Heights University Hospital

All Charges

Charge

Type

Setting

Price

RELOAD PROXIMATE 30MM 4.8MM

Facility

$204.95

Hospital Charge Code	270658359
Hospital Revenue Code	272
Min. Negotiated Rate	$26.64
Max. Negotiated Rate	$102.47
Rate for Payer: Aetna Commercial	$61.48
Rate for Payer: Aetna Medicare Advantage	$61.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.26
Rate for Payer: Cigna Commercial	$102.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.64
Rate for Payer: Oxford Commercial	$102.47
Rate for Payer: Qualcare PPO/HMO/WC	$30.74
Rate for Payer: UnitedHealthcare Commercial	$102.47

RELOAD PROXIMATE 30MM 4.8MM

Facility

$204.95

Hospital Charge Code	270658359
Hospital Revenue Code	272
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$30.74
Rate for Payer: Qualcare PPO/HMO/WC	$30.74

RELOAD PROXIMATE 90mm

Facility

$371.68

Hospital Charge Code	270658540
Hospital Revenue Code	272
Min. Negotiated Rate	$48.32
Max. Negotiated Rate	$185.84
Rate for Payer: Aetna Commercial	$111.50
Rate for Payer: Aetna Medicare Advantage	$111.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.78
Rate for Payer: Cigna Commercial	$185.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.32
Rate for Payer: Oxford Commercial	$185.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.75
Rate for Payer: UnitedHealthcare Commercial	$185.84

RELOAD PROXIMATE 90mm

Facility

$371.68

Hospital Charge Code	270658540
Hospital Revenue Code	272
Min. Negotiated Rate	$55.75
Max. Negotiated Rate	$55.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.75

RELOAD PROXIMATE CUTTER 55mm

Facility

$749.05

Hospital Charge Code	270658384
Hospital Revenue Code	272
Min. Negotiated Rate	$112.36
Max. Negotiated Rate	$112.36
Rate for Payer: Qualcare PPO/HMO/WC	$112.36

RELOAD PROXIMATE CUTTER 55mm

Facility

$749.05

Hospital Charge Code	270658384
Hospital Revenue Code	272
Min. Negotiated Rate	$97.38
Max. Negotiated Rate	$374.52
Rate for Payer: Aetna Commercial	$224.72
Rate for Payer: Aetna Medicare Advantage	$224.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.01
Rate for Payer: Cigna Commercial	$374.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.38
Rate for Payer: Oxford Commercial	$374.52
Rate for Payer: Qualcare PPO/HMO/WC	$112.36
Rate for Payer: UnitedHealthcare Commercial	$374.52

RELOAD PROXIMATE VASC 30MM

Facility

$210.70

Hospital Charge Code	270658358
Hospital Revenue Code	272
Min. Negotiated Rate	$27.39
Max. Negotiated Rate	$105.35
Rate for Payer: Aetna Commercial	$63.21
Rate for Payer: Aetna Medicare Advantage	$63.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.73
Rate for Payer: Cigna Commercial	$105.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.39
Rate for Payer: Oxford Commercial	$105.35
Rate for Payer: Qualcare PPO/HMO/WC	$31.61
Rate for Payer: UnitedHealthcare Commercial	$105.35

RELOAD PROXIMATE VASC 30MM

Facility

$210.70

Hospital Charge Code	270658358
Hospital Revenue Code	272
Min. Negotiated Rate	$31.61
Max. Negotiated Rate	$31.61
Rate for Payer: Qualcare PPO/HMO/WC	$31.61

RELOAD RELIATACK ARTICULATING

Facility

$2,478.52

Hospital Charge Code	270680297
Hospital Revenue Code	272
Min. Negotiated Rate	$371.78
Max. Negotiated Rate	$371.78
Rate for Payer: Qualcare PPO/HMO/WC	$371.78

RELOAD RELIATACK ARTICULATING

Facility

$670.27

Hospital Charge Code	270673106
Hospital Revenue Code	272
Min. Negotiated Rate	$100.54
Max. Negotiated Rate	$100.54
Rate for Payer: Qualcare PPO/HMO/WC	$100.54

RELOAD RELIATACK ARTICULATING

Facility

$670.27

Hospital Charge Code	270673106
Hospital Revenue Code	272
Min. Negotiated Rate	$87.14
Max. Negotiated Rate	$335.13
Rate for Payer: Aetna Commercial	$201.08
Rate for Payer: Aetna Medicare Advantage	$201.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.92
Rate for Payer: Cigna Commercial	$335.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.14
Rate for Payer: Oxford Commercial	$335.13
Rate for Payer: Qualcare PPO/HMO/WC	$100.54
Rate for Payer: UnitedHealthcare Commercial	$335.13

