Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHOE CAST VINYL SM OP TOE

Facility

$35.85

Hospital Charge Code	270302735
Hospital Revenue Code	270
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.38

SHOE CAST VINYL XLG OP TOE

Facility

$24.25

Hospital Charge Code	270302750
Hospital Revenue Code	270
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$12.12
Rate for Payer: Aetna Commercial	$7.28
Rate for Payer: Aetna Medicare Advantage	$7.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.18
Rate for Payer: Cigna Commercial	$12.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.15
Rate for Payer: Oxford Commercial	$12.12
Rate for Payer: Qualcare PPO/HMO/WC	$3.64
Rate for Payer: UnitedHealthcare Commercial	$12.12

SHOE CAST VINYL XLG OP TOE

Facility

$24.25

Hospital Charge Code	270302750
Hospital Revenue Code	270
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$3.64
Rate for Payer: Qualcare PPO/HMO/WC	$3.64

SHOE DARCO WEDGE HEEL RELIEF

Facility

$124.75

Hospital Charge Code	270642336
Hospital Revenue Code	272
Min. Negotiated Rate	$18.71
Max. Negotiated Rate	$18.71
Rate for Payer: Qualcare PPO/HMO/WC	$18.71

SHOE DARCO WEDGE HEEL RELIEF

Facility

$124.75

Hospital Charge Code	270642336
Hospital Revenue Code	272
Min. Negotiated Rate	$16.22
Max. Negotiated Rate	$62.38
Rate for Payer: Aetna Commercial	$37.42
Rate for Payer: Aetna Medicare Advantage	$37.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.81
Rate for Payer: Cigna Commercial	$62.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.22
Rate for Payer: Oxford Commercial	$62.38
Rate for Payer: Qualcare PPO/HMO/WC	$18.71
Rate for Payer: UnitedHealthcare Commercial	$62.38

SHOE HEEL WEDGE HEALING SZ L

Facility

$200.00

Hospital Charge Code	270678832
Hospital Revenue Code	270
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: UnitedHealthcare Commercial	$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

SHOE HEEL WEDGE HEALING SZ L

Facility

$200.00

Hospital Charge Code	270678832
Hospital Revenue Code	270
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SHOE HEEL WEDGE HEALING SZ M

Facility

$163.30

Hospital Charge Code	270678833
Hospital Revenue Code	270
Min. Negotiated Rate	$21.23
Max. Negotiated Rate	$81.65
Rate for Payer: Aetna Commercial	$48.99
Rate for Payer: Aetna Medicare Advantage	$48.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.64
Rate for Payer: Cigna Commercial	$81.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.23
Rate for Payer: Oxford Commercial	$81.65
Rate for Payer: Qualcare PPO/HMO/WC	$24.50
Rate for Payer: UnitedHealthcare Commercial	$81.65

SHOE HEEL WEDGE HEALING SZ M

Facility

$163.30

Hospital Charge Code	270678833
Hospital Revenue Code	270
Min. Negotiated Rate	$24.50
Max. Negotiated Rate	$24.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.50

SHOE ORTHOWEDGE HEALING SZ L

Facility

$126.60

Hospital Charge Code	270678831
Hospital Revenue Code	270
Min. Negotiated Rate	$16.46
Max. Negotiated Rate	$63.30
Rate for Payer: Aetna Commercial	$37.98
Rate for Payer: Aetna Medicare Advantage	$37.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.28
Rate for Payer: Cigna Commercial	$63.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.46
Rate for Payer: Oxford Commercial	$63.30
Rate for Payer: Qualcare PPO/HMO/WC	$18.99
Rate for Payer: UnitedHealthcare Commercial	$63.30

SHOE ORTHOWEDGE HEALING SZ L

Facility

$126.60

Hospital Charge Code	270678831
Hospital Revenue Code	270
Min. Negotiated Rate	$18.99
Max. Negotiated Rate	$18.99
Rate for Payer: Qualcare PPO/HMO/WC	$18.99

SHOE ORTHOWEDGE LARGE

Facility

$184.95

Hospital Charge Code	270650012
Hospital Revenue Code	270
Min. Negotiated Rate	$27.74
Max. Negotiated Rate	$27.74
Rate for Payer: Qualcare PPO/HMO/WC	$27.74

