Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE VICRYL 6-0 S-14

Facility

$58.84

Hospital Charge Code	270661872
Hospital Revenue Code	272
Min. Negotiated Rate	$8.83
Max. Negotiated Rate	$8.83
Rate for Payer: Qualcare PPO/HMO/WC	$8.83

SUTURE VICRYL 6-0 S-14

Facility

$58.84

Hospital Charge Code	270661872
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$29.42
Rate for Payer: Aetna Commercial	$17.65
Rate for Payer: Aetna Medicare Advantage	$17.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.00
Rate for Payer: Cigna Commercial	$29.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.65
Rate for Payer: Oxford Commercial	$29.42
Rate for Payer: Qualcare PPO/HMO/WC	$8.83
Rate for Payer: UnitedHealthcare Commercial	$29.42

SUTURE VICRYL 7-0 TG160-8

Facility

$62.19

Hospital Charge Code	270688008
Hospital Revenue Code	272
Min. Negotiated Rate	$8.08
Max. Negotiated Rate	$31.09
Rate for Payer: Aetna Commercial	$18.66
Rate for Payer: Aetna Medicare Advantage	$18.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.86
Rate for Payer: Cigna Commercial	$31.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.08
Rate for Payer: Oxford Commercial	$31.09
Rate for Payer: Qualcare PPO/HMO/WC	$9.33
Rate for Payer: UnitedHealthcare Commercial	$31.09

SUTURE VICRYL 7-0 TG160-8

Facility

$62.19

Hospital Charge Code	270688008
Hospital Revenue Code	272
Min. Negotiated Rate	$9.33
Max. Negotiated Rate	$9.33
Rate for Payer: Qualcare PPO/HMO/WC	$9.33

SUTURE VICRYL 8-0 TG140-8 12

Facility

$107.95

Hospital Charge Code	270652987
Hospital Revenue Code	272
Min. Negotiated Rate	$16.19
Max. Negotiated Rate	$16.19
Rate for Payer: Qualcare PPO/HMO/WC	$16.19

SUTURE VICRYL 8-0 TG140-8 12

Facility

$107.95

Hospital Charge Code	270652987
Hospital Revenue Code	272
Min. Negotiated Rate	$14.03
Max. Negotiated Rate	$53.98
Rate for Payer: Aetna Commercial	$32.38
Rate for Payer: Aetna Medicare Advantage	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.53
Rate for Payer: Cigna Commercial	$53.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.03
Rate for Payer: Oxford Commercial	$53.98
Rate for Payer: Qualcare PPO/HMO/WC	$16.19
Rate for Payer: UnitedHealthcare Commercial	$53.98

SUTURE VICRYL 8-0 TG140-8 8

Facility

$17.93

Hospital Charge Code	270655747
Hospital Revenue Code	272
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$8.96
Rate for Payer: Aetna Commercial	$5.38
Rate for Payer: Aetna Medicare Advantage	$5.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.57
Rate for Payer: Cigna Commercial	$8.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$8.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.69
Rate for Payer: UnitedHealthcare Commercial	$8.96

SUTURE VICRYL 8-0 TG140-8 8

Facility

$17.93

Hospital Charge Code	270655747
Hospital Revenue Code	272
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.69

SUTURE VICRYL 9-0 CS160-8

Facility

$84.78

Hospital Charge Code	270663418
Hospital Revenue Code	272
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$42.39
Rate for Payer: Aetna Commercial	$25.43
Rate for Payer: Aetna Medicare Advantage	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.62
Rate for Payer: Cigna Commercial	$42.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.02
Rate for Payer: Oxford Commercial	$42.39
Rate for Payer: Qualcare PPO/HMO/WC	$12.72
Rate for Payer: UnitedHealthcare Commercial	$42.39

SUTURE VICRYL 9-0 CS160-8

Facility

$84.78

Hospital Charge Code	270663418
Hospital Revenue Code	272
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$12.72
Rate for Payer: Qualcare PPO/HMO/WC	$12.72

