Heights University Hospital

All Charges

Charge

Type

Setting

Price

MESH SURGICAL MOTIMESH 7.5x15

Facility

$1.00

Hospital Charge Code	270644453
Hospital Revenue Code	278
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

MESH SURGI-PRO 3 X 5 SPM-35-W

Facility

$225.65

Hospital Charge Code	270601102
Hospital Revenue Code	278
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$54.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.61
Rate for Payer: Qualcare PPO/HMO/WC	$33.85

MESH SURGI-PRO 3 X 5 SPM-35-W

Facility

$225.65

Hospital Charge Code	270601102
Hospital Revenue Code	278
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$112.83
Rate for Payer: Aetna Commercial	$67.69
Rate for Payer: Aetna Medicare Advantage	$67.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.54
Rate for Payer: Cigna Commercial	$112.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.61
Rate for Payer: Qualcare PPO/HMO/WC	$33.85

MESH SURGI-PRO 6 X 6 SPM-66-W

Facility

$374.45

Hospital Charge Code	270601103
Hospital Revenue Code	278
Min. Negotiated Rate	$56.17
Max. Negotiated Rate	$90.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.62
Rate for Payer: Qualcare PPO/HMO/WC	$56.17

MESH SURGI-PRO 6 X 6 SPM-66-W

Facility

$374.45

Hospital Charge Code	270601103
Hospital Revenue Code	278
Min. Negotiated Rate	$56.17
Max. Negotiated Rate	$187.22
Rate for Payer: Aetna Commercial	$112.33
Rate for Payer: Aetna Medicare Advantage	$112.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.48
Rate for Payer: Cigna Commercial	$187.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.62
Rate for Payer: Qualcare PPO/HMO/WC	$56.17

MESH SURG PROCEED 10x14 PCDW1

Facility

$11,523.05

Hospital Charge Code	270635312
Hospital Revenue Code	278
Min. Negotiated Rate	$1,728.46
Max. Negotiated Rate	$5,761.52
Rate for Payer: Aetna Commercial	$3,456.91
Rate for Payer: Aetna Medicare Advantage	$3,456.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,938.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,938.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,304.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,938.38
Rate for Payer: Cigna Commercial	$5,761.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,788.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,728.46

MESH SURG PROCEED 10x14 PCDW1

Facility

$11,523.05

Hospital Charge Code	270635312
Hospital Revenue Code	278
Min. Negotiated Rate	$1,728.46
Max. Negotiated Rate	$2,788.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,304.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,788.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,728.46

MESH SYNCOR 20 X 30 MM

Facility

$22,025.00

Service Code	HCPCS C1781
Hospital Charge Code	270688743
Hospital Revenue Code	278
Min. Negotiated Rate	$3,303.75
Max. Negotiated Rate	$5,330.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,330.05
Rate for Payer: Qualcare PPO/HMO/WC	$3,303.75

MESH SYNCOR 20 X 30 MM

Facility

$22,025.00

Service Code	HCPCS C1781
Hospital Charge Code	270688743
Hospital Revenue Code	278
Min. Negotiated Rate	$3,303.75
Max. Negotiated Rate	$11,012.50
Rate for Payer: Aetna Commercial	$6,607.50
Rate for Payer: Aetna Medicare Advantage	$6,607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,616.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,616.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,616.38
Rate for Payer: Cigna Commercial	$11,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,330.05
Rate for Payer: Qualcare PPO/HMO/WC	$3,303.75

MESH SYS AP VAG VAULT 72404024

Facility

$4,935.25

Hospital Charge Code	270634016
Hospital Revenue Code	278
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$1,194.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

MESH SYS AP VAG VAULT 72404024

Facility

$4,935.25

Hospital Charge Code	270634016
Hospital Revenue Code	278
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$2,467.62
Rate for Payer: Aetna Commercial	$1,480.58
Rate for Payer: Aetna Medicare Advantage	$1,480.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,258.49
Rate for Payer: Cigna Commercial	$2,467.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

MESH TASETRY BIO IMP 70X50MM

Facility

$13,250.00

Service Code	HCPCS C1781
Hospital Charge Code	270698279
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$6,625.00
Rate for Payer: Aetna Commercial	$3,975.00
Rate for Payer: Aetna Medicare Advantage	$3,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,378.75
Rate for Payer: Cigna Commercial	$6,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

MESH TASETRY BIO IMP 70X50MM

Facility

$13,250.00

Service Code	HCPCS C1781
Hospital Charge Code	270698279
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$3,206.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