SHOE ORTHOWEDGE LARGE

Facility

$184.95

Hospital Charge Code	270650012
Hospital Revenue Code	270
Min. Negotiated Rate	$24.04
Max. Negotiated Rate	$92.47
Rate for Payer: Aetna Commercial	$55.48
Rate for Payer: Aetna Medicare Advantage	$55.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.16
Rate for Payer: Cigna Commercial	$92.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.04
Rate for Payer: Oxford Commercial	$92.47
Rate for Payer: Qualcare PPO/HMO/WC	$27.74
Rate for Payer: UnitedHealthcare Commercial	$92.47

SHOE ORTHO WEDGE MEDIUM

Facility

$174.75

Hospital Charge Code	270641374
Hospital Revenue Code	272
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$87.38
Rate for Payer: Aetna Commercial	$52.42
Rate for Payer: Aetna Medicare Advantage	$52.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.56
Rate for Payer: Cigna Commercial	$87.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.72
Rate for Payer: Oxford Commercial	$87.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.21
Rate for Payer: UnitedHealthcare Commercial	$87.38

SHOE ORTHO WEDGE MEDIUM

Facility

$174.75

Hospital Charge Code	270641374
Hospital Revenue Code	272
Min. Negotiated Rate	$26.21
Max. Negotiated Rate	$26.21
Rate for Payer: Qualcare PPO/HMO/WC	$26.21

SHOE ORTHOWEDGE XL

Facility

$176.50

Hospital Charge Code	270647499
Hospital Revenue Code	271
Min. Negotiated Rate	$26.48
Max. Negotiated Rate	$26.48
Rate for Payer: Qualcare PPO/HMO/WC	$26.48

SHOE ORTHOWEDGE XL

Facility

$176.50

Hospital Charge Code	270647499
Hospital Revenue Code	271
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$88.25
Rate for Payer: Aetna Commercial	$52.95
Rate for Payer: Aetna Medicare Advantage	$52.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.01
Rate for Payer: Cigna Commercial	$88.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.95
Rate for Payer: Oxford Commercial	$88.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.48
Rate for Payer: UnitedHealthcare Commercial	$88.25

SHOE POST OP ********

Facility

$30.00

Hospital Charge Code	8002123
Hospital Revenue Code	279
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

SHOE POST OP ********

Facility

$30.00

Hospital Charge Code	8002123
Hospital Revenue Code	279
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

SHOE POST-OP FEMALE LARGE

Facility

$48.95

Hospital Charge Code	270649887
Hospital Revenue Code	271
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$7.34
Rate for Payer: Qualcare PPO/HMO/WC	$7.34

SHOE POST-OP FEMALE LARGE

Facility

$48.95

Hospital Charge Code	270649887
Hospital Revenue Code	271
Min. Negotiated Rate	$6.36
Max. Negotiated Rate	$24.48
Rate for Payer: Aetna Commercial	$14.69
Rate for Payer: Aetna Medicare Advantage	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.48
Rate for Payer: Cigna Commercial	$24.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.36
Rate for Payer: Oxford Commercial	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$7.34
Rate for Payer: UnitedHealthcare Commercial	$24.48

SHOE POST OP FEMALE MEDIUM

Facility

$48.95

Hospital Charge Code	270649886
Hospital Revenue Code	271
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$7.34
Rate for Payer: Qualcare PPO/HMO/WC	$7.34

SHOE POST OP FEMALE MEDIUM

Facility

$48.95

Hospital Charge Code	270649886
Hospital Revenue Code	271
Min. Negotiated Rate	$6.36
Max. Negotiated Rate	$24.48
Rate for Payer: Aetna Commercial	$14.69
Rate for Payer: Aetna Medicare Advantage	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.48
Rate for Payer: Cigna Commercial	$24.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.36
Rate for Payer: Oxford Commercial	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$7.34
Rate for Payer: UnitedHealthcare Commercial	$24.48

SHOE POST OP FEMALE SMALL

Facility

$49.55

Hospital Charge Code	270649885
Hospital Revenue Code	271
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$24.77
Rate for Payer: Aetna Commercial	$14.87
Rate for Payer: Aetna Medicare Advantage	$14.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.64
Rate for Payer: Cigna Commercial	$24.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.44
Rate for Payer: Oxford Commercial	$24.77
Rate for Payer: Qualcare PPO/HMO/WC	$7.43
Rate for Payer: UnitedHealthcare Commercial	$24.77

SHOE POST OP FEMALE SMALL

Facility

$49.55

Hospital Charge Code	270649885
Hospital Revenue Code	271
Min. Negotiated Rate	$7.43
Max. Negotiated Rate	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.43

Know your out-of-pocket cost for care.

All Charges