Heights University Hospital

All Charges

Charge

Type

Setting

Price

RELOADABLE LINEAR STAPLER 30MM

Facility

$585.00

Hospital Charge Code	270334722
Hospital Revenue Code	272
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$175.50
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.05
Rate for Payer: Oxford Commercial	$292.50
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Commercial	$292.50

RELOADABLE LINEAR STAPLER 30MM

Facility

$585.00

Hospital Charge Code	270334722
Hospital Revenue Code	272
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$87.75
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

RELOAD ARTICUL CUTTER 35MM WHT

Facility

$274.48

Hospital Charge Code	270608644
Hospital Revenue Code	272
Min. Negotiated Rate	$41.17
Max. Negotiated Rate	$41.17
Rate for Payer: Qualcare PPO/HMO/WC	$41.17

RELOAD ARTICUL CUTTER 35MM WHT

Facility

$274.48

Hospital Charge Code	270608644
Hospital Revenue Code	272
Min. Negotiated Rate	$35.68
Max. Negotiated Rate	$137.24
Rate for Payer: Aetna Commercial	$82.34
Rate for Payer: Aetna Medicare Advantage	$82.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.99
Rate for Payer: Cigna Commercial	$137.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.68
Rate for Payer: Oxford Commercial	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$41.17
Rate for Payer: UnitedHealthcare Commercial	$137.24

RELOAD ECHELON 35MM WHITE

Facility

$792.08

Hospital Charge Code	270676633
Hospital Revenue Code	272
Min. Negotiated Rate	$102.97
Max. Negotiated Rate	$396.04
Rate for Payer: Aetna Commercial	$237.62
Rate for Payer: Aetna Medicare Advantage	$237.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.98
Rate for Payer: Cigna Commercial	$396.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.97
Rate for Payer: Oxford Commercial	$396.04
Rate for Payer: Qualcare PPO/HMO/WC	$118.81
Rate for Payer: UnitedHealthcare Commercial	$396.04

RELOAD ECHELON 35MM WHITE

Facility

$792.08

Hospital Charge Code	270676633
Hospital Revenue Code	272
Min. Negotiated Rate	$118.81
Max. Negotiated Rate	$118.81
Rate for Payer: Qualcare PPO/HMO/WC	$118.81

RELOAD ECHELON 45 BLUE

Facility

$879.45

Hospital Charge Code	270662759
Hospital Revenue Code	272
Min. Negotiated Rate	$114.33
Max. Negotiated Rate	$439.73
Rate for Payer: Aetna Commercial	$263.83
Rate for Payer: Aetna Medicare Advantage	$263.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.26
Rate for Payer: Cigna Commercial	$439.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.33
Rate for Payer: Oxford Commercial	$439.73
Rate for Payer: Qualcare PPO/HMO/WC	$131.92
Rate for Payer: UnitedHealthcare Commercial	$439.73

RELOAD ECHELON 45 BLUE

Facility

$879.45

Hospital Charge Code	270662759
Hospital Revenue Code	272
Min. Negotiated Rate	$131.92
Max. Negotiated Rate	$131.92
Rate for Payer: Qualcare PPO/HMO/WC	$131.92

RELOAD ECHELON 45 GOLD

Facility

$1,367.20

Hospital Charge Code	270662921
Hospital Revenue Code	272
Min. Negotiated Rate	$205.08
Max. Negotiated Rate	$205.08
Rate for Payer: Qualcare PPO/HMO/WC	$205.08

RELOAD ECHELON 45 GOLD

Facility

$1,367.20

Hospital Charge Code	270662921
Hospital Revenue Code	272
Min. Negotiated Rate	$177.74
Max. Negotiated Rate	$683.60
Rate for Payer: Aetna Commercial	$410.16
Rate for Payer: Aetna Medicare Advantage	$410.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.64
Rate for Payer: Cigna Commercial	$683.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.74
Rate for Payer: Oxford Commercial	$683.60
Rate for Payer: Qualcare PPO/HMO/WC	$205.08
Rate for Payer: UnitedHealthcare Commercial	$683.60

RELOAD ECHELON 45 GRAY

Facility

$879.45

Hospital Charge Code	270662923
Hospital Revenue Code	272
Min. Negotiated Rate	$131.92
Max. Negotiated Rate	$131.92
Rate for Payer: Qualcare PPO/HMO/WC	$131.92

RELOAD ECHELON 45 GRAY

Facility

$879.45

Hospital Charge Code	270662923
Hospital Revenue Code	272
Min. Negotiated Rate	$114.33
Max. Negotiated Rate	$439.73
Rate for Payer: Aetna Commercial	$263.83
Rate for Payer: Aetna Medicare Advantage	$263.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.26
Rate for Payer: Cigna Commercial	$439.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.33
Rate for Payer: Oxford Commercial	$439.73
Rate for Payer: Qualcare PPO/HMO/WC	$131.92
Rate for Payer: UnitedHealthcare Commercial	$439.73

RELOAD ECHELON 45 GREEN

Facility

$877.45

Hospital Charge Code	270662922
Hospital Revenue Code	272
Min. Negotiated Rate	$114.07
Max. Negotiated Rate	$438.73
Rate for Payer: Aetna Commercial	$263.24
Rate for Payer: Aetna Medicare Advantage	$263.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.75
Rate for Payer: Cigna Commercial	$438.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.07
Rate for Payer: Oxford Commercial	$438.73
Rate for Payer: Qualcare PPO/HMO/WC	$131.62
Rate for Payer: UnitedHealthcare Commercial	$438.73