SUTURE VICRYL CP-2 3/0

Facility

$819.80

Hospital Charge Code	270676531
Hospital Revenue Code	272
Min. Negotiated Rate	$122.97
Max. Negotiated Rate	$122.97
Rate for Payer: Qualcare PPO/HMO/WC	$122.97

SUTURE VICRYL CP-2 3/0

Facility

$819.80

Hospital Charge Code	270676531
Hospital Revenue Code	272
Min. Negotiated Rate	$106.57
Max. Negotiated Rate	$409.90
Rate for Payer: Aetna Commercial	$245.94
Rate for Payer: Aetna Medicare Advantage	$245.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.05
Rate for Payer: Cigna Commercial	$409.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.57
Rate for Payer: Oxford Commercial	$409.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.97
Rate for Payer: UnitedHealthcare Commercial	$409.90

SUTURE VICRYL CTD 0 TIES

Facility

$9.55

Hospital Charge Code	270677551
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$4.78
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.44
Rate for Payer: Cigna Commercial	$4.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.24
Rate for Payer: Oxford Commercial	$4.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.43
Rate for Payer: UnitedHealthcare Commercial	$4.78

SUTURE VICRYL CTD 0 TIES

Facility

$9.55

Hospital Charge Code	270677551
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.43

SUTURE VICRYL CTD 1 CT-2

Facility

$8.05

Hospital Charge Code	270677554
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Qualcare PPO/HMO/WC	$1.21

SUTURE VICRYL CTD 1 CT-2

Facility

$8.05

Hospital Charge Code	270677554
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$4.03
Rate for Payer: Aetna Commercial	$2.42
Rate for Payer: Aetna Medicare Advantage	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.05
Rate for Payer: Cigna Commercial	$4.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.05
Rate for Payer: Oxford Commercial	$4.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.21
Rate for Payer: UnitedHealthcare Commercial	$4.03

SUTURE VICRYL CTD 2-0 TIES

Facility

$9.55

Hospital Charge Code	270677552
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$4.78
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.44
Rate for Payer: Cigna Commercial	$4.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.24
Rate for Payer: Oxford Commercial	$4.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.43
Rate for Payer: UnitedHealthcare Commercial	$4.78

SUTURE VICRYL CTD 2-0 TIES

Facility

$9.55

Hospital Charge Code	270677552
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.43

SUTURE VICRYL CTD 2-0 V-34

Facility

$13.10

Hospital Charge Code	270677581
Hospital Revenue Code	272
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$6.55
Rate for Payer: Aetna Commercial	$3.93
Rate for Payer: Aetna Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.34
Rate for Payer: Cigna Commercial	$6.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.97
Rate for Payer: UnitedHealthcare Commercial	$6.55

SUTURE VICRYL CTD 2-0 V-34

Facility

$13.10

Hospital Charge Code	270677581
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$1.97
Rate for Payer: Qualcare PPO/HMO/WC	$1.97

SUTURE VICRYL CTD 3-0 SH

Facility

$7.75

Hospital Charge Code	270677691
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

SUTURE VICRYL CTD 3-0 SH

Facility

$7.75

Hospital Charge Code	270677691
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.33
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.01
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.88

SUTURE VICRYL CTD 3-0 SH CR

Facility

$17.30

Hospital Charge Code	270677714
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$8.65
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$5.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.41
Rate for Payer: Cigna Commercial	$8.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.25
Rate for Payer: Oxford Commercial	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$2.60
Rate for Payer: UnitedHealthcare Commercial	$8.65

SUTURE VICRYL CTD 3-0 SH CR

Facility

$17.30

Hospital Charge Code	270677714
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.60

SUTURE VICRYL CTD 3-0 TIES

Facility

$9.55

Hospital Charge Code	270677553
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$4.78
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.44
Rate for Payer: Cigna Commercial	$4.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.24
Rate for Payer: Oxford Commercial	$4.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.43
Rate for Payer: UnitedHealthcare Commercial	$4.78

Know your out-of-pocket cost for care.

All Charges