Heights University Hospital

All Charges

Charge

Type

Setting

Price

SLING COMFORT ******

Facility

$11.00

Hospital Charge Code	8001570
Hospital Revenue Code	279
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

SLING COMFORT ******

Facility

$11.00

Hospital Charge Code	8001570
Hospital Revenue Code	279
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$3.30
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.50

SLING ELEVATE ANTERIOR

Facility

$12,620.00

Hospital Charge Code	270676778
Hospital Revenue Code	278
Min. Negotiated Rate	$1,893.00
Max. Negotiated Rate	$6,310.00
Rate for Payer: Aetna Commercial	$3,786.00
Rate for Payer: Aetna Medicare Advantage	$3,786.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,218.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,218.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,524.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,218.10
Rate for Payer: Cigna Commercial	$6,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,054.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,893.00

SLING ELEVATE ANTERIOR

Facility

$12,620.00

Hospital Charge Code	270676778
Hospital Revenue Code	278
Min. Negotiated Rate	$1,893.00
Max. Negotiated Rate	$3,054.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,524.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,054.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,893.00

SLING HEMI SHOULDR LT LG C6152

Facility

$198.45

Hospital Charge Code	270629657
Hospital Revenue Code	270
Min. Negotiated Rate	$29.77
Max. Negotiated Rate	$29.77
Rate for Payer: Qualcare PPO/HMO/WC	$29.77

SLING HEMI SHOULDR LT LG C6152

Facility

$198.45

Hospital Charge Code	270629657
Hospital Revenue Code	270
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$99.22
Rate for Payer: Aetna Commercial	$59.53
Rate for Payer: Aetna Medicare Advantage	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.60
Rate for Payer: Cigna Commercial	$99.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.80
Rate for Payer: Oxford Commercial	$99.22
Rate for Payer: Qualcare PPO/HMO/WC	$29.77
Rate for Payer: UnitedHealthcare Commercial	$99.22

SLING INFL INFAST 788530

Facility

$1,484.00

Hospital Charge Code	270611027
Hospital Revenue Code	270
Min. Negotiated Rate	$192.92
Max. Negotiated Rate	$742.00
Rate for Payer: Aetna Commercial	$445.20
Rate for Payer: Aetna Medicare Advantage	$445.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.42
Rate for Payer: Cigna Commercial	$742.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.92
Rate for Payer: Oxford Commercial	$742.00
Rate for Payer: Qualcare PPO/HMO/WC	$222.60
Rate for Payer: UnitedHealthcare Commercial	$742.00

SLING INFL INFAST 788530

Facility

$1,484.00

Hospital Charge Code	270611027
Hospital Revenue Code	270
Min. Negotiated Rate	$222.60
Max. Negotiated Rate	$222.60
Rate for Payer: Qualcare PPO/HMO/WC	$222.60

SLING LARGE

Facility

$10.28

Hospital Charge Code	270302915
Hospital Revenue Code	271
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SLING LARGE

Facility

$10.28

Hospital Charge Code	270302915
Hospital Revenue Code	271
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$5.14
Rate for Payer: Aetna Commercial	$3.08
Rate for Payer: Aetna Medicare Advantage	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.62
Rate for Payer: Cigna Commercial	$5.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.34
Rate for Payer: Oxford Commercial	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$5.14

SLING MALE XP SYS

Facility

$35,975.00

Service Code	HCPCS C1771
Hospital Charge Code	270690092
Hospital Revenue Code	278
Min. Negotiated Rate	$5,396.25
Max. Negotiated Rate	$8,705.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,705.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,396.25

SLING MALE XP SYS

Facility

$35,975.00

Service Code	HCPCS C1771
Hospital Charge Code	270690092
Hospital Revenue Code	278
Min. Negotiated Rate	$5,396.25
Max. Negotiated Rate	$17,987.50
Rate for Payer: Aetna Commercial	$10,792.50
Rate for Payer: Aetna Medicare Advantage	$10,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,173.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,173.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,173.62
Rate for Payer: Cigna Commercial	$17,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,705.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,396.25

SLING MCV TISSUE 2X4 820240

Facility

$2,681.65

Hospital Charge Code	270618554
Hospital Revenue Code	278
Min. Negotiated Rate	$402.25
Max. Negotiated Rate	$1,340.83
Rate for Payer: Aetna Commercial	$804.50
Rate for Payer: Aetna Medicare Advantage	$804.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$683.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$683.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$536.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$683.82
Rate for Payer: Cigna Commercial	$1,340.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.96
Rate for Payer: Qualcare PPO/HMO/WC	$402.25

