Heights University Hospital

All Charges

Charge

Type

Setting

Price

CUTTER STRY TOMCAT 4.0MM

Facility

$775.25

Hospital Charge Code	270601424
Hospital Revenue Code	272
Min. Negotiated Rate	$100.78
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$232.57
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.78
Rate for Payer: Oxford Commercial	$387.62
Rate for Payer: Qualcare PPO/HMO/WC	$116.29
Rate for Payer: UnitedHealthcare Commercial	$387.62

CUTTER STRY TOMCAT ANG 4.0MM

Facility

$382.20

Hospital Charge Code	270601419
Hospital Revenue Code	272
Min. Negotiated Rate	$57.33
Max. Negotiated Rate	$57.33
Rate for Payer: Qualcare PPO/HMO/WC	$57.33

CUTTER STRY TOMCAT ANG 4.0MM

Facility

$382.20

Hospital Charge Code	270601419
Hospital Revenue Code	272
Min. Negotiated Rate	$49.69
Max. Negotiated Rate	$191.10
Rate for Payer: Aetna Commercial	$114.66
Rate for Payer: Aetna Medicare Advantage	$114.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.46
Rate for Payer: Cigna Commercial	$191.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.69
Rate for Payer: Oxford Commercial	$191.10
Rate for Payer: Qualcare PPO/HMO/WC	$57.33
Rate for Payer: UnitedHealthcare Commercial	$191.10

CUTTER STRY TRUE END *****

Facility

$160.00

Hospital Charge Code	1606383
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

CUTTER STRY TRUE END *****

Facility

$160.00

Hospital Charge Code	1606383
Hospital Revenue Code	272
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$80.00

CUTTER TOMCAT 4.0mm

Facility

$200.00

Hospital Charge Code	270657644
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CUTTER TOMCAT 4.0mm

Facility

$200.00

Hospital Charge Code	270657644
Hospital Revenue Code	272
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

CUTTER TRUE END 4mm

Facility

$200.00

Hospital Charge Code	270601429
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CUTTER TRUE END 4mm

Facility

$200.00

Hospital Charge Code	270601429
Hospital Revenue Code	272
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

CUTTER TSB35 LINEAR 35

Facility

$2,586.65

Hospital Charge Code	270651944
Hospital Revenue Code	272
Min. Negotiated Rate	$336.26
Max. Negotiated Rate	$1,293.33
Rate for Payer: Aetna Commercial	$776.00
Rate for Payer: Aetna Medicare Advantage	$776.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$659.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$659.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$659.60
Rate for Payer: Cigna Commercial	$1,293.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.26
Rate for Payer: Oxford Commercial	$1,293.33
Rate for Payer: Qualcare PPO/HMO/WC	$388.00
Rate for Payer: UnitedHealthcare Commercial	$1,293.33

CUTTER TSB35 LINEAR 35

Facility

$2,586.65

Hospital Charge Code	270651944
Hospital Revenue Code	272
Min. Negotiated Rate	$388.00
Max. Negotiated Rate	$388.00
Rate for Payer: Qualcare PPO/HMO/WC	$388.00

CUTTER TSW35 LINEAR

Facility

$862.22

Hospital Charge Code	270651945
Hospital Revenue Code	272
Min. Negotiated Rate	$112.09
Max. Negotiated Rate	$431.11
Rate for Payer: Aetna Commercial	$258.67
Rate for Payer: Aetna Medicare Advantage	$258.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.87
Rate for Payer: Cigna Commercial	$431.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.09
Rate for Payer: Oxford Commercial	$431.11
Rate for Payer: Qualcare PPO/HMO/WC	$129.33
Rate for Payer: UnitedHealthcare Commercial	$431.11

CUTTER TSW35 LINEAR

Facility

$862.22

Hospital Charge Code	270651945
Hospital Revenue Code	272
Min. Negotiated Rate	$129.33
Max. Negotiated Rate	$129.33
Rate for Payer: Qualcare PPO/HMO/WC	$129.33

