Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHANK 5.5 X 25MM

Facility

$5,060.00

Hospital Charge Code	270667321
Hospital Revenue Code	278
Min. Negotiated Rate	$759.00
Max. Negotiated Rate	$1,224.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,012.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.52
Rate for Payer: Qualcare PPO/HMO/WC	$759.00

SHANK 5.5 X 25MM

Facility

$5,060.00

Hospital Charge Code	270667321
Hospital Revenue Code	278
Min. Negotiated Rate	$759.00
Max. Negotiated Rate	$2,530.00
Rate for Payer: Aetna Commercial	$1,518.00
Rate for Payer: Aetna Medicare Advantage	$1,518.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,012.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,290.30
Rate for Payer: Cigna Commercial	$2,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.52
Rate for Payer: Qualcare PPO/HMO/WC	$759.00

SHANK 6.5 X 30MM

Facility

$5,060.00

Hospital Charge Code	270667322
Hospital Revenue Code	278
Min. Negotiated Rate	$759.00
Max. Negotiated Rate	$2,530.00
Rate for Payer: Aetna Commercial	$1,518.00
Rate for Payer: Aetna Medicare Advantage	$1,518.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,012.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,290.30
Rate for Payer: Cigna Commercial	$2,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.52
Rate for Payer: Qualcare PPO/HMO/WC	$759.00

SHANK 6.5 X 30MM

Facility

$5,060.00

Hospital Charge Code	270667322
Hospital Revenue Code	278
Min. Negotiated Rate	$759.00
Max. Negotiated Rate	$1,224.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,012.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.52
Rate for Payer: Qualcare PPO/HMO/WC	$759.00

SHANK 6.5X40MM

Facility

$500.00

Hospital Charge Code	270702999
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
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) NJ Health	$100.00
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	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHANK 6.5X40MM

Facility

$500.00

Hospital Charge Code	270702999
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHANK 6.5X45MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705425
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

SHANK 6.5X45MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705425
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

SHANK 7.5X40MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705426
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

SHANK 7.5X40MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705426
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

SHANK MAS PLIF 5.5X30MM EZ

Facility

$5,060.00

Hospital Charge Code	270663764
Hospital Revenue Code	270
Min. Negotiated Rate	$759.00
Max. Negotiated Rate	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$759.00

SHANK MAS PLIF 5.5X30MM EZ

Facility

$5,060.00

Hospital Charge Code	270663764
Hospital Revenue Code	270
Min. Negotiated Rate	$657.80
Max. Negotiated Rate	$2,530.00
Rate for Payer: Aetna Commercial	$1,518.00
Rate for Payer: Aetna Medicare Advantage	$1,518.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,290.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,290.30
Rate for Payer: Cigna Commercial	$2,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$657.80
Rate for Payer: Oxford Commercial	$2,530.00
Rate for Payer: Qualcare PPO/HMO/WC	$759.00
Rate for Payer: UnitedHealthcare Commercial	$2,530.00

SHANK MAS PLIF 5.5X35MM EZ

Facility

$2,375.00

Hospital Charge Code	270663765
Hospital Revenue Code	270
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SHANK MAS PLIF 5.5X35MM EZ

Facility

$2,375.00

Hospital Charge Code	270663765
Hospital Revenue Code	270
Min. Negotiated Rate	$308.75
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.75
Rate for Payer: Oxford Commercial	$1,187.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$1,187.50

SHANK MODULEX 7.5X50 ATS

Facility

$25,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698930
Hospital Revenue Code	278
Min. Negotiated Rate	$3,825.00
Max. Negotiated Rate	$6,171.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,171.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,825.00

SHANK MODULEX 7.5X50 ATS

Facility

$25,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698930
Hospital Revenue Code	278
Min. Negotiated Rate	$3,825.00
Max. Negotiated Rate	$12,750.00
Rate for Payer: Aetna Commercial	$7,650.00
Rate for Payer: Aetna Medicare Advantage	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,502.50
Rate for Payer: Cigna Commercial	$12,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,171.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,825.00

SHANNON LONG 2.2X22MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270705976
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SHANNON LONG 2.2X22MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270705976
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SHARPSHOOTER SUTURE TAPE

Facility

$888.40

Hospital Charge Code	270705134
Hospital Revenue Code	279
Min. Negotiated Rate	$133.26
Max. Negotiated Rate	$133.26
Rate for Payer: Qualcare PPO/HMO/WC	$133.26

SHARPSHOOTER SUTURE TAPE

Facility

$888.40

Hospital Charge Code	270705134
Hospital Revenue Code	279
Min. Negotiated Rate	$115.49
Max. Negotiated Rate	$444.20
Rate for Payer: Aetna Commercial	$266.52
Rate for Payer: Aetna Medicare Advantage	$266.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.54
Rate for Payer: Cigna Commercial	$444.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.49
Rate for Payer: Oxford Commercial	$444.20
Rate for Payer: Qualcare PPO/HMO/WC	$133.26
Rate for Payer: UnitedHealthcare Commercial	$444.20

SHAVE BIOPSY DERMAL LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502511
Hospital Revenue Code	510
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SHAVE BIOPSY DERMAL LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502511
Hospital Revenue Code	510
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$968.07
Rate for Payer: Aetna Commercial	$20.70
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SHAVE BIOPSY SKIN LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502640
Hospital Revenue Code	510
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$968.07
Rate for Payer: Aetna Commercial	$20.70
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SHAVE BIOPSY SKIN LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502640
Hospital Revenue Code	510
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SHAVER 3.0

Facility

$330.00

Hospital Charge Code	270687620
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

Know your out-of-pocket cost for care.

All Charges