Heights University Hospital

All Charges

Charge

Type

Setting

Price

SPLINT WRIST L 8 LG

Facility

$47.15

Hospital Charge Code	270600800
Hospital Revenue Code	270
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$7.07
Rate for Payer: Qualcare PPO/HMO/WC	$7.07

SPLINT WRIST L 8 MED

Facility

$89.65

Hospital Charge Code	270600802
Hospital Revenue Code	270
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$44.83
Rate for Payer: Aetna Commercial	$26.89
Rate for Payer: Aetna Medicare Advantage	$26.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.86
Rate for Payer: Cigna Commercial	$44.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$44.83
Rate for Payer: Qualcare PPO/HMO/WC	$13.45
Rate for Payer: UnitedHealthcare Commercial	$44.83

SPLINT WRIST L 8 MED

Facility

$89.65

Hospital Charge Code	270600802
Hospital Revenue Code	270
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$13.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.45

SPLINT WRIST L 8 SM

Facility

$89.65

Hospital Charge Code	270600804
Hospital Revenue Code	270
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$44.83
Rate for Payer: Aetna Commercial	$26.89
Rate for Payer: Aetna Medicare Advantage	$26.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.86
Rate for Payer: Cigna Commercial	$44.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$44.83
Rate for Payer: Qualcare PPO/HMO/WC	$13.45
Rate for Payer: UnitedHealthcare Commercial	$44.83

SPLINT WRIST L 8 SM

Facility

$89.65

Hospital Charge Code	270600804
Hospital Revenue Code	270
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$13.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.45

SPLINT WRIST L 8 XLG

Facility

$86.45

Hospital Charge Code	270606114
Hospital Revenue Code	270
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$43.23
Rate for Payer: Aetna Commercial	$25.93
Rate for Payer: Aetna Medicare Advantage	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.04
Rate for Payer: Cigna Commercial	$43.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.24
Rate for Payer: Oxford Commercial	$43.23
Rate for Payer: Qualcare PPO/HMO/WC	$12.97
Rate for Payer: UnitedHealthcare Commercial	$43.23

SPLINT WRIST L 8 XLG

Facility

$86.45

Hospital Charge Code	270606114
Hospital Revenue Code	270
Min. Negotiated Rate	$12.97
Max. Negotiated Rate	$12.97
Rate for Payer: Qualcare PPO/HMO/WC	$12.97

SPLINT WRIST LEFT 10 XL/XXL

Facility

$56.60

Hospital Charge Code	270664832
Hospital Revenue Code	270
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$28.30
Rate for Payer: Aetna Commercial	$16.98
Rate for Payer: Aetna Medicare Advantage	$16.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.43
Rate for Payer: Cigna Commercial	$28.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.36
Rate for Payer: Oxford Commercial	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$8.49
Rate for Payer: UnitedHealthcare Commercial	$28.30

SPLINT WRIST LEFT 10 XL/XXL

Facility

$56.60

Hospital Charge Code	270664832
Hospital Revenue Code	270
Min. Negotiated Rate	$8.49
Max. Negotiated Rate	$8.49
Rate for Payer: Qualcare PPO/HMO/WC	$8.49

SPLINT WRIST R 10 1/2

Facility

$100.85

Hospital Charge Code	270600806
Hospital Revenue Code	270
Min. Negotiated Rate	$15.13
Max. Negotiated Rate	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$15.13

SPLINT WRIST R 10 1/2

Facility

$100.85

Hospital Charge Code	270600806
Hospital Revenue Code	270
Min. Negotiated Rate	$13.11
Max. Negotiated Rate	$50.42
Rate for Payer: Aetna Commercial	$30.25
Rate for Payer: Aetna Medicare Advantage	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.72
Rate for Payer: Cigna Commercial	$50.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.11
Rate for Payer: Oxford Commercial	$50.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.13
Rate for Payer: UnitedHealthcare Commercial	$50.42

SPLINT WRIST R 10 1/2 MED

Facility

$100.85

Hospital Charge Code	270600807
Hospital Revenue Code	270
Min. Negotiated Rate	$15.13
Max. Negotiated Rate	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$15.13

SPLINT WRIST R 10 1/2 MED

Facility

$100.85

Hospital Charge Code	270600807
Hospital Revenue Code	270
Min. Negotiated Rate	$13.11
Max. Negotiated Rate	$50.42
Rate for Payer: Aetna Commercial	$30.25
Rate for Payer: Aetna Medicare Advantage	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.72
Rate for Payer: Cigna Commercial	$50.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.11
Rate for Payer: Oxford Commercial	$50.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.13
Rate for Payer: UnitedHealthcare Commercial	$50.42

