Heights University Hospital

All Charges

Charge

Type

Setting

Price

TAPER M/L 5 STD

Facility

$15,360.00

Hospital Charge Code	270666887
Hospital Revenue Code	278
Min. Negotiated Rate	$2,304.00
Max. Negotiated Rate	$7,680.00
Rate for Payer: Aetna Commercial	$4,608.00
Rate for Payer: Aetna Medicare Advantage	$4,608.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,916.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,916.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,072.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,916.80
Rate for Payer: Cigna Commercial	$7,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,717.12
Rate for Payer: Qualcare PPO/HMO/WC	$2,304.00

TAPER M/L 5 STD

Facility

$15,360.00

Hospital Charge Code	270666887
Hospital Revenue Code	278
Min. Negotiated Rate	$2,304.00
Max. Negotiated Rate	$3,717.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,717.12
Rate for Payer: Qualcare PPO/HMO/WC	$2,304.00

TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270657126
Hospital Revenue Code	278
Min. Negotiated Rate	$417.13
Max. Negotiated Rate	$672.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$556.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.97
Rate for Payer: Qualcare PPO/HMO/WC	$417.13

TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270657126
Hospital Revenue Code	278
Min. Negotiated Rate	$417.13
Max. Negotiated Rate	$1,390.42
Rate for Payer: Aetna Commercial	$834.25
Rate for Payer: Aetna Medicare Advantage	$834.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$556.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$709.12
Rate for Payer: Cigna Commercial	$1,390.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.97
Rate for Payer: Qualcare PPO/HMO/WC	$417.13

TAPER POST12X32MM,SHOULDER,OVO

Facility

$4,710.00

Service Code	HCPCS C1776
Hospital Charge Code	270687342
Hospital Revenue Code	278
Min. Negotiated Rate	$706.50
Max. Negotiated Rate	$1,139.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$942.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,139.82
Rate for Payer: Qualcare PPO/HMO/WC	$706.50

TAPER POST12X32MM,SHOULDER,OVO

Facility

$4,710.00

Service Code	HCPCS C1776
Hospital Charge Code	270687342
Hospital Revenue Code	278
Min. Negotiated Rate	$706.50
Max. Negotiated Rate	$2,355.00
Rate for Payer: Aetna Commercial	$1,413.00
Rate for Payer: Aetna Medicare Advantage	$1,413.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,201.05
Rate for Payer: Cigna Commercial	$2,355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,139.82
Rate for Payer: Qualcare PPO/HMO/WC	$706.50

TAPER ROUTER 2.3X 19MM

Facility

$395.00

Hospital Charge Code	270691574
Hospital Revenue Code	272
Min. Negotiated Rate	$51.35
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$118.50
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.35
Rate for Payer: Oxford Commercial	$197.50
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$197.50

TAPER ROUTER 2.3X 19MM

Facility

$395.00

Hospital Charge Code	270691574
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

TAPE SCOTCHCAST SYNTH 5X4 YD

Facility

$20.55

Hospital Charge Code	270654217
Hospital Revenue Code	270
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$3.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.08

TAPE SCOTCHCAST SYNTH 5X4 YD

Facility

$20.55

Hospital Charge Code	270654217
Hospital Revenue Code	270
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$10.28
Rate for Payer: Aetna Commercial	$6.17
Rate for Payer: Aetna Medicare Advantage	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.24
Rate for Payer: Cigna Commercial	$10.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.67
Rate for Payer: Oxford Commercial	$10.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.08
Rate for Payer: UnitedHealthcare Commercial	$10.28

TAPE SCOTCHCAST SYNTHETIC 4X4

Facility

$16.67

Hospital Charge Code	270654215
Hospital Revenue Code	270
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.50

TAPE SCOTCHCAST SYNTHETIC 4X4

Facility

$16.67

Hospital Charge Code	270654215
Hospital Revenue Code	270
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$8.34
Rate for Payer: Aetna Commercial	$5.00
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.25
Rate for Payer: Cigna Commercial	$8.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.50
Rate for Payer: UnitedHealthcare Commercial	$8.34

TAPESTRY BIOINTEG IMP 40X30MM

Facility

$17,250.00

Service Code	HCPCS C1763
Hospital Charge Code	270698253
Hospital Revenue Code	278
Min. Negotiated Rate	$2,587.50
Max. Negotiated Rate	$4,174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,174.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50

TAPESTRY BIOINTEG IMP 40X30MM

Facility

$17,250.00

Service Code	HCPCS C1763
Hospital Charge Code	270698253
Hospital Revenue Code	278
Min. Negotiated Rate	$2,587.50
Max. Negotiated Rate	$8,625.00
Rate for Payer: Aetna Commercial	$5,175.00
Rate for Payer: Aetna Medicare Advantage	$5,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,398.75
Rate for Payer: Cigna Commercial	$8,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,174.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50

TAPESTRY BIOINT IMP 50X40X25MM

Facility

$15,550.00

Service Code	HCPCS C1763
Hospital Charge Code	270699888
Hospital Revenue Code	278
Min. Negotiated Rate	$2,332.50
Max. Negotiated Rate	$3,763.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,763.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,332.50

TAPESTRY BIOINT IMP 50X40X25MM

Facility

$15,550.00

Service Code	HCPCS C1763
Hospital Charge Code	270699888
Hospital Revenue Code	278
Min. Negotiated Rate	$2,332.50
Max. Negotiated Rate	$7,775.00
Rate for Payer: Aetna Commercial	$4,665.00
Rate for Payer: Aetna Medicare Advantage	$4,665.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,965.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,965.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,965.25
Rate for Payer: Cigna Commercial	$7,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,763.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,332.50

TAPE SURGICAL 3X5-1/2YD

Facility

$50.00

Hospital Charge Code	270331213
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$25.00

TAPE SURGICAL 3X5-1/2YD

Facility

$50.00

Hospital Charge Code	270331213
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

TAPE SURGICAL DURAPORE 3X10YD

Facility

$24.00

Hospital Charge Code	270331214
Hospital Revenue Code	272
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

TAPE SURGICAL DURAPORE 3X10YD

Facility

$24.00

Hospital Charge Code	270331214
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

TAPE TIGER

Facility

$250.00

Hospital Charge Code	270665746
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

TAPE TIGER

Facility

$250.00

Hospital Charge Code	270665746
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

TAPE TONSIL 1/4 X 36 YDS

Facility

$37.65

Hospital Charge Code	270302165
Hospital Revenue Code	270
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$18.82
Rate for Payer: Aetna Commercial	$11.29
Rate for Payer: Aetna Medicare Advantage	$11.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.60
Rate for Payer: Cigna Commercial	$18.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.89
Rate for Payer: Oxford Commercial	$18.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$18.82

TAPE TONSIL 1/4 X 36 YDS

Facility

$37.65

Hospital Charge Code	270302165
Hospital Revenue Code	270
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

TAPE TRANSPORE 1 ROLL

Facility

$9.65

Hospital Charge Code	270350250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

Know your out-of-pocket cost for care.

All Charges