Heights University Hospital

All Charges

Charge

Type

Setting

Price

MESH PRGRP ANTMCL LT 10x15CM

Facility

$2,474.95

Service Code	HCPCS C1781
Hospital Charge Code	270665726
Hospital Revenue Code	278
Min. Negotiated Rate	$371.24
Max. Negotiated Rate	$1,237.47
Rate for Payer: Aetna Commercial	$742.49
Rate for Payer: Aetna Medicare Advantage	$742.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.11
Rate for Payer: Cigna Commercial	$1,237.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.94
Rate for Payer: Qualcare PPO/HMO/WC	$371.24

MESH PRGRP ANTMCL LT 10x15CM

Facility

$2,474.95

Service Code	HCPCS C1781
Hospital Charge Code	270665726
Hospital Revenue Code	278
Min. Negotiated Rate	$371.24
Max. Negotiated Rate	$598.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.94
Rate for Payer: Qualcare PPO/HMO/WC	$371.24

MESH PRGRP ANTMCL RT 10x15CM

Facility

$2,474.95

Service Code	HCPCS C1781
Hospital Charge Code	270665725
Hospital Revenue Code	278
Min. Negotiated Rate	$371.24
Max. Negotiated Rate	$1,237.47
Rate for Payer: Aetna Commercial	$742.49
Rate for Payer: Aetna Medicare Advantage	$742.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.11
Rate for Payer: Cigna Commercial	$1,237.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.94
Rate for Payer: Qualcare PPO/HMO/WC	$371.24

MESH PRGRP ANTMCL RT 10x15CM

Facility

$2,474.95

Service Code	HCPCS C1781
Hospital Charge Code	270665725
Hospital Revenue Code	278
Min. Negotiated Rate	$371.24
Max. Negotiated Rate	$598.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.94
Rate for Payer: Qualcare PPO/HMO/WC	$371.24

MESH PRIMATRIX 8X 8 CM

Facility

$12,163.20

Service Code	HCPCS Q4110
Hospital Charge Code	270684335
Hospital Revenue Code	278
Min. Negotiated Rate	$296.35
Max. Negotiated Rate	$3,648.96
Rate for Payer: Aetna Commercial	$3,648.96
Rate for Payer: Aetna Medicare Advantage	$3,648.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,101.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,101.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,432.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,101.62
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,943.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.48

MESH PRIMATRIX 8X 8 CM

Facility

$12,163.20

Service Code	HCPCS Q4110
Hospital Charge Code	270684335
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.48
Max. Negotiated Rate	$2,943.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,432.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,943.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.48

MESH PRIMATRIX AG 6X6CM

Facility

$9,904.20

Service Code	HCPCS Q4110
Hospital Charge Code	270697900
Hospital Revenue Code	278
Min. Negotiated Rate	$296.35
Max. Negotiated Rate	$2,971.26
Rate for Payer: Aetna Commercial	$2,971.26
Rate for Payer: Aetna Medicare Advantage	$2,971.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,525.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,525.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,980.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,525.57
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,396.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.63

MESH PRIMATRIX AG 6X6CM

Facility

$9,904.20

Service Code	HCPCS Q4110
Hospital Charge Code	270697900
Hospital Revenue Code	278
Min. Negotiated Rate	$1,485.63
Max. Negotiated Rate	$2,396.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,980.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,396.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.63

MESH PRLTE ULTRA175x4.4 30803

Facility

$153.22

Hospital Charge Code	270659485
Hospital Revenue Code	278
Min. Negotiated Rate	$22.98
Max. Negotiated Rate	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.08
Rate for Payer: Qualcare PPO/HMO/WC	$22.98

MESH PRLTE ULTRA175x4.4 30803

Facility

$153.22

Hospital Charge Code	270659485
Hospital Revenue Code	278
Min. Negotiated Rate	$22.98
Max. Negotiated Rate	$76.61
Rate for Payer: Aetna Commercial	$45.97
Rate for Payer: Aetna Medicare Advantage	$45.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.07
Rate for Payer: Cigna Commercial	$76.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.08
Rate for Payer: Qualcare PPO/HMO/WC	$22.98

MESH PROCEED 4x8 SURG RE PCDD1

Facility

$2,411.50

Hospital Charge Code	270633462
Hospital Revenue Code	278
Min. Negotiated Rate	$361.73
Max. Negotiated Rate	$1,205.75
Rate for Payer: Aetna Commercial	$723.45
Rate for Payer: Aetna Medicare Advantage	$723.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$614.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$614.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$482.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$614.93
Rate for Payer: Cigna Commercial	$1,205.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$583.58
Rate for Payer: Qualcare PPO/HMO/WC	$361.73

MESH PROCEED 4x8 SURG RE PCDD1

Facility

$2,411.50

Hospital Charge Code	270633462
Hospital Revenue Code	278
Min. Negotiated Rate	$361.73
Max. Negotiated Rate	$583.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$482.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$583.58
Rate for Payer: Qualcare PPO/HMO/WC	$361.73

MESH PROGRIP 16X12 LEFT

Facility

$2,609.30

Service Code	HCPCS C1781
Hospital Charge Code	270690862
Hospital Revenue Code	278
Min. Negotiated Rate	$391.39
Max. Negotiated Rate	$1,304.65
Rate for Payer: Aetna Commercial	$782.79
Rate for Payer: Aetna Medicare Advantage	$782.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$665.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$665.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$665.37
Rate for Payer: Cigna Commercial	$1,304.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.45
Rate for Payer: Qualcare PPO/HMO/WC	$391.39

