Heights University Hospital

All Charges

Charge

Type

Setting

Price

SAVORY DILATATION***

Facility

$237.60

Hospital Charge Code	2300614
Hospital Revenue Code	759
Min. Negotiated Rate	$35.64
Max. Negotiated Rate	$35.64
Rate for Payer: Qualcare PPO/HMO/WC	$35.64

SAW 105 DEG 12x11.5x0.4MM/70MM

Facility

$430.50

Hospital Charge Code	270674677
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

SAW 105 DEG 12x11.5x0.4MM/70MM

Facility

$430.50

Hospital Charge Code	270674677
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

SAW 105 DEG 12x4.5x0.4MM/70MM

Facility

$430.50

Hospital Charge Code	270674679
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

SAW 105 DEG 12x4.5x0.4MM/70MM

Facility

$430.50

Hospital Charge Code	270674679
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

SAW 105 DEG 12x9.5x0.4MM/70MM

Facility

$430.50

Hospital Charge Code	270674678
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

SAW 105 DEG 12x9.5x0.4MM/70MM

Facility

$430.50

Hospital Charge Code	270674678
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

SAW 105 DEG 7x12x0.4MM/70MM

Facility

$430.50

Hospital Charge Code	270674676
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

SAW 105 DEG 7x12x0.4MM/70MM

Facility

$430.50

Hospital Charge Code	270674676
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

SAW 20x6.4/2.9x0.6MM TRAP LONG

Facility

$413.00

Hospital Charge Code	270674670
Hospital Revenue Code	272
Min. Negotiated Rate	$61.95
Max. Negotiated Rate	$61.95
Rate for Payer: Qualcare PPO/HMO/WC	$61.95

SAW 20x6.4/2.9x0.6MM TRAP LONG

Facility

$413.00

Hospital Charge Code	270674670
Hospital Revenue Code	272
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$206.50
Rate for Payer: Aetna Commercial	$123.90
Rate for Payer: Aetna Medicare Advantage	$123.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.31
Rate for Payer: Cigna Commercial	$206.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.69
Rate for Payer: Oxford Commercial	$206.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.95
Rate for Payer: UnitedHealthcare Commercial	$206.50

SAW 27x6.4/2.9x0.6MM TRAP LONG

Facility

$413.00

Hospital Charge Code	270674671
Hospital Revenue Code	272
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$206.50
Rate for Payer: Aetna Commercial	$123.90
Rate for Payer: Aetna Medicare Advantage	$123.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.31
Rate for Payer: Cigna Commercial	$206.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.69
Rate for Payer: Oxford Commercial	$206.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.95
Rate for Payer: UnitedHealthcare Commercial	$206.50

SAW 27x6.4/2.9x0.6MM TRAP LONG

Facility

$413.00

Hospital Charge Code	270674671
Hospital Revenue Code	272
Min. Negotiated Rate	$61.95
Max. Negotiated Rate	$61.95
Rate for Payer: Qualcare PPO/HMO/WC	$61.95

SAW 33.5x6.4x0.6MM OFFSET DOWN

Facility

$430.50

Hospital Charge Code	270674667
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

SAW 33.5x6.4x0.6MM OFFSET DOWN

Facility

$430.50

Hospital Charge Code	270674667
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

SAW 33.5x6.4x0.6MM OFFSET LEFT

Facility

$430.50

Hospital Charge Code	270674669
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

SAW 33.5x6.4x0.6MM OFFSET LEFT

Facility

$430.50

Hospital Charge Code	270674669
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

SAW 33.5x6.4x0.6MM OFFSET RT

Facility

$430.50

Hospital Charge Code	270674668
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

SAW 33.5x6.4x0.6MM OFFSET RT

Facility

$430.50

Hospital Charge Code	270674668
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

SAW BLADE 10x10x0.4MM CUT

Facility

$318.50

Hospital Charge Code	270674810
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$47.77
Rate for Payer: Qualcare PPO/HMO/WC	$47.77

SAW BLADE 10x10x0.4MM CUT

Facility

$318.50

Hospital Charge Code	270674810
Hospital Revenue Code	272
Min. Negotiated Rate	$41.41
Max. Negotiated Rate	$159.25
Rate for Payer: Aetna Commercial	$95.55
Rate for Payer: Aetna Medicare Advantage	$95.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.22
Rate for Payer: Cigna Commercial	$159.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.41
Rate for Payer: Oxford Commercial	$159.25
Rate for Payer: Qualcare PPO/HMO/WC	$47.77
Rate for Payer: UnitedHealthcare Commercial	$159.25

SAW BLADE 10x10x0.4MM CUT STR

Facility

$332.50

Hospital Charge Code	270674811
Hospital Revenue Code	272
Min. Negotiated Rate	$49.88
Max. Negotiated Rate	$49.88
Rate for Payer: Qualcare PPO/HMO/WC	$49.88

SAW BLADE 10x10x0.4MM CUT STR

Facility

$332.50

Hospital Charge Code	270674811
Hospital Revenue Code	272
Min. Negotiated Rate	$43.23
Max. Negotiated Rate	$166.25
Rate for Payer: Aetna Commercial	$99.75
Rate for Payer: Aetna Medicare Advantage	$99.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.79
Rate for Payer: Cigna Commercial	$166.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.23
Rate for Payer: Oxford Commercial	$166.25
Rate for Payer: Qualcare PPO/HMO/WC	$49.88
Rate for Payer: UnitedHealthcare Commercial	$166.25

SAW BLADE 10x25x0.6MM CUT

Facility

$290.50

Hospital Charge Code	270674787
Hospital Revenue Code	272
Min. Negotiated Rate	$37.77
Max. Negotiated Rate	$145.25
Rate for Payer: Aetna Commercial	$87.15
Rate for Payer: Aetna Medicare Advantage	$87.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.08
Rate for Payer: Cigna Commercial	$145.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.77
Rate for Payer: Oxford Commercial	$145.25
Rate for Payer: Qualcare PPO/HMO/WC	$43.58
Rate for Payer: UnitedHealthcare Commercial	$145.25

SAW BLADE 10x25x0.6MM CUT

Facility

$318.50

Hospital Charge Code	270674825
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$47.77
Rate for Payer: Qualcare PPO/HMO/WC	$47.77

Know your out-of-pocket cost for care.

All Charges