Heights University Hospital

All Charges

Charge

Type

Setting

Price

RETRACTOR APP MOBIUS 900500

Facility

$495.25

Hospital Charge Code	270625163
Hospital Revenue Code	272
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$74.29
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

RETRACTOR APP MOBIUS 900500

Facility

$495.25

Hospital Charge Code	270625163
Hospital Revenue Code	272
Min. Negotiated Rate	$64.38
Max. Negotiated Rate	$247.62
Rate for Payer: Aetna Commercial	$148.57
Rate for Payer: Aetna Medicare Advantage	$148.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.29
Rate for Payer: Cigna Commercial	$247.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.38
Rate for Payer: Oxford Commercial	$247.62
Rate for Payer: Qualcare PPO/HMO/WC	$74.29
Rate for Payer: UnitedHealthcare Commercial	$247.62

RETRACTOR BLADE BLUNT 35MM

Facility

$358.60

Hospital Charge Code	270653461
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE BLUNT 35MM

Facility

$358.60

Hospital Charge Code	270653461
Hospital Revenue Code	272
Min. Negotiated Rate	$46.62
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$107.58
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.62
Rate for Payer: Oxford Commercial	$179.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$179.30

RETRACTOR BLADE BLUNT 40MM

Facility

$358.60

Hospital Charge Code	270653462
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE BLUNT 40MM

Facility

$358.60

Hospital Charge Code	270653462
Hospital Revenue Code	272
Min. Negotiated Rate	$46.62
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$107.58
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.62
Rate for Payer: Oxford Commercial	$179.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$179.30

RETRACTOR BLADE BLUNT 45MM

Facility

$358.60

Hospital Charge Code	270653463
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE BLUNT 45MM

Facility

$358.60

Hospital Charge Code	270653463
Hospital Revenue Code	272
Min. Negotiated Rate	$46.62
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$107.58
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.62
Rate for Payer: Oxford Commercial	$179.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$179.30

RETRACTOR BLADE BLUNT 50MM

Facility

$358.60

Hospital Charge Code	270653464
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE BLUNT 50MM

Facility

$358.60

Hospital Charge Code	270653464
Hospital Revenue Code	272
Min. Negotiated Rate	$46.62
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$107.58
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.62
Rate for Payer: Oxford Commercial	$179.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$179.30

RETRACTOR BLADE BLUNT 55MM

Facility

$358.60

Hospital Charge Code	270653465
Hospital Revenue Code	272
Min. Negotiated Rate	$46.62
Max. Negotiated Rate	$179.30
Rate for Payer: Aetna Commercial	$107.58
Rate for Payer: Aetna Medicare Advantage	$107.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.44
Rate for Payer: Cigna Commercial	$179.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.62
Rate for Payer: Oxford Commercial	$179.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.79
Rate for Payer: UnitedHealthcare Commercial	$179.30

RETRACTOR BLADE BLUNT 55MM

Facility

$358.60

Hospital Charge Code	270653465
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$53.79
Rate for Payer: Qualcare PPO/HMO/WC	$53.79

RETRACTOR BLADE SHARP 35MM

Facility

$362.50

Hospital Charge Code	270653455
Hospital Revenue Code	272
Min. Negotiated Rate	$47.12
Max. Negotiated Rate	$181.25
Rate for Payer: Aetna Commercial	$108.75
Rate for Payer: Aetna Medicare Advantage	$108.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.44
Rate for Payer: Cigna Commercial	$181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.12
Rate for Payer: Oxford Commercial	$181.25
Rate for Payer: Qualcare PPO/HMO/WC	$54.38
Rate for Payer: UnitedHealthcare Commercial	$181.25

RETRACTOR BLADE SHARP 35MM

Facility

$362.50

Hospital Charge Code	270653455
Hospital Revenue Code	272
Min. Negotiated Rate	$54.38
Max. Negotiated Rate	$54.38
Rate for Payer: Qualcare PPO/HMO/WC	$54.38

