Heights University Hospital

All Charges

Charge

Type

Setting

Price

IMPLANT MTR MAMMARY SALIN 1620

Facility

$2,883.25

Hospital Charge Code	270615791
Hospital Revenue Code	278
Min. Negotiated Rate	$432.49
Max. Negotiated Rate	$697.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$576.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$697.75
Rate for Payer: Qualcare PPO/HMO/WC	$432.49

IMPLANT MTR MAMMARY SALIN 1620

Facility

$2,883.25

Hospital Charge Code	270615791
Hospital Revenue Code	278
Min. Negotiated Rate	$432.49
Max. Negotiated Rate	$1,441.62
Rate for Payer: Aetna Commercial	$864.98
Rate for Payer: Aetna Medicare Advantage	$864.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$735.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$735.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$576.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$735.23
Rate for Payer: Cigna Commercial	$1,441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$697.75
Rate for Payer: Qualcare PPO/HMO/WC	$432.49

IMPLANT MTR MAMMARY SALIN 2610

Facility

$3,145.65

Hospital Charge Code	270616401
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2610

Facility

$3,145.65

Hospital Charge Code	270616401
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$1,572.83
Rate for Payer: Aetna Commercial	$943.70
Rate for Payer: Aetna Medicare Advantage	$943.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$802.14
Rate for Payer: Cigna Commercial	$1,572.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2615

Facility

$3,145.65

Hospital Charge Code	270616403
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$1,572.83
Rate for Payer: Aetna Commercial	$943.70
Rate for Payer: Aetna Medicare Advantage	$943.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$802.14
Rate for Payer: Cigna Commercial	$1,572.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2615

Facility

$3,145.65

Hospital Charge Code	270616403
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2620

Facility

$3,145.65

Hospital Charge Code	270616404
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$1,572.83
Rate for Payer: Aetna Commercial	$943.70
Rate for Payer: Aetna Medicare Advantage	$943.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$802.14
Rate for Payer: Cigna Commercial	$1,572.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2620

Facility

$3,145.65

Hospital Charge Code	270616404
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2625

Facility

$3,145.65

Hospital Charge Code	270621089
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2625

Facility

$3,145.65

Hospital Charge Code	270621089
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$1,572.83
Rate for Payer: Aetna Commercial	$943.70
Rate for Payer: Aetna Medicare Advantage	$943.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$802.14
Rate for Payer: Cigna Commercial	$1,572.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2645

Facility

$3,145.65

Hospital Charge Code	270621640
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$1,572.83
Rate for Payer: Aetna Commercial	$943.70
Rate for Payer: Aetna Medicare Advantage	$943.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$802.14
Rate for Payer: Cigna Commercial	$1,572.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2645

Facility

$3,145.65

Hospital Charge Code	270621640
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2655

Facility

$3,145.65

Hospital Charge Code	270621642
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2655

Facility

$3,145.65

Hospital Charge Code	270621642
Hospital Revenue Code	278
Min. Negotiated Rate	$471.85
Max. Negotiated Rate	$1,572.83
Rate for Payer: Aetna Commercial	$943.70
Rate for Payer: Aetna Medicare Advantage	$943.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$802.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$802.14
Rate for Payer: Cigna Commercial	$1,572.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.25
Rate for Payer: Qualcare PPO/HMO/WC	$471.85

IMPLANT MTR MAMMARY SALIN 2910

Facility

$3,407.25

Hospital Charge Code	270616406
Hospital Revenue Code	278
Min. Negotiated Rate	$511.09
Max. Negotiated Rate	$824.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$681.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.09

IMPLANT MTR MAMMARY SALIN 2910

Facility

$3,407.25

Hospital Charge Code	270616406
Hospital Revenue Code	278
Min. Negotiated Rate	$511.09
Max. Negotiated Rate	$1,703.62
Rate for Payer: Aetna Commercial	$1,022.17
Rate for Payer: Aetna Medicare Advantage	$1,022.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$868.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$868.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$681.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$868.85
Rate for Payer: Cigna Commercial	$1,703.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.09

IMPLANT MTR MAMMARY SALIN 2911

Facility

$3,407.25

Hospital Charge Code	270621092
Hospital Revenue Code	278
Min. Negotiated Rate	$511.09
Max. Negotiated Rate	$1,703.62
Rate for Payer: Aetna Commercial	$1,022.17
Rate for Payer: Aetna Medicare Advantage	$1,022.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$868.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$868.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$681.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$868.85
Rate for Payer: Cigna Commercial	$1,703.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.09

IMPLANT MTR MAMMARY SALIN 2911

Facility

$3,407.25

Hospital Charge Code	270621092
Hospital Revenue Code	278
Min. Negotiated Rate	$511.09
Max. Negotiated Rate	$824.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$681.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.09

IMPLANT MTR MAMMARY SALIN 2913

Facility

$3,407.25

Hospital Charge Code	270614095
Hospital Revenue Code	278
Min. Negotiated Rate	$511.09
Max. Negotiated Rate	$1,703.62
Rate for Payer: Aetna Commercial	$1,022.17
Rate for Payer: Aetna Medicare Advantage	$1,022.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$868.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$868.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$681.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$868.85
Rate for Payer: Cigna Commercial	$1,703.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.09

IMPLANT MTR MAMMARY SALIN 2913

Facility

$3,407.25

Hospital Charge Code	270614095
Hospital Revenue Code	278
Min. Negotiated Rate	$511.09
Max. Negotiated Rate	$824.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$681.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.09

IMPLANT NASAL STYLE 1 N-1

Facility

$725.00

Hospital Charge Code	270639085
Hospital Revenue Code	278
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$217.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

IMPLANT NASAL STYLE 1 N-1

Facility

$725.00

Hospital Charge Code	270639085
Hospital Revenue Code	278
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$175.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

IMPLANT NASAL STYLE 2

Facility

$725.00

Hospital Charge Code	270639086
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

IMPLANT NASAL STYLE 2

Facility

$725.00

Hospital Charge Code	270639086
Hospital Revenue Code	272
Min. Negotiated Rate	$94.25
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$217.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$362.50
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$362.50

IMPLANT NEUROELECTRODES

Facility

$39,614.51

Service Code	HCPCS 63650
Hospital Charge Code	321563650
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,176.62
Rate for Payer: Aetna Commercial	$11,884.35
Rate for Payer: Aetna Medicare Advantage	$11,884.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,101.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,101.70
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	$10,101.70
Rate for Payer: Cigna Commercial	$15,176.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,149.89
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,942.18
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

Know your out-of-pocket cost for care.

All Charges