Heights University Hospital

All Charges

Charge

Type

Setting

Price

FLEX STRUCTURAL 12CM X 20CM

Facility

$43,590.00

Hospital Charge Code	270657203
Hospital Revenue Code	278
Min. Negotiated Rate	$6,538.50
Max. Negotiated Rate	$10,548.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,718.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,548.78
Rate for Payer: Qualcare PPO/HMO/WC	$6,538.50

FLEX STRUCTURAL 12CM X 20CM

Facility

$43,590.00

Hospital Charge Code	270657203
Hospital Revenue Code	278
Min. Negotiated Rate	$6,538.50
Max. Negotiated Rate	$21,795.00
Rate for Payer: Aetna Commercial	$13,077.00
Rate for Payer: Aetna Medicare Advantage	$13,077.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,115.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,115.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,718.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,115.45
Rate for Payer: Cigna Commercial	$21,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,548.78
Rate for Payer: Qualcare PPO/HMO/WC	$6,538.50

FLEX TENDON REP ZONE 2 EACH

Facility

$26,471.80

Service Code	HCPCS 26356
Hospital Charge Code	16000361
Hospital Revenue Code	360
Min. Negotiated Rate	$3,970.77
Max. Negotiated Rate	$3,970.77
Rate for Payer: Qualcare PPO/HMO/WC	$3,970.77

FLEX TENDON REP ZONE 2 EACH

Facility

$26,471.80

Service Code	HCPCS 26356
Hospital Charge Code	16000361
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,941.54
Rate for Payer: Aetna Commercial	$7,941.54
Rate for Payer: Aetna Medicare Advantage	$7,941.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,750.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,750.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,750.31
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,441.33
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,970.77
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

FLEX TIP NUCLEOTOMY BLADE

Facility

$983.00

Hospital Charge Code	270335307
Hospital Revenue Code	272
Min. Negotiated Rate	$127.79
Max. Negotiated Rate	$491.50
Rate for Payer: Aetna Commercial	$294.90
Rate for Payer: Aetna Medicare Advantage	$294.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.66
Rate for Payer: Cigna Commercial	$491.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.79
Rate for Payer: Oxford Commercial	$491.50
Rate for Payer: Qualcare PPO/HMO/WC	$147.45
Rate for Payer: UnitedHealthcare Commercial	$491.50

FLEX TIP NUCLEOTOMY BLADE

Facility

$983.00

Hospital Charge Code	270335307
Hospital Revenue Code	272
Min. Negotiated Rate	$147.45
Max. Negotiated Rate	$147.45
Rate for Payer: Qualcare PPO/HMO/WC	$147.45

FLEXTIP RF PROBE, 28CM

Facility

$2,975.00

Hospital Charge Code	270702073
Hospital Revenue Code	272
Min. Negotiated Rate	$386.75
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$892.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.75
Rate for Payer: Oxford Commercial	$1,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Commercial	$1,487.50

FLEXTIP RF PROBE, 28CM

Facility

$2,975.00

Hospital Charge Code	270702073
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

FLEXTUBE GSP HMEF

Facility

$12.67

Hospital Charge Code	270689023
Hospital Revenue Code	272
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$1.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.90

FLEXTUBE GSP HMEF

Facility

$12.67

Hospital Charge Code	270689023
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$6.33
Rate for Payer: Aetna Commercial	$3.80
Rate for Payer: Aetna Medicare Advantage	$3.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.23
Rate for Payer: Cigna Commercial	$6.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.65
Rate for Payer: Oxford Commercial	$6.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.90
Rate for Payer: UnitedHealthcare Commercial	$6.33

FLEXWIRE .86 DBL TIP NITI

Facility

$695.00

Service Code	HCPCS C1713
Hospital Charge Code	270692912
Hospital Revenue Code	278
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$168.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.19
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

FLEXWIRE .86 DBL TIP NITI

Facility

$695.00

Service Code	HCPCS C1713
Hospital Charge Code	270692912
Hospital Revenue Code	278
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$347.50
Rate for Payer: Aetna Commercial	$208.50
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.19
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

FLIPCUTTER 10MM

Facility

$1,625.00

Hospital Charge Code	270666962
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

FLIPCUTTER 10MM

Facility

$1,625.00

Hospital Charge Code	270666962
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

FLIPCUTTER 11MM

Facility

$3,375.00

Hospital Charge Code	270682557
Hospital Revenue Code	272
Min. Negotiated Rate	$438.75
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,012.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.75
Rate for Payer: Oxford Commercial	$1,687.50
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$1,687.50

FLIPCUTTER 11MM

Facility

$3,375.00

Hospital Charge Code	270682557
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

FLIPCUTTER 11MM

Facility

$1,625.00

Hospital Charge Code	270664581
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

FLIPCUTTER 11MM

Facility

$1,625.00

Hospital Charge Code	270664581
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

FLIPCUTTER 6.5MM

Facility

$1,625.00

Hospital Charge Code	270677965
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

FLIPCUTTER 6.5MM

Facility

$1,625.00

Hospital Charge Code	270677965
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

FLIPCUTTER 7.5MM

Facility

$2,325.00

Hospital Charge Code	270664773
Hospital Revenue Code	272
Min. Negotiated Rate	$302.25
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.25
Rate for Payer: Oxford Commercial	$1,162.50
Rate for Payer: Qualcare PPO/HMO/WC	$348.75
Rate for Payer: UnitedHealthcare Commercial	$1,162.50

FLIPCUTTER 7.5MM

Facility

$2,325.00

Hospital Charge Code	270664773
Hospital Revenue Code	272
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$348.75
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

FLIPCUTTER 8.5MM

Facility

$1,625.00

Hospital Charge Code	270666959
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

FLIPCUTTER 8.5MM

Facility

$1,625.00

Hospital Charge Code	270666959
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

FLIPCUTTER 8MM

Facility

$2,325.00

Hospital Charge Code	270663952
Hospital Revenue Code	272
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$348.75
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

Know your out-of-pocket cost for care.

All Charges