Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHOE POST-OP MALE LARGE

Facility

$55.40

Hospital Charge Code	270649874
Hospital Revenue Code	271
Min. Negotiated Rate	$8.31
Max. Negotiated Rate	$8.31
Rate for Payer: Qualcare PPO/HMO/WC	$8.31

SHOE POST-OP MALE LARGE

Facility

$55.40

Hospital Charge Code	270649874
Hospital Revenue Code	271
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$27.70
Rate for Payer: Aetna Commercial	$16.62
Rate for Payer: Aetna Medicare Advantage	$16.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.13
Rate for Payer: Cigna Commercial	$27.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.20
Rate for Payer: Oxford Commercial	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.31
Rate for Payer: UnitedHealthcare Commercial	$27.70

SHOE POST-OP MALE MEDIUM

Facility

$48.95

Hospital Charge Code	270649869
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 MALE MEDIUM

Facility

$48.95

Hospital Charge Code	270649869
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 MALE SMALL

Facility

$49.00

Hospital Charge Code	270649871
Hospital Revenue Code	271
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

SHOE POST-OP MALE SMALL

Facility

$49.00

Hospital Charge Code	270649871
Hospital Revenue Code	271
Min. Negotiated Rate	$6.37
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$14.70
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.37
Rate for Payer: Oxford Commercial	$24.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Commercial	$24.50

SHOE POST-OP MEN'S LG

Facility

$19.40

Hospital Charge Code	270302880
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$5.82
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.52
Rate for Payer: Oxford Commercial	$9.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$9.70

SHOE POST-OP MEN'S LG

Facility

$19.40

Hospital Charge Code	270302880W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

SHOE POST-OP MEN'S LG

Facility

$19.40

Hospital Charge Code	270302880W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$5.82
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.52
Rate for Payer: Oxford Commercial	$9.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$9.70

SHOE POST-OP MEN'S LG

Facility

$19.40

Hospital Charge Code	270302880
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

SHOE POST-OP MEN'S MED

Facility

$19.40

Hospital Charge Code	270302875
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$5.82
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.52
Rate for Payer: Oxford Commercial	$9.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$9.70

SHOE POST-OP MEN'S MED

Facility

$19.40

Hospital Charge Code	270302875
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

SHOE POST-OP MEN'S MED

Facility

$19.40

Hospital Charge Code	270302875W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

SHOE POST-OP MEN'S MED

Facility

$19.40

Hospital Charge Code	270302875W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$5.82
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.52
Rate for Payer: Oxford Commercial	$9.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$9.70

SHOE POST-OP MEN'S SM

Facility

$19.40

Hospital Charge Code	270302870W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

SHOE POST-OP MEN'S SM

Facility

$19.40

Hospital Charge Code	270302870
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$5.82
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.52
Rate for Payer: Oxford Commercial	$9.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$9.70

SHOE POST-OP MEN'S SM

Facility

$19.40

Hospital Charge Code	270302870W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$5.82
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.52
Rate for Payer: Oxford Commercial	$9.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$9.70

SHOE POST-OP MEN'S SM

Facility

$19.40

Hospital Charge Code	270302870
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

SHOE POST-OP MEN'S XL

Facility

$42.15

Hospital Charge Code	270633939
Hospital Revenue Code	270
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$21.07
Rate for Payer: Aetna Commercial	$12.64
Rate for Payer: Aetna Medicare Advantage	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.75
Rate for Payer: Cigna Commercial	$21.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.48
Rate for Payer: Oxford Commercial	$21.07
Rate for Payer: Qualcare PPO/HMO/WC	$6.32
Rate for Payer: UnitedHealthcare Commercial	$21.07

SHOE POST-OP MEN'S XL

Facility

$42.15

Hospital Charge Code	270633939
Hospital Revenue Code	270
Min. Negotiated Rate	$6.32
Max. Negotiated Rate	$6.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.32

SHOE POST-OP SZ 10-10 1/2

Facility

$323.25

Hospital Charge Code	270600420
Hospital Revenue Code	270
Min. Negotiated Rate	$42.02
Max. Negotiated Rate	$161.62
Rate for Payer: Aetna Commercial	$96.97
Rate for Payer: Aetna Medicare Advantage	$96.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.43
Rate for Payer: Cigna Commercial	$161.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.02
Rate for Payer: Oxford Commercial	$161.62
Rate for Payer: Qualcare PPO/HMO/WC	$48.49
Rate for Payer: UnitedHealthcare Commercial	$161.62

SHOE POST-OP SZ 10-10 1/2

Facility

$323.25

Hospital Charge Code	270600420
Hospital Revenue Code	270
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$48.49
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

SHOE POST-OP SZ 11-12

Facility

$323.25

Hospital Charge Code	270600421
Hospital Revenue Code	270
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$48.49
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

SHOE POST-OP SZ 11-12

Facility

$323.25

Hospital Charge Code	270600421
Hospital Revenue Code	270
Min. Negotiated Rate	$42.02
Max. Negotiated Rate	$161.62
Rate for Payer: Aetna Commercial	$96.97
Rate for Payer: Aetna Medicare Advantage	$96.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.43
Rate for Payer: Cigna Commercial	$161.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.02
Rate for Payer: Oxford Commercial	$161.62
Rate for Payer: Qualcare PPO/HMO/WC	$48.49
Rate for Payer: UnitedHealthcare Commercial	$161.62

SHOE POST-OP SZ 8 1/2 - 9 1/2

Facility

$323.25

Hospital Charge Code	270600419
Hospital Revenue Code	270
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$48.49
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

Know your out-of-pocket cost for care.

All Charges