Heights University Hospital

All Charges

Charge

Type

Setting

Price

SLEEVE RESORB F/4.0mm SCREW

Facility

$816.00

Hospital Charge Code	270662828
Hospital Revenue Code	278
Min. Negotiated Rate	$122.40
Max. Negotiated Rate	$197.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.47
Rate for Payer: Qualcare PPO/HMO/WC	$122.40

SLEEVE SCD CALF LG 14IN BULK

Facility

$165.61

Hospital Charge Code	270654148
Hospital Revenue Code	270
Min. Negotiated Rate	$24.84
Max. Negotiated Rate	$24.84
Rate for Payer: Qualcare PPO/HMO/WC	$24.84

SLEEVE SCD CALF LG 14IN BULK

Facility

$165.61

Hospital Charge Code	270654148
Hospital Revenue Code	270
Min. Negotiated Rate	$21.53
Max. Negotiated Rate	$82.81
Rate for Payer: Aetna Commercial	$49.68
Rate for Payer: Aetna Medicare Advantage	$49.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.23
Rate for Payer: Cigna Commercial	$82.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.53
Rate for Payer: Oxford Commercial	$82.81
Rate for Payer: Qualcare PPO/HMO/WC	$24.84
Rate for Payer: UnitedHealthcare Commercial	$82.81

SLEEVE SEQUEN COMP LG 5480

Facility

$502.45

Hospital Charge Code	270604156
Hospital Revenue Code	270
Min. Negotiated Rate	$65.32
Max. Negotiated Rate	$251.22
Rate for Payer: Aetna Commercial	$150.74
Rate for Payer: Aetna Medicare Advantage	$150.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.12
Rate for Payer: Cigna Commercial	$251.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.32
Rate for Payer: Oxford Commercial	$251.22
Rate for Payer: Qualcare PPO/HMO/WC	$75.37
Rate for Payer: UnitedHealthcare Commercial	$251.22

SLEEVE SEQUEN COMP LG 5480

Facility

$502.45

Hospital Charge Code	270604156
Hospital Revenue Code	270
Min. Negotiated Rate	$75.37
Max. Negotiated Rate	$75.37
Rate for Payer: Qualcare PPO/HMO/WC	$75.37

SLEEVE SEQUEN COMP LG/XL

Facility

$629.65

Hospital Charge Code	270600083
Hospital Revenue Code	270
Min. Negotiated Rate	$81.85
Max. Negotiated Rate	$314.82
Rate for Payer: Aetna Commercial	$188.90
Rate for Payer: Aetna Medicare Advantage	$188.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.56
Rate for Payer: Cigna Commercial	$314.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.85
Rate for Payer: Oxford Commercial	$314.82
Rate for Payer: Qualcare PPO/HMO/WC	$94.45
Rate for Payer: UnitedHealthcare Commercial	$314.82

SLEEVE SEQUEN COMP LG/XL

Facility

$629.65

Hospital Charge Code	270600083
Hospital Revenue Code	270
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$94.45
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

SLEEVE SEQUEN COMP MED

Facility

$414.45

Hospital Charge Code	270604157
Hospital Revenue Code	270
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

SLEEVE SEQUEN COMP MED

Facility

$414.45

Hospital Charge Code	270604157
Hospital Revenue Code	270
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

SLEEVE SEQUEN COMP SM

Facility

$537.65

Hospital Charge Code	270600094
Hospital Revenue Code	270
Min. Negotiated Rate	$80.65
Max. Negotiated Rate	$80.65
Rate for Payer: Qualcare PPO/HMO/WC	$80.65

SLEEVE SEQUEN COMP SM

Facility

$537.65

Hospital Charge Code	270600094
Hospital Revenue Code	270
Min. Negotiated Rate	$69.89
Max. Negotiated Rate	$268.82
Rate for Payer: Aetna Commercial	$161.29
Rate for Payer: Aetna Medicare Advantage	$161.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.10
Rate for Payer: Cigna Commercial	$268.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.89
Rate for Payer: Oxford Commercial	$268.82
Rate for Payer: Qualcare PPO/HMO/WC	$80.65
Rate for Payer: UnitedHealthcare Commercial	$268.82

SLEEVE SMIT 40MM 084.093

Facility

$183.25

Hospital Charge Code	270624020
Hospital Revenue Code	272
Min. Negotiated Rate	$23.82
Max. Negotiated Rate	$91.62
Rate for Payer: Aetna Commercial	$54.98
Rate for Payer: Aetna Medicare Advantage	$54.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.73
Rate for Payer: Cigna Commercial	$91.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.82
Rate for Payer: Oxford Commercial	$91.62
Rate for Payer: Qualcare PPO/HMO/WC	$27.49
Rate for Payer: UnitedHealthcare Commercial	$91.62

SLEEVE SMIT 40MM 084.093

Facility

$183.25

Hospital Charge Code	270624020
Hospital Revenue Code	272
Min. Negotiated Rate	$27.49
Max. Negotiated Rate	$27.49
Rate for Payer: Qualcare PPO/HMO/WC	$27.49

