facility

$8.40

Hospital Charge Code	270677189
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$4.20
Rate for Payer: Aetna Commercial	$2.52
Rate for Payer: Aetna Medicare Advantage	$2.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.14
Rate for Payer: Cigna Commercial	$4.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.09
Rate for Payer: Oxford Commercial	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.26
Rate for Payer: UnitedHealthcare Commercial	$4.20

SUTURE VICRYL 0 CT-1

Facility

$7.80

Hospital Charge Code	270671453
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$3.90
Rate for Payer: Aetna Commercial	$2.34
Rate for Payer: Aetna Medicare Advantage	$2.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.99
Rate for Payer: Cigna Commercial	$3.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.01
Rate for Payer: Oxford Commercial	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.17
Rate for Payer: UnitedHealthcare Commercial	$3.90

Know your out-of-pocket cost for care.

All Charges