Heights University Hospital

All Charges

Charge

Type

Setting

Price

RING MALYUGIN

Facility

$625.00

Hospital Charge Code	270660095
Hospital Revenue Code	270
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

RING MAXFR 180MM 5/8

Facility

$5,691.80

Hospital Charge Code	270693739
Hospital Revenue Code	272
Min. Negotiated Rate	$853.77
Max. Negotiated Rate	$853.77
Rate for Payer: Qualcare PPO/HMO/WC	$853.77

RING MAXFR 180MM 5/8

Facility

$5,691.80

Hospital Charge Code	270693739
Hospital Revenue Code	272
Min. Negotiated Rate	$739.93
Max. Negotiated Rate	$2,845.90
Rate for Payer: Aetna Commercial	$1,707.54
Rate for Payer: Aetna Medicare Advantage	$1,707.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,451.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,451.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,451.41
Rate for Payer: Cigna Commercial	$2,845.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$739.93
Rate for Payer: Oxford Commercial	$2,845.90
Rate for Payer: Qualcare PPO/HMO/WC	$853.77
Rate for Payer: UnitedHealthcare Commercial	$2,845.90

RING MEDIUM 1/3 FC10030

Facility

$1,463.25

Hospital Charge Code	270632399
Hospital Revenue Code	272
Min. Negotiated Rate	$219.49
Max. Negotiated Rate	$219.49
Rate for Payer: Qualcare PPO/HMO/WC	$219.49

RING MEDIUM 1/3 FC10030

Facility

$1,463.25

Hospital Charge Code	270632399
Hospital Revenue Code	272
Min. Negotiated Rate	$190.22
Max. Negotiated Rate	$731.62
Rate for Payer: Aetna Commercial	$438.98
Rate for Payer: Aetna Medicare Advantage	$438.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.13
Rate for Payer: Cigna Commercial	$731.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.22
Rate for Payer: Oxford Commercial	$731.62
Rate for Payer: Qualcare PPO/HMO/WC	$219.49
Rate for Payer: UnitedHealthcare Commercial	$731.62

RING OPEN 180mm 4936-0-018

Facility

$2,824.00

Hospital Charge Code	270643403
Hospital Revenue Code	272
Min. Negotiated Rate	$423.60
Max. Negotiated Rate	$423.60
Rate for Payer: Qualcare PPO/HMO/WC	$423.60

RING OPEN 180mm 4936-0-018

Facility

$2,824.00

Hospital Charge Code	270643403
Hospital Revenue Code	272
Min. Negotiated Rate	$367.12
Max. Negotiated Rate	$1,412.00
Rate for Payer: Aetna Commercial	$847.20
Rate for Payer: Aetna Medicare Advantage	$847.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$720.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$720.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$720.12
Rate for Payer: Cigna Commercial	$1,412.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.12
Rate for Payer: Oxford Commercial	$1,412.00
Rate for Payer: Qualcare PPO/HMO/WC	$423.60
Rate for Payer: UnitedHealthcare Commercial	$1,412.00

RING PESSARY 9 W/SUPPORT PRSO9

Facility

$248.00

Hospital Charge Code	270632416
Hospital Revenue Code	272
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.40
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$124.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$124.00

RING PESSARY 9 W/SUPPORT PRSO9

Facility

$248.00

Hospital Charge Code	270632416
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

RING TI HALF 150MM

Facility

$2,286.20

Hospital Charge Code	270693740
Hospital Revenue Code	272
Min. Negotiated Rate	$342.93
Max. Negotiated Rate	$342.93
Rate for Payer: Qualcare PPO/HMO/WC	$342.93

RING TI HALF 150MM

Facility

$2,286.20

Hospital Charge Code	270693740
Hospital Revenue Code	272
Min. Negotiated Rate	$297.21
Max. Negotiated Rate	$1,143.10
Rate for Payer: Aetna Commercial	$685.86
Rate for Payer: Aetna Medicare Advantage	$685.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$582.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$582.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$582.98
Rate for Payer: Cigna Commercial	$1,143.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.21
Rate for Payer: Oxford Commercial	$1,143.10
Rate for Payer: Qualcare PPO/HMO/WC	$342.93
Rate for Payer: UnitedHealthcare Commercial	$1,143.10

RING TOSS

Facility

$119.95

Hospital Charge Code	270663158
Hospital Revenue Code	270
Min. Negotiated Rate	$15.59
Max. Negotiated Rate	$59.98
Rate for Payer: Aetna Commercial	$35.98
Rate for Payer: Aetna Medicare Advantage	$35.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.59
Rate for Payer: Cigna Commercial	$59.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.59
Rate for Payer: Oxford Commercial	$59.98
Rate for Payer: Qualcare PPO/HMO/WC	$17.99
Rate for Payer: UnitedHealthcare Commercial	$59.98

RING TOSS

Facility

$119.95

Hospital Charge Code	270663158
Hospital Revenue Code	270
Min. Negotiated Rate	$17.99
Max. Negotiated Rate	$17.99
Rate for Payer: Qualcare PPO/HMO/WC	$17.99

