Heights University Hospital

All Charges

Charge

Type

Setting

Price

EXTRACTOR MCV TRPL LMN 5047-05

Facility

$936.85

Hospital Charge Code	270616279
Hospital Revenue Code	272
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$140.53
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

EXTRACTOR NAIL CONICAL 12MM

Facility

$1,750.00

Hospital Charge Code	270694835
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

EXTRACTOR NAIL CONICAL 12MM

Facility

$1,750.00

Hospital Charge Code	270694835
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

EXTRACTOR NAIL CONICAL 12MM

Facility

$1,750.00

Hospital Charge Code	270694535
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

EXTRACTOR NAIL CONICAL 12MM

Facility

$1,750.00

Hospital Charge Code	270694535
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

EXTRACTOR NAIL SOLID LARGE

Facility

$1,500.00

Hospital Charge Code	270688298
Hospital Revenue Code	272
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$750.00

EXTRACTOR NAIL SOLID LARGE

Facility

$1,500.00

Hospital Charge Code	270688298
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

EXTRACTOR NCIRCLE STONE

Facility

$1,011.40

Hospital Charge Code	270653910
Hospital Revenue Code	272
Min. Negotiated Rate	$151.71
Max. Negotiated Rate	$151.71
Rate for Payer: Qualcare PPO/HMO/WC	$151.71

EXTRACTOR NCIRCLE STONE

Facility

$1,011.40

Hospital Charge Code	270653910
Hospital Revenue Code	272
Min. Negotiated Rate	$131.48
Max. Negotiated Rate	$505.70
Rate for Payer: Aetna Commercial	$303.42
Rate for Payer: Aetna Medicare Advantage	$303.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.91
Rate for Payer: Cigna Commercial	$505.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.48
Rate for Payer: Oxford Commercial	$505.70
Rate for Payer: Qualcare PPO/HMO/WC	$151.71
Rate for Payer: UnitedHealthcare Commercial	$505.70

EXTRACTOR NCIRCLE STONE 2.4FR

Facility

$1,127.65

Hospital Charge Code	270658550
Hospital Revenue Code	278
Min. Negotiated Rate	$169.15
Max. Negotiated Rate	$272.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.89
Rate for Payer: Qualcare PPO/HMO/WC	$169.15

EXTRACTOR NCIRCLE STONE 2.4FR

Facility

$1,127.65

Hospital Charge Code	270658550
Hospital Revenue Code	278
Min. Negotiated Rate	$169.15
Max. Negotiated Rate	$563.83
Rate for Payer: Aetna Commercial	$338.30
Rate for Payer: Aetna Medicare Advantage	$338.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.55
Rate for Payer: Cigna Commercial	$563.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.89
Rate for Payer: Qualcare PPO/HMO/WC	$169.15

EXTRACTOR PREMIUM DISPOSABLE

Facility

$9.64

Hospital Charge Code	270658686
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

EXTRACTOR PREMIUM DISPOSABLE

Facility

$9.64

Hospital Charge Code	270658686
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.82
Rate for Payer: Aetna Commercial	$2.89
Rate for Payer: Aetna Medicare Advantage	$2.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.82
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.82

EXTRACTOR RX 12-15 BALLON 4691

Facility

$987.10

Hospital Charge Code	270632641
Hospital Revenue Code	272
Min. Negotiated Rate	$148.06
Max. Negotiated Rate	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$148.06

EXTRACTOR RX 12-15 BALLON 4691

Facility

$987.10

Hospital Charge Code	270632641
Hospital Revenue Code	272
Min. Negotiated Rate	$128.32
Max. Negotiated Rate	$493.55
Rate for Payer: Aetna Commercial	$296.13
Rate for Payer: Aetna Medicare Advantage	$296.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.71
Rate for Payer: Cigna Commercial	$493.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.32
Rate for Payer: Oxford Commercial	$493.55
Rate for Payer: Qualcare PPO/HMO/WC	$148.06
Rate for Payer: UnitedHealthcare Commercial	$493.55

EXTRACTOR RX 15-18mm 4692

Facility

$775.00

Hospital Charge Code	270639283
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

EXTRACTOR RX 15-18mm 4692

Facility

$775.00

Hospital Charge Code	270639283
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

EXTRACTOR RX 9-12mm BALLN 4693

Facility

$775.00

Hospital Charge Code	270644048
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

EXTRACTOR RX 9-12mm BALLN 4693

Facility

$775.00

Hospital Charge Code	270644048
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

EXTRACTOR RX 9-12mm BALON 4690

Facility

$987.10

Hospital Charge Code	270633201
Hospital Revenue Code	272
Min. Negotiated Rate	$148.06
Max. Negotiated Rate	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$148.06

EXTRACTOR RX 9-12mm BALON 4690

Facility

$987.10

Hospital Charge Code	270633201
Hospital Revenue Code	272
Min. Negotiated Rate	$128.32
Max. Negotiated Rate	$493.55
Rate for Payer: Aetna Commercial	$296.13
Rate for Payer: Aetna Medicare Advantage	$296.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.71
Rate for Payer: Cigna Commercial	$493.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.32
Rate for Payer: Oxford Commercial	$493.55
Rate for Payer: Qualcare PPO/HMO/WC	$148.06
Rate for Payer: UnitedHealthcare Commercial	$493.55

EXTRACTOR S9 BROKEN 2MM DISP

Facility

$1,700.00

Hospital Charge Code	270696266
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

EXTRACTOR S9 BROKEN 2MM DISP

Facility

$1,700.00

Hospital Charge Code	270696266
Hospital Revenue Code	272
Min. Negotiated Rate	$221.00
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$510.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.00
Rate for Payer: Oxford Commercial	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Commercial	$850.00

EXTRACTOR S9 BROKEN 3MM DISP

Facility

$1,700.00

Hospital Charge Code	270696267
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

EXTRACTOR S9 BROKEN 3MM DISP

Facility

$1,700.00

Hospital Charge Code	270696267
Hospital Revenue Code	272
Min. Negotiated Rate	$221.00
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$510.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.00
Rate for Payer: Oxford Commercial	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Commercial	$850.00

Know your out-of-pocket cost for care.

All Charges