Heights University Hospital

All Charges

Charge

Type

Setting

Price

MESH INGUINAL 3DMAX LARGE 4X6

Facility

$1,235.00

Service Code	HCPCS C1781
Hospital Charge Code	270685691
Hospital Revenue Code	278
Min. Negotiated Rate	$185.25
Max. Negotiated Rate	$298.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.87
Rate for Payer: Qualcare PPO/HMO/WC	$185.25

MESH INGUINAL 3DMAX LARGE 4X6

Facility

$1,235.00

Service Code	HCPCS C1781
Hospital Charge Code	270685691
Hospital Revenue Code	278
Min. Negotiated Rate	$185.25
Max. Negotiated Rate	$617.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$370.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.93
Rate for Payer: Cigna Commercial	$617.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.87
Rate for Payer: Qualcare PPO/HMO/WC	$185.25

MESH INTERPROY SLING SYSTEM

Facility

$4,550.00

Hospital Charge Code	270669200
Hospital Revenue Code	278
Min. Negotiated Rate	$682.50
Max. Negotiated Rate	$1,101.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.10
Rate for Payer: Qualcare PPO/HMO/WC	$682.50

MESH INTERPROY SLING SYSTEM

Facility

$4,550.00

Hospital Charge Code	270669200
Hospital Revenue Code	278
Min. Negotiated Rate	$682.50
Max. Negotiated Rate	$2,275.00
Rate for Payer: Aetna Commercial	$1,365.00
Rate for Payer: Aetna Medicare Advantage	$1,365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.25
Rate for Payer: Cigna Commercial	$2,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.10
Rate for Payer: Qualcare PPO/HMO/WC	$682.50

MESH LAP PROGRIP 10cmX15cm

Facility

$5,196.20

Service Code	HCPCS C1781
Hospital Charge Code	270678841
Hospital Revenue Code	278
Min. Negotiated Rate	$779.43
Max. Negotiated Rate	$2,598.10
Rate for Payer: Aetna Commercial	$1,558.86
Rate for Payer: Aetna Medicare Advantage	$1,558.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,325.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,325.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,039.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,325.03
Rate for Payer: Cigna Commercial	$2,598.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,257.48
Rate for Payer: Qualcare PPO/HMO/WC	$779.43

MESH LAP PROGRIP 10cmX15cm

Facility

$5,196.20

Service Code	HCPCS C1781
Hospital Charge Code	270678841
Hospital Revenue Code	278
Min. Negotiated Rate	$779.43
Max. Negotiated Rate	$1,257.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,039.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,257.48
Rate for Payer: Qualcare PPO/HMO/WC	$779.43

MESH LAP PROGRIP 10 X 15

Facility

$2,125.00

Service Code	HCPCS C1781
Hospital Charge Code	270665624
Hospital Revenue Code	278
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$514.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

MESH LAP PROGRIP 10 X 15

Facility

$2,155.00

Service Code	HCPCS C1781
Hospital Charge Code	270665623
Hospital Revenue Code	278
Min. Negotiated Rate	$323.25
Max. Negotiated Rate	$1,077.50
Rate for Payer: Aetna Commercial	$646.50
Rate for Payer: Aetna Medicare Advantage	$646.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$549.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$549.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$549.52
Rate for Payer: Cigna Commercial	$1,077.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.51
Rate for Payer: Qualcare PPO/HMO/WC	$323.25

MESH LAP PROGRIP 10 X 15

Facility

$2,125.00

Service Code	HCPCS C1781
Hospital Charge Code	270665624
Hospital Revenue Code	278
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$637.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

MESH LAP PROGRIP 10 X 15

Facility

$2,155.00

Service Code	HCPCS C1781
Hospital Charge Code	270665623
Hospital Revenue Code	278
Min. Negotiated Rate	$323.25
Max. Negotiated Rate	$521.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.51
Rate for Payer: Qualcare PPO/HMO/WC	$323.25

MESH LARGE 3D MAX RIGHT

Facility

$1,528.50

Service Code	HCPCS C1781
Hospital Charge Code	270689458
Hospital Revenue Code	278
Min. Negotiated Rate	$229.28
Max. Negotiated Rate	$764.25
Rate for Payer: Aetna Commercial	$458.55
Rate for Payer: Aetna Medicare Advantage	$458.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.77
Rate for Payer: Cigna Commercial	$764.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.28

