Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE VLOC 3-0 V-20

Facility

$263.14

Hospital Charge Code	270665246
Hospital Revenue Code	272
Min. Negotiated Rate	$39.47
Max. Negotiated Rate	$39.47
Rate for Payer: Qualcare PPO/HMO/WC	$39.47

SUTURE V-LOC 90 2-0 GS-21

Facility

$193.92

Hospital Charge Code	270671573
Hospital Revenue Code	272
Min. Negotiated Rate	$29.09
Max. Negotiated Rate	$29.09
Rate for Payer: Qualcare PPO/HMO/WC	$29.09

SUTURE V-LOC 90 2-0 GS-21

Facility

$193.92

Hospital Charge Code	270671573
Hospital Revenue Code	272
Min. Negotiated Rate	$25.21
Max. Negotiated Rate	$96.96
Rate for Payer: Aetna Commercial	$58.18
Rate for Payer: Aetna Medicare Advantage	$58.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.45
Rate for Payer: Cigna Commercial	$96.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.21
Rate for Payer: Oxford Commercial	$96.96
Rate for Payer: Qualcare PPO/HMO/WC	$29.09
Rate for Payer: UnitedHealthcare Commercial	$96.96

SUTURE V-LOC 90 ABS CLOS DEV

Facility

$183.72

Hospital Charge Code	270648847
Hospital Revenue Code	272
Min. Negotiated Rate	$23.88
Max. Negotiated Rate	$91.86
Rate for Payer: Aetna Commercial	$55.12
Rate for Payer: Aetna Medicare Advantage	$55.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.85
Rate for Payer: Cigna Commercial	$91.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.88
Rate for Payer: Oxford Commercial	$91.86
Rate for Payer: Qualcare PPO/HMO/WC	$27.56
Rate for Payer: UnitedHealthcare Commercial	$91.86

SUTURE V-LOC 90 ABS CLOS DEV

Facility

$183.72

Hospital Charge Code	270648847
Hospital Revenue Code	272
Min. Negotiated Rate	$27.56
Max. Negotiated Rate	$27.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.56

SUTURE VLOC BLU GS-21 0

Facility

$435.72

Hospital Charge Code	270692408
Hospital Revenue Code	272
Min. Negotiated Rate	$65.36
Max. Negotiated Rate	$65.36
Rate for Payer: Qualcare PPO/HMO/WC	$65.36

SUTURE VLOC BLU GS-21 0

Facility

$435.72

Hospital Charge Code	270692408
Hospital Revenue Code	272
Min. Negotiated Rate	$56.64
Max. Negotiated Rate	$217.86
Rate for Payer: Aetna Commercial	$130.72
Rate for Payer: Aetna Medicare Advantage	$130.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.11
Rate for Payer: Cigna Commercial	$217.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.64
Rate for Payer: Oxford Commercial	$217.86
Rate for Payer: Qualcare PPO/HMO/WC	$65.36
Rate for Payer: UnitedHealthcare Commercial	$217.86

SUTURE V-LOC GS21

Facility

$183.76

Hospital Charge Code	270660322
Hospital Revenue Code	272
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$91.88
Rate for Payer: Aetna Commercial	$55.13
Rate for Payer: Aetna Medicare Advantage	$55.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.86
Rate for Payer: Cigna Commercial	$91.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.89
Rate for Payer: Oxford Commercial	$91.88
Rate for Payer: Qualcare PPO/HMO/WC	$27.56
Rate for Payer: UnitedHealthcare Commercial	$91.88

SUTURE V-LOC GS21

Facility

$183.76

Hospital Charge Code	270660322
Hospital Revenue Code	272
Min. Negotiated Rate	$27.56
Max. Negotiated Rate	$27.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.56

SUTURE VLOCGS21 1/2 C 2-0 180

Facility

$339.70

Hospital Charge Code	270678499
Hospital Revenue Code	272
Min. Negotiated Rate	$50.95
Max. Negotiated Rate	$50.95
Rate for Payer: Qualcare PPO/HMO/WC	$50.95

SUTURE VLOCGS21 1/2 C 2-0 180

Facility

$339.70

Hospital Charge Code	270678499
Hospital Revenue Code	272
Min. Negotiated Rate	$44.16
Max. Negotiated Rate	$169.85
Rate for Payer: Aetna Commercial	$101.91
Rate for Payer: Aetna Medicare Advantage	$101.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.62
Rate for Payer: Cigna Commercial	$169.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.16
Rate for Payer: Oxford Commercial	$169.85
Rate for Payer: Qualcare PPO/HMO/WC	$50.95
Rate for Payer: UnitedHealthcare Commercial	$169.85

