Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE VICRYL 0 CT-1

Facility

$7.31

Hospital Charge Code	270655915
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$3.65
Rate for Payer: Aetna Commercial	$2.19
Rate for Payer: Aetna Medicare Advantage	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.86
Rate for Payer: Cigna Commercial	$3.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.95
Rate for Payer: Oxford Commercial	$3.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.10
Rate for Payer: UnitedHealthcare Commercial	$3.65

SUTURE VICRYL 0 CT-1

Facility

$7.31

Hospital Charge Code	270655915
Hospital Revenue Code	272
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.10

SUTURE VICRYL 0 CT-1

Facility

$7.80

Hospital Charge Code	270671453
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$1.17

SUTURE VICRYL 0 CT-1

Facility

$53.99

Hospital Charge Code	270671484
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

SUTURE VICRYL 0 CT-1

Facility

$53.99

Hospital Charge Code	270671484
Hospital Revenue Code	272
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$27.00

SUTURE VICRYL 0 CT-1

Facility

$8.40

Hospital Charge Code	270677189
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$1.26
Rate for Payer: Qualcare PPO/HMO/WC	$1.26

SUTURE VICRYL 0 CT-1 27

Facility

$58.67

Hospital Charge Code	270672608
Hospital Revenue Code	272
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.80

SUTURE VICRYL 0 CT-1 27

Facility

$58.67

Hospital Charge Code	270672608
Hospital Revenue Code	272
Min. Negotiated Rate	$7.63
Max. Negotiated Rate	$29.34
Rate for Payer: Aetna Commercial	$17.60
Rate for Payer: Aetna Medicare Advantage	$17.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.96
Rate for Payer: Cigna Commercial	$29.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.63
Rate for Payer: Oxford Commercial	$29.34
Rate for Payer: Qualcare PPO/HMO/WC	$8.80
Rate for Payer: UnitedHealthcare Commercial	$29.34

SUTURE VICRYL 0 CT-1 36

Facility

$8.87

Hospital Charge Code	270672382
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 CT-1 36

Facility

$8.87

Hospital Charge Code	270672382
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 VICRYL 0 CT-1/GS-21

Facility

$55.37

Hospital Charge Code	270652225
Hospital Revenue Code	272
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$27.68
Rate for Payer: Aetna Commercial	$16.61
Rate for Payer: Aetna Medicare Advantage	$16.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.12
Rate for Payer: Cigna Commercial	$27.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.20
Rate for Payer: Oxford Commercial	$27.68
Rate for Payer: Qualcare PPO/HMO/WC	$8.31
Rate for Payer: UnitedHealthcare Commercial	$27.68

SUTURE VICRYL 0 CT-1/GS-21

Facility

$55.37

Hospital Charge Code	270652225
Hospital Revenue Code	272
Min. Negotiated Rate	$8.31
Max. Negotiated Rate	$8.31
Rate for Payer: Qualcare PPO/HMO/WC	$8.31

SUTURE VICRYL 0 CT1 JJ42G

Facility

$54.33

Hospital Charge Code	270678108
Hospital Revenue Code	272
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$8.15
Rate for Payer: Qualcare PPO/HMO/WC	$8.15

SUTURE VICRYL 0 CT1 JJ42G

Facility

$54.33

Hospital Charge Code	270678108
Hospital Revenue Code	272
Min. Negotiated Rate	$7.06
Max. Negotiated Rate	$27.16
Rate for Payer: Aetna Commercial	$16.30
Rate for Payer: Aetna Medicare Advantage	$16.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.85
Rate for Payer: Cigna Commercial	$27.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.06
Rate for Payer: Oxford Commercial	$27.16
Rate for Payer: Qualcare PPO/HMO/WC	$8.15
Rate for Payer: UnitedHealthcare Commercial	$27.16