MESH TISSUE REINFORCE 7x10CM

Facility

$2,985.00

Hospital Charge Code	270675948
Hospital Revenue Code	278
Min. Negotiated Rate	$447.75
Max. Negotiated Rate	$1,492.50
Rate for Payer: Aetna Commercial	$895.50
Rate for Payer: Aetna Medicare Advantage	$895.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$761.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$761.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$597.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$761.17
Rate for Payer: Cigna Commercial	$1,492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.37
Rate for Payer: Qualcare PPO/HMO/WC	$447.75

MESH TISSUE REINFORCE 7x10CM

Facility

$2,985.00

Hospital Charge Code	270675948
Hospital Revenue Code	278
Min. Negotiated Rate	$447.75
Max. Negotiated Rate	$722.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.37
Rate for Payer: Qualcare PPO/HMO/WC	$447.75

MESH ULTRAPRO HERNIA LG UHSL6

Facility

$2,259.06

Service Code	HCPCS C1781
Hospital Charge Code	270647932
Hospital Revenue Code	278
Min. Negotiated Rate	$338.86
Max. Negotiated Rate	$1,129.53
Rate for Payer: Aetna Commercial	$677.72
Rate for Payer: Aetna Medicare Advantage	$677.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.06
Rate for Payer: Cigna Commercial	$1,129.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.69
Rate for Payer: Qualcare PPO/HMO/WC	$338.86

MESH ULTRAPRO HERNIA LG UHSL6

Facility

$2,259.06

Service Code	HCPCS C1781
Hospital Charge Code	270647932
Hospital Revenue Code	278
Min. Negotiated Rate	$338.86
Max. Negotiated Rate	$546.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.69
Rate for Payer: Qualcare PPO/HMO/WC	$338.86

MESH ULTRAPRO HERNIA MED UHSM6

Facility

$2,811.90

Service Code	HCPCS C1781
Hospital Charge Code	270647931
Hospital Revenue Code	278
Min. Negotiated Rate	$421.79
Max. Negotiated Rate	$680.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.48
Rate for Payer: Qualcare PPO/HMO/WC	$421.79

MESH ULTRAPRO HERNIA MED UHSM6

Facility

$2,811.90

Service Code	HCPCS C1781
Hospital Charge Code	270647931
Hospital Revenue Code	278
Min. Negotiated Rate	$421.79
Max. Negotiated Rate	$1,405.95
Rate for Payer: Aetna Commercial	$843.57
Rate for Payer: Aetna Medicare Advantage	$843.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$717.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$717.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$717.03
Rate for Payer: Cigna Commercial	$1,405.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.48
Rate for Payer: Qualcare PPO/HMO/WC	$421.79

MESH ULTRAPRO HERN SYS LRG

Facility

$4,162.15

Service Code	HCPCS C1781
Hospital Charge Code	270698948
Hospital Revenue Code	278
Min. Negotiated Rate	$624.32
Max. Negotiated Rate	$2,081.07
Rate for Payer: Aetna Commercial	$1,248.64
Rate for Payer: Aetna Medicare Advantage	$1,248.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,061.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,061.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$832.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,061.35
Rate for Payer: Cigna Commercial	$2,081.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,007.24
Rate for Payer: Qualcare PPO/HMO/WC	$624.32

MESH ULTRAPRO HERN SYS LRG

Facility

$4,162.15

Service Code	HCPCS C1781
Hospital Charge Code	270698948
Hospital Revenue Code	278
Min. Negotiated Rate	$624.32
Max. Negotiated Rate	$1,007.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$832.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,007.24
Rate for Payer: Qualcare PPO/HMO/WC	$624.32

MESH ULTRAPRO HERN SYS MED

Facility

$4,082.90

Service Code	HCPCS C1781
Hospital Charge Code	270698949
Hospital Revenue Code	278
Min. Negotiated Rate	$612.43
Max. Negotiated Rate	$2,041.45
Rate for Payer: Aetna Commercial	$1,224.87
Rate for Payer: Aetna Medicare Advantage	$1,224.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,041.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,041.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$816.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,041.14
Rate for Payer: Cigna Commercial	$2,041.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$988.06
Rate for Payer: Qualcare PPO/HMO/WC	$612.43

MESH ULTRAPRO HERN SYS MED

Facility

$4,082.90

Service Code	HCPCS C1781
Hospital Charge Code	270698949
Hospital Revenue Code	278
Min. Negotiated Rate	$612.43
Max. Negotiated Rate	$988.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$816.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$988.06
Rate for Payer: Qualcare PPO/HMO/WC	$612.43

MESH VENTIO ST HERNIA SMALL

Facility

$3,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688689
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 VENTIO ST HERNIA SMALL

Facility

$3,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688689
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

Know your out-of-pocket cost for care.

All Charges