Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

MESH RIGID L/PRO 100x100MM

Facility

$13,430.00

Hospital Charge Code	270674576
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

MESH RIGID L/PRO 100x100MM

Facility

$13,430.00

Hospital Charge Code	270674576
Hospital Revenue Code	278
Min. Negotiated Rate	$2,014.50
Max. Negotiated Rate	$3,250.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,686.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,250.06
Rate for Payer: Qualcare PPO/HMO/WC	$2,014.50

MESH SHEET 6X6

Facility

$2,029.05

Service Code	HCPCS C1781
Hospital Charge Code	270657707
Hospital Revenue Code	278
Min. Negotiated Rate	$304.36
Max. Negotiated Rate	$1,014.52
Rate for Payer: Aetna Commercial	$608.72
Rate for Payer: Aetna Medicare Advantage	$608.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.41
Rate for Payer: Cigna Commercial	$1,014.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.03
Rate for Payer: Qualcare PPO/HMO/WC	$304.36

MESH SHEET 6X6

Facility

$2,029.05

Service Code	HCPCS C1781
Hospital Charge Code	270657707
Hospital Revenue Code	278
Min. Negotiated Rate	$304.36
Max. Negotiated Rate	$491.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.03
Rate for Payer: Qualcare PPO/HMO/WC	$304.36

MESH SHEET FLAT 16X12

Facility

$2,186.35

Service Code	HCPCS C1781
Hospital Charge Code	270690295
Hospital Revenue Code	278
Min. Negotiated Rate	$327.95
Max. Negotiated Rate	$1,093.17
Rate for Payer: Aetna Commercial	$655.90
Rate for Payer: Aetna Medicare Advantage	$655.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$557.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$557.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$437.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$557.52
Rate for Payer: Cigna Commercial	$1,093.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.10
Rate for Payer: Qualcare PPO/HMO/WC	$327.95

MESH SHEET FLAT 16X12

Facility

$2,186.35

Service Code	HCPCS C1781
Hospital Charge Code	270690295
Hospital Revenue Code	278
Min. Negotiated Rate	$327.95
Max. Negotiated Rate	$529.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$437.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.10
Rate for Payer: Qualcare PPO/HMO/WC	$327.95

MESH SKIRT 20 CMX15 CM

Facility

$5,627.95

Hospital Charge Code	270683623
Hospital Revenue Code	272
Min. Negotiated Rate	$844.19
Max. Negotiated Rate	$844.19
Rate for Payer: Qualcare PPO/HMO/WC	$844.19

MESH SKIRT 20 CMX15 CM

Facility

$5,627.95

Hospital Charge Code	270683623
Hospital Revenue Code	272
Min. Negotiated Rate	$731.63
Max. Negotiated Rate	$2,813.97
Rate for Payer: Aetna Commercial	$1,688.38
Rate for Payer: Aetna Medicare Advantage	$1,688.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,435.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,435.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,435.13
Rate for Payer: Cigna Commercial	$2,813.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$731.63
Rate for Payer: Oxford Commercial	$2,813.97
Rate for Payer: Qualcare PPO/HMO/WC	$844.19
Rate for Payer: UnitedHealthcare Commercial	$2,813.97

MESH SOFT 2X4

Facility

$959.25

Service Code	HCPCS C1781
Hospital Charge Code	270691535
Hospital Revenue Code	278
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$232.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

MESH SOFT 2X4

Facility

$959.25

Service Code	HCPCS C1781
Hospital Charge Code	270691535
Hospital Revenue Code	278
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$479.62
Rate for Payer: Aetna Commercial	$287.77
Rate for Payer: Aetna Medicare Advantage	$287.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.61
Rate for Payer: Cigna Commercial	$479.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

MESH SOFT 3X6

Facility

$1,016.25

Service Code	HCPCS C1781
Hospital Charge Code	270691536
Hospital Revenue Code	278
Min. Negotiated Rate	$152.44
Max. Negotiated Rate	$508.12
Rate for Payer: Aetna Commercial	$304.88
Rate for Payer: Aetna Medicare Advantage	$304.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.14
Rate for Payer: Cigna Commercial	$508.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.93
Rate for Payer: Qualcare PPO/HMO/WC	$152.44

MESH SOFT 3X6

Facility

$1,016.25

Service Code	HCPCS C1781
Hospital Charge Code	270691536
Hospital Revenue Code	278
Min. Negotiated Rate	$152.44
Max. Negotiated Rate	$245.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.93
Rate for Payer: Qualcare PPO/HMO/WC	$152.44

