Heights University Hospital

All Charges

Charge

Type

Setting

Price

SLING SYSTEM TRN OPER 72403830

Facility

$4,935.25

Hospital Charge Code	270630687
Hospital Revenue Code	278
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$2,467.62
Rate for Payer: Aetna Commercial	$1,480.58
Rate for Payer: Aetna Medicare Advantage	$1,480.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,258.49
Rate for Payer: Cigna Commercial	$2,467.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

SLING SYSTEM TRN OPER 72403830

Facility

$4,935.25

Hospital Charge Code	270630687
Hospital Revenue Code	278
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$1,194.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

SLING TRIANGLE

Facility

$3,064.85

Hospital Charge Code	270607868
Hospital Revenue Code	278
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

SLING TRIANGLE

Facility

$3,064.85

Hospital Charge Code	270607868
Hospital Revenue Code	278
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

SLING ULTRA LARGE SUB

Facility

$163.85

Hospital Charge Code	270659517
Hospital Revenue Code	270
Min. Negotiated Rate	$24.58
Max. Negotiated Rate	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$24.58

SLING ULTRA LARGE SUB

Facility

$163.85

Hospital Charge Code	270659517
Hospital Revenue Code	270
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$81.92
Rate for Payer: Aetna Commercial	$49.16
Rate for Payer: Aetna Medicare Advantage	$49.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.78
Rate for Payer: Cigna Commercial	$81.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Oxford Commercial	$81.92
Rate for Payer: Qualcare PPO/HMO/WC	$24.58
Rate for Payer: UnitedHealthcare Commercial	$81.92

SLING ULTRA SMALL SUB

Facility

$163.85

Hospital Charge Code	270659515
Hospital Revenue Code	270
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$81.92
Rate for Payer: Aetna Commercial	$49.16
Rate for Payer: Aetna Medicare Advantage	$49.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.78
Rate for Payer: Cigna Commercial	$81.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Oxford Commercial	$81.92
Rate for Payer: Qualcare PPO/HMO/WC	$24.58
Rate for Payer: UnitedHealthcare Commercial	$81.92

SLING ULTRA SMALL SUB

Facility

$163.85

Hospital Charge Code	270659515
Hospital Revenue Code	270
Min. Negotiated Rate	$24.58
Max. Negotiated Rate	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$24.58

SLING URETEX 485013

Facility

$3,025.00

Hospital Charge Code	270637073
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$907.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

SLING URETEX 485013

Facility

$3,025.00

Hospital Charge Code	270637073
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$732.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

SLING X-LARGE

Facility

$10.28

Hospital Charge Code	270302930
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SLING X-LARGE

Facility

$10.28

Hospital Charge Code	270302930
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

SLIN OBTR TRANSOBT M0068505000

Facility

$6,025.00

Service Code	HCPCS C1771
Hospital Charge Code	270639751
Hospital Revenue Code	278
Min. Negotiated Rate	$903.75
Max. Negotiated Rate	$3,012.50
Rate for Payer: Aetna Commercial	$1,807.50
Rate for Payer: Aetna Medicare Advantage	$1,807.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,536.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,536.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,536.38
Rate for Payer: Cigna Commercial	$3,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.05
Rate for Payer: Qualcare PPO/HMO/WC	$903.75

SLIN OBTR TRANSOBT M0068505000

Facility

$6,025.00

Service Code	HCPCS C1771
Hospital Charge Code	270639751
Hospital Revenue Code	278
Min. Negotiated Rate	$903.75
Max. Negotiated Rate	$1,458.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.05
Rate for Payer: Qualcare PPO/HMO/WC	$903.75

SLIP ON SLEEVE LARGE

Facility

$800.00

Hospital Charge Code	270666776
Hospital Revenue Code	270
Min. Negotiated Rate	$104.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$400.00

SLIP ON SLEEVE LARGE

Facility

$800.00

Hospital Charge Code	270666776
Hospital Revenue Code	270
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SLIPPER GRAY XL

Facility

$2.89

Hospital Charge Code	270649361
Hospital Revenue Code	270
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$1.45
Rate for Payer: Aetna Commercial	$0.87
Rate for Payer: Aetna Medicare Advantage	$0.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.74
Rate for Payer: Cigna Commercial	$1.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.38
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.43
Rate for Payer: UnitedHealthcare Commercial	$1.45

SLIPPER GRAY XL

Facility

$2.89

Hospital Charge Code	270649361
Hospital Revenue Code	270
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.43

SLIPPER LG 10-12 BEIGE

Facility

$5.65

Hospital Charge Code	270301993
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

SLIPPER LG 10-12 BEIGE

Facility

$5.65

Hospital Charge Code	270301993
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

SLIPPER MED LT BLUE

Facility

$5.65

Hospital Charge Code	270301992
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

SLIPPER MED LT BLUE

Facility

$5.65

Hospital Charge Code	270301992
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

SLIPPERS BARIATRIC DBL TRD SSO

Facility

$4.13

Hospital Charge Code	270662689
Hospital Revenue Code	270
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$2.06
Rate for Payer: Aetna Commercial	$1.24
Rate for Payer: Aetna Medicare Advantage	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.05
Rate for Payer: Cigna Commercial	$2.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.54
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$2.06

SLIPPERS BARIATRIC DBL TRD SSO

Facility

$4.13

Hospital Charge Code	270662689
Hospital Revenue Code	270
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

SLIPPER SM RED

Facility

$5.65

Hospital Charge Code	270301991
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

Know your out-of-pocket cost for care.

All Charges