RELOAD RELIATACK ARTICULATING

Facility

$2,478.52

Hospital Charge Code	270680297
Hospital Revenue Code	272
Min. Negotiated Rate	$322.21
Max. Negotiated Rate	$1,239.26
Rate for Payer: Aetna Commercial	$743.56
Rate for Payer: Aetna Medicare Advantage	$743.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.02
Rate for Payer: Cigna Commercial	$1,239.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.21
Rate for Payer: Oxford Commercial	$1,239.26
Rate for Payer: Qualcare PPO/HMO/WC	$371.78
Rate for Payer: UnitedHealthcare Commercial	$1,239.26

RELOAD SMALL SIGNIA 30MM GRAY

Facility

$3,641.40

Hospital Charge Code	270692849
Hospital Revenue Code	272
Min. Negotiated Rate	$473.38
Max. Negotiated Rate	$1,820.70
Rate for Payer: Aetna Commercial	$1,092.42
Rate for Payer: Aetna Medicare Advantage	$1,092.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$928.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$928.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$928.56
Rate for Payer: Cigna Commercial	$1,820.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$473.38
Rate for Payer: Oxford Commercial	$1,820.70
Rate for Payer: Qualcare PPO/HMO/WC	$546.21
Rate for Payer: UnitedHealthcare Commercial	$1,820.70

RELOAD SMALL SIGNIA 30MM GRAY

Facility

$3,641.40

Hospital Charge Code	270692849
Hospital Revenue Code	272
Min. Negotiated Rate	$546.21
Max. Negotiated Rate	$546.21
Rate for Payer: Qualcare PPO/HMO/WC	$546.21

RELOAD SMALL SIGNIA 30MM WHITE

Facility

$3,695.41

Hospital Charge Code	270692848
Hospital Revenue Code	272
Min. Negotiated Rate	$554.31
Max. Negotiated Rate	$554.31
Rate for Payer: Qualcare PPO/HMO/WC	$554.31

RELOAD SMALL SIGNIA 30MM WHITE

Facility

$3,695.41

Hospital Charge Code	270692848
Hospital Revenue Code	272
Min. Negotiated Rate	$480.40
Max. Negotiated Rate	$1,847.70
Rate for Payer: Aetna Commercial	$1,108.62
Rate for Payer: Aetna Medicare Advantage	$1,108.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$942.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$942.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$942.33
Rate for Payer: Cigna Commercial	$1,847.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.40
Rate for Payer: Oxford Commercial	$1,847.70
Rate for Payer: Qualcare PPO/HMO/WC	$554.31
Rate for Payer: UnitedHealthcare Commercial	$1,847.70

RELOAD SMALL SIGNIA 45MM WHITE

Facility

$3,896.66

Hospital Charge Code	270692850
Hospital Revenue Code	272
Min. Negotiated Rate	$584.50
Max. Negotiated Rate	$584.50
Rate for Payer: Qualcare PPO/HMO/WC	$584.50

RELOAD SMALL SIGNIA 45MM WHITE

Facility

$3,896.66

Hospital Charge Code	270692850
Hospital Revenue Code	272
Min. Negotiated Rate	$506.57
Max. Negotiated Rate	$1,948.33
Rate for Payer: Aetna Commercial	$1,169.00
Rate for Payer: Aetna Medicare Advantage	$1,169.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$993.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$993.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$993.65
Rate for Payer: Cigna Commercial	$1,948.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$506.57
Rate for Payer: Oxford Commercial	$1,948.33
Rate for Payer: Qualcare PPO/HMO/WC	$584.50
Rate for Payer: UnitedHealthcare Commercial	$1,948.33

RELOAD STAPLER 30MM

Facility

$85.00

Hospital Charge Code	270338698
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$42.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$42.50

RELOAD STAPLER 30MM

Facility

$85.00

Hospital Charge Code	270338698
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

RELOAD STAPLER 60MM

Facility

$87.00

Hospital Charge Code	270338700
Hospital Revenue Code	272
Min. Negotiated Rate	$11.31
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$26.10
Rate for Payer: Aetna Medicare Advantage	$26.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.18
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.31
Rate for Payer: Oxford Commercial	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$43.50

RELOAD STAPLER 60MM

Facility

$87.00

Hospital Charge Code	270338700
Hospital Revenue Code	272
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

RELOAD STAPLER BLUE 45

Facility

$900.00

Hospital Charge Code	270666135
Hospital Revenue Code	270
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

RELOAD STAPLER BLUE 45

Facility

$900.00

Hospital Charge Code	270666135
Hospital Revenue Code	270
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$450.00

RELOAD STAPLER GREEN 45

Facility

$900.00

Hospital Charge Code	270666136
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$450.00

Know your out-of-pocket cost for care.

All Charges