Heights University Hospital

All Charges

Charge

Type

Setting

Price

SIZE D RIGHT LEG FLEX

Facility

$11,724.30

Hospital Charge Code	270657108
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.64
Max. Negotiated Rate	$2,837.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,344.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.64

SIZE D RIGHT LEG FLEX

Facility

$11,724.30

Hospital Charge Code	270657108
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.64
Max. Negotiated Rate	$5,862.15
Rate for Payer: Aetna Commercial	$3,517.29
Rate for Payer: Aetna Medicare Advantage	$3,517.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,989.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,989.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,344.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,989.70
Rate for Payer: Cigna Commercial	$5,862.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.64

SIZE EF 12MM POLY LPSFLEX 7-10

Facility

$5,862.10

Hospital Charge Code	270657115
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$1,758.63
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

SIZE EF 12MM POLY LPSFLEX 7-10

Facility

$5,862.10

Hospital Charge Code	270657115
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

SIZE E,F 23MM 7-10

Facility

$5,862.10

Hospital Charge Code	270657114
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$1,758.63
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

SIZE E,F 23MM 7-10

Facility

$5,862.10

Hospital Charge Code	270657114
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

SIZE E LEFT GSF-FLEX

Facility

$12,166.15

Hospital Charge Code	270657110
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$6,083.07
Rate for Payer: Aetna Commercial	$3,649.84
Rate for Payer: Aetna Medicare Advantage	$3,649.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.37
Rate for Payer: Cigna Commercial	$6,083.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

SIZE E LEFT GSF-FLEX

Facility

$12,166.15

Hospital Charge Code	270657110
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$2,944.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

SIZE E LEFT LPS-FLEX

Facility

$11,724.30

Hospital Charge Code	270657111
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.64
Max. Negotiated Rate	$5,862.15
Rate for Payer: Aetna Commercial	$3,517.29
Rate for Payer: Aetna Medicare Advantage	$3,517.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,989.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,989.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,344.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,989.70
Rate for Payer: Cigna Commercial	$5,862.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.64

SIZE E LEFT LPS-FLEX

Facility

$11,724.30

Hospital Charge Code	270657111
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.64
Max. Negotiated Rate	$2,837.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,344.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.64

SIZE E RIGHT GSF FLEX

Facility

$12,166.15

Hospital Charge Code	270657112
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$2,944.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

SIZE E RIGHT GSF FLEX

Facility

$12,166.15

Hospital Charge Code	270657112
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$6,083.07
Rate for Payer: Aetna Commercial	$3,649.84
Rate for Payer: Aetna Medicare Advantage	$3,649.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.37
Rate for Payer: Cigna Commercial	$6,083.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

SIZE E RIGHT LPS-FLEX

Facility

$11,724.30

Hospital Charge Code	270657113
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.64
Max. Negotiated Rate	$2,837.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,344.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.64

SIZE E RIGHT LPS-FLEX

Facility

$11,724.30

Hospital Charge Code	270657113
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.64
Max. Negotiated Rate	$5,862.15
Rate for Payer: Aetna Commercial	$3,517.29
Rate for Payer: Aetna Medicare Advantage	$3,517.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,989.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,989.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,344.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,989.70
Rate for Payer: Cigna Commercial	$5,862.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.64

SIZE F LEFT GSF LPS-FLEX

Facility

$12,166.15

Hospital Charge Code	270657116
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$6,083.07
Rate for Payer: Aetna Commercial	$3,649.84
Rate for Payer: Aetna Medicare Advantage	$3,649.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.37
Rate for Payer: Cigna Commercial	$6,083.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

SIZE F LEFT GSF LPS-FLEX

Facility

$12,166.15

Hospital Charge Code	270657116
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$2,944.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

SIZE F RIGHT LPS-FLEX

Facility

$11,724.30

Hospital Charge Code	270657117
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.64
Max. Negotiated Rate	$2,837.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,344.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.64

SIZE F RIGHT LPS-FLEX

Facility

$11,724.30

Hospital Charge Code	270657117
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.64
Max. Negotiated Rate	$5,862.15
Rate for Payer: Aetna Commercial	$3,517.29
Rate for Payer: Aetna Medicare Advantage	$3,517.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,989.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,989.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,344.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,989.70
Rate for Payer: Cigna Commercial	$5,862.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.64

SIZER CIRCULAR 25/29/33MM

Facility

$822.65

Hospital Charge Code	270608835
Hospital Revenue Code	272
Min. Negotiated Rate	$123.40
Max. Negotiated Rate	$123.40
Rate for Payer: Qualcare PPO/HMO/WC	$123.40

SIZER CIRCULAR 25/29/33MM

Facility

$822.65

Hospital Charge Code	270608835
Hospital Revenue Code	272
Min. Negotiated Rate	$106.94
Max. Negotiated Rate	$411.32
Rate for Payer: Aetna Commercial	$246.79
Rate for Payer: Aetna Medicare Advantage	$246.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.78
Rate for Payer: Cigna Commercial	$411.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.94
Rate for Payer: Oxford Commercial	$411.32
Rate for Payer: Qualcare PPO/HMO/WC	$123.40
Rate for Payer: UnitedHealthcare Commercial	$411.32

SIZER CNTR VOL 550cc 350-0714S

Facility

$223.25

Hospital Charge Code	270619649
Hospital Revenue Code	272
Min. Negotiated Rate	$33.49
Max. Negotiated Rate	$33.49
Rate for Payer: Qualcare PPO/HMO/WC	$33.49

SIZER CNTR VOL 550cc 350-0714S

Facility

$223.25

Hospital Charge Code	270619649
Hospital Revenue Code	272
Min. Negotiated Rate	$29.02
Max. Negotiated Rate	$111.62
Rate for Payer: Aetna Commercial	$66.97
Rate for Payer: Aetna Medicare Advantage	$66.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.93
Rate for Payer: Cigna Commercial	$111.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.02
Rate for Payer: Oxford Commercial	$111.62
Rate for Payer: Qualcare PPO/HMO/WC	$33.49
Rate for Payer: UnitedHealthcare Commercial	$111.62

SIZER CONTOUR 125CC 350-125S

Facility

$414.45

Hospital Charge Code	270615792
Hospital Revenue Code	272
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$207.22
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Oxford Commercial	$207.22
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$207.22

SIZER CONTOUR 125CC 350-125S

Facility

$414.45

Hospital Charge Code	270615792
Hospital Revenue Code	272
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

SIZER CONTOUR 175CC 350-175S

Facility

$414.45

Hospital Charge Code	270615793
Hospital Revenue Code	272
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

Know your out-of-pocket cost for care.

All Charges