Heights University Hospital

All Charges

Charge

Type

Setting

Price

SAW BLADE 95MMx25MM 1.19MM CUT

Facility

$385.00

Hospital Charge Code	270674717
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 95MMx25MM 1.19MM CUT

Facility

$385.00

Hospital Charge Code	270674717
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 95MMx25MM 1.27MM CUT

Facility

$385.00

Hospital Charge Code	270674718
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 95MMx25MM 1.27MM CUT

Facility

$385.00

Hospital Charge Code	270674718
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 95MMx25MM 1.37MM CUT

Facility

$385.00

Hospital Charge Code	270674719
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 95MMx25MM 1.37MM CUT

Facility

$385.00

Hospital Charge Code	270674719
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 95MMx25MM 1.47MM CUT

Facility

$385.00

Hospital Charge Code	270674720
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 95MMx25MM 1.47MM CUT

Facility

$385.00

Hospital Charge Code	270674720
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 MICROAIRE NARROW

Facility

$720.00

Hospital Charge Code	270670901
Hospital Revenue Code	272
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

SAW BLADE MICROAIRE NARROW

Facility

$720.00

Hospital Charge Code	270670901
Hospital Revenue Code	272
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$216.00
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.60
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Commercial	$360.00

SAW BLADE OXFORD CEMENTED

Facility

$2,625.00

Hospital Charge Code	270684006
Hospital Revenue Code	272
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$787.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.25
Rate for Payer: Oxford Commercial	$1,312.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$1,312.50

SAW BLADE OXFORD CEMENTED

Facility

$2,625.00

Hospital Charge Code	270684006
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

SAW BLADES

Facility

$676.00

Hospital Charge Code	270332551
Hospital Revenue Code	272
Min. Negotiated Rate	$87.88
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$202.80
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.88
Rate for Payer: Oxford Commercial	$338.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.40
Rate for Payer: UnitedHealthcare Commercial	$338.00

SAW BLADES

Facility

$676.00

Hospital Charge Code	270332551
Hospital Revenue Code	272
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$101.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

SAWBLADE STR UNIV NARROW .315

Facility

$915.00

Hospital Charge Code	270676925
Hospital Revenue Code	272
Min. Negotiated Rate	$118.95
Max. Negotiated Rate	$457.50
Rate for Payer: Aetna Commercial	$274.50
Rate for Payer: Aetna Medicare Advantage	$274.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.32
Rate for Payer: Cigna Commercial	$457.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.95
Rate for Payer: Oxford Commercial	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$137.25
Rate for Payer: UnitedHealthcare Commercial	$457.50

SAWBLADE STR UNIV NARROW .315

Facility

$915.00

Hospital Charge Code	270676925
Hospital Revenue Code	272
Min. Negotiated Rate	$137.25
Max. Negotiated Rate	$137.25
Rate for Payer: Qualcare PPO/HMO/WC	$137.25

SAWBLADE STR UNIV WIDE .315

Facility

$915.00

Hospital Charge Code	270677042
Hospital Revenue Code	270
Min. Negotiated Rate	$118.95
Max. Negotiated Rate	$457.50
Rate for Payer: Aetna Commercial	$274.50
Rate for Payer: Aetna Medicare Advantage	$274.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.32
Rate for Payer: Cigna Commercial	$457.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.95
Rate for Payer: Oxford Commercial	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$137.25
Rate for Payer: UnitedHealthcare Commercial	$457.50

SAWBLADE STR UNIV WIDE .315

Facility

$915.00

Hospital Charge Code	270677042
Hospital Revenue Code	270
Min. Negotiated Rate	$137.25
Max. Negotiated Rate	$137.25
Rate for Payer: Qualcare PPO/HMO/WC	$137.25

SAW CARTILAG DBLE SIDE CONN

Facility

$640.00

Hospital Charge Code	270698543
Hospital Revenue Code	272
Min. Negotiated Rate	$83.20
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$192.00
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.20
Rate for Payer: Oxford Commercial	$320.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00
Rate for Payer: UnitedHealthcare Commercial	$320.00

SAW CARTILAG DBLE SIDE CONN

Facility

$640.00

Hospital Charge Code	270698543
Hospital Revenue Code	272
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

SAW GIGLI DISP 12

Facility

$87.31

Hospital Charge Code	270601045
Hospital Revenue Code	272
Min. Negotiated Rate	$13.10
Max. Negotiated Rate	$13.10
Rate for Payer: Qualcare PPO/HMO/WC	$13.10

SAW GIGLI DISP 12

Facility

$87.31

Hospital Charge Code	270601045
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$43.66
Rate for Payer: Aetna Commercial	$26.19
Rate for Payer: Aetna Medicare Advantage	$26.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.26
Rate for Payer: Cigna Commercial	$43.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.35
Rate for Payer: Oxford Commercial	$43.66
Rate for Payer: Qualcare PPO/HMO/WC	$13.10
Rate for Payer: UnitedHealthcare Commercial	$43.66

SAW GIGLI DISP 20

Facility

$98.39

Hospital Charge Code	270601046
Hospital Revenue Code	272
Min. Negotiated Rate	$14.76
Max. Negotiated Rate	$14.76
Rate for Payer: Qualcare PPO/HMO/WC	$14.76

SAW GIGLI DISP 20

Facility

$98.39

Hospital Charge Code	270601046
Hospital Revenue Code	272
Min. Negotiated Rate	$12.79
Max. Negotiated Rate	$49.20
Rate for Payer: Aetna Commercial	$29.52
Rate for Payer: Aetna Medicare Advantage	$29.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.09
Rate for Payer: Cigna Commercial	$49.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.79
Rate for Payer: Oxford Commercial	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$14.76
Rate for Payer: UnitedHealthcare Commercial	$49.20

SBCL PHLEBOTOMY SERVICE

Facility

$25.00

Hospital Charge Code	38474114
Hospital Revenue Code	301
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges