Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$7,194.65

Service Code	APR-DRG 7501
Min. Negotiated Rate	$5,920.17
Max. Negotiated Rate	$7,194.65
Rate for Payer: Aetna Better Health Medicaid	$7,053.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,194.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5,920.17

SCISSOR 5X35 SHAFT LENG CB030

Facility

$280.50

Hospital Charge Code	270642078
Hospital Revenue Code	272
Min. Negotiated Rate	$36.47
Max. Negotiated Rate	$140.25
Rate for Payer: Aetna Commercial	$84.15
Rate for Payer: Aetna Medicare Advantage	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.53
Rate for Payer: Cigna Commercial	$140.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.47
Rate for Payer: Oxford Commercial	$140.25
Rate for Payer: Qualcare PPO/HMO/WC	$42.08
Rate for Payer: UnitedHealthcare Commercial	$140.25

SCISSOR 5X35 SHAFT LENG CB030

Facility

$280.50

Hospital Charge Code	270642078
Hospital Revenue Code	272
Min. Negotiated Rate	$42.08
Max. Negotiated Rate	$42.08
Rate for Payer: Qualcare PPO/HMO/WC	$42.08

SCISSOR KNAPP IRIS 5/5

Facility

$500.00

Hospital Charge Code	270659128
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCISSOR KNAPP IRIS 5/5

Facility

$500.00

Hospital Charge Code	270659128
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

SCISSOR MAYO 6 3/4 STD BLADE

Facility

$280.00

Hospital Charge Code	270659126
Hospital Revenue Code	272
Min. Negotiated Rate	$36.40
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

SCISSOR MAYO 6 3/4 STD BLADE

Facility

$280.00

Hospital Charge Code	270659126
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

SCISSORS CVD 5MM W.UNIPL DCS12

Facility

$1,046.45

Hospital Charge Code	270608759
Hospital Revenue Code	272
Min. Negotiated Rate	$156.97
Max. Negotiated Rate	$156.97
Rate for Payer: Qualcare PPO/HMO/WC	$156.97

SCISSORS CVD 5MM W.UNIPL DCS12

Facility

$1,046.45

Hospital Charge Code	270608759
Hospital Revenue Code	272
Min. Negotiated Rate	$136.04
Max. Negotiated Rate	$523.23
Rate for Payer: Aetna Commercial	$313.94
Rate for Payer: Aetna Medicare Advantage	$313.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.84
Rate for Payer: Cigna Commercial	$523.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.04
Rate for Payer: Oxford Commercial	$523.23
Rate for Payer: Qualcare PPO/HMO/WC	$156.97
Rate for Payer: UnitedHealthcare Commercial	$523.23

SCISSORS ENDOPATH CRVD 5MM

Facility

$274.17

Hospital Charge Code	270658494
Hospital Revenue Code	272
Min. Negotiated Rate	$41.13
Max. Negotiated Rate	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$41.13

SCISSORS ENDOPATH CRVD 5MM

Facility

$274.17

Hospital Charge Code	270658494
Hospital Revenue Code	272
Min. Negotiated Rate	$35.64
Max. Negotiated Rate	$137.09
Rate for Payer: Aetna Commercial	$82.25
Rate for Payer: Aetna Medicare Advantage	$82.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.91
Rate for Payer: Cigna Commercial	$137.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.64
Rate for Payer: Oxford Commercial	$137.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.13
Rate for Payer: UnitedHealthcare Commercial	$137.09

SCISSORS HOOK STRAIGHT 3.4

Facility

$4,541.70

Hospital Charge Code	270665789
Hospital Revenue Code	272
Min. Negotiated Rate	$681.25
Max. Negotiated Rate	$681.25
Rate for Payer: Qualcare PPO/HMO/WC	$681.25

SCISSORS HOOK STRAIGHT 3.4

Facility

$4,541.70

Hospital Charge Code	270665789
Hospital Revenue Code	272
Min. Negotiated Rate	$590.42
Max. Negotiated Rate	$2,270.85
Rate for Payer: Aetna Commercial	$1,362.51
Rate for Payer: Aetna Medicare Advantage	$1,362.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,158.13
Rate for Payer: Cigna Commercial	$2,270.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$590.42
Rate for Payer: Oxford Commercial	$2,270.85
Rate for Payer: Qualcare PPO/HMO/WC	$681.25
Rate for Payer: UnitedHealthcare Commercial	$2,270.85

