Heights University Hospital

All Charges

Charge

Type

Setting

Price

FIBER HOLMIUM

Facility

$1,985.00

Hospital Charge Code	270692104
Hospital Revenue Code	272
Min. Negotiated Rate	$297.75
Max. Negotiated Rate	$297.75
Rate for Payer: Qualcare PPO/HMO/WC	$297.75

FIBER HOLMIUM

Facility

$1,985.00

Hospital Charge Code	270692104
Hospital Revenue Code	272
Min. Negotiated Rate	$258.05
Max. Negotiated Rate	$992.50
Rate for Payer: Aetna Commercial	$595.50
Rate for Payer: Aetna Medicare Advantage	$595.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$506.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$506.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$506.18
Rate for Payer: Cigna Commercial	$992.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.05
Rate for Payer: Oxford Commercial	$992.50
Rate for Payer: Qualcare PPO/HMO/WC	$297.75
Rate for Payer: UnitedHealthcare Commercial	$992.50

FIBERLASE 30X450MM(LASERFIBER)

Facility

$706.00

Hospital Charge Code	270335437
Hospital Revenue Code	272
Min. Negotiated Rate	$91.78
Max. Negotiated Rate	$353.00
Rate for Payer: Aetna Commercial	$211.80
Rate for Payer: Aetna Medicare Advantage	$211.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.03
Rate for Payer: Cigna Commercial	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.78
Rate for Payer: Oxford Commercial	$353.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.90
Rate for Payer: UnitedHealthcare Commercial	$353.00

FIBERLASE 30X450MM(LASERFIBER)

Facility

$706.00

Hospital Charge Code	270335437
Hospital Revenue Code	272
Min. Negotiated Rate	$105.90
Max. Negotiated Rate	$105.90
Rate for Payer: Qualcare PPO/HMO/WC	$105.90

FIBER LASER

Facility

$2,337.50

Hospital Charge Code	270661301
Hospital Revenue Code	270
Min. Negotiated Rate	$350.62
Max. Negotiated Rate	$350.62
Rate for Payer: Qualcare PPO/HMO/WC	$350.62

FIBER LASER

Facility

$2,337.50

Hospital Charge Code	270661301
Hospital Revenue Code	270
Min. Negotiated Rate	$303.88
Max. Negotiated Rate	$1,168.75
Rate for Payer: Aetna Commercial	$701.25
Rate for Payer: Aetna Medicare Advantage	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.06
Rate for Payer: Cigna Commercial	$1,168.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.88
Rate for Payer: Oxford Commercial	$1,168.75
Rate for Payer: Qualcare PPO/HMO/WC	$350.62
Rate for Payer: UnitedHealthcare Commercial	$1,168.75

FIBER LASER 1470

Facility

$3,500.00

Hospital Charge Code	270662161
Hospital Revenue Code	272
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

FIBER LASER 1470

Facility

$3,500.00

Hospital Charge Code	270662161
Hospital Revenue Code	272
Min. Negotiated Rate	$455.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$1,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Commercial	$1,750.00

FIBER LASER HOLMIUM 550

Facility

$1,340.00

Hospital Charge Code	270673456
Hospital Revenue Code	272
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$201.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

FIBER LASER HOLMIUM 550

Facility

$1,340.00

Hospital Charge Code	270673456
Hospital Revenue Code	272
Min. Negotiated Rate	$174.20
Max. Negotiated Rate	$670.00
Rate for Payer: Aetna Commercial	$402.00
Rate for Payer: Aetna Medicare Advantage	$402.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.70
Rate for Payer: Cigna Commercial	$670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.20
Rate for Payer: Oxford Commercial	$670.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.00
Rate for Payer: UnitedHealthcare Commercial	$670.00

FIBER LASER SLIMLINE 1000

Facility

$6,301.75

Hospital Charge Code	270668931
Hospital Revenue Code	272
Min. Negotiated Rate	$945.26
Max. Negotiated Rate	$945.26
Rate for Payer: Qualcare PPO/HMO/WC	$945.26