SLEEVE SMN IM HIP SCREW HN1200

Facility

$1,051.25

Hospital Charge Code	270621508
Hospital Revenue Code	278
Min. Negotiated Rate	$157.69
Max. Negotiated Rate	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.40
Rate for Payer: Qualcare PPO/HMO/WC	$157.69

SLEEVE SMN IM HIP SCREW HN1200

Facility

$1,051.25

Hospital Charge Code	270621508
Hospital Revenue Code	278
Min. Negotiated Rate	$157.69
Max. Negotiated Rate	$525.62
Rate for Payer: Aetna Commercial	$315.38
Rate for Payer: Aetna Medicare Advantage	$315.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$268.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$268.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$268.07
Rate for Payer: Cigna Commercial	$525.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.40
Rate for Payer: Qualcare PPO/HMO/WC	$157.69

SLEEVES SCD KNEE 3583005329

Facility

$189.09

Hospital Charge Code	270301515
Hospital Revenue Code	272
Min. Negotiated Rate	$24.58
Max. Negotiated Rate	$94.55
Rate for Payer: Aetna Commercial	$56.73
Rate for Payer: Aetna Medicare Advantage	$56.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.22
Rate for Payer: Cigna Commercial	$94.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.58
Rate for Payer: Oxford Commercial	$94.55
Rate for Payer: Qualcare PPO/HMO/WC	$28.36
Rate for Payer: UnitedHealthcare Commercial	$94.55

SLEEVES SCD KNEE 3583005329

Facility

$189.09

Hospital Charge Code	270301515
Hospital Revenue Code	272
Min. Negotiated Rate	$28.36
Max. Negotiated Rate	$28.36
Rate for Payer: Qualcare PPO/HMO/WC	$28.36

SLEEVES SCD KNEE 3583005480

Facility

$36.93

Hospital Charge Code	270301510
Hospital Revenue Code	270
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$18.46
Rate for Payer: Aetna Commercial	$11.08
Rate for Payer: Aetna Medicare Advantage	$11.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.42
Rate for Payer: Cigna Commercial	$18.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.80
Rate for Payer: Oxford Commercial	$18.46
Rate for Payer: Qualcare PPO/HMO/WC	$5.54
Rate for Payer: UnitedHealthcare Commercial	$18.46

SLEEVES SCD KNEE 3583005480

Facility

$36.93

Hospital Charge Code	270301510
Hospital Revenue Code	270
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$5.54
Rate for Payer: Qualcare PPO/HMO/WC	$5.54

SLEEVES SCD MEDIUM 358005330

Facility

$44.84

Hospital Charge Code	270301505
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

SLEEVES SCD MEDIUM 358005330

Facility

$44.84

Hospital Charge Code	270301505
Hospital Revenue Code	272
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$22.42
Rate for Payer: Aetna Commercial	$13.45
Rate for Payer: Aetna Medicare Advantage	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.43
Rate for Payer: Cigna Commercial	$22.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Oxford Commercial	$22.42
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$22.42

SLEEVES SCD SMALL 3583005345

Facility

$169.70

Hospital Charge Code	270301500
Hospital Revenue Code	272
Min. Negotiated Rate	$22.06
Max. Negotiated Rate	$84.85
Rate for Payer: Aetna Commercial	$50.91
Rate for Payer: Aetna Medicare Advantage	$50.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.27
Rate for Payer: Cigna Commercial	$84.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Oxford Commercial	$84.85
Rate for Payer: Qualcare PPO/HMO/WC	$25.45
Rate for Payer: UnitedHealthcare Commercial	$84.85

SLEEVES SCD SMALL 3583005345

Facility

$169.70

Hospital Charge Code	270301500
Hospital Revenue Code	272
Min. Negotiated Rate	$25.45
Max. Negotiated Rate	$25.45
Rate for Payer: Qualcare PPO/HMO/WC	$25.45

SLEEVES SEQTIAL COMPRESS 5345

Facility

$239.85

Hospital Charge Code	270604155
Hospital Revenue Code	271
Min. Negotiated Rate	$31.18
Max. Negotiated Rate	$119.92
Rate for Payer: Aetna Commercial	$71.95
Rate for Payer: Aetna Medicare Advantage	$71.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.16
Rate for Payer: Cigna Commercial	$119.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.18
Rate for Payer: Oxford Commercial	$119.92
Rate for Payer: Qualcare PPO/HMO/WC	$35.98
Rate for Payer: UnitedHealthcare Commercial	$119.92

SLEEVES SEQTIAL COMPRESS 5345

Facility

$239.85

Hospital Charge Code	270604155
Hospital Revenue Code	271
Min. Negotiated Rate	$35.98
Max. Negotiated Rate	$35.98
Rate for Payer: Qualcare PPO/HMO/WC	$35.98

Know your out-of-pocket cost for care.

All Charges