SCISSORS INSERT CURVED 36CM

Facility

$250.00

Hospital Charge Code	270662674
Hospital Revenue Code	270
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

SCISSORS INSERT CURVED 36CM

Facility

$250.00

Hospital Charge Code	270662674
Hospital Revenue Code	270
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCISSORS IRIS STRAIGHT

Facility

$2,301.20

Hospital Charge Code	270658502
Hospital Revenue Code	272
Min. Negotiated Rate	$299.16
Max. Negotiated Rate	$1,150.60
Rate for Payer: Aetna Commercial	$690.36
Rate for Payer: Aetna Medicare Advantage	$690.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.81
Rate for Payer: Cigna Commercial	$1,150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.16
Rate for Payer: Oxford Commercial	$1,150.60
Rate for Payer: Qualcare PPO/HMO/WC	$345.18
Rate for Payer: UnitedHealthcare Commercial	$1,150.60

SCISSORS IRIS STRAIGHT

Facility

$2,301.20

Hospital Charge Code	270658502
Hospital Revenue Code	272
Min. Negotiated Rate	$345.18
Max. Negotiated Rate	$345.18
Rate for Payer: Qualcare PPO/HMO/WC	$345.18

SCISSORS SUPER CUT MAYO CURVED

Facility

$475.00

Hospital Charge Code	270665574
Hospital Revenue Code	272
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.75
Rate for Payer: Oxford Commercial	$237.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$237.50

SCISSORS SUPER CUT MAYO CURVED

Facility

$475.00

Hospital Charge Code	270665574
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

SCISSORS TENOTOMY CURVED 4.5

Facility

$354.55

Hospital Charge Code	270617649
Hospital Revenue Code	278
Min. Negotiated Rate	$53.18
Max. Negotiated Rate	$85.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Qualcare PPO/HMO/WC	$53.18

SCISSORS TENOTOMY CURVED 4.5

Facility

$354.55

Hospital Charge Code	270617649
Hospital Revenue Code	278
Min. Negotiated Rate	$53.18
Max. Negotiated Rate	$177.28
Rate for Payer: Aetna Commercial	$106.36
Rate for Payer: Aetna Medicare Advantage	$106.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.41
Rate for Payer: Cigna Commercial	$177.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Qualcare PPO/HMO/WC	$53.18

SCISSOR SUPER 5 1/2 IN

Facility

$377.20

Hospital Charge Code	270688818
Hospital Revenue Code	272
Min. Negotiated Rate	$56.58
Max. Negotiated Rate	$56.58
Rate for Payer: Qualcare PPO/HMO/WC	$56.58

SCISSOR SUPER 5 1/2 IN

Facility

$377.20

Hospital Charge Code	270688818
Hospital Revenue Code	272
Min. Negotiated Rate	$49.04
Max. Negotiated Rate	$188.60
Rate for Payer: Aetna Commercial	$113.16
Rate for Payer: Aetna Medicare Advantage	$113.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.19
Rate for Payer: Cigna Commercial	$188.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.04
Rate for Payer: Oxford Commercial	$188.60
Rate for Payer: Qualcare PPO/HMO/WC	$56.58
Rate for Payer: UnitedHealthcare Commercial	$188.60

SCISSORS VANESS ANGLED 7MM CAP

Facility

$1,483.35

Hospital Charge Code	270683687
Hospital Revenue Code	272
Min. Negotiated Rate	$192.84
Max. Negotiated Rate	$741.67
Rate for Payer: Aetna Commercial	$445.00
Rate for Payer: Aetna Medicare Advantage	$445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.25
Rate for Payer: Cigna Commercial	$741.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.84
Rate for Payer: Oxford Commercial	$741.67
Rate for Payer: Qualcare PPO/HMO/WC	$222.50
Rate for Payer: UnitedHealthcare Commercial	$741.67

SCISSORS VANESS ANGLED 7MM CAP

Facility

$1,483.35

Hospital Charge Code	270683687
Hospital Revenue Code	272
Min. Negotiated Rate	$222.50
Max. Negotiated Rate	$222.50
Rate for Payer: Qualcare PPO/HMO/WC	$222.50

Know your out-of-pocket cost for care.

All Charges