Heights University Hospital

All Charges

Charge

Type

Setting

Price

HOOK NARROW BLADE 12

Facility

$4,000.00

Hospital Charge Code	270659842
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 12

Facility

$4,000.00

Hospital Charge Code	270659842
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

HOOK NARROW BLADE 6.5

Facility

$4,000.00

Hospital Charge Code	270669369
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 6.5

Facility

$4,000.00

Hospital Charge Code	270669369
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

HOOK NARROW BLADE 8

Facility

$4,000.00

Hospital Charge Code	270669370
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK NARROW BLADE 8

Facility

$4,000.00

Hospital Charge Code	270669370
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
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) NJ Health	$800.00
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	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK OPEN PEDICLE 177075010

Facility

$3,199.25

Hospital Charge Code	270633066
Hospital Revenue Code	272
Min. Negotiated Rate	$479.89
Max. Negotiated Rate	$479.89
Rate for Payer: Qualcare PPO/HMO/WC	$479.89

HOOK OPEN PEDICLE 177075010

Facility

$3,199.25

Hospital Charge Code	270633066
Hospital Revenue Code	272
Min. Negotiated Rate	$415.90
Max. Negotiated Rate	$1,599.62
Rate for Payer: Aetna Commercial	$959.77
Rate for Payer: Aetna Medicare Advantage	$959.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$815.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$815.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$815.81
Rate for Payer: Cigna Commercial	$1,599.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$415.90
Rate for Payer: Oxford Commercial	$1,599.62
Rate for Payer: Qualcare PPO/HMO/WC	$479.89
Rate for Payer: UnitedHealthcare Commercial	$1,599.62

HOOK PALATE BLUNT 8 IN

Facility

$154.00

Hospital Charge Code	270688723
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

HOOK PALATE BLUNT 8 IN

Facility

$154.00

Hospital Charge Code	270688723
Hospital Revenue Code	272
Min. Negotiated Rate	$20.02
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$46.20
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$77.00

HOOK RED DIST 10 MM

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270687554
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK RED DIST 10 MM

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270687553
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
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) NJ Health	$800.00
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	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK RED DIST 10 MM

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270687553
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK RED DIST 10 MM

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270687554
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
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) NJ Health	$800.00
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	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK RED DIST 12MM

Facility

$4,000.00

Hospital Charge Code	270667964
Hospital Revenue Code	272
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK RED DIST 12MM

Facility

$4,000.00

Hospital Charge Code	270667964
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

HOOK RED DIST 8 MM

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270687555
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
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) NJ Health	$800.00
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	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK RED DIST 8 MM

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270687555
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK SHAPED COLD KNIFE

Facility

$1,140.00

Hospital Charge Code	270684367
Hospital Revenue Code	272
Min. Negotiated Rate	$148.20
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.20
Rate for Payer: Oxford Commercial	$570.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Commercial	$570.00

HOOK SHAPED COLD KNIFE

Facility

$1,140.00

Hospital Charge Code	270684367
Hospital Revenue Code	272
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

HOOK SHARP

Facility

$361.55

Hospital Charge Code	270614769
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$54.23
Rate for Payer: Qualcare PPO/HMO/WC	$54.23

HOOK SHARP

Facility

$361.55

Hospital Charge Code	270614769
Hospital Revenue Code	272
Min. Negotiated Rate	$47.00
Max. Negotiated Rate	$180.78
Rate for Payer: Aetna Commercial	$108.47
Rate for Payer: Aetna Medicare Advantage	$108.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.20
Rate for Payer: Cigna Commercial	$180.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.00
Rate for Payer: Oxford Commercial	$180.78
Rate for Payer: Qualcare PPO/HMO/WC	$54.23
Rate for Payer: UnitedHealthcare Commercial	$180.78

HOOK STRY SERF 3.5 278-540-350

Facility

$825.90

Hospital Charge Code	270624776
Hospital Revenue Code	272
Min. Negotiated Rate	$123.89
Max. Negotiated Rate	$123.89
Rate for Payer: Qualcare PPO/HMO/WC	$123.89

HOOK STRY SERF 3.5 278-540-350

Facility

$825.90

Hospital Charge Code	270624776
Hospital Revenue Code	272
Min. Negotiated Rate	$107.37
Max. Negotiated Rate	$412.95
Rate for Payer: Aetna Commercial	$247.77
Rate for Payer: Aetna Medicare Advantage	$247.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.60
Rate for Payer: Cigna Commercial	$412.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.37
Rate for Payer: Oxford Commercial	$412.95
Rate for Payer: Qualcare PPO/HMO/WC	$123.89
Rate for Payer: UnitedHealthcare Commercial	$412.95

HOOK SUTURE MINI

Facility

$700.00

Hospital Charge Code	270691002
Hospital Revenue Code	272
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$350.00

Know your out-of-pocket cost for care.

All Charges