Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHAVER 3.0

Facility

$330.00

Hospital Charge Code	270687620
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

SHAVER AGGRESSIVE 3.0

Facility

$330.00

Hospital Charge Code	270687617
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

SHAVER AGGRESSIVE 3.0

Facility

$330.00

Hospital Charge Code	270687617
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

SHAVER AGGRESSIVE PLUS 4.0MM

Facility

$288.65

Hospital Charge Code	270654868
Hospital Revenue Code	272
Min. Negotiated Rate	$43.30
Max. Negotiated Rate	$43.30
Rate for Payer: Qualcare PPO/HMO/WC	$43.30

SHAVER AGGRESSIVE PLUS 4.0MM

Facility

$288.65

Hospital Charge Code	270654868
Hospital Revenue Code	272
Min. Negotiated Rate	$37.52
Max. Negotiated Rate	$144.32
Rate for Payer: Aetna Commercial	$86.59
Rate for Payer: Aetna Medicare Advantage	$86.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.61
Rate for Payer: Cigna Commercial	$144.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.52
Rate for Payer: Oxford Commercial	$144.32
Rate for Payer: Qualcare PPO/HMO/WC	$43.30
Rate for Payer: UnitedHealthcare Commercial	$144.32

SHAVER AGGRESSIVE PLUS 5.5MM

Facility

$200.00

Hospital Charge Code	270671571
Hospital Revenue Code	272
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

SHAVER AGGRESSIVE PLUS 5.5MM

Facility

$200.00

Hospital Charge Code	270671571
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SHAVER AGGRESSIVE PLUS F 4MM

Facility

$277.16

Hospital Charge Code	270652470
Hospital Revenue Code	272
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$41.57
Rate for Payer: Qualcare PPO/HMO/WC	$41.57

SHAVER AGGRESSIVE PLUS F 4MM

Facility

$277.16

Hospital Charge Code	270652470
Hospital Revenue Code	272
Min. Negotiated Rate	$36.03
Max. Negotiated Rate	$138.58
Rate for Payer: Aetna Commercial	$83.15
Rate for Payer: Aetna Medicare Advantage	$83.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.68
Rate for Payer: Cigna Commercial	$138.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.03
Rate for Payer: Oxford Commercial	$138.58
Rate for Payer: Qualcare PPO/HMO/WC	$41.57
Rate for Payer: UnitedHealthcare Commercial	$138.58

SHAVER ANGLE AGGRESSIVE 4.5MM

Facility

$158.33

Hospital Charge Code	270675576
Hospital Revenue Code	272
Min. Negotiated Rate	$23.75
Max. Negotiated Rate	$23.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.75

SHAVER ANGLE AGGRESSIVE 4.5MM

Facility

$158.33

Hospital Charge Code	270675576
Hospital Revenue Code	272
Min. Negotiated Rate	$20.58
Max. Negotiated Rate	$79.17
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$47.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.37
Rate for Payer: Cigna Commercial	$79.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.58
Rate for Payer: Oxford Commercial	$79.17
Rate for Payer: Qualcare PPO/HMO/WC	$23.75
Rate for Payer: UnitedHealthcare Commercial	$79.17

SHAVER ANGLE AGGRESSIVE 5.0MM

Facility

$200.00

Hospital Charge Code	270675577
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SHAVER ANGLE AGGRESSIVE 5.0MM

Facility

$200.00

Hospital Charge Code	270675577
Hospital Revenue Code	272
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

SHAVER BONE 360

Facility

$2,025.00

Hospital Charge Code	270678093
Hospital Revenue Code	272
Min. Negotiated Rate	$263.25
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$607.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.25
Rate for Payer: Oxford Commercial	$1,012.50
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Commercial	$1,012.50

SHAVER BONE 360

Facility

$2,025.00

Hospital Charge Code	270678093
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

