Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$323.25

Hospital Charge Code	270600419
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 WOMEN'S LG

Facility

$43.65

Hospital Charge Code	270302895
Hospital Revenue Code	270
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$6.55

SHOE POST-OP WOMEN'S LG

Facility

$43.65

Hospital Charge Code	270302895
Hospital Revenue Code	270
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$21.82
Rate for Payer: Aetna Commercial	$13.10
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.13
Rate for Payer: Cigna Commercial	$21.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.67
Rate for Payer: Oxford Commercial	$21.82
Rate for Payer: Qualcare PPO/HMO/WC	$6.55
Rate for Payer: UnitedHealthcare Commercial	$21.82

SHOE POST-OP WOMEN'S MED

Facility

$19.40

Hospital Charge Code	270302890
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 WOMEN'S MED

Facility

$19.40

Hospital Charge Code	270302890
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 WOMEN'S SM

Facility

$18.85

Hospital Charge Code	270302885
Hospital Revenue Code	270
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.83

SHOE POST-OP WOMEN'S SM

Facility

$18.85

Hospital Charge Code	270302885
Hospital Revenue Code	270
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$9.43
Rate for Payer: Aetna Commercial	$5.66
Rate for Payer: Aetna Medicare Advantage	$5.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.81
Rate for Payer: Cigna Commercial	$9.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.45
Rate for Payer: Oxford Commercial	$9.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.83
Rate for Payer: UnitedHealthcare Commercial	$9.43

SHOES ORTHOPEDIC CUSTOM

Facility

$3,064.85

Hospital Charge Code	270612972
Hospital Revenue Code	274
Min. Negotiated Rate	$459.73
Max. Negotiated Rate	$1,532.42
Rate for Payer: Aetna Commercial	$919.46
Rate for Payer: Aetna Medicare Advantage	$919.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$612.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$781.54
Rate for Payer: Cigna Commercial	$1,532.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.69
Rate for Payer: Qualcare PPO/HMO/WC	$459.73

SHOES ORTHOPEDIC CUSTOM

Facility

$3,064.85

Hospital Charge Code	270612972
Hospital Revenue Code	274
Min. Negotiated Rate	$459.73
Max. Negotiated Rate	$741.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$612.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.69
Rate for Payer: Qualcare PPO/HMO/WC	$459.73

SHOOCIN SHEATH KIT 6F

Facility

$319.00

Hospital Charge Code	270705140
Hospital Revenue Code	279
Min. Negotiated Rate	$41.47
Max. Negotiated Rate	$159.50
Rate for Payer: Aetna Commercial	$95.70
Rate for Payer: Aetna Medicare Advantage	$95.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.34
Rate for Payer: Cigna Commercial	$159.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.47
Rate for Payer: Oxford Commercial	$159.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.85
Rate for Payer: UnitedHealthcare Commercial	$159.50

SHOOCIN SHEATH KIT 6F

Facility

$319.00

Hospital Charge Code	270705140
Hospital Revenue Code	279
Min. Negotiated Rate	$47.85
Max. Negotiated Rate	$47.85
Rate for Payer: Qualcare PPO/HMO/WC	$47.85

SHORELINE INTERBODY 16X14X7MM

Facility

$10,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693891
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,075.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

SHORELINE INTERBODY 16X14X7MM

Facility

$10,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693891
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

SHORT ARM CAST

Facility

$1,066.99

Service Code	HCPCS 2907550
Hospital Charge Code	5792190
Hospital Revenue Code	450
Min. Negotiated Rate	$160.05
Max. Negotiated Rate	$160.05
Rate for Payer: Qualcare PPO/HMO/WC	$160.05

SHORT ARM CAST

Facility

$1,066.99

Service Code	HCPCS 2907550
Hospital Charge Code	5792190
Hospital Revenue Code	450
Min. Negotiated Rate	$138.71
Max. Negotiated Rate	$533.50
Rate for Payer: Aetna Commercial	$320.10
Rate for Payer: Aetna Medicare Advantage	$320.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.08
Rate for Payer: Cigna Commercial	$533.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.71
Rate for Payer: Qualcare PPO/HMO/WC	$160.05

SHORT ARM SPLINT DYNAMIC

Facility

$468.75

Service Code	HCPCS 29126
Hospital Charge Code	5780130
Hospital Revenue Code	450
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$70.31
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

SHORT ARM SPLINT DYNAMIC

Facility

$468.75

Service Code	HCPCS 29126
Hospital Charge Code	5780130
Hospital Revenue Code	450
Min. Negotiated Rate	$39.96
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$140.62
Rate for Payer: Aetna Medicare Advantage	$140.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.53
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.94
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

SHORT COLON***

Facility

$221.00

Hospital Charge Code	2300051
Hospital Revenue Code	361
Min. Negotiated Rate	$28.73
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$66.30
Rate for Payer: Aetna Medicare Advantage	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.35
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	$56.35
Rate for Payer: Cigna Commercial	$110.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.73
Rate for Payer: Qualcare PPO/HMO/WC	$33.15

SHORT COLON***

Facility

$221.00

Hospital Charge Code	2300051
Hospital Revenue Code	361
Min. Negotiated Rate	$33.15
Max. Negotiated Rate	$33.15
Rate for Payer: Qualcare PPO/HMO/WC	$33.15

SHORTEN PHALANGE ANY TOE

Facility

$19,998.60

Service Code	HCPCS 28312
Hospital Charge Code	16000909
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

SHORTEN PHALANGE ANY TOE

Facility

$19,998.60

Service Code	HCPCS 28312
Hospital Charge Code	16000909
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
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	$5,099.64
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

SHORT FLIP CUTTER II,10.5

Facility

$3,475.00

Hospital Charge Code	270679792
Hospital Revenue Code	272
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$521.25
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

SHORT FLIP CUTTER II,10.5

Facility

$3,475.00

Hospital Charge Code	270679792
Hospital Revenue Code	272
Min. Negotiated Rate	$451.75
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,042.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.75
Rate for Payer: Oxford Commercial	$1,737.50
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Commercial	$1,737.50

SHORT POST

Facility

$890.00

Hospital Charge Code	270339501
Hospital Revenue Code	272
Min. Negotiated Rate	$115.70
Max. Negotiated Rate	$445.00
Rate for Payer: Aetna Commercial	$267.00
Rate for Payer: Aetna Medicare Advantage	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.95
Rate for Payer: Cigna Commercial	$445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.70
Rate for Payer: Oxford Commercial	$445.00
Rate for Payer: Qualcare PPO/HMO/WC	$133.50
Rate for Payer: UnitedHealthcare Commercial	$445.00

SHORT POST

Facility

$890.00

Hospital Charge Code	270339501
Hospital Revenue Code	272
Min. Negotiated Rate	$133.50
Max. Negotiated Rate	$133.50
Rate for Payer: Qualcare PPO/HMO/WC	$133.50

Know your out-of-pocket cost for care.

All Charges