Heights University Hospital

All Charges

Charge

Type

Setting

Price

HOOD W/HI EFFECIENCY FI 601436

Facility

$104.17

Hospital Charge Code	270601436
Hospital Revenue Code	272
Min. Negotiated Rate	$13.54
Max. Negotiated Rate	$52.09
Rate for Payer: Aetna Commercial	$31.25
Rate for Payer: Aetna Medicare Advantage	$31.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.56
Rate for Payer: Cigna Commercial	$52.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.54
Rate for Payer: Oxford Commercial	$52.09
Rate for Payer: Qualcare PPO/HMO/WC	$15.63
Rate for Payer: UnitedHealthcare Commercial	$52.09

HOOK 10MM WIDE BLADE

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270691060
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

HOOK 10MM WIDE BLADE

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270691060
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

HOOK 6.5 PEDICLE 5200207

Facility

$3,868.85

Hospital Charge Code	270634069
Hospital Revenue Code	272
Min. Negotiated Rate	$502.95
Max. Negotiated Rate	$1,934.42
Rate for Payer: Aetna Commercial	$1,160.65
Rate for Payer: Aetna Medicare Advantage	$1,160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$986.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$986.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$986.56
Rate for Payer: Cigna Commercial	$1,934.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.95
Rate for Payer: Oxford Commercial	$1,934.42
Rate for Payer: Qualcare PPO/HMO/WC	$580.33
Rate for Payer: UnitedHealthcare Commercial	$1,934.42

HOOK 6.5 PEDICLE 5200207

Facility

$3,868.85

Hospital Charge Code	270634069
Hospital Revenue Code	272
Min. Negotiated Rate	$580.33
Max. Negotiated Rate	$580.33
Rate for Payer: Qualcare PPO/HMO/WC	$580.33

HOOK 8.0 NARROW 5203113

Facility

$3,248.85

Hospital Charge Code	270634068
Hospital Revenue Code	272
Min. Negotiated Rate	$487.33
Max. Negotiated Rate	$487.33
Rate for Payer: Qualcare PPO/HMO/WC	$487.33

HOOK 8.0 NARROW 5203113

Facility

$3,248.85

Hospital Charge Code	270634068
Hospital Revenue Code	272
Min. Negotiated Rate	$422.35
Max. Negotiated Rate	$1,624.42
Rate for Payer: Aetna Commercial	$974.65
Rate for Payer: Aetna Medicare Advantage	$974.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.46
Rate for Payer: Cigna Commercial	$1,624.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.35
Rate for Payer: Oxford Commercial	$1,624.42
Rate for Payer: Qualcare PPO/HMO/WC	$487.33
Rate for Payer: UnitedHealthcare Commercial	$1,624.42

HOOK BONE 07-10175

Facility

$990.00

Hospital Charge Code	270640890
Hospital Revenue Code	272
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$148.50

HOOK BONE 07-10175

Facility

$990.00

Hospital Charge Code	270640890
Hospital Revenue Code	272
Min. Negotiated Rate	$128.70
Max. Negotiated Rate	$495.00
Rate for Payer: Aetna Commercial	$297.00
Rate for Payer: Aetna Medicare Advantage	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.45
Rate for Payer: Cigna Commercial	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.70
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.50
Rate for Payer: UnitedHealthcare Commercial	$495.00

HOOK CABLE MINI (J)

Facility

$200.00

Hospital Charge Code	270671695
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

HOOK CABLE MINI (J)

Facility

$200.00

Hospital Charge Code	270671695
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

HOOK CLOSED 11.0 177082110

Facility

$3,546.45

Hospital Charge Code	270633068
Hospital Revenue Code	272
Min. Negotiated Rate	$531.97
Max. Negotiated Rate	$531.97
Rate for Payer: Qualcare PPO/HMO/WC	$531.97

HOOK CLOSED 11.0 177082110

Facility

$3,546.45

Hospital Charge Code	270633068
Hospital Revenue Code	272
Min. Negotiated Rate	$461.04
Max. Negotiated Rate	$1,773.22
Rate for Payer: Aetna Commercial	$1,063.93
Rate for Payer: Aetna Medicare Advantage	$1,063.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$904.34
Rate for Payer: Cigna Commercial	$1,773.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.04
Rate for Payer: Oxford Commercial	$1,773.22
Rate for Payer: Qualcare PPO/HMO/WC	$531.97
Rate for Payer: UnitedHealthcare Commercial	$1,773.22

HOOK CLOSED NARW 9.5 177083095

Facility

$3,546.45

Hospital Charge Code	270633067
Hospital Revenue Code	272
Min. Negotiated Rate	$531.97
Max. Negotiated Rate	$531.97
Rate for Payer: Qualcare PPO/HMO/WC	$531.97