RELOAD ECHELON 45 GREEN

Facility

$877.45

Hospital Charge Code	270662922
Hospital Revenue Code	272
Min. Negotiated Rate	$131.62
Max. Negotiated Rate	$131.62
Rate for Payer: Qualcare PPO/HMO/WC	$131.62

RELOAD ECHELON 45 WHITE

Facility

$1,535.82

Hospital Charge Code	270662789
Hospital Revenue Code	272
Min. Negotiated Rate	$230.37
Max. Negotiated Rate	$230.37
Rate for Payer: Qualcare PPO/HMO/WC	$230.37

RELOAD ECHELON 45 WHITE

Facility

$1,535.82

Hospital Charge Code	270662789
Hospital Revenue Code	272
Min. Negotiated Rate	$199.66
Max. Negotiated Rate	$767.91
Rate for Payer: Aetna Commercial	$460.75
Rate for Payer: Aetna Medicare Advantage	$460.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.63
Rate for Payer: Cigna Commercial	$767.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.66
Rate for Payer: Oxford Commercial	$767.91
Rate for Payer: Qualcare PPO/HMO/WC	$230.37
Rate for Payer: UnitedHealthcare Commercial	$767.91

RELOAD ECHELON 60MM BLACK

Facility

$950.95

Hospital Charge Code	270670862
Hospital Revenue Code	272
Min. Negotiated Rate	$142.64
Max. Negotiated Rate	$142.64
Rate for Payer: Qualcare PPO/HMO/WC	$142.64

RELOAD ECHELON 60MM BLACK

Facility

$950.95

Hospital Charge Code	270670862
Hospital Revenue Code	272
Min. Negotiated Rate	$123.62
Max. Negotiated Rate	$475.48
Rate for Payer: Aetna Commercial	$285.29
Rate for Payer: Aetna Medicare Advantage	$285.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.49
Rate for Payer: Cigna Commercial	$475.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.62
Rate for Payer: Oxford Commercial	$475.48
Rate for Payer: Qualcare PPO/HMO/WC	$142.64
Rate for Payer: UnitedHealthcare Commercial	$475.48

RELOAD ECHELON 60MM BLUE

Facility

$950.95

Hospital Charge Code	270670860
Hospital Revenue Code	272
Min. Negotiated Rate	$123.62
Max. Negotiated Rate	$475.48
Rate for Payer: Aetna Commercial	$285.29
Rate for Payer: Aetna Medicare Advantage	$285.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.49
Rate for Payer: Cigna Commercial	$475.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.62
Rate for Payer: Oxford Commercial	$475.48
Rate for Payer: Qualcare PPO/HMO/WC	$142.64
Rate for Payer: UnitedHealthcare Commercial	$475.48

RELOAD ECHELON 60MM BLUE

Facility

$950.95

Hospital Charge Code	270670860
Hospital Revenue Code	272
Min. Negotiated Rate	$142.64
Max. Negotiated Rate	$142.64
Rate for Payer: Qualcare PPO/HMO/WC	$142.64

RELOAD ECHELON 60MM GOLD

Facility

$806.45

Hospital Charge Code	270670861
Hospital Revenue Code	272
Min. Negotiated Rate	$104.84
Max. Negotiated Rate	$403.23
Rate for Payer: Aetna Commercial	$241.94
Rate for Payer: Aetna Medicare Advantage	$241.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.64
Rate for Payer: Cigna Commercial	$403.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.84
Rate for Payer: Oxford Commercial	$403.23
Rate for Payer: Qualcare PPO/HMO/WC	$120.97
Rate for Payer: UnitedHealthcare Commercial	$403.23

RELOAD ECHELON 60MM GOLD

Facility

$806.45

Hospital Charge Code	270670861
Hospital Revenue Code	272
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$120.97
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

RELOAD ECHELON 60MM GREEN

Facility

$950.95

Hospital Charge Code	270670863
Hospital Revenue Code	272
Min. Negotiated Rate	$142.64
Max. Negotiated Rate	$142.64
Rate for Payer: Qualcare PPO/HMO/WC	$142.64

RELOAD ECHELON 60MM GREEN

Facility

$950.95

Hospital Charge Code	270670863
Hospital Revenue Code	272
Min. Negotiated Rate	$123.62
Max. Negotiated Rate	$475.48
Rate for Payer: Aetna Commercial	$285.29
Rate for Payer: Aetna Medicare Advantage	$285.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.49
Rate for Payer: Cigna Commercial	$475.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.62
Rate for Payer: Oxford Commercial	$475.48
Rate for Payer: Qualcare PPO/HMO/WC	$142.64
Rate for Payer: UnitedHealthcare Commercial	$475.48

RELOAD ECHELON 60MM WHITE

Facility

$280.38

Hospital Charge Code	270608751
Hospital Revenue Code	272
Min. Negotiated Rate	$42.06
Max. Negotiated Rate	$42.06
Rate for Payer: Qualcare PPO/HMO/WC	$42.06

Know your out-of-pocket cost for care.

All Charges