SUTURE VICRYL 0 CT-2

Facility

$8.75

Hospital Charge Code	270672383
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$4.38
Rate for Payer: Aetna Commercial	$2.62
Rate for Payer: Aetna Medicare Advantage	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.23
Rate for Payer: Cigna Commercial	$4.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.14
Rate for Payer: Oxford Commercial	$4.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.31
Rate for Payer: UnitedHealthcare Commercial	$4.38

SUTURE VICRYL 0 CT-2

Facility

$8.25

Hospital Charge Code	270655689
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$4.12
Rate for Payer: Aetna Commercial	$2.48
Rate for Payer: Aetna Medicare Advantage	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.10
Rate for Payer: Cigna Commercial	$4.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.07
Rate for Payer: Oxford Commercial	$4.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.24
Rate for Payer: UnitedHealthcare Commercial	$4.12

SUTURE VICRYL 0 CT-2

Facility

$8.75

Hospital Charge Code	270672383
Hospital Revenue Code	272
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.31

SUTURE VICRYL 0 CT-2

Facility

$8.25

Hospital Charge Code	270655689
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$1.24
Rate for Payer: Qualcare PPO/HMO/WC	$1.24

SUTURE VICRYL 0 CT 36 IN VIOLE

Facility

$8.75

Hospital Charge Code	270681806
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$4.38
Rate for Payer: Aetna Commercial	$2.62
Rate for Payer: Aetna Medicare Advantage	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.23
Rate for Payer: Cigna Commercial	$4.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.14
Rate for Payer: Oxford Commercial	$4.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.31
Rate for Payer: UnitedHealthcare Commercial	$4.38

SUTURE VICRYL 0 CT 36 IN VIOLE

Facility

$8.75

Hospital Charge Code	270681806
Hospital Revenue Code	272
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.31

SUTURE VICRYL 0 D-SPECIAL KIT

Facility

$117.93

Hospital Charge Code	270677066
Hospital Revenue Code	272
Min. Negotiated Rate	$17.69
Max. Negotiated Rate	$17.69
Rate for Payer: Qualcare PPO/HMO/WC	$17.69

SUTURE VICRYL 0 D-SPECIAL KIT

Facility

$117.93

Hospital Charge Code	270677066
Hospital Revenue Code	272
Min. Negotiated Rate	$15.33
Max. Negotiated Rate	$58.97
Rate for Payer: Aetna Commercial	$35.38
Rate for Payer: Aetna Medicare Advantage	$35.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.07
Rate for Payer: Cigna Commercial	$58.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.33
Rate for Payer: Oxford Commercial	$58.97
Rate for Payer: Qualcare PPO/HMO/WC	$17.69
Rate for Payer: UnitedHealthcare Commercial	$58.97

SUTURE VICRYL 0 ENDOLOOP

Facility

$175.46

Hospital Charge Code	270628304
Hospital Revenue Code	272
Min. Negotiated Rate	$22.81
Max. Negotiated Rate	$87.73
Rate for Payer: Aetna Commercial	$52.64
Rate for Payer: Aetna Medicare Advantage	$52.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.74
Rate for Payer: Cigna Commercial	$87.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Oxford Commercial	$87.73
Rate for Payer: Qualcare PPO/HMO/WC	$26.32
Rate for Payer: UnitedHealthcare Commercial	$87.73

SUTURE VICRYL 0 ENDOLOOP

Facility

$175.46

Hospital Charge Code	270628304
Hospital Revenue Code	272
Min. Negotiated Rate	$26.32
Max. Negotiated Rate	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$26.32

SUTURE VICRYL 0 GR-6

Facility

$8.55

Hospital Charge Code	270671480
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$4.28
Rate for Payer: Aetna Commercial	$2.56
Rate for Payer: Aetna Medicare Advantage	$2.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.18
Rate for Payer: Cigna Commercial	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.11
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$1.28
Rate for Payer: UnitedHealthcare Commercial	$4.28

Know your out-of-pocket cost for care.

All Charges