Heights University Hospital

All Charges

Charge

Type

Setting

Price

STRYKER 266-638 35 MM MICRO***

Facility

$216.00

Hospital Charge Code	1607274
Hospital Revenue Code	251
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

STRYKER 266-638 35 MM MICRO***

Facility

$216.00

Hospital Charge Code	1607274
Hospital Revenue Code	251
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$108.00

STRYKER 266-648 4.0MM MICRO***

Facility

$216.00

Hospital Charge Code	1607282
Hospital Revenue Code	251
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$108.00

STRYKER 266-648 4.0MM MICRO***

Facility

$216.00

Hospital Charge Code	1607282
Hospital Revenue Code	251
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

STRYKER 266 744,4.0MM MICRO***

Facility

$232.00

Hospital Charge Code	1607290
Hospital Revenue Code	251
Min. Negotiated Rate	$30.16
Max. Negotiated Rate	$116.00
Rate for Payer: Aetna Commercial	$69.60
Rate for Payer: Aetna Medicare Advantage	$69.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.16
Rate for Payer: Cigna Commercial	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.16
Rate for Payer: Oxford Commercial	$116.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.80
Rate for Payer: UnitedHealthcare Commercial	$116.00

STRYKER 266 744,4.0MM MICRO***

Facility

$232.00

Hospital Charge Code	1607290
Hospital Revenue Code	251
Min. Negotiated Rate	$34.80
Max. Negotiated Rate	$34.80
Rate for Payer: Qualcare PPO/HMO/WC	$34.80

STRYKER 275-531 35MM COUGAR***

Facility

$207.00

Hospital Charge Code	1607233
Hospital Revenue Code	251
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

STRYKER 275-531 35MM COUGAR***

Facility

$207.00

Hospital Charge Code	1607233
Hospital Revenue Code	251
Min. Negotiated Rate	$26.91
Max. Negotiated Rate	$103.50
Rate for Payer: Aetna Commercial	$62.10
Rate for Payer: Aetna Medicare Advantage	$62.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.78
Rate for Payer: Cigna Commercial	$103.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.91
Rate for Payer: Oxford Commercial	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.05
Rate for Payer: UnitedHealthcare Commercial	$103.50

STRYKER 275-541 4.0MM COUGAR**

Facility

$207.00

Hospital Charge Code	1607241
Hospital Revenue Code	251
Min. Negotiated Rate	$26.91
Max. Negotiated Rate	$103.50
Rate for Payer: Aetna Commercial	$62.10
Rate for Payer: Aetna Medicare Advantage	$62.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.78
Rate for Payer: Cigna Commercial	$103.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.91
Rate for Payer: Oxford Commercial	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.05
Rate for Payer: UnitedHealthcare Commercial	$103.50

STRYKER 275-541 4.0MM COUGAR**

Facility

$207.00

Hospital Charge Code	1607241
Hospital Revenue Code	251
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

STRYKER 275-551 5.0MM COUGAR**

Facility

$207.00

Hospital Charge Code	1607258
Hospital Revenue Code	251
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

STRYKER 275-551 5.0MM COUGAR**

Facility

$207.00

Hospital Charge Code	1607258
Hospital Revenue Code	251
Min. Negotiated Rate	$26.91
Max. Negotiated Rate	$103.50
Rate for Payer: Aetna Commercial	$62.10
Rate for Payer: Aetna Medicare Advantage	$62.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.78
Rate for Payer: Cigna Commercial	$103.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.91
Rate for Payer: Oxford Commercial	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.05
Rate for Payer: UnitedHealthcare Commercial	$103.50

STRYKER 275-641 20MM MCRO DB**

Facility

$216.00

Hospital Charge Code	1607225
Hospital Revenue Code	251
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$108.00

STRYKER 275-641 20MM MCRO DB**

Facility

$216.00

Hospital Charge Code	1607225
Hospital Revenue Code	251
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

STRYKER 275-647 3.0 MM MICRO**

Facility

$216.00

Hospital Charge Code	1607217
Hospital Revenue Code	251
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$108.00

STRYKER 275-647 3.0 MM MICRO**

Facility

$216.00

Hospital Charge Code	1607217
Hospital Revenue Code	251
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

STRYKER DRI-LOK CANNULA

Facility

$52.00

Hospital Charge Code	270339099
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

STRYKER DRI-LOK CANNULA

Facility

$52.00

Hospital Charge Code	270339099
Hospital Revenue Code	272
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$26.00

STRYKER-FLOSTEADY ARTHR PUMP

Facility

$102.90

Hospital Charge Code	270339100
Hospital Revenue Code	272
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$15.44
Rate for Payer: Qualcare PPO/HMO/WC	$15.44

STRYKER-FLOSTEADY ARTHR PUMP

Facility

$102.90

Hospital Charge Code	270339100
Hospital Revenue Code	272
Min. Negotiated Rate	$13.38
Max. Negotiated Rate	$51.45
Rate for Payer: Aetna Commercial	$30.87
Rate for Payer: Aetna Medicare Advantage	$30.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.24
Rate for Payer: Cigna Commercial	$51.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.38
Rate for Payer: Oxford Commercial	$51.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.44
Rate for Payer: UnitedHealthcare Commercial	$51.45

STRYKER GUIDE PIN

Facility

$1,604.60

Hospital Charge Code	270704632
Hospital Revenue Code	279
Min. Negotiated Rate	$240.69
Max. Negotiated Rate	$240.69
Rate for Payer: Qualcare PPO/HMO/WC	$240.69

STRYKER GUIDE PIN

Facility

$1,604.60

Hospital Charge Code	270704632
Hospital Revenue Code	279
Min. Negotiated Rate	$208.60
Max. Negotiated Rate	$802.30
Rate for Payer: Aetna Commercial	$481.38
Rate for Payer: Aetna Medicare Advantage	$481.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$409.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$409.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$409.17
Rate for Payer: Cigna Commercial	$802.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.60
Rate for Payer: Oxford Commercial	$802.30
Rate for Payer: Qualcare PPO/HMO/WC	$240.69
Rate for Payer: UnitedHealthcare Commercial	$802.30

STRYKER HOFFMAN STERILE FIELD

Facility

$49,620.00

Service Code	HCPCS C1889
Hospital Charge Code	270700761
Hospital Revenue Code	278
Min. Negotiated Rate	$7,443.00
Max. Negotiated Rate	$24,810.00
Rate for Payer: Aetna Commercial	$14,886.00
Rate for Payer: Aetna Medicare Advantage	$14,886.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,653.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,653.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,924.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,653.10
Rate for Payer: Cigna Commercial	$24,810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,008.04
Rate for Payer: Qualcare PPO/HMO/WC	$7,443.00

STRYKER HOFFMAN STERILE FIELD

Facility

$49,620.00

Service Code	HCPCS C1889
Hospital Charge Code	270700761
Hospital Revenue Code	278
Min. Negotiated Rate	$7,443.00
Max. Negotiated Rate	$12,008.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,924.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,008.04
Rate for Payer: Qualcare PPO/HMO/WC	$7,443.00

STRYKER HOFFMAN STERILE FIELD

Facility

$17,440.60

Service Code	HCPCS C1889
Hospital Charge Code	270700760
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.09
Max. Negotiated Rate	$8,720.30
Rate for Payer: Aetna Commercial	$5,232.18
Rate for Payer: Aetna Medicare Advantage	$5,232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,447.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,447.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,447.35
Rate for Payer: Cigna Commercial	$8,720.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.09

Know your out-of-pocket cost for care.

All Charges