SUTURE VLOC NA BLU 15 CM GS21

Facility

$174.50

Hospital Charge Code	270692407
Hospital Revenue Code	272
Min. Negotiated Rate	$26.18
Max. Negotiated Rate	$26.18
Rate for Payer: Qualcare PPO/HMO/WC	$26.18

SUTURE VLOC NA BLU 15 CM GS21

Facility

$174.50

Hospital Charge Code	270692407
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$87.25
Rate for Payer: Aetna Commercial	$52.35
Rate for Payer: Aetna Medicare Advantage	$52.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.50
Rate for Payer: Cigna Commercial	$87.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.68
Rate for Payer: Oxford Commercial	$87.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.18
Rate for Payer: UnitedHealthcare Commercial	$87.25

SUTURE V LOC SH 2-0 GS 22

Facility

$435.72

Hospital Charge Code	270691570
Hospital Revenue Code	272
Min. Negotiated Rate	$56.64
Max. Negotiated Rate	$217.86
Rate for Payer: Aetna Commercial	$130.72
Rate for Payer: Aetna Medicare Advantage	$130.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.11
Rate for Payer: Cigna Commercial	$217.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.64
Rate for Payer: Oxford Commercial	$217.86
Rate for Payer: Qualcare PPO/HMO/WC	$65.36
Rate for Payer: UnitedHealthcare Commercial	$217.86

SUTURE V LOC SH 2-0 GS 22

Facility

$435.72

Hospital Charge Code	270691570
Hospital Revenue Code	272
Min. Negotiated Rate	$65.36
Max. Negotiated Rate	$65.36
Rate for Payer: Qualcare PPO/HMO/WC	$65.36

SUTURE VLOC SZ 3-0 18 IN 3/8

Facility

$236.54

Hospital Charge Code	270698637
Hospital Revenue Code	272
Min. Negotiated Rate	$30.75
Max. Negotiated Rate	$118.27
Rate for Payer: Aetna Commercial	$70.96
Rate for Payer: Aetna Medicare Advantage	$70.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.32
Rate for Payer: Cigna Commercial	$118.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.75
Rate for Payer: Oxford Commercial	$118.27
Rate for Payer: Qualcare PPO/HMO/WC	$35.48
Rate for Payer: UnitedHealthcare Commercial	$118.27

SUTURE VLOC SZ 3-0 18 IN 3/8

Facility

$236.54

Hospital Charge Code	270698637
Hospital Revenue Code	272
Min. Negotiated Rate	$35.48
Max. Negotiated Rate	$35.48
Rate for Payer: Qualcare PPO/HMO/WC	$35.48

SUTURE V-LOC V-20 2-0 12 GRN

Facility

$313.60

Hospital Charge Code	270678354
Hospital Revenue Code	272
Min. Negotiated Rate	$47.04
Max. Negotiated Rate	$47.04
Rate for Payer: Qualcare PPO/HMO/WC	$47.04

SUTURE V-LOC V-20 2-0 12 GRN

Facility

$313.60

Hospital Charge Code	270678354
Hospital Revenue Code	272
Min. Negotiated Rate	$40.77
Max. Negotiated Rate	$156.80
Rate for Payer: Aetna Commercial	$94.08
Rate for Payer: Aetna Medicare Advantage	$94.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.97
Rate for Payer: Cigna Commercial	$156.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.77
Rate for Payer: Oxford Commercial	$156.80
Rate for Payer: Qualcare PPO/HMO/WC	$47.04
Rate for Payer: UnitedHealthcare Commercial	$156.80

SUTURE WIRE: MONOFILAMENT

Facility

$126.00

Hospital Charge Code	270334653
Hospital Revenue Code	272
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$63.00
Rate for Payer: Aetna Commercial	$37.80
Rate for Payer: Aetna Medicare Advantage	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.13
Rate for Payer: Cigna Commercial	$63.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.38
Rate for Payer: Oxford Commercial	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.90
Rate for Payer: UnitedHealthcare Commercial	$63.00

SUTURE WIRE: MONOFILAMENT

Facility

$126.00

Hospital Charge Code	270334653
Hospital Revenue Code	272
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

SUTURE WIRE ZIM 16G 4044-20

Facility

$9.10

Hospital Charge Code	270601261
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.36

SUTURE WIRE ZIM 16G 4044-20

Facility

$9.10

Hospital Charge Code	270601261
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 WIRE ZIM 18G 4044-16

Facility

$112.50

Hospital Charge Code	270601259
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

SUTURE WIRE ZIM 18G 4044-16

Facility

$112.50

Hospital Charge Code	270601259
Hospital Revenue Code	272
Min. Negotiated Rate	$14.62
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$33.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.62
Rate for Payer: Oxford Commercial	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$56.25

Know your out-of-pocket cost for care.

All Charges