Heights University Hospital

All Charges

Charge

Type

Setting

Price

PATCH VENTRALEX W/STRAP LG

Facility

$3,455.00

Hospital Charge Code	270642380
Hospital Revenue Code	278
Min. Negotiated Rate	$518.25
Max. Negotiated Rate	$836.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.11
Rate for Payer: Qualcare PPO/HMO/WC	$518.25

PATCH VENTRALEX W/STRAP MED

Facility

$2,845.00

Service Code	HCPCS C1781
Hospital Charge Code	270632015
Hospital Revenue Code	278
Min. Negotiated Rate	$426.75
Max. Negotiated Rate	$1,422.50
Rate for Payer: Aetna Commercial	$853.50
Rate for Payer: Aetna Medicare Advantage	$853.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$725.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$725.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$569.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$725.48
Rate for Payer: Cigna Commercial	$1,422.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.49
Rate for Payer: Qualcare PPO/HMO/WC	$426.75

PATCH VENTRALEX W/STRAP MED

Facility

$2,845.00

Service Code	HCPCS C1781
Hospital Charge Code	270632015
Hospital Revenue Code	278
Min. Negotiated Rate	$426.75
Max. Negotiated Rate	$688.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$569.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.49
Rate for Payer: Qualcare PPO/HMO/WC	$426.75

PATCH VENTRALEX W/STRAP SML

Facility

$2,822.00

Hospital Charge Code	270632014
Hospital Revenue Code	278
Min. Negotiated Rate	$423.30
Max. Negotiated Rate	$682.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$564.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$682.92
Rate for Payer: Qualcare PPO/HMO/WC	$423.30

PATCH VENTRALEX W/STRAP SML

Facility

$2,822.00

Hospital Charge Code	270632014
Hospital Revenue Code	278
Min. Negotiated Rate	$423.30
Max. Negotiated Rate	$1,411.00
Rate for Payer: Aetna Commercial	$846.60
Rate for Payer: Aetna Medicare Advantage	$846.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$719.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$719.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$564.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$719.61
Rate for Payer: Cigna Commercial	$1,411.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$682.92
Rate for Payer: Qualcare PPO/HMO/WC	$423.30

PATCH WITTMANN 20x40 WP2040

Facility

$7,950.00

Hospital Charge Code	270647556
Hospital Revenue Code	278
Min. Negotiated Rate	$1,192.50
Max. Negotiated Rate	$3,975.00
Rate for Payer: Aetna Commercial	$2,385.00
Rate for Payer: Aetna Medicare Advantage	$2,385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,027.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,027.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,590.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,027.25
Rate for Payer: Cigna Commercial	$3,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,923.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,192.50

PATCH WITTMANN 20x40 WP2040

Facility

$7,950.00

Hospital Charge Code	270647556
Hospital Revenue Code	278
Min. Negotiated Rate	$1,192.50
Max. Negotiated Rate	$1,923.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,923.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,192.50

PATCH YAMA URO 2X4 SHP77724URO

Facility

$1,276.00

Hospital Charge Code	270618081
Hospital Revenue Code	272
Min. Negotiated Rate	$165.88
Max. Negotiated Rate	$638.00
Rate for Payer: Aetna Commercial	$382.80
Rate for Payer: Aetna Medicare Advantage	$382.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$325.38
Rate for Payer: Cigna Commercial	$638.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.88
Rate for Payer: Oxford Commercial	$638.00
Rate for Payer: Qualcare PPO/HMO/WC	$191.40
Rate for Payer: UnitedHealthcare Commercial	$638.00

PATCH YAMA URO 2X4 SHP77724URO

Facility

$1,276.00

Hospital Charge Code	270618081
Hospital Revenue Code	272
Min. Negotiated Rate	$191.40
Max. Negotiated Rate	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$191.40

PATCH YAMA URO 2X9 SHP55529URO

Facility

$2,667.25

Hospital Charge Code	270616772
Hospital Revenue Code	272
Min. Negotiated Rate	$346.74
Max. Negotiated Rate	$1,333.62
Rate for Payer: Aetna Commercial	$800.17
Rate for Payer: Aetna Medicare Advantage	$800.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$680.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$680.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$680.15
Rate for Payer: Cigna Commercial	$1,333.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.74
Rate for Payer: Oxford Commercial	$1,333.62
Rate for Payer: Qualcare PPO/HMO/WC	$400.09
Rate for Payer: UnitedHealthcare Commercial	$1,333.62

