Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE VICRYL 4-0 V-20

Facility

$7.13

Hospital Charge Code	270671464
Hospital Revenue Code	272
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$3.56
Rate for Payer: Aetna Commercial	$2.14
Rate for Payer: Aetna Medicare Advantage	$2.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.82
Rate for Payer: Cigna Commercial	$3.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.93
Rate for Payer: Oxford Commercial	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.07
Rate for Payer: UnitedHealthcare Commercial	$3.56

SUTURE VICRYL 5-0 P-1

Facility

$18.74

Hospital Charge Code	270676736
Hospital Revenue Code	272
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$9.37
Rate for Payer: Aetna Commercial	$5.62
Rate for Payer: Aetna Medicare Advantage	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.78
Rate for Payer: Cigna Commercial	$9.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.44
Rate for Payer: Oxford Commercial	$9.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.81
Rate for Payer: UnitedHealthcare Commercial	$9.37

SUTURE VICRYL 5-0 P-1

Facility

$18.74

Hospital Charge Code	270676736
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$2.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.81

SUTURE VICRYL 5-0 P-3

Facility

$20.30

Hospital Charge Code	270671473
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

SUTURE VICRYL 5-0 P-3

Facility

$18.40

Hospital Charge Code	270671474
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$2.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.76

SUTURE VICRYL 5-0 P-3

Facility

$31.93

Hospital Charge Code	270673328
Hospital Revenue Code	272
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$15.96
Rate for Payer: Aetna Commercial	$9.58
Rate for Payer: Aetna Medicare Advantage	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.14
Rate for Payer: Cigna Commercial	$15.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.15
Rate for Payer: Oxford Commercial	$15.96
Rate for Payer: Qualcare PPO/HMO/WC	$4.79
Rate for Payer: UnitedHealthcare Commercial	$15.96

SUTURE VICRYL 5-0 P-3

Facility

$18.40

Hospital Charge Code	270671474
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$9.20
Rate for Payer: Aetna Commercial	$5.52
Rate for Payer: Aetna Medicare Advantage	$5.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.69
Rate for Payer: Cigna Commercial	$9.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.39
Rate for Payer: Oxford Commercial	$9.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.76
Rate for Payer: UnitedHealthcare Commercial	$9.20

SUTURE VICRYL 5-0 P-3

Facility

$31.93

Hospital Charge Code	270673328
Hospital Revenue Code	272
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$4.79
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

SUTURE VICRYL 5-0 P-3

Facility

$20.30

Hospital Charge Code	270671473
Hospital Revenue Code	272
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$10.15
Rate for Payer: Aetna Commercial	$6.09
Rate for Payer: Aetna Medicare Advantage	$6.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.18
Rate for Payer: Cigna Commercial	$10.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.64
Rate for Payer: Oxford Commercial	$10.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$10.15

SUTURE VICRYL 5-0 PC-5

Facility

$20.30

Hospital Charge Code	270671483
Hospital Revenue Code	272
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$10.15
Rate for Payer: Aetna Commercial	$6.09
Rate for Payer: Aetna Medicare Advantage	$6.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.18
Rate for Payer: Cigna Commercial	$10.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.64
Rate for Payer: Oxford Commercial	$10.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$10.15

SUTURE VICRYL 5-0 PC-5

Facility

$20.30

Hospital Charge Code	270671483
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

SUTURE VICRYL 5-0 RB-1

Facility

$12.80

Hospital Charge Code	270671458
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.92

SUTURE VICRYL 5-0 RB-1

Facility

$12.80

Hospital Charge Code	270671458
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$6.40
Rate for Payer: Aetna Commercial	$3.84
Rate for Payer: Aetna Medicare Advantage	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.26
Rate for Payer: Cigna Commercial	$6.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.66
Rate for Payer: Oxford Commercial	$6.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.92
Rate for Payer: UnitedHealthcare Commercial	$6.40

SUTURE VICRYL 5-0 S-14

Facility

$59.15

Hospital Charge Code	270657444
Hospital Revenue Code	272
Min. Negotiated Rate	$8.87
Max. Negotiated Rate	$8.87
Rate for Payer: Qualcare PPO/HMO/WC	$8.87

SUTURE VICRYL 5-0 S-14

Facility

$57.10

Hospital Charge Code	270674249
Hospital Revenue Code	272
Min. Negotiated Rate	$8.56
Max. Negotiated Rate	$8.56
Rate for Payer: Qualcare PPO/HMO/WC	$8.56

