Heights University Hospital

All Charges

Charge

Type

Setting

Price

LOAD UNIT POLYSORB 2/0 7 PLA

Facility

$102.25

Hospital Charge Code	270662760
Hospital Revenue Code	272
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$15.34
Rate for Payer: Qualcare PPO/HMO/WC	$15.34

LOAD UNIT PROXIMATE 60mm 3.5mm

Facility

$232.16

Hospital Charge Code	270655355
Hospital Revenue Code	270
Min. Negotiated Rate	$30.18
Max. Negotiated Rate	$116.08
Rate for Payer: Aetna Commercial	$69.65
Rate for Payer: Aetna Medicare Advantage	$69.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.20
Rate for Payer: Cigna Commercial	$116.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.18
Rate for Payer: Oxford Commercial	$116.08
Rate for Payer: Qualcare PPO/HMO/WC	$34.82
Rate for Payer: UnitedHealthcare Commercial	$116.08

LOAD UNIT PROXIMATE 60mm 3.5mm

Facility

$232.16

Hospital Charge Code	270655355
Hospital Revenue Code	270
Min. Negotiated Rate	$34.82
Max. Negotiated Rate	$34.82
Rate for Payer: Qualcare PPO/HMO/WC	$34.82

LOAD UNIT SINGLE USE TA3035L

Facility

$181.25

Hospital Charge Code	270630402
Hospital Revenue Code	270
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

LOAD UNIT SINGLE USE TA3035L

Facility

$181.25

Hospital Charge Code	270630402
Hospital Revenue Code	270
Min. Negotiated Rate	$23.56
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$54.38
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.56
Rate for Payer: Oxford Commercial	$90.62
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$90.62

LOAD UNIT SINGLE USE TA 30-4.8

Facility

$181.25

Hospital Charge Code	270630404
Hospital Revenue Code	272
Min. Negotiated Rate	$23.56
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$54.38
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.56
Rate for Payer: Oxford Commercial	$90.62
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$90.62

LOAD UNIT SINGLE USE TA 30-4.8

Facility

$181.25

Hospital Charge Code	270630404
Hospital Revenue Code	272
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

LOAD UNIT SINGLE USE TA30V3L

Facility

$201.70

Hospital Charge Code	270630406
Hospital Revenue Code	272
Min. Negotiated Rate	$26.22
Max. Negotiated Rate	$100.85
Rate for Payer: Aetna Commercial	$60.51
Rate for Payer: Aetna Medicare Advantage	$60.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.43
Rate for Payer: Cigna Commercial	$100.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.22
Rate for Payer: Oxford Commercial	$100.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.25
Rate for Payer: UnitedHealthcare Commercial	$100.85

LOAD UNIT SINGLE USE TA30V3L

Facility

$201.70

Hospital Charge Code	270630406
Hospital Revenue Code	272
Min. Negotiated Rate	$30.25
Max. Negotiated Rate	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$30.25

LOAD UNIT SINGLE USE TA4535L

Facility

$250.40

Hospital Charge Code	270630381
Hospital Revenue Code	272
Min. Negotiated Rate	$32.55
Max. Negotiated Rate	$125.20
Rate for Payer: Aetna Commercial	$75.12
Rate for Payer: Aetna Medicare Advantage	$75.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.85
Rate for Payer: Cigna Commercial	$125.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.55
Rate for Payer: Oxford Commercial	$125.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.56
Rate for Payer: UnitedHealthcare Commercial	$125.20

LOAD UNIT SINGLE USE TA4535L

Facility

$250.40

Hospital Charge Code	270630381
Hospital Revenue Code	272
Min. Negotiated Rate	$37.56
Max. Negotiated Rate	$37.56
Rate for Payer: Qualcare PPO/HMO/WC	$37.56

LOAD UNIT SINGLE USE TA*45-4.8

Facility

$237.65

Hospital Charge Code	270630383
Hospital Revenue Code	272
Min. Negotiated Rate	$30.89
Max. Negotiated Rate	$118.83
Rate for Payer: Aetna Commercial	$71.30
Rate for Payer: Aetna Medicare Advantage	$71.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.60
Rate for Payer: Cigna Commercial	$118.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.89
Rate for Payer: Oxford Commercial	$118.83
Rate for Payer: Qualcare PPO/HMO/WC	$35.65
Rate for Payer: UnitedHealthcare Commercial	$118.83

LOAD UNIT SINGLE USE TA*45-4.8

Facility

$237.65

Hospital Charge Code	270630383
Hospital Revenue Code	272
Min. Negotiated Rate	$35.65
Max. Negotiated Rate	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$35.65

LOAD UNIT SINGLE USE TA 60-4.8

Facility

$203.85

Hospital Charge Code	270630410
Hospital Revenue Code	272
Min. Negotiated Rate	$30.58
Max. Negotiated Rate	$30.58
Rate for Payer: Qualcare PPO/HMO/WC	$30.58

