Heights University Hospital

All Charges

Charge

Type

Setting

Price

LIGACLIP APPLIER 5MM

Facility

$1,924.30

Hospital Charge Code	270655946
Hospital Revenue Code	272
Min. Negotiated Rate	$250.16
Max. Negotiated Rate	$962.15
Rate for Payer: Aetna Commercial	$577.29
Rate for Payer: Aetna Medicare Advantage	$577.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.70
Rate for Payer: Cigna Commercial	$962.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.16
Rate for Payer: Oxford Commercial	$962.15
Rate for Payer: Qualcare PPO/HMO/WC	$288.64
Rate for Payer: UnitedHealthcare Commercial	$962.15

LIGACLIP APPLIER LG 13-1/4 IN

Facility

$245.56

Hospital Charge Code	270608749
Hospital Revenue Code	272
Min. Negotiated Rate	$31.92
Max. Negotiated Rate	$122.78
Rate for Payer: Aetna Commercial	$73.67
Rate for Payer: Aetna Medicare Advantage	$73.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.62
Rate for Payer: Cigna Commercial	$122.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.92
Rate for Payer: Oxford Commercial	$122.78
Rate for Payer: Qualcare PPO/HMO/WC	$36.83
Rate for Payer: UnitedHealthcare Commercial	$122.78

LIGACLIP APPLIER LG 13-1/4 IN

Facility

$245.56

Hospital Charge Code	270608749
Hospital Revenue Code	272
Min. Negotiated Rate	$36.83
Max. Negotiated Rate	$36.83
Rate for Payer: Qualcare PPO/HMO/WC	$36.83

LIGACLIP APPLIER MED 11-1/2

Facility

$810.39

Hospital Charge Code	270655919
Hospital Revenue Code	271
Min. Negotiated Rate	$121.56
Max. Negotiated Rate	$121.56
Rate for Payer: Qualcare PPO/HMO/WC	$121.56

LIGACLIP APPLIER MED 11-1/2

Facility

$810.39

Hospital Charge Code	270655919
Hospital Revenue Code	271
Min. Negotiated Rate	$105.35
Max. Negotiated Rate	$405.19
Rate for Payer: Aetna Commercial	$243.12
Rate for Payer: Aetna Medicare Advantage	$243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.65
Rate for Payer: Cigna Commercial	$405.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.35
Rate for Payer: Oxford Commercial	$405.19
Rate for Payer: Qualcare PPO/HMO/WC	$121.56
Rate for Payer: UnitedHealthcare Commercial	$405.19

LIGACLIP APPLIER SML 9-3/8

Facility

$22.50

Hospital Charge Code	270608739
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$11.25
Rate for Payer: Aetna Commercial	$6.75
Rate for Payer: Aetna Medicare Advantage	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.74
Rate for Payer: Cigna Commercial	$11.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.38
Rate for Payer: UnitedHealthcare Commercial	$11.25

LIGACLIP APPLIER SML 9-3/8

Facility

$791.05

Hospital Charge Code	270658411
Hospital Revenue Code	270
Min. Negotiated Rate	$102.84
Max. Negotiated Rate	$395.52
Rate for Payer: Aetna Commercial	$237.31
Rate for Payer: Aetna Medicare Advantage	$237.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.72
Rate for Payer: Cigna Commercial	$395.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.84
Rate for Payer: Oxford Commercial	$395.52
Rate for Payer: Qualcare PPO/HMO/WC	$118.66
Rate for Payer: UnitedHealthcare Commercial	$395.52

LIGACLIP APPLIER SML 9-3/8

Facility

$791.05

Hospital Charge Code	270658411
Hospital Revenue Code	270
Min. Negotiated Rate	$118.66
Max. Negotiated Rate	$118.66
Rate for Payer: Qualcare PPO/HMO/WC	$118.66

LIGACLIP APPLIER SML 9-3/8

Facility

$22.50

Hospital Charge Code	270608739
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$3.38
Rate for Payer: Qualcare PPO/HMO/WC	$3.38

LIGAMENT AUGMENTATION REP KIT

Facility

$6,965.00

Hospital Charge Code	270665751
Hospital Revenue Code	272
Min. Negotiated Rate	$1,044.75
Max. Negotiated Rate	$1,044.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,044.75

LIGAMENT AUGMENTATION REP KIT

Facility

$6,965.00

Hospital Charge Code	270665751
Hospital Revenue Code	272
Min. Negotiated Rate	$905.45
Max. Negotiated Rate	$3,482.50
Rate for Payer: Aetna Commercial	$2,089.50
Rate for Payer: Aetna Medicare Advantage	$2,089.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,776.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,776.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,776.08
Rate for Payer: Cigna Commercial	$3,482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$905.45
Rate for Payer: Oxford Commercial	$3,482.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,044.75
Rate for Payer: UnitedHealthcare Commercial	$3,482.50

LIGAMENT CHISEL

Facility

$418.00

Hospital Charge Code	270335492
Hospital Revenue Code	272
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$209.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$125.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.59
Rate for Payer: Cigna Commercial	$209.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.34
Rate for Payer: Oxford Commercial	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.70
Rate for Payer: UnitedHealthcare Commercial	$209.00

LIGAMENT CHISEL

Facility

$418.00

Hospital Charge Code	270335492
Hospital Revenue Code	272
Min. Negotiated Rate	$62.70
Max. Negotiated Rate	$62.70
Rate for Payer: Qualcare PPO/HMO/WC	$62.70