RING TUB SALVATION 160

Facility

$5,630.00

Hospital Charge Code	270684448
Hospital Revenue Code	272
Min. Negotiated Rate	$844.50
Max. Negotiated Rate	$844.50
Rate for Payer: Qualcare PPO/HMO/WC	$844.50

RING TUB SALVATION 160

Facility

$5,630.00

Hospital Charge Code	270684448
Hospital Revenue Code	272
Min. Negotiated Rate	$731.90
Max. Negotiated Rate	$2,815.00
Rate for Payer: Aetna Commercial	$1,689.00
Rate for Payer: Aetna Medicare Advantage	$1,689.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,435.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,435.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,435.65
Rate for Payer: Cigna Commercial	$2,815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$731.90
Rate for Payer: Oxford Commercial	$2,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$844.50
Rate for Payer: UnitedHealthcare Commercial	$2,815.00

RING VALTRAC 25X1.5 8082-00**

Facility

$897.00

Hospital Charge Code	1604818
Hospital Revenue Code	272
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$134.55
Rate for Payer: Qualcare PPO/HMO/WC	$134.55

RING VALTRAC 25X1.5 8082-00**

Facility

$897.00

Hospital Charge Code	1604818
Hospital Revenue Code	272
Min. Negotiated Rate	$116.61
Max. Negotiated Rate	$448.50
Rate for Payer: Aetna Commercial	$269.10
Rate for Payer: Aetna Medicare Advantage	$269.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.74
Rate for Payer: Cigna Commercial	$448.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.61
Rate for Payer: Oxford Commercial	$448.50
Rate for Payer: Qualcare PPO/HMO/WC	$134.55
Rate for Payer: UnitedHealthcare Commercial	$448.50

RING VALTRAC 25X2.0 8083-00***

Facility

$897.00

Hospital Charge Code	1604826
Hospital Revenue Code	272
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$134.55
Rate for Payer: Qualcare PPO/HMO/WC	$134.55

RING VALTRAC 25X2.0 8083-00***

Facility

$897.00

Hospital Charge Code	1604826
Hospital Revenue Code	272
Min. Negotiated Rate	$116.61
Max. Negotiated Rate	$448.50
Rate for Payer: Aetna Commercial	$269.10
Rate for Payer: Aetna Medicare Advantage	$269.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.74
Rate for Payer: Cigna Commercial	$448.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.61
Rate for Payer: Oxford Commercial	$448.50
Rate for Payer: Qualcare PPO/HMO/WC	$134.55
Rate for Payer: UnitedHealthcare Commercial	$448.50

RING VALTRAC 25X2.5 8084-00***

Facility

$897.00

Hospital Charge Code	1604834
Hospital Revenue Code	272
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$134.55
Rate for Payer: Qualcare PPO/HMO/WC	$134.55

RING VALTRAC 25X2.5 8084-00***

Facility

$897.00

Hospital Charge Code	1604834
Hospital Revenue Code	272
Min. Negotiated Rate	$116.61
Max. Negotiated Rate	$448.50
Rate for Payer: Aetna Commercial	$269.10
Rate for Payer: Aetna Medicare Advantage	$269.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.74
Rate for Payer: Cigna Commercial	$448.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.61
Rate for Payer: Oxford Commercial	$448.50
Rate for Payer: Qualcare PPO/HMO/WC	$134.55
Rate for Payer: UnitedHealthcare Commercial	$448.50

RING VALTRAC 28X1.5 8087-00***

Facility

$897.00

Hospital Charge Code	1604842
Hospital Revenue Code	272
Min. Negotiated Rate	$116.61
Max. Negotiated Rate	$448.50
Rate for Payer: Aetna Commercial	$269.10
Rate for Payer: Aetna Medicare Advantage	$269.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.74
Rate for Payer: Cigna Commercial	$448.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.61
Rate for Payer: Oxford Commercial	$448.50
Rate for Payer: Qualcare PPO/HMO/WC	$134.55
Rate for Payer: UnitedHealthcare Commercial	$448.50

RING VALTRAC 28X1.5 8087-00***

Facility

$897.00

Hospital Charge Code	1604842
Hospital Revenue Code	272
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$134.55
Rate for Payer: Qualcare PPO/HMO/WC	$134.55

RING VALTRAC 28X2.0 8088-00***

Facility

$897.00

Hospital Charge Code	1604859
Hospital Revenue Code	272
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$134.55
Rate for Payer: Qualcare PPO/HMO/WC	$134.55

RING VALTRAC 28X2.0 8088-00***

Facility

$897.00

Hospital Charge Code	1604859
Hospital Revenue Code	272
Min. Negotiated Rate	$116.61
Max. Negotiated Rate	$448.50
Rate for Payer: Aetna Commercial	$269.10
Rate for Payer: Aetna Medicare Advantage	$269.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.74
Rate for Payer: Cigna Commercial	$448.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.61
Rate for Payer: Oxford Commercial	$448.50
Rate for Payer: Qualcare PPO/HMO/WC	$134.55
Rate for Payer: UnitedHealthcare Commercial	$448.50

Know your out-of-pocket cost for care.

All Charges