SHAVER DENSE TISSUE MINI

Facility

$4,811.25

Service Code	HCPCS C1782
Hospital Charge Code	270700296
Hospital Revenue Code	272
Min. Negotiated Rate	$625.46
Max. Negotiated Rate	$2,405.62
Rate for Payer: Aetna Commercial	$1,443.38
Rate for Payer: Aetna Medicare Advantage	$1,443.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,226.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,226.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,226.87
Rate for Payer: Cigna Commercial	$2,405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.46
Rate for Payer: Oxford Commercial	$2,405.62
Rate for Payer: Qualcare PPO/HMO/WC	$721.69
Rate for Payer: UnitedHealthcare Commercial	$2,405.62

SHAVER DENSE TISSUE MINI

Facility

$4,811.25

Service Code	HCPCS C1782
Hospital Charge Code	270700296
Hospital Revenue Code	272
Min. Negotiated Rate	$721.69
Max. Negotiated Rate	$721.69
Rate for Payer: Qualcare PPO/HMO/WC	$721.69

SHAVER DIAMOND 04.4

Facility

$2,531.25

Hospital Charge Code	270663203
Hospital Revenue Code	272
Min. Negotiated Rate	$379.69
Max. Negotiated Rate	$379.69
Rate for Payer: Qualcare PPO/HMO/WC	$379.69

SHAVER DIAMOND 04.4

Facility

$2,531.25

Hospital Charge Code	270663203
Hospital Revenue Code	272
Min. Negotiated Rate	$329.06
Max. Negotiated Rate	$1,265.62
Rate for Payer: Aetna Commercial	$759.38
Rate for Payer: Aetna Medicare Advantage	$759.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$645.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$645.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$645.47
Rate for Payer: Cigna Commercial	$1,265.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.06
Rate for Payer: Oxford Commercial	$1,265.62
Rate for Payer: Qualcare PPO/HMO/WC	$379.69
Rate for Payer: UnitedHealthcare Commercial	$1,265.62

SHAVER MACRO HOOK 2.2X3.0MM

Facility

$2,085.00

Hospital Charge Code	270692068
Hospital Revenue Code	272
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$312.75
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

SHAVER MACRO HOOK 2.2X3.0MM

Facility

$2,085.00

Hospital Charge Code	270692068
Hospital Revenue Code	272
Min. Negotiated Rate	$271.05
Max. Negotiated Rate	$1,042.50
Rate for Payer: Aetna Commercial	$625.50
Rate for Payer: Aetna Medicare Advantage	$625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.67
Rate for Payer: Cigna Commercial	$1,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.05
Rate for Payer: Oxford Commercial	$1,042.50
Rate for Payer: Qualcare PPO/HMO/WC	$312.75
Rate for Payer: UnitedHealthcare Commercial	$1,042.50

SHAVERS SOFT TISSUE

Facility

$2,845.90

Hospital Charge Code	270700295
Hospital Revenue Code	272
Min. Negotiated Rate	$426.88
Max. Negotiated Rate	$426.88
Rate for Payer: Qualcare PPO/HMO/WC	$426.88

SHAVERS SOFT TISSUE

Facility

$2,845.90

Hospital Charge Code	270700295
Hospital Revenue Code	272
Min. Negotiated Rate	$369.97
Max. Negotiated Rate	$1,422.95
Rate for Payer: Aetna Commercial	$853.77
Rate for Payer: Aetna Medicare Advantage	$853.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$725.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$725.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$725.70
Rate for Payer: Cigna Commercial	$1,422.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.97
Rate for Payer: Oxford Commercial	$1,422.95
Rate for Payer: Qualcare PPO/HMO/WC	$426.88
Rate for Payer: UnitedHealthcare Commercial	$1,422.95

SHAVE SKIN LESION 0.5CM/<

Facility

$873.65

Service Code	HCPCS 11305
Hospital Charge Code	412311305
Hospital Revenue Code	361
Min. Negotiated Rate	$113.57
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$543.15
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.57
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$554.01
Rate for Payer: Wellpoint Medicaid Managed Care	$543.15

SHAVE SKIN LESION 0.5CM/<

Facility

$873.65

Service Code	HCPCS 11305
Hospital Charge Code	412311305
Hospital Revenue Code	361
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$131.05
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

Know your out-of-pocket cost for care.

All Charges