Heights University Hospital

All Charges

Charge

Type

Setting

Price

MESH PROMOCOL 20*40

Facility

$96,387.00

Hospital Charge Code	270667627
Hospital Revenue Code	278
Min. Negotiated Rate	$14,458.05
Max. Negotiated Rate	$48,193.50
Rate for Payer: Aetna Commercial	$28,916.10
Rate for Payer: Aetna Medicare Advantage	$28,916.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,578.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,578.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,277.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,578.69
Rate for Payer: Cigna Commercial	$48,193.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,325.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,458.05

MESH PROMOCOL 20*40

Facility

$96,387.00

Hospital Charge Code	270667627
Hospital Revenue Code	278
Min. Negotiated Rate	$14,458.05
Max. Negotiated Rate	$23,325.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,277.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,325.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,458.05

MESH PTEX PCOX 12CM 4.8 ROUND

Facility

$2,533.05

Service Code	HCPCS C1781
Hospital Charge Code	270655028
Hospital Revenue Code	278
Min. Negotiated Rate	$379.96
Max. Negotiated Rate	$613.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$506.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.00
Rate for Payer: Qualcare PPO/HMO/WC	$379.96

MESH PTEX PCOX 12CM 4.8 ROUND

Facility

$2,533.05

Service Code	HCPCS C1781
Hospital Charge Code	270655028
Hospital Revenue Code	278
Min. Negotiated Rate	$379.96
Max. Negotiated Rate	$1,266.53
Rate for Payer: Aetna Commercial	$759.91
Rate for Payer: Aetna Medicare Advantage	$759.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$645.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$645.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$506.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$645.93
Rate for Payer: Cigna Commercial	$1,266.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.00
Rate for Payer: Qualcare PPO/HMO/WC	$379.96

MESH PTEX PCOX 15x10CM STR

Facility

$2,166.40

Service Code	HCPCS C1781
Hospital Charge Code	270655625
Hospital Revenue Code	278
Min. Negotiated Rate	$324.96
Max. Negotiated Rate	$1,083.20
Rate for Payer: Aetna Commercial	$649.92
Rate for Payer: Aetna Medicare Advantage	$649.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$552.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$552.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$552.43
Rate for Payer: Cigna Commercial	$1,083.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$524.27
Rate for Payer: Qualcare PPO/HMO/WC	$324.96

MESH PTEX PCOX 15x10CM STR

Facility

$2,166.40

Service Code	HCPCS C1781
Hospital Charge Code	270655625
Hospital Revenue Code	278
Min. Negotiated Rate	$324.96
Max. Negotiated Rate	$524.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$524.27
Rate for Payer: Qualcare PPO/HMO/WC	$324.96

MESH PTEX PCOX 20X15CM 8X6 STE

Facility

$3,492.20

Service Code	HCPCS C1781
Hospital Charge Code	270655623
Hospital Revenue Code	278
Min. Negotiated Rate	$523.83
Max. Negotiated Rate	$845.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.11
Rate for Payer: Qualcare PPO/HMO/WC	$523.83

MESH PTEX PCOX 20X15CM 8X6 STE

Facility

$3,492.20

Service Code	HCPCS C1781
Hospital Charge Code	270655623
Hospital Revenue Code	278
Min. Negotiated Rate	$523.83
Max. Negotiated Rate	$1,746.10
Rate for Payer: Aetna Commercial	$1,047.66
Rate for Payer: Aetna Medicare Advantage	$1,047.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$890.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$890.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$890.51
Rate for Payer: Cigna Commercial	$1,746.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.11
Rate for Payer: Qualcare PPO/HMO/WC	$523.83

MESH PTEX PCOX ROUND 12CM STR

Facility

$2,155.80

Service Code	HCPCS C1781
Hospital Charge Code	270656033
Hospital Revenue Code	278
Min. Negotiated Rate	$323.37
Max. Negotiated Rate	$1,077.90
Rate for Payer: Aetna Commercial	$646.74
Rate for Payer: Aetna Medicare Advantage	$646.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$549.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$549.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$549.73
Rate for Payer: Cigna Commercial	$1,077.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.70
Rate for Payer: Qualcare PPO/HMO/WC	$323.37

MESH PTEX PCOX ROUND 12CM STR

Facility

$2,155.80

Service Code	HCPCS C1781
Hospital Charge Code	270656033
Hospital Revenue Code	278
Min. Negotiated Rate	$323.37
Max. Negotiated Rate	$521.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.70
Rate for Payer: Qualcare PPO/HMO/WC	$323.37

MESH PTEX PCOX ROUND 15CM 6ST

Facility

$3,315.45

Service Code	HCPCS C1781
Hospital Charge Code	270655628
Hospital Revenue Code	278
Min. Negotiated Rate	$497.32
Max. Negotiated Rate	$802.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$663.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$802.34
Rate for Payer: Qualcare PPO/HMO/WC	$497.32

MESH PTEX PCOX ROUND 15CM 6ST

Facility

$3,315.45

Service Code	HCPCS C1781
Hospital Charge Code	270655628
Hospital Revenue Code	278
Min. Negotiated Rate	$497.32
Max. Negotiated Rate	$1,657.72
Rate for Payer: Aetna Commercial	$994.63
Rate for Payer: Aetna Medicare Advantage	$994.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$845.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$845.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$663.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$845.44
Rate for Payer: Cigna Commercial	$1,657.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$802.34
Rate for Payer: Qualcare PPO/HMO/WC	$497.32

