Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$3,215.75
Rate for Payer: Aetna Commercial	$1,929.45
Rate for Payer: Aetna Medicare Advantage	$1,929.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,640.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,640.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,286.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,640.03
Rate for Payer: Cigna Commercial	$3,215.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,556.42
Rate for Payer: Qualcare PPO/HMO/WC	$964.73

MESH ELLIPSE 7 X9 IN VENTRALIG

Facility

$8,593.50

Service Code	HCPCS C1781
Hospital Charge Code	270690919
Hospital Revenue Code	278
Min. Negotiated Rate	$1,289.03
Max. Negotiated Rate	$2,079.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,718.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,079.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,289.03

MESH ELLIPSE 7 X9 IN VENTRALIG

Facility

$8,593.50

Service Code	HCPCS C1781
Hospital Charge Code	270690919
Hospital Revenue Code	278
Min. Negotiated Rate	$1,289.03
Max. Negotiated Rate	$4,296.75
Rate for Payer: Aetna Commercial	$2,578.05
Rate for Payer: Aetna Medicare Advantage	$2,578.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,191.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,191.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,191.34
Rate for Payer: Cigna Commercial	$4,296.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,079.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,289.03

MESH ELLIPSE 8 X 10 IN

Facility

$11,102.00

Service Code	HCPCS C1781
Hospital Charge Code	270690920
Hospital Revenue Code	278
Min. Negotiated Rate	$1,665.30
Max. Negotiated Rate	$2,686.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,220.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,686.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.30

MESH ELLIPSE 8 X 10 IN

Facility

$11,102.00

Service Code	HCPCS C1781
Hospital Charge Code	270690920
Hospital Revenue Code	278
Min. Negotiated Rate	$1,665.30
Max. Negotiated Rate	$5,551.00
Rate for Payer: Aetna Commercial	$3,330.60
Rate for Payer: Aetna Medicare Advantage	$3,330.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,831.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,831.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,220.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,831.01
Rate for Payer: Cigna Commercial	$5,551.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,686.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.30

MESHGRAFT DERMATOME

Facility

$50.80

Hospital Charge Code	1603067
Hospital Revenue Code	272
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$7.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.62

MESHGRAFT DERMATOME

Facility

$50.80

Hospital Charge Code	1603067
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$25.40
Rate for Payer: Aetna Commercial	$15.24
Rate for Payer: Aetna Medicare Advantage	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.95
Rate for Payer: Cigna Commercial	$25.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.60
Rate for Payer: Oxford Commercial	$25.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.62
Rate for Payer: UnitedHealthcare Commercial	$25.40

MESH,HERNIA, BARD COMP 48 INCH

Facility

$257.00

Hospital Charge Code	270335383
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$77.10
Rate for Payer: Aetna Medicare Advantage	$77.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.53
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA, BARD COMP 48 INCH

Facility

$257.00

Hospital Charge Code	270335383
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA,BARD COMPO 140 INC

Facility

$257.00

Hospital Charge Code	270335385
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$77.10
Rate for Payer: Aetna Medicare Advantage	$77.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.53
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA,BARD COMPO 140 INC

Facility

$257.00

Hospital Charge Code	270335385
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA,BARD COMPO. 32 INC

Facility

$257.00

Hospital Charge Code	270335382
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA,BARD COMPO. 32 INC

Facility

$257.00

Hospital Charge Code	270335382
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$77.10
Rate for Payer: Aetna Medicare Advantage	$77.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.53
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA BARD COMPO 80 INCH

Facility

$257.00

Hospital Charge Code	270335384
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA BARD COMPO 80 INCH

Facility

$257.00

Hospital Charge Code	270335384
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$77.10
Rate for Payer: Aetna Medicare Advantage	$77.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.53
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA,BARD COMPO 8-18 IN

Facility

$198.00

Hospital Charge Code	270335381
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

MESH,HERNIA,BARD COMPO 8-18 IN

Facility

$198.00

Hospital Charge Code	270335381
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$59.40
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

MESH HERNIA L30xW15CM RECT

Facility

$2,421.90

Service Code	HCPCS C1781
Hospital Charge Code	270686569
Hospital Revenue Code	278
Min. Negotiated Rate	$363.29
Max. Negotiated Rate	$586.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.10
Rate for Payer: Qualcare PPO/HMO/WC	$363.29

MESH HERNIA L30xW15CM RECT

Facility

$2,421.90

Service Code	HCPCS C1781
Hospital Charge Code	270686569
Hospital Revenue Code	278
Min. Negotiated Rate	$363.29
Max. Negotiated Rate	$1,210.95
Rate for Payer: Aetna Commercial	$726.57
Rate for Payer: Aetna Medicare Advantage	$726.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.58
Rate for Payer: Cigna Commercial	$1,210.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.10
Rate for Payer: Qualcare PPO/HMO/WC	$363.29

MESH HERNIA MED RIGHT 3DMAX

Facility

$1,442.00

Service Code	HCPCS C1781
Hospital Charge Code	270685502
Hospital Revenue Code	278
Min. Negotiated Rate	$216.30
Max. Negotiated Rate	$348.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$288.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.96
Rate for Payer: Qualcare PPO/HMO/WC	$216.30

MESH HERNIA MED RIGHT 3DMAX

Facility

$1,442.00

Service Code	HCPCS C1781
Hospital Charge Code	270685502
Hospital Revenue Code	278
Min. Negotiated Rate	$216.30
Max. Negotiated Rate	$721.00
Rate for Payer: Aetna Commercial	$432.60
Rate for Payer: Aetna Medicare Advantage	$432.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$288.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.71
Rate for Payer: Cigna Commercial	$721.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.96
Rate for Payer: Qualcare PPO/HMO/WC	$216.30

MESH HERNIA SYMBOTEX 20X15CM

Facility

$5,585.35

Service Code	HCPCS C1781
Hospital Charge Code	270686534
Hospital Revenue Code	278
Min. Negotiated Rate	$837.80
Max. Negotiated Rate	$2,792.68
Rate for Payer: Aetna Commercial	$1,675.61
Rate for Payer: Aetna Medicare Advantage	$1,675.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,424.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,424.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,117.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,424.26
Rate for Payer: Cigna Commercial	$2,792.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,351.65
Rate for Payer: Qualcare PPO/HMO/WC	$837.80

MESH HERNIA SYMBOTEX 20X15CM

Facility

$5,585.35

Service Code	HCPCS C1781
Hospital Charge Code	270686534
Hospital Revenue Code	278
Min. Negotiated Rate	$837.80
Max. Negotiated Rate	$1,351.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,117.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,351.65
Rate for Payer: Qualcare PPO/HMO/WC	$837.80

MESH HERNIA SYSTEM MED

Facility

$1,448.75

Service Code	HCPCS C1781
Hospital Charge Code	270650897
Hospital Revenue Code	278
Min. Negotiated Rate	$217.31
Max. Negotiated Rate	$350.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.60
Rate for Payer: Qualcare PPO/HMO/WC	$217.31

MESH HERNIA SYSTEM MED

Facility

$1,448.75

Service Code	HCPCS C1781
Hospital Charge Code	270650897
Hospital Revenue Code	278
Min. Negotiated Rate	$217.31
Max. Negotiated Rate	$724.38
Rate for Payer: Aetna Commercial	$434.62
Rate for Payer: Aetna Medicare Advantage	$434.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.43
Rate for Payer: Cigna Commercial	$724.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.60
Rate for Payer: Qualcare PPO/HMO/WC	$217.31

Know your out-of-pocket cost for care.

All Charges