Heights University Hospital

All Charges

Charge

Type

Setting

Price

SLING MONARC C

Facility

$6,745.00

Hospital Charge Code	270667384
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.75
Max. Negotiated Rate	$3,372.50
Rate for Payer: Aetna Commercial	$2,023.50
Rate for Payer: Aetna Medicare Advantage	$2,023.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,719.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,719.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,349.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,719.97
Rate for Payer: Cigna Commercial	$3,372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,632.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.75

SLING MONARC PLUS

Facility

$4,975.00

Hospital Charge Code	270637659
Hospital Revenue Code	272
Min. Negotiated Rate	$646.75
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,492.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$646.75
Rate for Payer: Oxford Commercial	$2,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$2,487.50

SLING MONARC PLUS

Facility

$4,975.00

Hospital Charge Code	270637659
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

SLING MUSLIN *************

Facility

$23.00

Hospital Charge Code	8001562
Hospital Revenue Code	279
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

SLING MUSLIN *************

Facility

$23.00

Hospital Charge Code	8001562
Hospital Revenue Code	279
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

SLING OP FRO STRESS INCONTINNC

Facility

$57,179.55

Service Code	HCPCS 57288
Hospital Charge Code	1600000398
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,153.87
Rate for Payer: Aetna Commercial	$17,153.87
Rate for Payer: Aetna Medicare Advantage	$17,153.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,580.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,580.79
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	$14,580.79
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,433.34
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,576.93
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

SLING OP FRO STRESS INCONTINNC

Facility

$57,179.55

Service Code	HCPCS 57288
Hospital Charge Code	1600000398
Hospital Revenue Code	360
Min. Negotiated Rate	$8,576.93
Max. Negotiated Rate	$8,576.93
Rate for Payer: Qualcare PPO/HMO/WC	$8,576.93

SLING PASSIVE CLIP LG

Facility

$155.20

Hospital Charge Code	270676410
Hospital Revenue Code	270
Min. Negotiated Rate	$20.18
Max. Negotiated Rate	$77.60
Rate for Payer: Aetna Commercial	$46.56
Rate for Payer: Aetna Medicare Advantage	$46.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.58
Rate for Payer: Cigna Commercial	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.18
Rate for Payer: Oxford Commercial	$77.60
Rate for Payer: Qualcare PPO/HMO/WC	$23.28
Rate for Payer: UnitedHealthcare Commercial	$77.60

SLING PASSIVE CLIP LG

Facility

$155.20

Hospital Charge Code	270676410
Hospital Revenue Code	270
Min. Negotiated Rate	$23.28
Max. Negotiated Rate	$23.28
Rate for Payer: Qualcare PPO/HMO/WC	$23.28

SLING PASSIVE CLIP XL

Facility

$155.20

Hospital Charge Code	270676411
Hospital Revenue Code	270
Min. Negotiated Rate	$23.28
Max. Negotiated Rate	$23.28
Rate for Payer: Qualcare PPO/HMO/WC	$23.28

SLING PASSIVE CLIP XL

Facility

$155.20

Hospital Charge Code	270676411
Hospital Revenue Code	270
Min. Negotiated Rate	$20.18
Max. Negotiated Rate	$77.60
Rate for Payer: Aetna Commercial	$46.56
Rate for Payer: Aetna Medicare Advantage	$46.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.58
Rate for Payer: Cigna Commercial	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.18
Rate for Payer: Oxford Commercial	$77.60
Rate for Payer: Qualcare PPO/HMO/WC	$23.28
Rate for Payer: UnitedHealthcare Commercial	$77.60

SLING PILLOW II/ABDUCTION MED

Facility

$690.85

Hospital Charge Code	270674584
Hospital Revenue Code	272
Min. Negotiated Rate	$103.63
Max. Negotiated Rate	$103.63
Rate for Payer: Qualcare PPO/HMO/WC	$103.63

SLING PILLOW II/ABDUCTION MED

Facility

$690.85

Hospital Charge Code	270674584
Hospital Revenue Code	272
Min. Negotiated Rate	$89.81
Max. Negotiated Rate	$345.43
Rate for Payer: Aetna Commercial	$207.25
Rate for Payer: Aetna Medicare Advantage	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.17
Rate for Payer: Cigna Commercial	$345.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.81
Rate for Payer: Oxford Commercial	$345.43
Rate for Payer: Qualcare PPO/HMO/WC	$103.63
Rate for Payer: UnitedHealthcare Commercial	$345.43

SLINGSHOT 70DEG. UP

Facility

$1,726.50

Hospital Charge Code	270680889
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLINGSHOT 70DEG. UP

Facility

$1,726.50

Hospital Charge Code	270680889
Hospital Revenue Code	272
Min. Negotiated Rate	$224.44
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$517.95
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.44
Rate for Payer: Oxford Commercial	$863.25
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$863.25

SLINGSHOT CHAMPION 45 LEFT

Facility

$1,726.50

Hospital Charge Code	270683344
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLINGSHOT CHAMPION 45 LEFT

Facility

$1,726.50

Hospital Charge Code	270683344
Hospital Revenue Code	272
Min. Negotiated Rate	$224.44
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$517.95
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.44
Rate for Payer: Oxford Commercial	$863.25
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$863.25

SLINGSHOT CHAMPION 45 UP

Facility

$1,726.50

Hospital Charge Code	270683345
Hospital Revenue Code	272
Min. Negotiated Rate	$224.44
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$517.95
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.44
Rate for Payer: Oxford Commercial	$863.25
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$863.25

SLINGSHOT CHAMPION 45 UP

Facility

$1,726.50

Hospital Charge Code	270683345
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLING SMALL CHILD

Facility

$10.28

Hospital Charge Code	270302925
Hospital Revenue Code	270
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 SMALL CHILD

Facility

$10.28

Hospital Charge Code	270302925
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SLING SUSPENSION 6X8CM 93-7268

Facility

$3,793.65

Hospital Charge Code	270611962
Hospital Revenue Code	278
Min. Negotiated Rate	$569.05
Max. Negotiated Rate	$1,896.83
Rate for Payer: Aetna Commercial	$1,138.10
Rate for Payer: Aetna Medicare Advantage	$1,138.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$758.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.38
Rate for Payer: Cigna Commercial	$1,896.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.06
Rate for Payer: Qualcare PPO/HMO/WC	$569.05

SLING SUSPENSION 6X8CM 93-7268

Facility

$3,793.65

Hospital Charge Code	270611962
Hospital Revenue Code	278
Min. Negotiated Rate	$569.05
Max. Negotiated Rate	$918.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$758.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.06
Rate for Payer: Qualcare PPO/HMO/WC	$569.05

SLING SWATHE SEMI-UNIV. LARGE

Facility

$154.00

Hospital Charge Code	270331192
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

SLING SWATHE SEMI-UNIV. LARGE

Facility

$154.00

Hospital Charge Code	270331192
Hospital Revenue Code	272
Min. Negotiated Rate	$20.02
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$46.20
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$77.00

Know your out-of-pocket cost for care.

All Charges