MESH LARGE 3D MAX RIGHT

Facility

$1,528.50

Service Code	HCPCS C1781
Hospital Charge Code	270689458
Hospital Revenue Code	278
Min. Negotiated Rate	$229.28
Max. Negotiated Rate	$369.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.28

MESH LARGE LEFT MAX 3D

Facility

$1,204.30

Hospital Charge Code	270655772
Hospital Revenue Code	278
Min. Negotiated Rate	$180.65
Max. Negotiated Rate	$602.15
Rate for Payer: Aetna Commercial	$361.29
Rate for Payer: Aetna Medicare Advantage	$361.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.10
Rate for Payer: Cigna Commercial	$602.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.44
Rate for Payer: Qualcare PPO/HMO/WC	$180.65

MESH LARGE LEFT MAX 3D

Facility

$1,204.30

Hospital Charge Code	270655772
Hospital Revenue Code	278
Min. Negotiated Rate	$180.65
Max. Negotiated Rate	$291.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.44
Rate for Payer: Qualcare PPO/HMO/WC	$180.65

MESH LARGE LIGHT 3DMAX LEFT

Facility

$1,528.50

Service Code	HCPCS C1781
Hospital Charge Code	270689455
Hospital Revenue Code	278
Min. Negotiated Rate	$229.28
Max. Negotiated Rate	$764.25
Rate for Payer: Aetna Commercial	$458.55
Rate for Payer: Aetna Medicare Advantage	$458.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.77
Rate for Payer: Cigna Commercial	$764.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.28

MESH LARGE LIGHT 3DMAX LEFT

Facility

$1,528.50

Service Code	HCPCS C1781
Hospital Charge Code	270689455
Hospital Revenue Code	278
Min. Negotiated Rate	$229.28
Max. Negotiated Rate	$369.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.28

MESH LARGE RIGHT MAX 3D

Facility

$1,204.30

Hospital Charge Code	270655781
Hospital Revenue Code	278
Min. Negotiated Rate	$180.65
Max. Negotiated Rate	$602.15
Rate for Payer: Aetna Commercial	$361.29
Rate for Payer: Aetna Medicare Advantage	$361.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.10
Rate for Payer: Cigna Commercial	$602.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.44
Rate for Payer: Qualcare PPO/HMO/WC	$180.65

MESH LARGE RIGHT MAX 3D

Facility

$1,204.30

Hospital Charge Code	270655781
Hospital Revenue Code	278
Min. Negotiated Rate	$180.65
Max. Negotiated Rate	$291.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.44
Rate for Payer: Qualcare PPO/HMO/WC	$180.65

MESH LEFT 3DMAX MEDIUM 3X5

Facility

$1,130.00

Hospital Charge Code	270655769
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

MESH LEFT 3DMAX MEDIUM 3X5

Facility

$1,130.00

Hospital Charge Code	270655769
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$339.00
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

MESH L/P CIRCLE 4.5 IN/11.4cm

Facility

$3,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270644531
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

MESH L/P CIRCLE 4.5 IN/11.4cm

Facility

$3,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270644531
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

MESH LP PRGRP FLAT SHT 10x15CM

Facility

$2,201.35

Service Code	HCPCS C1781
Hospital Charge Code	270665625
Hospital Revenue Code	278
Min. Negotiated Rate	$330.20
Max. Negotiated Rate	$1,100.67
Rate for Payer: Aetna Commercial	$660.40
Rate for Payer: Aetna Medicare Advantage	$660.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.34
Rate for Payer: Cigna Commercial	$1,100.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.73
Rate for Payer: Qualcare PPO/HMO/WC	$330.20

MESH LP PRGRP FLAT SHT 10x15CM

Facility

$2,201.35

Service Code	HCPCS C1781
Hospital Charge Code	270665625
Hospital Revenue Code	278
Min. Negotiated Rate	$330.20
Max. Negotiated Rate	$532.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.73
Rate for Payer: Qualcare PPO/HMO/WC	$330.20

MESH MALLEABLE L/PRO 100x100MM

Facility

$13,430.00

Hospital Charge Code	270660972
Hospital Revenue Code	278
Min. Negotiated Rate	$2,014.50
Max. Negotiated Rate	$6,715.00
Rate for Payer: Aetna Commercial	$4,029.00
Rate for Payer: Aetna Medicare Advantage	$4,029.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,424.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,424.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,686.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,424.65
Rate for Payer: Cigna Commercial	$6,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,250.06
Rate for Payer: Qualcare PPO/HMO/WC	$2,014.50

Know your out-of-pocket cost for care.

All Charges