Heights University Hospital

All Charges

Charge

Type

Setting

Price

MESH C-QUR 4X6

Facility

$1,503.50

Hospital Charge Code	270653393
Hospital Revenue Code	278
Min. Negotiated Rate	$225.53
Max. Negotiated Rate	$363.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.85
Rate for Payer: Qualcare PPO/HMO/WC	$225.53

MESH C-QUR 4X6

Facility

$1,503.50

Hospital Charge Code	270653393
Hospital Revenue Code	278
Min. Negotiated Rate	$225.53
Max. Negotiated Rate	$751.75
Rate for Payer: Aetna Commercial	$451.05
Rate for Payer: Aetna Medicare Advantage	$451.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.39
Rate for Payer: Cigna Commercial	$751.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.85
Rate for Payer: Qualcare PPO/HMO/WC	$225.53

MESH C-QUR 5.12 x 5.12

Facility

$2,160.00

Hospital Charge Code	270663070
Hospital Revenue Code	278
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$522.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$432.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.72
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

MESH C-QUR 5.12 x 5.12

Facility

$2,160.00

Hospital Charge Code	270663070
Hospital Revenue Code	278
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$1,080.00
Rate for Payer: Aetna Commercial	$648.00
Rate for Payer: Aetna Medicare Advantage	$648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.80
Rate for Payer: Cigna Commercial	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.72
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

MESH C-QUR 6X8

Facility

$3,128.25

Service Code	HCPCS C1781
Hospital Charge Code	270653394
Hospital Revenue Code	278
Min. Negotiated Rate	$469.24
Max. Negotiated Rate	$757.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.04
Rate for Payer: Qualcare PPO/HMO/WC	$469.24

MESH C-QUR 6X8

Facility

$3,128.25

Service Code	HCPCS C1781
Hospital Charge Code	270653394
Hospital Revenue Code	278
Min. Negotiated Rate	$469.24
Max. Negotiated Rate	$1,564.12
Rate for Payer: Aetna Commercial	$938.48
Rate for Payer: Aetna Medicare Advantage	$938.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$797.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$797.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$797.70
Rate for Payer: Cigna Commercial	$1,564.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.04
Rate for Payer: Qualcare PPO/HMO/WC	$469.24

MESH C-QUR 8.9cm X 31543

Facility

$1,350.00

Hospital Charge Code	270644116
Hospital Revenue Code	278
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$326.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

MESH C-QUR 8.9cm X 31543

Facility

$1,350.00

Hospital Charge Code	270644116
Hospital Revenue Code	278
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$405.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

MESH C-QUR 8X10

Facility

$6,105.00

Hospital Charge Code	270655390
Hospital Revenue Code	278
Min. Negotiated Rate	$915.75
Max. Negotiated Rate	$1,477.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,221.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,477.41
Rate for Payer: Qualcare PPO/HMO/WC	$915.75

MESH C-QUR 8X10

Facility

$6,105.00

Hospital Charge Code	270655390
Hospital Revenue Code	278
Min. Negotiated Rate	$915.75
Max. Negotiated Rate	$3,052.50
Rate for Payer: Aetna Commercial	$1,831.50
Rate for Payer: Aetna Medicare Advantage	$1,831.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,556.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,556.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,221.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,556.78
Rate for Payer: Cigna Commercial	$3,052.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,477.41
Rate for Payer: Qualcare PPO/HMO/WC	$915.75

MESH C-QUR 8X12

Facility

$6,530.00

Hospital Charge Code	270653398
Hospital Revenue Code	278
Min. Negotiated Rate	$979.50
Max. Negotiated Rate	$3,265.00
Rate for Payer: Aetna Commercial	$1,959.00
Rate for Payer: Aetna Medicare Advantage	$1,959.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,665.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,665.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,665.15
Rate for Payer: Cigna Commercial	$3,265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,580.26
Rate for Payer: Qualcare PPO/HMO/WC	$979.50

MESH C-QUR 8X12

Facility

$6,530.00

Hospital Charge Code	270653398
Hospital Revenue Code	278
Min. Negotiated Rate	$979.50
Max. Negotiated Rate	$1,580.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,580.26
Rate for Payer: Qualcare PPO/HMO/WC	$979.50

MESH C-QUR RND 8.0x8.0CM

Facility

$2,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270653392
Hospital Revenue Code	278
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$1,425.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$726.75
Rate for Payer: Cigna Commercial	$1,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

MESH C-QUR RND 8.0x8.0CM

Facility

$2,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270653392
Hospital Revenue Code	278
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$689.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