SUTURE VICRYL 5-0 S-14

Facility

$59.15

Hospital Charge Code	270657444
Hospital Revenue Code	272
Min. Negotiated Rate	$7.69
Max. Negotiated Rate	$29.57
Rate for Payer: Aetna Commercial	$17.75
Rate for Payer: Aetna Medicare Advantage	$17.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.08
Rate for Payer: Cigna Commercial	$29.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.69
Rate for Payer: Oxford Commercial	$29.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.87
Rate for Payer: UnitedHealthcare Commercial	$29.57

SUTURE VICRYL 5-0 S-14

Facility

$57.10

Hospital Charge Code	270674249
Hospital Revenue Code	272
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$28.55
Rate for Payer: Aetna Commercial	$17.13
Rate for Payer: Aetna Medicare Advantage	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.56
Rate for Payer: Cigna Commercial	$28.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.42
Rate for Payer: Oxford Commercial	$28.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.56
Rate for Payer: UnitedHealthcare Commercial	$28.55

SUTURE VICRYL 5-0 S-14

Facility

$57.10

Hospital Charge Code	270655816
Hospital Revenue Code	272
Min. Negotiated Rate	$8.56
Max. Negotiated Rate	$8.56
Rate for Payer: Qualcare PPO/HMO/WC	$8.56

SUTURE VICRYL 5-0 S-14

Facility

$57.10

Hospital Charge Code	270655816
Hospital Revenue Code	272
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$28.55
Rate for Payer: Aetna Commercial	$17.13
Rate for Payer: Aetna Medicare Advantage	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.56
Rate for Payer: Cigna Commercial	$28.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.42
Rate for Payer: Oxford Commercial	$28.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.56
Rate for Payer: UnitedHealthcare Commercial	$28.55

SUTURE VICRYL 5/0 S14

Facility

$1,627.40

Hospital Charge Code	270660055
Hospital Revenue Code	272
Min. Negotiated Rate	$211.56
Max. Negotiated Rate	$813.70
Rate for Payer: Aetna Commercial	$488.22
Rate for Payer: Aetna Medicare Advantage	$488.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.99
Rate for Payer: Cigna Commercial	$813.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.56
Rate for Payer: Oxford Commercial	$813.70
Rate for Payer: Qualcare PPO/HMO/WC	$244.11
Rate for Payer: UnitedHealthcare Commercial	$813.70

SUTURE VICRYL 5/0 S14

Facility

$1,627.40

Hospital Charge Code	270660055
Hospital Revenue Code	272
Min. Negotiated Rate	$244.11
Max. Negotiated Rate	$244.11
Rate for Payer: Qualcare PPO/HMO/WC	$244.11

SUTURE VICRYL 6-0 P-1

Facility

$30.35

Hospital Charge Code	270669631
Hospital Revenue Code	272
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$4.55
Rate for Payer: Qualcare PPO/HMO/WC	$4.55

SUTURE VICRYL 6-0 P-1

Facility

$30.35

Hospital Charge Code	270669631
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$15.18
Rate for Payer: Aetna Commercial	$9.11
Rate for Payer: Aetna Medicare Advantage	$9.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.74
Rate for Payer: Cigna Commercial	$15.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.95
Rate for Payer: Oxford Commercial	$15.18
Rate for Payer: Qualcare PPO/HMO/WC	$4.55
Rate for Payer: UnitedHealthcare Commercial	$15.18

SUTURE VICRYL 6-0 S-14

Facility

$57.10

Hospital Charge Code	270655814
Hospital Revenue Code	272
Min. Negotiated Rate	$8.56
Max. Negotiated Rate	$8.56
Rate for Payer: Qualcare PPO/HMO/WC	$8.56

SUTURE VICRYL 6-0 S-14

Facility

$57.10

Hospital Charge Code	270655814
Hospital Revenue Code	272
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$28.55
Rate for Payer: Aetna Commercial	$17.13
Rate for Payer: Aetna Medicare Advantage	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.56
Rate for Payer: Cigna Commercial	$28.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.42
Rate for Payer: Oxford Commercial	$28.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.56
Rate for Payer: UnitedHealthcare Commercial	$28.55

Know your out-of-pocket cost for care.

All Charges