LOAD UNIT SINGLE USE TA 60-4.8

Facility

$203.85

Hospital Charge Code	270630410
Hospital Revenue Code	272
Min. Negotiated Rate	$26.50
Max. Negotiated Rate	$101.92
Rate for Payer: Aetna Commercial	$61.16
Rate for Payer: Aetna Medicare Advantage	$61.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.98
Rate for Payer: Cigna Commercial	$101.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.50
Rate for Payer: Oxford Commercial	$101.92
Rate for Payer: Qualcare PPO/HMO/WC	$30.58
Rate for Payer: UnitedHealthcare Commercial	$101.92

LOAD UNIT SINGLE USE TA90-35L

Facility

$798.73

Hospital Charge Code	270630412
Hospital Revenue Code	272
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$399.37
Rate for Payer: Aetna Commercial	$239.62
Rate for Payer: Aetna Medicare Advantage	$239.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.68
Rate for Payer: Cigna Commercial	$399.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.83
Rate for Payer: Oxford Commercial	$399.37
Rate for Payer: Qualcare PPO/HMO/WC	$119.81
Rate for Payer: UnitedHealthcare Commercial	$399.37

LOAD UNIT SINGLE USE TA90-35L

Facility

$798.73

Hospital Charge Code	270630412
Hospital Revenue Code	272
Min. Negotiated Rate	$119.81
Max. Negotiated Rate	$119.81
Rate for Payer: Qualcare PPO/HMO/WC	$119.81

LOAD UNIT SINGLE USE TA*90-4.8

Facility

$235.40

Hospital Charge Code	270630414
Hospital Revenue Code	272
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$117.70
Rate for Payer: Aetna Commercial	$70.62
Rate for Payer: Aetna Medicare Advantage	$70.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.03
Rate for Payer: Cigna Commercial	$117.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.60
Rate for Payer: Oxford Commercial	$117.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.31
Rate for Payer: UnitedHealthcare Commercial	$117.70

LOAD UNIT SINGLE USE TA*90-4.8

Facility

$235.40

Hospital Charge Code	270630414
Hospital Revenue Code	272
Min. Negotiated Rate	$35.31
Max. Negotiated Rate	$35.31
Rate for Payer: Qualcare PPO/HMO/WC	$35.31

LOAD UNIT SKIN STAPLER SM35W

Facility

$113.45

Hospital Charge Code	270658602
Hospital Revenue Code	270
Min. Negotiated Rate	$17.02
Max. Negotiated Rate	$17.02
Rate for Payer: Qualcare PPO/HMO/WC	$17.02

LOAD UNIT SKIN STAPLER SM35W

Facility

$113.45

Hospital Charge Code	270658602
Hospital Revenue Code	270
Min. Negotiated Rate	$14.75
Max. Negotiated Rate	$56.73
Rate for Payer: Aetna Commercial	$34.03
Rate for Payer: Aetna Medicare Advantage	$34.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.93
Rate for Payer: Cigna Commercial	$56.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.75
Rate for Payer: Oxford Commercial	$56.73
Rate for Payer: Qualcare PPO/HMO/WC	$17.02
Rate for Payer: UnitedHealthcare Commercial	$56.73

LOAD UNIT SOFSIL 2/0 48 BLK

Facility

$102.25

Hospital Charge Code	270641756
Hospital Revenue Code	272
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$15.34
Rate for Payer: Qualcare PPO/HMO/WC	$15.34

LOAD UNIT SOFSIL 2/0 48 BLK

Facility

$102.25

Hospital Charge Code	270641756
Hospital Revenue Code	272
Min. Negotiated Rate	$13.29
Max. Negotiated Rate	$51.12
Rate for Payer: Aetna Commercial	$30.68
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.07
Rate for Payer: Cigna Commercial	$51.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.29
Rate for Payer: Oxford Commercial	$51.12
Rate for Payer: Qualcare PPO/HMO/WC	$15.34
Rate for Payer: UnitedHealthcare Commercial	$51.12

LOAD UNIT SURGIDAC 0 7 GREEN

Facility

$102.25

Hospital Charge Code	270669363
Hospital Revenue Code	272
Min. Negotiated Rate	$13.29
Max. Negotiated Rate	$51.12
Rate for Payer: Aetna Commercial	$30.68
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.07
Rate for Payer: Cigna Commercial	$51.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.29
Rate for Payer: Oxford Commercial	$51.12
Rate for Payer: Qualcare PPO/HMO/WC	$15.34
Rate for Payer: UnitedHealthcare Commercial	$51.12

LOAD UNIT SURGIDAC 0 7 GREEN

Facility

$102.25

Hospital Charge Code	270669363
Hospital Revenue Code	272
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$15.34
Rate for Payer: Qualcare PPO/HMO/WC	$15.34

Know your out-of-pocket cost for care.

All Charges