MESH PTEX PCOX ROUND 15CM STR

Facility

$3,288.05

Service Code	HCPCS C1781
Hospital Charge Code	270655030
Hospital Revenue Code	278
Min. Negotiated Rate	$493.21
Max. Negotiated Rate	$1,644.03
Rate for Payer: Aetna Commercial	$986.41
Rate for Payer: Aetna Medicare Advantage	$986.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$838.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$838.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$657.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$838.45
Rate for Payer: Cigna Commercial	$1,644.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.71
Rate for Payer: Qualcare PPO/HMO/WC	$493.21

MESH PTEX PCOX ROUND 15CM STR

Facility

$3,288.05

Service Code	HCPCS C1781
Hospital Charge Code	270655030
Hospital Revenue Code	278
Min. Negotiated Rate	$493.21
Max. Negotiated Rate	$795.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$657.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.71
Rate for Payer: Qualcare PPO/HMO/WC	$493.21

MESH PTEX PCOX ROUND 20CM STR

Facility

$4,169.95

Service Code	HCPCS C1781
Hospital Charge Code	270655624
Hospital Revenue Code	278
Min. Negotiated Rate	$625.49
Max. Negotiated Rate	$1,009.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$833.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,009.13
Rate for Payer: Qualcare PPO/HMO/WC	$625.49

MESH PTEX PCOX ROUND 20CM STR

Facility

$4,169.95

Service Code	HCPCS C1781
Hospital Charge Code	270655624
Hospital Revenue Code	278
Min. Negotiated Rate	$625.49
Max. Negotiated Rate	$2,084.97
Rate for Payer: Aetna Commercial	$1,250.98
Rate for Payer: Aetna Medicare Advantage	$1,250.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,063.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,063.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$833.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,063.34
Rate for Payer: Cigna Commercial	$2,084.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,009.13
Rate for Payer: Qualcare PPO/HMO/WC	$625.49

MESH PTEX PCOX ROUND 9CM STR

Facility

$1,579.65

Service Code	HCPCS C1781
Hospital Charge Code	270655630
Hospital Revenue Code	278
Min. Negotiated Rate	$236.95
Max. Negotiated Rate	$789.83
Rate for Payer: Aetna Commercial	$473.89
Rate for Payer: Aetna Medicare Advantage	$473.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.81
Rate for Payer: Cigna Commercial	$789.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.28
Rate for Payer: Qualcare PPO/HMO/WC	$236.95

MESH PTEX PCOX ROUND 9CM STR

Facility

$1,579.65

Service Code	HCPCS C1781
Hospital Charge Code	270655630
Hospital Revenue Code	278
Min. Negotiated Rate	$236.95
Max. Negotiated Rate	$382.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.28
Rate for Payer: Qualcare PPO/HMO/WC	$236.95

MESH PTEX PCOX SKIRT 20X15CM

Facility

$4,919.50

Service Code	HCPCS C1781
Hospital Charge Code	270656079
Hospital Revenue Code	278
Min. Negotiated Rate	$737.92
Max. Negotiated Rate	$1,190.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$983.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,190.52
Rate for Payer: Qualcare PPO/HMO/WC	$737.92

MESH PTEX PCOX SKIRT 20X15CM

Facility

$4,919.50

Service Code	HCPCS C1781
Hospital Charge Code	270656079
Hospital Revenue Code	278
Min. Negotiated Rate	$737.92
Max. Negotiated Rate	$2,459.75
Rate for Payer: Aetna Commercial	$1,475.85
Rate for Payer: Aetna Medicare Advantage	$1,475.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,254.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,254.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$983.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,254.47
Rate for Payer: Cigna Commercial	$2,459.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,190.52
Rate for Payer: Qualcare PPO/HMO/WC	$737.92

MESH PTEX PCOX SKIRT 25X20CM

Facility

$5,282.00

Service Code	HCPCS C1781
Hospital Charge Code	270659454
Hospital Revenue Code	278
Min. Negotiated Rate	$792.30
Max. Negotiated Rate	$2,641.00
Rate for Payer: Aetna Commercial	$1,584.60
Rate for Payer: Aetna Medicare Advantage	$1,584.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,346.91
Rate for Payer: Cigna Commercial	$2,641.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,278.24
Rate for Payer: Qualcare PPO/HMO/WC	$792.30

MESH PTEX PCOX SKIRT 25X20CM

Facility

$5,282.00

Service Code	HCPCS C1781
Hospital Charge Code	270659454
Hospital Revenue Code	278
Min. Negotiated Rate	$792.30
Max. Negotiated Rate	$1,278.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,278.24
Rate for Payer: Qualcare PPO/HMO/WC	$792.30

MESH RIGHT 3D MAX

Facility

$1,162.50

Service Code	HCPCS C1781
Hospital Charge Code	270687580
Hospital Revenue Code	278
Min. Negotiated Rate	$174.38
Max. Negotiated Rate	$281.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$174.38

MESH RIGHT 3D MAX

Facility

$1,162.50

Service Code	HCPCS C1781
Hospital Charge Code	270687580
Hospital Revenue Code	278
Min. Negotiated Rate	$174.38
Max. Negotiated Rate	$581.25
Rate for Payer: Aetna Commercial	$348.75
Rate for Payer: Aetna Medicare Advantage	$348.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.44
Rate for Payer: Cigna Commercial	$581.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$174.38

MESH RIGHT 3D MAX 3X5

Facility

$1,130.00

Hospital Charge Code	270655785
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

Know your out-of-pocket cost for care.

All Charges