Heights University Hospital

All Charges

Charge

Type

Setting

Price

FORCEP EVEREST BIPOLAR MACRO

Facility

$4,875.00

Hospital Charge Code	270655611
Hospital Revenue Code	272
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$2,437.50
Rate for Payer: Aetna Commercial	$1,462.50
Rate for Payer: Aetna Medicare Advantage	$1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,243.12
Rate for Payer: Cigna Commercial	$2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$633.75
Rate for Payer: Oxford Commercial	$2,437.50
Rate for Payer: Qualcare PPO/HMO/WC	$731.25
Rate for Payer: UnitedHealthcare Commercial	$2,437.50

FORCEP GRASP FL 115CM 3

Facility

$540.00

Hospital Charge Code	270605389
Hospital Revenue Code	272
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

FORCEP GRASP FL 115CM 3

Facility

$540.00

Hospital Charge Code	270605389
Hospital Revenue Code	272
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$162.00
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.20
Rate for Payer: Oxford Commercial	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00
Rate for Payer: UnitedHealthcare Commercial	$270.00

FORCEP GRASP STONE RETVL MIC**

Facility

$673.00

Hospital Charge Code	1604693
Hospital Revenue Code	272
Min. Negotiated Rate	$100.95
Max. Negotiated Rate	$100.95
Rate for Payer: Qualcare PPO/HMO/WC	$100.95

FORCEP GRASP STONE RETVL MIC**

Facility

$673.00

Hospital Charge Code	1604693
Hospital Revenue Code	272
Min. Negotiated Rate	$87.49
Max. Negotiated Rate	$336.50
Rate for Payer: Aetna Commercial	$201.90
Rate for Payer: Aetna Medicare Advantage	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.62
Rate for Payer: Cigna Commercial	$336.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.49
Rate for Payer: Oxford Commercial	$336.50
Rate for Payer: Qualcare PPO/HMO/WC	$100.95
Rate for Payer: UnitedHealthcare Commercial	$336.50

FORCEP JAGWIRE 9 450CM 5659

Facility

$1,280.85

Hospital Charge Code	270603947
Hospital Revenue Code	270
Min. Negotiated Rate	$166.51
Max. Negotiated Rate	$640.42
Rate for Payer: Aetna Commercial	$384.25
Rate for Payer: Aetna Medicare Advantage	$384.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.62
Rate for Payer: Cigna Commercial	$640.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.51
Rate for Payer: Oxford Commercial	$640.42
Rate for Payer: Qualcare PPO/HMO/WC	$192.13
Rate for Payer: UnitedHealthcare Commercial	$640.42

FORCEP JAGWIRE 9 450CM 5659

Facility

$1,280.85

Hospital Charge Code	270603947
Hospital Revenue Code	270
Min. Negotiated Rate	$192.13
Max. Negotiated Rate	$192.13
Rate for Payer: Qualcare PPO/HMO/WC	$192.13

FORCEP JUMBO

Facility

$96.38

Hospital Charge Code	270655594
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$14.46
Rate for Payer: Qualcare PPO/HMO/WC	$14.46

FORCEP JUMBO

Facility

$96.38

Hospital Charge Code	270655594
Hospital Revenue Code	272
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$48.19
Rate for Payer: Aetna Commercial	$28.91
Rate for Payer: Aetna Medicare Advantage	$28.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.58
Rate for Payer: Cigna Commercial	$48.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.53
Rate for Payer: Oxford Commercial	$48.19
Rate for Payer: Qualcare PPO/HMO/WC	$14.46
Rate for Payer: UnitedHealthcare Commercial	$48.19

FORCEP MCV BILI BALLN 24F 8MM

Facility

$2,148.85

Hospital Charge Code	270607735
Hospital Revenue Code	272
Min. Negotiated Rate	$279.35
Max. Negotiated Rate	$1,074.42
Rate for Payer: Aetna Commercial	$644.65
Rate for Payer: Aetna Medicare Advantage	$644.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$547.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$547.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$547.96
Rate for Payer: Cigna Commercial	$1,074.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.35
Rate for Payer: Oxford Commercial	$1,074.42
Rate for Payer: Qualcare PPO/HMO/WC	$322.33
Rate for Payer: UnitedHealthcare Commercial	$1,074.42

FORCEP MCV BILI BALLN 24F 8MM

Facility

$2,148.85

Hospital Charge Code	270607735
Hospital Revenue Code	272
Min. Negotiated Rate	$322.33
Max. Negotiated Rate	$322.33
Rate for Payer: Qualcare PPO/HMO/WC	$322.33