MESH, DUAL 10CM X 15CM X 1MM

Facility

$1,965.00

Hospital Charge Code	270658081
Hospital Revenue Code	278
Min. Negotiated Rate	$294.75
Max. Negotiated Rate	$982.50
Rate for Payer: Aetna Commercial	$589.50
Rate for Payer: Aetna Medicare Advantage	$589.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.07
Rate for Payer: Cigna Commercial	$982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.53
Rate for Payer: Qualcare PPO/HMO/WC	$294.75

MESH, DUAL 10CM X 15CM X 1MM

Facility

$1,965.00

Hospital Charge Code	270658081
Hospital Revenue Code	278
Min. Negotiated Rate	$294.75
Max. Negotiated Rate	$475.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.53
Rate for Payer: Qualcare PPO/HMO/WC	$294.75

MESHDUAL DLMC 10x15cm 1.0mm

Facility

$2,490.00

Hospital Charge Code	270641527
Hospital Revenue Code	278
Min. Negotiated Rate	$373.50
Max. Negotiated Rate	$1,245.00
Rate for Payer: Aetna Commercial	$747.00
Rate for Payer: Aetna Medicare Advantage	$747.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$634.95
Rate for Payer: Cigna Commercial	$1,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.58
Rate for Payer: Qualcare PPO/HMO/WC	$373.50

MESHDUAL DLMC 10x15cm 1.0mm

Facility

$2,490.00

Hospital Charge Code	270641527
Hospital Revenue Code	278
Min. Negotiated Rate	$373.50
Max. Negotiated Rate	$602.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.58
Rate for Payer: Qualcare PPO/HMO/WC	$373.50

MESH DUAL PLUS 20x30x1 1DMCP07

Facility

$9,255.00

Hospital Charge Code	270643255
Hospital Revenue Code	278
Min. Negotiated Rate	$1,388.25
Max. Negotiated Rate	$4,627.50
Rate for Payer: Aetna Commercial	$2,776.50
Rate for Payer: Aetna Medicare Advantage	$2,776.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,360.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,360.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,851.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,360.03
Rate for Payer: Cigna Commercial	$4,627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,239.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,388.25

MESH DUAL PLUS 20x30x1 1DMCP07

Facility

$9,255.00

Hospital Charge Code	270643255
Hospital Revenue Code	278
Min. Negotiated Rate	$1,388.25
Max. Negotiated Rate	$2,239.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,851.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,239.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,388.25

MESH ECHELON REINFORCEMNT 60MM

Facility

$1,308.00

Service Code	HCPCS C1781
Hospital Charge Code	270694423
Hospital Revenue Code	278
Min. Negotiated Rate	$196.20
Max. Negotiated Rate	$316.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.54
Rate for Payer: Qualcare PPO/HMO/WC	$196.20

MESH ECHELON REINFORCEMNT 60MM

Facility

$1,308.00

Service Code	HCPCS C1781
Hospital Charge Code	270694423
Hospital Revenue Code	278
Min. Negotiated Rate	$196.20
Max. Negotiated Rate	$654.00
Rate for Payer: Aetna Commercial	$392.40
Rate for Payer: Aetna Medicare Advantage	$392.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.54
Rate for Payer: Cigna Commercial	$654.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.54
Rate for Payer: Qualcare PPO/HMO/WC	$196.20

MESHED BILAYER MATRIX 8X10

Facility

$42,505.00

Service Code	HCPCS Q4104
Hospital Charge Code	270667912
Hospital Revenue Code	278
Min. Negotiated Rate	$6,375.75
Max. Negotiated Rate	$10,286.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,501.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,286.21
Rate for Payer: Qualcare PPO/HMO/WC	$6,375.75

MESHED BILAYER MATRIX 8X10

Facility

$42,505.00

Service Code	HCPCS Q4104
Hospital Charge Code	270667912
Hospital Revenue Code	278
Min. Negotiated Rate	$296.35
Max. Negotiated Rate	$12,751.50
Rate for Payer: Aetna Commercial	$12,751.50
Rate for Payer: Aetna Medicare Advantage	$12,751.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,838.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,838.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,501.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,838.77
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,286.21
Rate for Payer: Qualcare PPO/HMO/WC	$6,375.75

MESH ELLIPSE 6 X 8 IN

Facility

$6,431.50

Service Code	HCPCS C1781
Hospital Charge Code	270690918
Hospital Revenue Code	278
Min. Negotiated Rate	$964.73
Max. Negotiated Rate	$1,556.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,286.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,556.42
Rate for Payer: Qualcare PPO/HMO/WC	$964.73

Know your out-of-pocket cost for care.

All Charges