Heights University Hospital

All Charges

Charge

Type

Setting

Price

RESTORIS PST METAL HEAD

Facility

$25,615.00

Hospital Charge Code	270668068
Hospital Revenue Code	278
Min. Negotiated Rate	$3,842.25
Max. Negotiated Rate	$6,198.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,198.83
Rate for Payer: Qualcare PPO/HMO/WC	$3,842.25

RESTRAINT BEACH CHAIR HEAD

Facility

$995.00

Hospital Charge Code	270648817
Hospital Revenue Code	271
Min. Negotiated Rate	$129.35
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$298.50
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.35
Rate for Payer: Oxford Commercial	$497.50
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Commercial	$497.50

RESTRAINT BEACH CHAIR HEAD

Facility

$995.00

Hospital Charge Code	270648817
Hospital Revenue Code	271
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$149.25
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

RESTRAINT DISP LIMB HO 301035A

Facility

$11.00

Hospital Charge Code	270301035A
Hospital Revenue Code	270
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$3.30
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.50

RESTRAINT DISP LIMB HO 301035A

Facility

$11.00

Hospital Charge Code	270301035A
Hospital Revenue Code	270
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

RESTRAINT DISP LIMB HOLDER

Facility

$23.00

Hospital Charge Code	270301035
Hospital Revenue Code	270
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

RESTRAINT DISP LIMB HOLDER

Facility

$23.00

Hospital Charge Code	270301035
Hospital Revenue Code	270
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

RESTRAINT ROLL BELT

Facility

$83.25

Hospital Charge Code	270301060
Hospital Revenue Code	270
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$12.49
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

RESTRAINT ROLL BELT

Facility

$83.25

Hospital Charge Code	270301060
Hospital Revenue Code	270
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.82
Rate for Payer: Oxford Commercial	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Commercial	$41.62

RESTRAINT SPLINT FREEDOM LG

Facility

$94.45

Hospital Charge Code	270301075
Hospital Revenue Code	270
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

RESTRAINT SPLINT FREEDOM LG

Facility

$94.45

Hospital Charge Code	270301075
Hospital Revenue Code	270
Min. Negotiated Rate	$12.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$28.34
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.28
Rate for Payer: Oxford Commercial	$47.23
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$47.23

RESTRAINT SPLINT FREEDOM MED

Facility

$64.85

Hospital Charge Code	270301070
Hospital Revenue Code	270
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$32.42
Rate for Payer: Aetna Commercial	$19.45
Rate for Payer: Aetna Medicare Advantage	$19.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.54
Rate for Payer: Cigna Commercial	$32.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.43
Rate for Payer: Oxford Commercial	$32.42
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Commercial	$32.42

RESTRAINT SPLINT FREEDOM MED

Facility

$64.85

Hospital Charge Code	270301070
Hospital Revenue Code	270
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$9.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

RESTRAINT SPLINT FREEDOM SM

Facility

$94.45

Hospital Charge Code	270301065
Hospital Revenue Code	270
Min. Negotiated Rate	$12.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$28.34
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.28
Rate for Payer: Oxford Commercial	$47.23
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$47.23

RESTRAINT SPLINT FREEDOM SM

Facility

$94.45

Hospital Charge Code	270301065
Hospital Revenue Code	270
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

RESTRAINT TIEBACK VEST LG

Facility

$82.50

Hospital Charge Code	270301050
Hospital Revenue Code	270
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$41.25
Rate for Payer: Aetna Commercial	$24.75
Rate for Payer: Aetna Medicare Advantage	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.04
Rate for Payer: Cigna Commercial	$41.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$12.38
Rate for Payer: UnitedHealthcare Commercial	$41.25

RESTRAINT TIEBACK VEST LG

Facility

$82.50

Hospital Charge Code	270301050
Hospital Revenue Code	270
Min. Negotiated Rate	$12.38
Max. Negotiated Rate	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$12.38

RESTRAINT TIEBACK VEST MED

Facility

$88.00

Hospital Charge Code	270301045
Hospital Revenue Code	270
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

RESTRAINT TIEBACK VEST MED

Facility

$88.00

Hospital Charge Code	270301045
Hospital Revenue Code	270
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

RESTRAINT TIEBACK VEST SM

Facility

$30.45

Hospital Charge Code	270301040
Hospital Revenue Code	270
Min. Negotiated Rate	$4.57
Max. Negotiated Rate	$4.57
Rate for Payer: Qualcare PPO/HMO/WC	$4.57

RESTRAINT TIEBACK VEST SM

Facility

$30.45

Hospital Charge Code	270301040
Hospital Revenue Code	270
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$15.22
Rate for Payer: Aetna Commercial	$9.13
Rate for Payer: Aetna Medicare Advantage	$9.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.76
Rate for Payer: Cigna Commercial	$15.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.96
Rate for Payer: Oxford Commercial	$15.22
Rate for Payer: Qualcare PPO/HMO/WC	$4.57
Rate for Payer: UnitedHealthcare Commercial	$15.22

RESTRAINT TIEBACK VEST XLG

Facility

$88.00

Hospital Charge Code	270301055
Hospital Revenue Code	270
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

RESTRAINT TIEBACK VEST XLG

Facility

$88.00

Hospital Charge Code	270301055
Hospital Revenue Code	270
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

RESTRAINT TORSO BELT LG

Facility

$97.65

Hospital Charge Code	270301078
Hospital Revenue Code	270
Min. Negotiated Rate	$14.65
Max. Negotiated Rate	$14.65
Rate for Payer: Qualcare PPO/HMO/WC	$14.65

RESTRAINT TORSO BELT LG

Facility

$97.65

Hospital Charge Code	270301078
Hospital Revenue Code	270
Min. Negotiated Rate	$12.69
Max. Negotiated Rate	$48.83
Rate for Payer: Aetna Commercial	$29.30
Rate for Payer: Aetna Medicare Advantage	$29.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.90
Rate for Payer: Cigna Commercial	$48.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.69
Rate for Payer: Oxford Commercial	$48.83
Rate for Payer: Qualcare PPO/HMO/WC	$14.65
Rate for Payer: UnitedHealthcare Commercial	$48.83

Know your out-of-pocket cost for care.

All Charges