CUTTER UNIVERSAL ACUITY

Facility

$250.00

Hospital Charge Code	270697066S
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

CUTTER UNIVERSAL ACUITY

Facility

$250.00

Hospital Charge Code	270697066S
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

CUTTER WHISKER 4.0MM

Facility

$1,465.75

Hospital Charge Code	270658032
Hospital Revenue Code	272
Min. Negotiated Rate	$219.86
Max. Negotiated Rate	$219.86
Rate for Payer: Qualcare PPO/HMO/WC	$219.86

CUTTER WHISKER 4.0MM

Facility

$1,465.75

Hospital Charge Code	270658032
Hospital Revenue Code	272
Min. Negotiated Rate	$190.55
Max. Negotiated Rate	$732.88
Rate for Payer: Aetna Commercial	$439.73
Rate for Payer: Aetna Medicare Advantage	$439.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.77
Rate for Payer: Cigna Commercial	$732.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.55
Rate for Payer: Oxford Commercial	$732.88
Rate for Payer: Qualcare PPO/HMO/WC	$219.86
Rate for Payer: UnitedHealthcare Commercial	$732.88

CUTTER WHISKER 4.0MM

Facility

$200.00

Hospital Charge Code	270657595
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CUTTER WHISKER 4.0MM

Facility

$200.00

Hospital Charge Code	270657595
Hospital Revenue Code	272
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

CUTTER ZIM MICRO-MILL 5052-204

Facility

$741.65

Hospital Charge Code	270607657
Hospital Revenue Code	272
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$370.82
Rate for Payer: Aetna Commercial	$222.50
Rate for Payer: Aetna Medicare Advantage	$222.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.12
Rate for Payer: Cigna Commercial	$370.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.41
Rate for Payer: Oxford Commercial	$370.82
Rate for Payer: Qualcare PPO/HMO/WC	$111.25
Rate for Payer: UnitedHealthcare Commercial	$370.82

CUTTER ZIM MICRO-MILL 5052-204

Facility

$741.65

Hospital Charge Code	270607657
Hospital Revenue Code	272
Min. Negotiated Rate	$111.25
Max. Negotiated Rate	$111.25
Rate for Payer: Qualcare PPO/HMO/WC	$111.25

CUTTING LOOP 24FR

Facility

$428.80

Hospital Charge Code	270658443
Hospital Revenue Code	272
Min. Negotiated Rate	$55.74
Max. Negotiated Rate	$214.40
Rate for Payer: Aetna Commercial	$128.64
Rate for Payer: Aetna Medicare Advantage	$128.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.34
Rate for Payer: Cigna Commercial	$214.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.74
Rate for Payer: Oxford Commercial	$214.40
Rate for Payer: Qualcare PPO/HMO/WC	$64.32
Rate for Payer: UnitedHealthcare Commercial	$214.40

CUTTING LOOP 24FR

Facility

$428.80

Hospital Charge Code	270658443
Hospital Revenue Code	272
Min. Negotiated Rate	$64.32
Max. Negotiated Rate	$64.32
Rate for Payer: Qualcare PPO/HMO/WC	$64.32

CUTTING LOOP FOR RESECTOSCOPE

Facility

$626.00

Hospital Charge Code	270332325
Hospital Revenue Code	272
Min. Negotiated Rate	$81.38
Max. Negotiated Rate	$313.00
Rate for Payer: Aetna Commercial	$187.80
Rate for Payer: Aetna Medicare Advantage	$187.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.63
Rate for Payer: Cigna Commercial	$313.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.38
Rate for Payer: Oxford Commercial	$313.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.90
Rate for Payer: UnitedHealthcare Commercial	$313.00

CUTTING LOOP FOR RESECTOSCOPE

Facility

$626.00

Hospital Charge Code	270332325
Hospital Revenue Code	272
Min. Negotiated Rate	$93.90
Max. Negotiated Rate	$93.90
Rate for Payer: Qualcare PPO/HMO/WC	$93.90

Know your out-of-pocket cost for care.

All Charges