Heights University Hospital

All Charges

Charge

Type

Setting

Price

SAW BLADE 90x12.5-19MM 1.00MM

Facility

$385.00

Hospital Charge Code	270674733
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

SAW BLADE 90x12.5-19MM 1.00MM

Facility

$385.00

Hospital Charge Code	270674733
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5-19MM 1.19MM

Facility

$385.00

Hospital Charge Code	270674729
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5-19MM 1.19MM

Facility

$385.00

Hospital Charge Code	270674729
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

SAW BLADE 90x12.5-19MM 1.27MM

Facility

$385.00

Hospital Charge Code	270674730
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5-19MM 1.27MM

Facility

$385.00

Hospital Charge Code	270674730
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

SAW BLADE 90x12.5-19MM 1.37MM

Facility

$385.00

Hospital Charge Code	270674731
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5-19MM 1.37MM

Facility

$385.00

Hospital Charge Code	270674731
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

SAW BLADE 90x12.5-19MM 1.47MM

Facility

$385.00

Hospital Charge Code	270674732
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5-19MM 1.47MM

Facility

$385.00

Hospital Charge Code	270674732
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

SAW BLADE 90x12.5MM 0.89MM CUT

Facility

$234.50

Hospital Charge Code	270674737
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x12.5MM 0.89MM CUT

Facility

$234.50

Hospital Charge Code	270674737
Hospital Revenue Code	272
Min. Negotiated Rate	$30.48
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$70.35
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.48
Rate for Payer: Oxford Commercial	$117.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$117.25

SAW BLADE 90x12.5MM 0.89MM CUT

Facility

$385.00

Hospital Charge Code	270674723
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5MM 0.89MM CUT

Facility

$385.00

Hospital Charge Code	270674723
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

SAW BLADE 90x12.5MM 1.00MM CUT

Facility

$234.50

Hospital Charge Code	270674738
Hospital Revenue Code	272
Min. Negotiated Rate	$30.48
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$70.35
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.48
Rate for Payer: Oxford Commercial	$117.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$117.25

SAW BLADE 90x12.5MM 1.00MM CUT

Facility

$234.50

Hospital Charge Code	270674738
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x12.5MM 1.07MM CUT

Facility

$234.50

Hospital Charge Code	270674739
Hospital Revenue Code	272
Min. Negotiated Rate	$30.48
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$70.35
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.48
Rate for Payer: Oxford Commercial	$117.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$117.25

SAW BLADE 90x12.5MM 1.07MM CUT

Facility

$234.50

Hospital Charge Code	270674739
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x12.5MM 1.19MM CUT

Facility

$385.00

Hospital Charge Code	270674724
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5MM 1.19MM CUT

Facility

$234.50

Hospital Charge Code	270674740
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x12.5MM 1.19MM CUT

Facility

$385.00

Hospital Charge Code	270674724
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

SAW BLADE 90x12.5MM 1.19MM CUT

Facility

$234.50

Hospital Charge Code	270674740
Hospital Revenue Code	272
Min. Negotiated Rate	$30.48
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$70.35
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.48
Rate for Payer: Oxford Commercial	$117.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$117.25

SAW BLADE 90x12.5MM 1.27MM CUT

Facility

$234.50

Hospital Charge Code	270674741
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x12.5MM 1.27MM CUT

Facility

$385.00

Hospital Charge Code	270674725
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 90x12.5MM 1.27MM CUT

Facility

$234.50

Hospital Charge Code	270674741
Hospital Revenue Code	272
Min. Negotiated Rate	$30.48
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$70.35
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.48
Rate for Payer: Oxford Commercial	$117.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$117.25

Know your out-of-pocket cost for care.

All Charges