SPLINT WRIST R 10 1/2 SM

Facility

$100.85

Hospital Charge Code	270600809
Hospital Revenue Code	270
Min. Negotiated Rate	$15.13
Max. Negotiated Rate	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$15.13

SPLINT WRIST R 10 1/2 SM

Facility

$100.85

Hospital Charge Code	270600809
Hospital Revenue Code	270
Min. Negotiated Rate	$13.11
Max. Negotiated Rate	$50.42
Rate for Payer: Aetna Commercial	$30.25
Rate for Payer: Aetna Medicare Advantage	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.72
Rate for Payer: Cigna Commercial	$50.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.11
Rate for Payer: Oxford Commercial	$50.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.13
Rate for Payer: UnitedHealthcare Commercial	$50.42

SPLINT WRIST R 8 LG

Facility

$89.65

Hospital Charge Code	270600799
Hospital Revenue Code	270
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$13.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.45

SPLINT WRIST R 8 LG

Facility

$89.65

Hospital Charge Code	270600799
Hospital Revenue Code	270
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$44.83
Rate for Payer: Aetna Commercial	$26.89
Rate for Payer: Aetna Medicare Advantage	$26.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.86
Rate for Payer: Cigna Commercial	$44.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$44.83
Rate for Payer: Qualcare PPO/HMO/WC	$13.45
Rate for Payer: UnitedHealthcare Commercial	$44.83

SPLINT WRIST R 8 MED

Facility

$47.15

Hospital Charge Code	270600801
Hospital Revenue Code	270
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$23.57
Rate for Payer: Aetna Commercial	$14.14
Rate for Payer: Aetna Medicare Advantage	$14.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.02
Rate for Payer: Cigna Commercial	$23.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.13
Rate for Payer: Oxford Commercial	$23.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.07
Rate for Payer: UnitedHealthcare Commercial	$23.57

SPLINT WRIST R 8 MED

Facility

$47.15

Hospital Charge Code	270600801
Hospital Revenue Code	270
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$7.07
Rate for Payer: Qualcare PPO/HMO/WC	$7.07

SPLINT WRIST R 8 SM

Facility

$89.65

Hospital Charge Code	270600803
Hospital Revenue Code	270
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$13.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.45

SPLINT WRIST R 8 SM

Facility

$89.65

Hospital Charge Code	270600803
Hospital Revenue Code	270
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$44.83
Rate for Payer: Aetna Commercial	$26.89
Rate for Payer: Aetna Medicare Advantage	$26.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.86
Rate for Payer: Cigna Commercial	$44.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$44.83
Rate for Payer: Qualcare PPO/HMO/WC	$13.45
Rate for Payer: UnitedHealthcare Commercial	$44.83

SPLINT WRIST R 8 XLG

Facility

$86.45

Hospital Charge Code	270606115
Hospital Revenue Code	270
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$43.23
Rate for Payer: Aetna Commercial	$25.93
Rate for Payer: Aetna Medicare Advantage	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.04
Rate for Payer: Cigna Commercial	$43.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.24
Rate for Payer: Oxford Commercial	$43.23
Rate for Payer: Qualcare PPO/HMO/WC	$12.97
Rate for Payer: UnitedHealthcare Commercial	$43.23

SPLINT WRIST R 8 XLG

Facility

$86.45

Hospital Charge Code	270606115
Hospital Revenue Code	270
Min. Negotiated Rate	$12.97
Max. Negotiated Rate	$12.97
Rate for Payer: Qualcare PPO/HMO/WC	$12.97

SPLINT WRIST RIGHT 10.5 XLG

Facility

$56.60

Hospital Charge Code	270614964
Hospital Revenue Code	270
Min. Negotiated Rate	$8.49
Max. Negotiated Rate	$8.49
Rate for Payer: Qualcare PPO/HMO/WC	$8.49

SPLINT WRIST RIGHT 10.5 XLG

Facility

$56.60

Hospital Charge Code	270614964
Hospital Revenue Code	270
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$28.30
Rate for Payer: Aetna Commercial	$16.98
Rate for Payer: Aetna Medicare Advantage	$16.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.43
Rate for Payer: Cigna Commercial	$28.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.36
Rate for Payer: Oxford Commercial	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$8.49
Rate for Payer: UnitedHealthcare Commercial	$28.30

Know your out-of-pocket cost for care.

All Charges