Heights University Hospital

All Charges

Charge

Type

Setting

Price

RINGERS LACTATE INJ 1000ml

Facility

$5.09

Hospital Charge Code	270649590
Hospital Revenue Code	258
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Qualcare PPO/HMO/WC	$0.76

RINGERS LACTATE INJ 1000ml

Facility

$5.09

Hospital Charge Code	270649590
Hospital Revenue Code	258
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$2.54
Rate for Payer: Aetna Commercial	$1.53
Rate for Payer: Aetna Medicare Advantage	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.30
Rate for Payer: Cigna Commercial	$2.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.66
Rate for Payer: Oxford Commercial	$2.54
Rate for Payer: Qualcare PPO/HMO/WC	$0.76
Rate for Payer: UnitedHealthcare Commercial	$2.54

RINGERS LACTATE IRRIGAT

Facility

$47.25

Hospital Charge Code	270040101
Hospital Revenue Code	272
Min. Negotiated Rate	$6.14
Max. Negotiated Rate	$23.62
Rate for Payer: Aetna Commercial	$14.18
Rate for Payer: Aetna Medicare Advantage	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.05
Rate for Payer: Cigna Commercial	$23.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.14
Rate for Payer: Oxford Commercial	$23.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
Rate for Payer: UnitedHealthcare Commercial	$23.62

RINGERS LACTATE IRRIGAT

Facility

$47.25

Hospital Charge Code	270040101
Hospital Revenue Code	272
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

RING FALLOPE TUBAL OCCLUSN DEV

Facility

$435.00

Hospital Charge Code	270653340
Hospital Revenue Code	278
Min. Negotiated Rate	$65.25
Max. Negotiated Rate	$105.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: Qualcare PPO/HMO/WC	$65.25

RING FALLOPE TUBAL OCCLUSN DEV

Facility

$435.00

Hospital Charge Code	270653340
Hospital Revenue Code	278
Min. Negotiated Rate	$65.25
Max. Negotiated Rate	$217.50
Rate for Payer: Aetna Commercial	$130.50
Rate for Payer: Aetna Medicare Advantage	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.92
Rate for Payer: Cigna Commercial	$217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: Qualcare PPO/HMO/WC	$65.25

RING FOAM INVALID MED 16

Facility

$65.50

Hospital Charge Code	270649737
Hospital Revenue Code	270
Min. Negotiated Rate	$9.82
Max. Negotiated Rate	$9.82
Rate for Payer: Qualcare PPO/HMO/WC	$9.82

RING FOAM INVALID MED 16

Facility

$65.50

Hospital Charge Code	270649737
Hospital Revenue Code	270
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$32.75
Rate for Payer: Aetna Commercial	$19.65
Rate for Payer: Aetna Medicare Advantage	$19.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.70
Rate for Payer: Cigna Commercial	$32.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.52
Rate for Payer: Oxford Commercial	$32.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.82
Rate for Payer: UnitedHealthcare Commercial	$32.75

RING FOOT CARB FIBER 160MM LNG

Facility

$3,534.95

Hospital Charge Code	270678081
Hospital Revenue Code	272
Min. Negotiated Rate	$530.24
Max. Negotiated Rate	$530.24
Rate for Payer: Qualcare PPO/HMO/WC	$530.24

RING FOOT CARB FIBER 160MM LNG

Facility

$3,534.95

Hospital Charge Code	270678081
Hospital Revenue Code	272
Min. Negotiated Rate	$459.54
Max. Negotiated Rate	$1,767.47
Rate for Payer: Aetna Commercial	$1,060.48
Rate for Payer: Aetna Medicare Advantage	$1,060.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$901.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$901.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$901.41
Rate for Payer: Cigna Commercial	$1,767.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.54
Rate for Payer: Oxford Commercial	$1,767.47
Rate for Payer: Qualcare PPO/HMO/WC	$530.24
Rate for Payer: UnitedHealthcare Commercial	$1,767.47