PATCH YAMA URO 2X9 SHP55529URO

Facility

$2,667.25

Hospital Charge Code	270616772
Hospital Revenue Code	272
Min. Negotiated Rate	$400.09
Max. Negotiated Rate	$400.09
Rate for Payer: Qualcare PPO/HMO/WC	$400.09

PATCH YAMA URO 2X9 SHP77729URO

Facility

$569.65

Hospital Charge Code	270619891
Hospital Revenue Code	272
Min. Negotiated Rate	$85.45
Max. Negotiated Rate	$85.45
Rate for Payer: Qualcare PPO/HMO/WC	$85.45

PATCH YAMA URO 2X9 SHP77729URO

Facility

$569.65

Hospital Charge Code	270619891
Hospital Revenue Code	272
Min. Negotiated Rate	$74.05
Max. Negotiated Rate	$284.82
Rate for Payer: Aetna Commercial	$170.90
Rate for Payer: Aetna Medicare Advantage	$170.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.26
Rate for Payer: Cigna Commercial	$284.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.05
Rate for Payer: Oxford Commercial	$284.82
Rate for Payer: Qualcare PPO/HMO/WC	$85.45
Rate for Payer: UnitedHealthcare Commercial	$284.82

PATE 44MM

Facility

$3,075.00

Hospital Charge Code	270703197
Hospital Revenue Code	278
Min. Negotiated Rate	$461.25
Max. Negotiated Rate	$744.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$461.25

PATE 44MM

Facility

$3,075.00

Hospital Charge Code	270703197
Hospital Revenue Code	278
Min. Negotiated Rate	$461.25
Max. Negotiated Rate	$1,537.50
Rate for Payer: Aetna Commercial	$922.50
Rate for Payer: Aetna Medicare Advantage	$922.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.12
Rate for Payer: Cigna Commercial	$1,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$461.25

PATEL 10mm TM NEX PORO58786535

Facility

$7,019.15

Hospital Charge Code	270639088
Hospital Revenue Code	278
Min. Negotiated Rate	$1,052.87
Max. Negotiated Rate	$3,509.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,052.87
Rate for Payer: Aetna Commercial	$2,105.74
Rate for Payer: Aetna Medicare Advantage	$2,105.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,789.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,789.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,403.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,789.88
Rate for Payer: Cigna Commercial	$3,509.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,698.63

PATEL 10mm TM NEX PORO58786535

Facility

$7,019.15

Hospital Charge Code	270639088
Hospital Revenue Code	278
Min. Negotiated Rate	$1,052.87
Max. Negotiated Rate	$1,698.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,403.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,698.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,052.87

PATELLA 1 29MM 9MM

Facility

$2,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270691041
Hospital Revenue Code	278
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$720.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

PATELLA 1 29MM 9MM

Facility

$2,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270691041
Hospital Revenue Code	278
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$580.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

PATELLA 32 MM

Facility

$1,500.00

Hospital Charge Code	270676719
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

PATELLA 32 MM

Facility

$1,500.00

Hospital Charge Code	270676719
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

PATELLA 35MM

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270676628
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

PATELLA 35MM

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270676628
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

PATELLA 35MM ALL POLY NEXGE

Facility

$2,297.50

Hospital Charge Code	270661348
Hospital Revenue Code	278
Min. Negotiated Rate	$344.62
Max. Negotiated Rate	$556.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.00
Rate for Payer: Qualcare PPO/HMO/WC	$344.62

PATELLA 35MM ALL POLY NEXGE

Facility

$2,297.50

Hospital Charge Code	270661348
Hospital Revenue Code	278
Min. Negotiated Rate	$344.62
Max. Negotiated Rate	$1,148.75
Rate for Payer: Aetna Commercial	$689.25
Rate for Payer: Aetna Medicare Advantage	$689.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$585.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$585.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$585.86
Rate for Payer: Cigna Commercial	$1,148.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.00
Rate for Payer: Qualcare PPO/HMO/WC	$344.62

Know your out-of-pocket cost for care.

All Charges