FIBER LASER SLIMLINE 1000

Facility

$6,301.75

Hospital Charge Code	270668931
Hospital Revenue Code	272
Min. Negotiated Rate	$819.23
Max. Negotiated Rate	$3,150.88
Rate for Payer: Aetna Commercial	$1,890.53
Rate for Payer: Aetna Medicare Advantage	$1,890.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,606.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,606.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,606.95
Rate for Payer: Cigna Commercial	$3,150.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$819.23
Rate for Payer: Oxford Commercial	$3,150.88
Rate for Payer: Qualcare PPO/HMO/WC	$945.26
Rate for Payer: UnitedHealthcare Commercial	$3,150.88

FIBER LOOP #2

Facility

$250.00

Hospital Charge Code	270661067
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

FIBER LOOP #2

Facility

$250.00

Hospital Charge Code	270661067
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FIBER LOOP #2

Facility

$250.00

Hospital Charge Code	270672233
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FIBER LOOP #2

Facility

$250.00

Hospital Charge Code	270672233
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

FIBERLOOP SUTURETAPE TIGER STR

Facility

$350.00

Hospital Charge Code	270683448
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

FIBERLOOP SUTURETAPE TIGER STR

Facility

$350.00

Hospital Charge Code	270683448
Hospital Revenue Code	272
Min. Negotiated Rate	$45.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$175.00

FIBER MEDIUM BIONEST

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692121
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

FIBER MEDIUM BIONEST

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692121
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

FIBER MICRON FLEXIVA 1000MM

Facility

$4,924.90

Hospital Charge Code	270655920
Hospital Revenue Code	272
Min. Negotiated Rate	$640.24
Max. Negotiated Rate	$2,462.45
Rate for Payer: Aetna Commercial	$1,477.47
Rate for Payer: Aetna Medicare Advantage	$1,477.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,255.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,255.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,255.85
Rate for Payer: Cigna Commercial	$2,462.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$640.24
Rate for Payer: Oxford Commercial	$2,462.45
Rate for Payer: Qualcare PPO/HMO/WC	$738.74
Rate for Payer: UnitedHealthcare Commercial	$2,462.45

FIBER MICRON FLEXIVA 1000MM

Facility

$4,924.90

Hospital Charge Code	270655920
Hospital Revenue Code	272
Min. Negotiated Rate	$738.74
Max. Negotiated Rate	$738.74
Rate for Payer: Qualcare PPO/HMO/WC	$738.74

FIBER MICRON FLEXIVA 200MM

Facility

$2,229.75

Hospital Charge Code	270656984
Hospital Revenue Code	278
Min. Negotiated Rate	$334.46
Max. Negotiated Rate	$1,114.88
Rate for Payer: Aetna Commercial	$668.92
Rate for Payer: Aetna Medicare Advantage	$668.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$568.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$568.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$445.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$568.59
Rate for Payer: Cigna Commercial	$1,114.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.60
Rate for Payer: Qualcare PPO/HMO/WC	$334.46

FIBER MICRON FLEXIVA 200MM

Facility

$6,056.40

Hospital Charge Code	270655917
Hospital Revenue Code	272
Min. Negotiated Rate	$787.33
Max. Negotiated Rate	$3,028.20
Rate for Payer: Aetna Commercial	$1,816.92
Rate for Payer: Aetna Medicare Advantage	$1,816.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,544.38
Rate for Payer: Cigna Commercial	$3,028.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$787.33
Rate for Payer: Oxford Commercial	$3,028.20
Rate for Payer: Qualcare PPO/HMO/WC	$908.46
Rate for Payer: UnitedHealthcare Commercial	$3,028.20

FIBER MICRON FLEXIVA 200MM

Facility

$6,056.40

Hospital Charge Code	270655917
Hospital Revenue Code	272
Min. Negotiated Rate	$908.46
Max. Negotiated Rate	$908.46
Rate for Payer: Qualcare PPO/HMO/WC	$908.46

Know your out-of-pocket cost for care.

All Charges