RING FOOT SHORT SALVATION

Facility

$4,185.00

Hospital Charge Code	270684449
Hospital Revenue Code	272
Min. Negotiated Rate	$544.05
Max. Negotiated Rate	$2,092.50
Rate for Payer: Aetna Commercial	$1,255.50
Rate for Payer: Aetna Medicare Advantage	$1,255.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,067.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,067.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,067.17
Rate for Payer: Cigna Commercial	$2,092.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.05
Rate for Payer: Oxford Commercial	$2,092.50
Rate for Payer: Qualcare PPO/HMO/WC	$627.75
Rate for Payer: UnitedHealthcare Commercial	$2,092.50

RING FOOT SHORT SALVATION

Facility

$4,185.00

Hospital Charge Code	270684449
Hospital Revenue Code	272
Min. Negotiated Rate	$627.75
Max. Negotiated Rate	$627.75
Rate for Payer: Qualcare PPO/HMO/WC	$627.75

RING G7 HARD BEARING SZ G

Facility

$1,150.00

Service Code	HCPCS C1776
Hospital Charge Code	270695265
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$345.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

RING G7 HARD BEARING SZ G

Facility

$1,150.00

Service Code	HCPCS C1776
Hospital Charge Code	270695265
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$278.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

RING HALF CARBON FIBER 180MM

Facility

$2,660.50

Hospital Charge Code	270678082
Hospital Revenue Code	272
Min. Negotiated Rate	$399.07
Max. Negotiated Rate	$399.07
Rate for Payer: Qualcare PPO/HMO/WC	$399.07

RING HALF CARBON FIBER 180MM

Facility

$2,660.50

Hospital Charge Code	270678082
Hospital Revenue Code	272
Min. Negotiated Rate	$345.87
Max. Negotiated Rate	$1,330.25
Rate for Payer: Aetna Commercial	$798.15
Rate for Payer: Aetna Medicare Advantage	$798.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$678.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$678.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$678.43
Rate for Payer: Cigna Commercial	$1,330.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.87
Rate for Payer: Oxford Commercial	$1,330.25
Rate for Payer: Qualcare PPO/HMO/WC	$399.07
Rate for Payer: UnitedHealthcare Commercial	$1,330.25

RING HEEL PROTECTOR

Facility

$131.25

Hospital Charge Code	270605946
Hospital Revenue Code	270
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

RING HEEL PROTECTOR

Facility

$131.25

Hospital Charge Code	270605946
Hospital Revenue Code	270
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$39.38
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Oxford Commercial	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$65.62

RINGLOC 62MM SZ 25

Facility

$16,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270673644
Hospital Revenue Code	278
Min. Negotiated Rate	$2,456.25
Max. Negotiated Rate	$8,187.50
Rate for Payer: Aetna Commercial	$4,912.50
Rate for Payer: Aetna Medicare Advantage	$4,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,175.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,175.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,175.62
Rate for Payer: Cigna Commercial	$8,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,962.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,456.25

RINGLOC 62MM SZ 25

Facility

$16,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270673644
Hospital Revenue Code	278
Min. Negotiated Rate	$2,456.25
Max. Negotiated Rate	$3,962.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,962.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,456.25

RINGLOC 64MM SZ 26

Facility

$16,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270673599
Hospital Revenue Code	278
Min. Negotiated Rate	$2,456.25
Max. Negotiated Rate	$3,962.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,962.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,456.25

RINGLOC 64MM SZ 26

Facility

$16,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270673599
Hospital Revenue Code	278
Min. Negotiated Rate	$2,456.25
Max. Negotiated Rate	$8,187.50
Rate for Payer: Aetna Commercial	$4,912.50
Rate for Payer: Aetna Medicare Advantage	$4,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,175.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,175.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,175.62
Rate for Payer: Cigna Commercial	$8,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,962.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,456.25

RINGLOC BI-POLAR 28X51MM

Facility

$5,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270608175
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

RINGLOC BI-POLAR 28X51MM

Facility

$5,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270608175
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

RING MALYUGIN

Facility

$625.00

Hospital Charge Code	270660095
Hospital Revenue Code	270
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

Know your out-of-pocket cost for care.

All Charges