RETRACTOR BLADE SHARP 40MM

Facility

$362.50

Hospital Charge Code	270653456
Hospital Revenue Code	272
Min. Negotiated Rate	$47.12
Max. Negotiated Rate	$181.25
Rate for Payer: Aetna Commercial	$108.75
Rate for Payer: Aetna Medicare Advantage	$108.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.44
Rate for Payer: Cigna Commercial	$181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.12
Rate for Payer: Oxford Commercial	$181.25
Rate for Payer: Qualcare PPO/HMO/WC	$54.38
Rate for Payer: UnitedHealthcare Commercial	$181.25

RETRACTOR BLADE SHARP 40MM

Facility

$362.50

Hospital Charge Code	270653456
Hospital Revenue Code	272
Min. Negotiated Rate	$54.38
Max. Negotiated Rate	$54.38
Rate for Payer: Qualcare PPO/HMO/WC	$54.38

RETRACTOR BLADE SHARP 45MM

Facility

$362.50

Hospital Charge Code	270653457
Hospital Revenue Code	272
Min. Negotiated Rate	$54.38
Max. Negotiated Rate	$54.38
Rate for Payer: Qualcare PPO/HMO/WC	$54.38

RETRACTOR BLADE SHARP 45MM

Facility

$362.50

Hospital Charge Code	270653457
Hospital Revenue Code	272
Min. Negotiated Rate	$47.12
Max. Negotiated Rate	$181.25
Rate for Payer: Aetna Commercial	$108.75
Rate for Payer: Aetna Medicare Advantage	$108.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.44
Rate for Payer: Cigna Commercial	$181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.12
Rate for Payer: Oxford Commercial	$181.25
Rate for Payer: Qualcare PPO/HMO/WC	$54.38
Rate for Payer: UnitedHealthcare Commercial	$181.25

RETRACTOR BLUNT 12 MM

Facility

$47.43

Hospital Charge Code	270691054
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$23.71
Rate for Payer: Aetna Commercial	$14.23
Rate for Payer: Aetna Medicare Advantage	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.09
Rate for Payer: Cigna Commercial	$23.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$23.71
Rate for Payer: Qualcare PPO/HMO/WC	$7.11
Rate for Payer: UnitedHealthcare Commercial	$23.71

RETRACTOR BLUNT 12 MM

Facility

$47.43

Hospital Charge Code	270691054
Hospital Revenue Code	272
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$7.11
Rate for Payer: Qualcare PPO/HMO/WC	$7.11

RETRACTOR CAPSULE

Facility

$3,600.00

Hospital Charge Code	270698355
Hospital Revenue Code	272
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

RETRACTOR CAPSULE

Facility

$3,600.00

Hospital Charge Code	270698355
Hospital Revenue Code	272
Min. Negotiated Rate	$468.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,080.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.00
Rate for Payer: Oxford Commercial	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Commercial	$1,800.00

RETRACTOR EDS ENDO EK441601

Facility

$2,806.45

Hospital Charge Code	270628755
Hospital Revenue Code	272
Min. Negotiated Rate	$364.84
Max. Negotiated Rate	$1,403.22
Rate for Payer: Aetna Commercial	$841.93
Rate for Payer: Aetna Medicare Advantage	$841.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$715.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$715.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$715.64
Rate for Payer: Cigna Commercial	$1,403.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.84
Rate for Payer: Oxford Commercial	$1,403.22
Rate for Payer: Qualcare PPO/HMO/WC	$420.97
Rate for Payer: UnitedHealthcare Commercial	$1,403.22

RETRACTOR EDS ENDO EK441601

Facility

$2,806.45

Hospital Charge Code	270628755
Hospital Revenue Code	272
Min. Negotiated Rate	$420.97
Max. Negotiated Rate	$420.97
Rate for Payer: Qualcare PPO/HMO/WC	$420.97

RETRACTOR ENDO 10MM STD LGTH

Facility

$364.34

Hospital Charge Code	270667606
Hospital Revenue Code	272
Min. Negotiated Rate	$47.36
Max. Negotiated Rate	$182.17
Rate for Payer: Aetna Commercial	$109.30
Rate for Payer: Aetna Medicare Advantage	$109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.91
Rate for Payer: Cigna Commercial	$182.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.36
Rate for Payer: Oxford Commercial	$182.17
Rate for Payer: Qualcare PPO/HMO/WC	$54.65
Rate for Payer: UnitedHealthcare Commercial	$182.17

Know your out-of-pocket cost for care.

All Charges