LIGAMENT DEVICE ARTIFICAL

Facility

$2,905.00

Hospital Charge Code	270648890
Hospital Revenue Code	278
Min. Negotiated Rate	$435.75
Max. Negotiated Rate	$1,452.50
Rate for Payer: Aetna Commercial	$871.50
Rate for Payer: Aetna Medicare Advantage	$871.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$740.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$740.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$740.77
Rate for Payer: Cigna Commercial	$1,452.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.01
Rate for Payer: Qualcare PPO/HMO/WC	$435.75

LIGAMENT DEVICE ARTIFICAL

Facility

$2,905.00

Hospital Charge Code	270648890
Hospital Revenue Code	278
Min. Negotiated Rate	$435.75
Max. Negotiated Rate	$703.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.01
Rate for Payer: Qualcare PPO/HMO/WC	$435.75

LIGASURE ADVANCE PISTOL 44CM

Facility

$3,423.63

Hospital Charge Code	270663053
Hospital Revenue Code	272
Min. Negotiated Rate	$513.54
Max. Negotiated Rate	$513.54
Rate for Payer: Qualcare PPO/HMO/WC	$513.54

LIGASURE ADVANCE PISTOL 44CM

Facility

$3,423.63

Hospital Charge Code	270663053
Hospital Revenue Code	272
Min. Negotiated Rate	$445.07
Max. Negotiated Rate	$1,711.82
Rate for Payer: Aetna Commercial	$1,027.09
Rate for Payer: Aetna Medicare Advantage	$1,027.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$873.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$873.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$873.03
Rate for Payer: Cigna Commercial	$1,711.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.07
Rate for Payer: Oxford Commercial	$1,711.82
Rate for Payer: Qualcare PPO/HMO/WC	$513.54
Rate for Payer: UnitedHealthcare Commercial	$1,711.82

LIGASURE ATLAS 20cm LS1120

Facility

$1,570.75

Hospital Charge Code	270632825
Hospital Revenue Code	272
Min. Negotiated Rate	$204.20
Max. Negotiated Rate	$785.38
Rate for Payer: Aetna Commercial	$471.23
Rate for Payer: Aetna Medicare Advantage	$471.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.54
Rate for Payer: Cigna Commercial	$785.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.20
Rate for Payer: Oxford Commercial	$785.38
Rate for Payer: Qualcare PPO/HMO/WC	$235.61
Rate for Payer: UnitedHealthcare Commercial	$785.38

LIGASURE ATLAS 20cm LS1120

Facility

$1,570.75

Hospital Charge Code	270632825
Hospital Revenue Code	272
Min. Negotiated Rate	$235.61
Max. Negotiated Rate	$235.61
Rate for Payer: Qualcare PPO/HMO/WC	$235.61

LIGASURE ATLAS 37CM HANDSWITCH

Facility

$1,881.15

Hospital Charge Code	270684272
Hospital Revenue Code	272
Min. Negotiated Rate	$244.55
Max. Negotiated Rate	$940.58
Rate for Payer: Aetna Commercial	$564.35
Rate for Payer: Aetna Medicare Advantage	$564.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.69
Rate for Payer: Cigna Commercial	$940.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.55
Rate for Payer: Oxford Commercial	$940.58
Rate for Payer: Qualcare PPO/HMO/WC	$282.17
Rate for Payer: UnitedHealthcare Commercial	$940.58

LIGASURE ATLAS 37CM HANDSWITCH

Facility

$1,881.15

Hospital Charge Code	270684272
Hospital Revenue Code	272
Min. Negotiated Rate	$282.17
Max. Negotiated Rate	$282.17
Rate for Payer: Qualcare PPO/HMO/WC	$282.17

LIGASURE BLUNT TIP 23CM

Facility

$2,496.00

Hospital Charge Code	270698020
Hospital Revenue Code	272
Min. Negotiated Rate	$374.40
Max. Negotiated Rate	$374.40
Rate for Payer: Qualcare PPO/HMO/WC	$374.40

LIGASURE BLUNT TIP 23CM

Facility

$2,496.00

Hospital Charge Code	270698020
Hospital Revenue Code	272
Min. Negotiated Rate	$324.48
Max. Negotiated Rate	$1,248.00
Rate for Payer: Aetna Commercial	$748.80
Rate for Payer: Aetna Medicare Advantage	$748.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.48
Rate for Payer: Cigna Commercial	$1,248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.48
Rate for Payer: Oxford Commercial	$1,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$374.40
Rate for Payer: UnitedHealthcare Commercial	$1,248.00

LIGASURE CUR SM JAW SEALER

Facility

$2,314.89

Hospital Charge Code	270675533
Hospital Revenue Code	272
Min. Negotiated Rate	$300.94
Max. Negotiated Rate	$1,157.44
Rate for Payer: Aetna Commercial	$694.47
Rate for Payer: Aetna Medicare Advantage	$694.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$590.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$590.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$590.30
Rate for Payer: Cigna Commercial	$1,157.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.94
Rate for Payer: Oxford Commercial	$1,157.44
Rate for Payer: Qualcare PPO/HMO/WC	$347.23
Rate for Payer: UnitedHealthcare Commercial	$1,157.44

LIGASURE CUR SM JAW SEALER

Facility

$2,314.89

Hospital Charge Code	270675533
Hospital Revenue Code	272
Min. Negotiated Rate	$347.23
Max. Negotiated Rate	$347.23
Rate for Payer: Qualcare PPO/HMO/WC	$347.23

Know your out-of-pocket cost for care.

All Charges