HOOK CLOSED NARW 9.5 177083095

Facility

$3,546.45

Hospital Charge Code	270633067
Hospital Revenue Code	272
Min. Negotiated Rate	$461.04
Max. Negotiated Rate	$1,773.22
Rate for Payer: Aetna Commercial	$1,063.93
Rate for Payer: Aetna Medicare Advantage	$1,063.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$904.34
Rate for Payer: Cigna Commercial	$1,773.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.04
Rate for Payer: Oxford Commercial	$1,773.22
Rate for Payer: Qualcare PPO/HMO/WC	$531.97
Rate for Payer: UnitedHealthcare Commercial	$1,773.22

HOOK DOUBLE JOSEPH

Facility

$149.15

Hospital Charge Code	270697815
Hospital Revenue Code	272
Min. Negotiated Rate	$19.39
Max. Negotiated Rate	$74.58
Rate for Payer: Aetna Commercial	$44.74
Rate for Payer: Aetna Medicare Advantage	$44.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.03
Rate for Payer: Cigna Commercial	$74.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.39
Rate for Payer: Oxford Commercial	$74.58
Rate for Payer: Qualcare PPO/HMO/WC	$22.37
Rate for Payer: UnitedHealthcare Commercial	$74.58

HOOK DOUBLE JOSEPH

Facility

$149.15

Hospital Charge Code	270697815
Hospital Revenue Code	272
Min. Negotiated Rate	$22.37
Max. Negotiated Rate	$22.37
Rate for Payer: Qualcare PPO/HMO/WC	$22.37

HOOK L DISP 14-9200

Facility

$204.85

Hospital Charge Code	270609015
Hospital Revenue Code	272
Min. Negotiated Rate	$30.73
Max. Negotiated Rate	$30.73
Rate for Payer: Qualcare PPO/HMO/WC	$30.73

HOOK L DISP 14-9200

Facility

$204.85

Hospital Charge Code	270609015
Hospital Revenue Code	272
Min. Negotiated Rate	$26.63
Max. Negotiated Rate	$102.42
Rate for Payer: Aetna Commercial	$61.45
Rate for Payer: Aetna Medicare Advantage	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.24
Rate for Payer: Cigna Commercial	$102.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.63
Rate for Payer: Oxford Commercial	$102.42
Rate for Payer: Qualcare PPO/HMO/WC	$30.73
Rate for Payer: UnitedHealthcare Commercial	$102.42

HOOK MACRO SHAVER AND TUBESET

Facility

$2,775.50

Hospital Charge Code	270692976
Hospital Revenue Code	272
Min. Negotiated Rate	$416.32
Max. Negotiated Rate	$416.32
Rate for Payer: Qualcare PPO/HMO/WC	$416.32

HOOK MACRO SHAVER AND TUBESET

Facility

$2,775.50

Hospital Charge Code	270692976
Hospital Revenue Code	272
Min. Negotiated Rate	$360.81
Max. Negotiated Rate	$1,387.75
Rate for Payer: Aetna Commercial	$832.65
Rate for Payer: Aetna Medicare Advantage	$832.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$707.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$707.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$707.75
Rate for Payer: Cigna Commercial	$1,387.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.81
Rate for Payer: Oxford Commercial	$1,387.75
Rate for Payer: Qualcare PPO/HMO/WC	$416.32
Rate for Payer: UnitedHealthcare Commercial	$1,387.75

HOOK NARROW 12MM

Facility

$6,775.00

Hospital Charge Code	270667963
Hospital Revenue Code	278
Min. Negotiated Rate	$1,016.25
Max. Negotiated Rate	$3,387.50
Rate for Payer: Aetna Commercial	$2,032.50
Rate for Payer: Aetna Medicare Advantage	$2,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,727.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,727.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,727.62
Rate for Payer: Cigna Commercial	$3,387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,639.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,016.25

HOOK NARROW 12MM

Facility

$6,775.00

Hospital Charge Code	270667963
Hospital Revenue Code	278
Min. Negotiated Rate	$1,016.25
Max. Negotiated Rate	$1,639.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,639.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,016.25

HOOK NARROW BLADE

Facility

$4,000.00

Hospital Charge Code	270669371
Hospital Revenue Code	272
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK NARROW BLADE

Facility

$4,000.00

Hospital Charge Code	270669371
Hospital Revenue Code	272
Min. Negotiated Rate	$520.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$2,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Commercial	$2,000.00

Know your out-of-pocket cost for care.

All Charges