MESH PROGRIP 16X12 LEFT

Facility

$2,609.30

Service Code	HCPCS C1781
Hospital Charge Code	270690862
Hospital Revenue Code	278
Min. Negotiated Rate	$391.39
Max. Negotiated Rate	$631.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.45
Rate for Payer: Qualcare PPO/HMO/WC	$391.39

MESH PROGRIP 16X12MM LT

Facility

$2,470.00

Service Code	HCPCS C1781
Hospital Charge Code	270692351
Hospital Revenue Code	278
Min. Negotiated Rate	$370.50
Max. Negotiated Rate	$1,235.00
Rate for Payer: Aetna Commercial	$741.00
Rate for Payer: Aetna Medicare Advantage	$741.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$629.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$629.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$629.85
Rate for Payer: Cigna Commercial	$1,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.74
Rate for Payer: Qualcare PPO/HMO/WC	$370.50

MESH PROGRIP 16X12MM LT

Facility

$2,470.00

Service Code	HCPCS C1781
Hospital Charge Code	270692351
Hospital Revenue Code	278
Min. Negotiated Rate	$370.50
Max. Negotiated Rate	$597.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.74
Rate for Payer: Qualcare PPO/HMO/WC	$370.50

MESH PROGRIP 16X12MM RT

Facility

$2,634.90

Service Code	HCPCS C1781
Hospital Charge Code	270692352
Hospital Revenue Code	278
Min. Negotiated Rate	$395.24
Max. Negotiated Rate	$637.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.65
Rate for Payer: Qualcare PPO/HMO/WC	$395.24

MESH PROGRIP 16X12MM RT

Facility

$2,634.90

Service Code	HCPCS C1781
Hospital Charge Code	270692352
Hospital Revenue Code	278
Min. Negotiated Rate	$395.24
Max. Negotiated Rate	$1,317.45
Rate for Payer: Aetna Commercial	$790.47
Rate for Payer: Aetna Medicare Advantage	$790.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$671.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$671.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$671.90
Rate for Payer: Cigna Commercial	$1,317.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.65
Rate for Payer: Qualcare PPO/HMO/WC	$395.24

MESH PROGRIP 16X12 RIGHT

Facility

$2,609.30

Service Code	HCPCS C1781
Hospital Charge Code	270690863
Hospital Revenue Code	278
Min. Negotiated Rate	$391.39
Max. Negotiated Rate	$631.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.45
Rate for Payer: Qualcare PPO/HMO/WC	$391.39

MESH PROGRIP 16X12 RIGHT

Facility

$2,609.30

Service Code	HCPCS C1781
Hospital Charge Code	270690863
Hospital Revenue Code	278
Min. Negotiated Rate	$391.39
Max. Negotiated Rate	$1,304.65
Rate for Payer: Aetna Commercial	$782.79
Rate for Payer: Aetna Medicare Advantage	$782.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$665.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$665.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$665.37
Rate for Payer: Cigna Commercial	$1,304.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.45
Rate for Payer: Qualcare PPO/HMO/WC	$391.39

MESH PROGRIP 16X12 RIGHT

Facility

$2,329.75

Service Code	HCPCS C1781
Hospital Charge Code	270691302
Hospital Revenue Code	278
Min. Negotiated Rate	$349.46
Max. Negotiated Rate	$1,164.88
Rate for Payer: Aetna Commercial	$698.92
Rate for Payer: Aetna Medicare Advantage	$698.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$594.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$594.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$594.09
Rate for Payer: Cigna Commercial	$1,164.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.80
Rate for Payer: Qualcare PPO/HMO/WC	$349.46

MESH PROGRIP 16X12 RIGHT

Facility

$2,329.75

Service Code	HCPCS C1781
Hospital Charge Code	270691302
Hospital Revenue Code	278
Min. Negotiated Rate	$349.46
Max. Negotiated Rate	$563.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.80
Rate for Payer: Qualcare PPO/HMO/WC	$349.46

MESH PROLE HERNIA 4IN D/S PHSL

Facility

$1,489.45

Service Code	HCPCS C1781
Hospital Charge Code	270637980
Hospital Revenue Code	278
Min. Negotiated Rate	$223.42
Max. Negotiated Rate	$360.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.45
Rate for Payer: Qualcare PPO/HMO/WC	$223.42

MESH PROLE HERNIA 4IN D/S PHSL

Facility

$1,489.45

Service Code	HCPCS C1781
Hospital Charge Code	270637980
Hospital Revenue Code	278
Min. Negotiated Rate	$223.42
Max. Negotiated Rate	$744.73
Rate for Payer: Aetna Commercial	$446.83
Rate for Payer: Aetna Medicare Advantage	$446.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.81
Rate for Payer: Cigna Commercial	$744.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.45
Rate for Payer: Qualcare PPO/HMO/WC	$223.42

MESH PROLENE 12 X 12 23000PML

Facility

$592.65

Service Code	HCPCS C1781
Hospital Charge Code	270611263
Hospital Revenue Code	278
Min. Negotiated Rate	$88.90
Max. Negotiated Rate	$296.32
Rate for Payer: Aetna Commercial	$177.79
Rate for Payer: Aetna Medicare Advantage	$177.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.13
Rate for Payer: Cigna Commercial	$296.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.42
Rate for Payer: Qualcare PPO/HMO/WC	$88.90

Know your out-of-pocket cost for care.

All Charges