Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCALPEL HARMONIC WAVW 18cm

Facility

$1,792.69

Hospital Charge Code	270638223
Hospital Revenue Code	272
Min. Negotiated Rate	$268.90
Max. Negotiated Rate	$268.90
Rate for Payer: Qualcare PPO/HMO/WC	$268.90

SCALPEL HARMONIC WAVW 18cm

Facility

$1,792.69

Hospital Charge Code	270638223
Hospital Revenue Code	272
Min. Negotiated Rate	$233.05
Max. Negotiated Rate	$896.35
Rate for Payer: Aetna Commercial	$537.81
Rate for Payer: Aetna Medicare Advantage	$537.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$457.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$457.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$457.14
Rate for Payer: Cigna Commercial	$896.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.05
Rate for Payer: Oxford Commercial	$896.35
Rate for Payer: Qualcare PPO/HMO/WC	$268.90
Rate for Payer: UnitedHealthcare Commercial	$896.35

SCALPEL HOOK SP 5M HARMONIC

Facility

$858.95

Hospital Charge Code	270609765
Hospital Revenue Code	272
Min. Negotiated Rate	$128.84
Max. Negotiated Rate	$128.84
Rate for Payer: Qualcare PPO/HMO/WC	$128.84

SCALPEL HOOK SP 5M HARMONIC

Facility

$858.95

Hospital Charge Code	270609765
Hospital Revenue Code	272
Min. Negotiated Rate	$111.66
Max. Negotiated Rate	$429.48
Rate for Payer: Aetna Commercial	$257.69
Rate for Payer: Aetna Medicare Advantage	$257.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.03
Rate for Payer: Cigna Commercial	$429.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.66
Rate for Payer: Oxford Commercial	$429.48
Rate for Payer: Qualcare PPO/HMO/WC	$128.84
Rate for Payer: UnitedHealthcare Commercial	$429.48

SCALPEL JJ HARMONIC 5 50 CS14C

Facility

$1,706.25

Hospital Charge Code	270624569
Hospital Revenue Code	272
Min. Negotiated Rate	$221.81
Max. Negotiated Rate	$853.12
Rate for Payer: Aetna Commercial	$511.88
Rate for Payer: Aetna Medicare Advantage	$511.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.09
Rate for Payer: Cigna Commercial	$853.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.81
Rate for Payer: Oxford Commercial	$853.12
Rate for Payer: Qualcare PPO/HMO/WC	$255.94
Rate for Payer: UnitedHealthcare Commercial	$853.12

SCALPEL JJ HARMONIC 5 50 CS14C

Facility

$1,706.25

Hospital Charge Code	270624569
Hospital Revenue Code	272
Min. Negotiated Rate	$255.94
Max. Negotiated Rate	$255.94
Rate for Payer: Qualcare PPO/HMO/WC	$255.94

SCALPEL STER DISP #10

Facility

$7.93

Hospital Charge Code	270301905W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$2.38
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$3.96

SCALPEL STER DISP #10

Facility

$7.93

Hospital Charge Code	270301905
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$2.38
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$3.96

SCALPEL STER DISP #10

Facility

$7.93

Hospital Charge Code	270301905W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SCALPEL STER DISP #10

Facility

$7.93

Hospital Charge Code	270301905
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SCALPEL STER DISP #11

Facility

$7.93

Hospital Charge Code	270301910
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SCALPEL STER DISP #11

Facility

$7.93

Hospital Charge Code	270301910W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SCALPEL STER DISP #11

Facility

$7.93

Hospital Charge Code	270301910
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$2.38
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$3.96

SCALPEL STER DISP #11

Facility

$7.93

Hospital Charge Code	270301910W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$2.38
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$3.96

SCALPEL STER DISP #12

Facility

$10.45

Hospital Charge Code	270301915
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

SCALPEL STER DISP #12

Facility

$10.45

Hospital Charge Code	270301915
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.22

SCALPEL STER DISP #15

Facility

$7.85

Hospital Charge Code	270301920
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$3.92
Rate for Payer: Aetna Commercial	$2.35
Rate for Payer: Aetna Medicare Advantage	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.00
Rate for Payer: Cigna Commercial	$3.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.02
Rate for Payer: Oxford Commercial	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.18
Rate for Payer: UnitedHealthcare Commercial	$3.92

SCALPEL STER DISP #15

Facility

$7.85

Hospital Charge Code	270301920S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$3.92
Rate for Payer: Aetna Commercial	$2.35
Rate for Payer: Aetna Medicare Advantage	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.00
Rate for Payer: Cigna Commercial	$3.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.02
Rate for Payer: Oxford Commercial	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.18
Rate for Payer: UnitedHealthcare Commercial	$3.92

SCALPEL STER DISP #15

Facility

$10.00

Hospital Charge Code	270301920N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

SCALPEL STER DISP #15

Facility

$7.85

Hospital Charge Code	270301920S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.18

SCALPEL STER DISP #15

Facility

$7.85

Hospital Charge Code	270301920W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$3.92
Rate for Payer: Aetna Commercial	$2.35
Rate for Payer: Aetna Medicare Advantage	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.00
Rate for Payer: Cigna Commercial	$3.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.02
Rate for Payer: Oxford Commercial	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.18
Rate for Payer: UnitedHealthcare Commercial	$3.92

SCALPEL STER DISP #15

Facility

$10.00

Hospital Charge Code	270301920N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$5.00
Rate for Payer: Aetna Commercial	$3.00
Rate for Payer: Aetna Medicare Advantage	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.55
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.50
Rate for Payer: UnitedHealthcare Commercial	$5.00

SCALPEL STER DISP #15

Facility

$7.85

Hospital Charge Code	270301920
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.18

SCALPEL STER DISP #15

Facility

$7.85

Hospital Charge Code	270301920W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.18

SCALPEL STER DISP #20

Facility

$7.25

Hospital Charge Code	270301925
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

Know your out-of-pocket cost for care.

All Charges