SLING MCV TISSUE 2X4 820240

Facility

$2,681.65

Hospital Charge Code	270618554
Hospital Revenue Code	278
Min. Negotiated Rate	$402.25
Max. Negotiated Rate	$648.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$536.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.96
Rate for Payer: Qualcare PPO/HMO/WC	$402.25

SLING MCV TISSUE 3X7 820242

Facility

$2,595.25

Hospital Charge Code	270618602
Hospital Revenue Code	278
Min. Negotiated Rate	$389.29
Max. Negotiated Rate	$628.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$628.05
Rate for Payer: Qualcare PPO/HMO/WC	$389.29

SLING MCV TISSUE 3X7 820242

Facility

$2,595.25

Hospital Charge Code	270618602
Hospital Revenue Code	278
Min. Negotiated Rate	$389.29
Max. Negotiated Rate	$1,297.62
Rate for Payer: Aetna Commercial	$778.58
Rate for Payer: Aetna Medicare Advantage	$778.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$661.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$661.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$661.79
Rate for Payer: Cigna Commercial	$1,297.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$628.05
Rate for Payer: Qualcare PPO/HMO/WC	$389.29

SLING MCV TRANSVAG 4 12 820348

Facility

$2,399.25

Hospital Charge Code	270621603
Hospital Revenue Code	278
Min. Negotiated Rate	$359.89
Max. Negotiated Rate	$1,199.62
Rate for Payer: Aetna Commercial	$719.77
Rate for Payer: Aetna Medicare Advantage	$719.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$611.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$611.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$611.81
Rate for Payer: Cigna Commercial	$1,199.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.62
Rate for Payer: Qualcare PPO/HMO/WC	$359.89

SLING MCV TRANSVAG 4 12 820348

Facility

$2,399.25

Hospital Charge Code	270621603
Hospital Revenue Code	278
Min. Negotiated Rate	$359.89
Max. Negotiated Rate	$580.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.62
Rate for Payer: Qualcare PPO/HMO/WC	$359.89

SLING MEDIUM YOUTH

Facility

$123.30

Hospital Charge Code	270302920
Hospital Revenue Code	270
Min. Negotiated Rate	$16.03
Max. Negotiated Rate	$61.65
Rate for Payer: Aetna Commercial	$36.99
Rate for Payer: Aetna Medicare Advantage	$36.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.44
Rate for Payer: Cigna Commercial	$61.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.03
Rate for Payer: Oxford Commercial	$61.65
Rate for Payer: Qualcare PPO/HMO/WC	$18.50
Rate for Payer: UnitedHealthcare Commercial	$61.65

SLING MEDIUM YOUTH

Facility

$123.30

Hospital Charge Code	270302920
Hospital Revenue Code	270
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$18.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.50

SLING MID URETH SUPRAPU LYNX

Facility

$9,021.55

Service Code	HCPCS C1771
Hospital Charge Code	270690234
Hospital Revenue Code	278
Min. Negotiated Rate	$1,353.23
Max. Negotiated Rate	$4,510.77
Rate for Payer: Aetna Commercial	$2,706.47
Rate for Payer: Aetna Medicare Advantage	$2,706.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,804.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,300.50
Rate for Payer: Cigna Commercial	$4,510.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,183.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,353.23

SLING MID URETH SUPRAPU LYNX

Facility

$9,021.55

Service Code	HCPCS C1771
Hospital Charge Code	270690234
Hospital Revenue Code	278
Min. Negotiated Rate	$1,353.23
Max. Negotiated Rate	$2,183.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,804.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,183.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,353.23

SLING MINIARC

Facility

$3,450.00

Service Code	HCPCS C1771
Hospital Charge Code	270669201
Hospital Revenue Code	278
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,035.00
Rate for Payer: Aetna Medicare Advantage	$1,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.75
Rate for Payer: Cigna Commercial	$1,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

SLING MINIARC

Facility

$3,450.00

Service Code	HCPCS C1771
Hospital Charge Code	270669201
Hospital Revenue Code	278
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$834.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

SLING MONARC C

Facility

$6,745.00

Hospital Charge Code	270667384
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.75
Max. Negotiated Rate	$1,632.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,349.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,632.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.75

Know your out-of-pocket cost for care.

All Charges