FORCEP PEDIATRIC SMALL

Facility

$134.00

Hospital Charge Code	270658672
Hospital Revenue Code	272
Min. Negotiated Rate	$17.42
Max. Negotiated Rate	$67.00
Rate for Payer: Aetna Commercial	$40.20
Rate for Payer: Aetna Medicare Advantage	$40.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.17
Rate for Payer: Cigna Commercial	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Oxford Commercial	$67.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.10
Rate for Payer: UnitedHealthcare Commercial	$67.00

FORCEP PEDIATRIC SMALL

Facility

$134.00

Hospital Charge Code	270658672
Hospital Revenue Code	272
Min. Negotiated Rate	$20.10
Max. Negotiated Rate	$20.10
Rate for Payer: Qualcare PPO/HMO/WC	$20.10

FORCEP PLATE HOLDNG SWIVEL SZ0

Facility

$2,742.00

Hospital Charge Code	270677036
Hospital Revenue Code	278
Min. Negotiated Rate	$411.30
Max. Negotiated Rate	$663.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.56
Rate for Payer: Qualcare PPO/HMO/WC	$411.30

FORCEP PLATE HOLDNG SWIVEL SZ0

Facility

$2,742.00

Hospital Charge Code	270677036
Hospital Revenue Code	278
Min. Negotiated Rate	$411.30
Max. Negotiated Rate	$1,371.00
Rate for Payer: Aetna Commercial	$822.60
Rate for Payer: Aetna Medicare Advantage	$822.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.21
Rate for Payer: Cigna Commercial	$1,371.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.56
Rate for Payer: Qualcare PPO/HMO/WC	$411.30

FORCEP RAD EDGE 1.8 100 1556

Facility

$154.58

Hospital Charge Code	270609316
Hospital Revenue Code	270
Min. Negotiated Rate	$23.19
Max. Negotiated Rate	$23.19
Rate for Payer: Qualcare PPO/HMO/WC	$23.19

FORCEP RAD EDGE 1.8 100 1556

Facility

$154.58

Hospital Charge Code	270609316
Hospital Revenue Code	270
Min. Negotiated Rate	$20.10
Max. Negotiated Rate	$77.29
Rate for Payer: Aetna Commercial	$46.37
Rate for Payer: Aetna Medicare Advantage	$46.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.42
Rate for Payer: Cigna Commercial	$77.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.10
Rate for Payer: Oxford Commercial	$77.29
Rate for Payer: Qualcare PPO/HMO/WC	$23.19
Rate for Payer: UnitedHealthcare Commercial	$77.29

FORCEP RADIAL EDGE

Facility

$240.00

Hospital Charge Code	270654571
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$120.00

FORCEP RADIAL EDGE

Facility

$240.00

Hospital Charge Code	270654571
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

FORCEP RADIAL JAW

Facility

$37.50

Hospital Charge Code	270656988
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$18.75
Rate for Payer: Aetna Commercial	$11.25
Rate for Payer: Aetna Medicare Advantage	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.56
Rate for Payer: Cigna Commercial	$18.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.88
Rate for Payer: Oxford Commercial	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$5.62
Rate for Payer: UnitedHealthcare Commercial	$18.75

FORCEP RADIAL JAW

Facility

$37.50

Hospital Charge Code	270656988
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.62

Forcep Radial Jaw w/needle

Facility

$72.00

Hospital Charge Code	270686400
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

Forcep Radial Jaw w/needle

Facility

$72.00

Hospital Charge Code	270686400
Hospital Revenue Code	272
Min. Negotiated Rate	$9.36
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.36
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$36.00

FORCEP RAD JAW 111 240CM

Facility

$286.00

Hospital Charge Code	270603900
Hospital Revenue Code	279
Min. Negotiated Rate	$37.18
Max. Negotiated Rate	$143.00
Rate for Payer: Aetna Commercial	$85.80
Rate for Payer: Aetna Medicare Advantage	$85.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.93
Rate for Payer: Cigna Commercial	$143.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Oxford Commercial	$143.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.90
Rate for Payer: UnitedHealthcare Commercial	$143.00

FORCEP RAD JAW 111 240CM

Facility

$286.00

Hospital Charge Code	270603900
Hospital Revenue Code	279
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$42.90
Rate for Payer: Qualcare PPO/HMO/WC	$42.90

Know your out-of-pocket cost for care.

All Charges