MESH SOFT 4X6

Facility

$1,101.20

Service Code	HCPCS C1781
Hospital Charge Code	270691538
Hospital Revenue Code	278
Min. Negotiated Rate	$165.18
Max. Negotiated Rate	$550.60
Rate for Payer: Aetna Commercial	$330.36
Rate for Payer: Aetna Medicare Advantage	$330.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.81
Rate for Payer: Cigna Commercial	$550.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.49
Rate for Payer: Qualcare PPO/HMO/WC	$165.18

MESH SOFT 4X6

Facility

$1,101.20

Service Code	HCPCS C1781
Hospital Charge Code	270691538
Hospital Revenue Code	278
Min. Negotiated Rate	$165.18
Max. Negotiated Rate	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.49
Rate for Payer: Qualcare PPO/HMO/WC	$165.18

MESH SOFT 6X6

Facility

$1,242.00

Service Code	HCPCS C1781
Hospital Charge Code	270691537
Hospital Revenue Code	278
Min. Negotiated Rate	$186.30
Max. Negotiated Rate	$300.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.56
Rate for Payer: Qualcare PPO/HMO/WC	$186.30

MESH SOFT 6X6

Facility

$1,242.00

Service Code	HCPCS C1781
Hospital Charge Code	270691537
Hospital Revenue Code	278
Min. Negotiated Rate	$186.30
Max. Negotiated Rate	$621.00
Rate for Payer: Aetna Commercial	$372.60
Rate for Payer: Aetna Medicare Advantage	$372.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.71
Rate for Payer: Cigna Commercial	$621.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.56
Rate for Payer: Qualcare PPO/HMO/WC	$186.30

MESH SOFT VENTRAL 12X12INCH

Facility

$2,394.00

Service Code	HCPCS C1781
Hospital Charge Code	270697073
Hospital Revenue Code	278
Min. Negotiated Rate	$359.10
Max. Negotiated Rate	$1,197.00
Rate for Payer: Aetna Commercial	$718.20
Rate for Payer: Aetna Medicare Advantage	$718.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.47
Rate for Payer: Cigna Commercial	$1,197.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.35
Rate for Payer: Qualcare PPO/HMO/WC	$359.10

MESH SOFT VENTRAL 12X12INCH

Facility

$2,394.00

Service Code	HCPCS C1781
Hospital Charge Code	270697073
Hospital Revenue Code	278
Min. Negotiated Rate	$359.10
Max. Negotiated Rate	$579.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.35
Rate for Payer: Qualcare PPO/HMO/WC	$359.10

MESH STEX 15x10CM

Facility

$2,637.70

Service Code	HCPCS C1781
Hospital Charge Code	270665533
Hospital Revenue Code	278
Min. Negotiated Rate	$395.65
Max. Negotiated Rate	$1,318.85
Rate for Payer: Aetna Commercial	$791.31
Rate for Payer: Aetna Medicare Advantage	$791.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$672.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$672.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$527.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$672.61
Rate for Payer: Cigna Commercial	$1,318.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.32
Rate for Payer: Qualcare PPO/HMO/WC	$395.65

MESH STEX 15x10CM

Facility

$2,637.70

Service Code	HCPCS C1781
Hospital Charge Code	270665533
Hospital Revenue Code	278
Min. Negotiated Rate	$395.65
Max. Negotiated Rate	$638.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$527.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.32
Rate for Payer: Qualcare PPO/HMO/WC	$395.65

MESH STEX 20x15CM

Facility

$4,231.35

Service Code	HCPCS C1781
Hospital Charge Code	270665534
Hospital Revenue Code	278
Min. Negotiated Rate	$634.70
Max. Negotiated Rate	$1,023.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,023.99
Rate for Payer: Qualcare PPO/HMO/WC	$634.70

MESH STEX 20x15CM

Facility

$4,231.35

Service Code	HCPCS C1781
Hospital Charge Code	270665534
Hospital Revenue Code	278
Min. Negotiated Rate	$634.70
Max. Negotiated Rate	$2,115.68
Rate for Payer: Aetna Commercial	$1,269.40
Rate for Payer: Aetna Medicare Advantage	$1,269.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,078.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,078.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,078.99
Rate for Payer: Cigna Commercial	$2,115.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,023.99
Rate for Payer: Qualcare PPO/HMO/WC	$634.70

MESH STEX 25x20CM

Facility

$6,752.65

Service Code	HCPCS C1781
Hospital Charge Code	270667413
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.90
Max. Negotiated Rate	$3,376.32
Rate for Payer: Aetna Commercial	$2,025.80
Rate for Payer: Aetna Medicare Advantage	$2,025.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.93
Rate for Payer: Cigna Commercial	$3,376.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,634.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.90

MESH STEX 25x20CM

Facility

$6,752.65

Service Code	HCPCS C1781
Hospital Charge Code	270667413
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.90
Max. Negotiated Rate	$1,634.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,634.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.90

Know your out-of-pocket cost for care.

All Charges