Heights University Hospital

All Charges

Charge

Type

Setting

Price

BELT PELVIC TRACTION 30/34

Facility

$101.50

Hospital Charge Code	270650450
Hospital Revenue Code	272
Min. Negotiated Rate	$15.22
Max. Negotiated Rate	$15.22
Rate for Payer: Qualcare PPO/HMO/WC	$15.22

BELT PELVIC TRACTION 34/38

Facility

$102.95

Hospital Charge Code	270650451
Hospital Revenue Code	272
Min. Negotiated Rate	$13.38
Max. Negotiated Rate	$51.48
Rate for Payer: Aetna Commercial	$30.89
Rate for Payer: Aetna Medicare Advantage	$30.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.25
Rate for Payer: Cigna Commercial	$51.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.38
Rate for Payer: Oxford Commercial	$51.48
Rate for Payer: Qualcare PPO/HMO/WC	$15.44
Rate for Payer: UnitedHealthcare Commercial	$51.48

BELT PELVIC TRACTION 34/38

Facility

$102.95

Hospital Charge Code	270650451
Hospital Revenue Code	272
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$15.44
Rate for Payer: Qualcare PPO/HMO/WC	$15.44

BELT PELVIC TRACTION 38-42

Facility

$102.95

Hospital Charge Code	270650452
Hospital Revenue Code	272
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$15.44
Rate for Payer: Qualcare PPO/HMO/WC	$15.44

BELT PELVIC TRACTION 38-42

Facility

$102.95

Hospital Charge Code	270650452
Hospital Revenue Code	272
Min. Negotiated Rate	$13.38
Max. Negotiated Rate	$51.48
Rate for Payer: Aetna Commercial	$30.89
Rate for Payer: Aetna Medicare Advantage	$30.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.25
Rate for Payer: Cigna Commercial	$51.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.38
Rate for Payer: Oxford Commercial	$51.48
Rate for Payer: Qualcare PPO/HMO/WC	$15.44
Rate for Payer: UnitedHealthcare Commercial	$51.48

BELT PELVIC TRACTION 46/50

Facility

$118.05

Hospital Charge Code	270650453
Hospital Revenue Code	272
Min. Negotiated Rate	$15.35
Max. Negotiated Rate	$59.02
Rate for Payer: Aetna Commercial	$35.41
Rate for Payer: Aetna Medicare Advantage	$35.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.10
Rate for Payer: Cigna Commercial	$59.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.35
Rate for Payer: Oxford Commercial	$59.02
Rate for Payer: Qualcare PPO/HMO/WC	$17.71
Rate for Payer: UnitedHealthcare Commercial	$59.02

BELT PELVIC TRACTION 46/50

Facility

$118.05

Hospital Charge Code	270650453
Hospital Revenue Code	272
Min. Negotiated Rate	$17.71
Max. Negotiated Rate	$17.71
Rate for Payer: Qualcare PPO/HMO/WC	$17.71

BELT PELVIC TRACTION 60/80

Facility

$89.90

Hospital Charge Code	270650454
Hospital Revenue Code	272
Min. Negotiated Rate	$13.48
Max. Negotiated Rate	$13.48
Rate for Payer: Qualcare PPO/HMO/WC	$13.48

BELT PELVIC TRACTION 60/80

Facility

$89.90

Hospital Charge Code	270650454
Hospital Revenue Code	272
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$44.95
Rate for Payer: Aetna Commercial	$26.97
Rate for Payer: Aetna Medicare Advantage	$26.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.92
Rate for Payer: Cigna Commercial	$44.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.69
Rate for Payer: Oxford Commercial	$44.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.48
Rate for Payer: UnitedHealthcare Commercial	$44.95

BELT PELVIC TRACTION ZIMCODE

Facility

$86.80

Hospital Charge Code	270654046
Hospital Revenue Code	272
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$43.40
Rate for Payer: Aetna Commercial	$26.04
Rate for Payer: Aetna Medicare Advantage	$26.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.13
Rate for Payer: Cigna Commercial	$43.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.28
Rate for Payer: Oxford Commercial	$43.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.02
Rate for Payer: UnitedHealthcare Commercial	$43.40

BELT PELVIC TRACTION ZIMCODE

Facility

$86.80

Hospital Charge Code	270654045
Hospital Revenue Code	272
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$43.40
Rate for Payer: Aetna Commercial	$26.04
Rate for Payer: Aetna Medicare Advantage	$26.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.13
Rate for Payer: Cigna Commercial	$43.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.28
Rate for Payer: Oxford Commercial	$43.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.02
Rate for Payer: UnitedHealthcare Commercial	$43.40

BELT PELVIC TRACTION ZIMCODE

Facility

$86.80

Hospital Charge Code	270654045
Hospital Revenue Code	272
Min. Negotiated Rate	$13.02
Max. Negotiated Rate	$13.02
Rate for Payer: Qualcare PPO/HMO/WC	$13.02

BELT PELVIC TRACTION ZIMCODE

Facility

$86.80

Hospital Charge Code	270654046
Hospital Revenue Code	272
Min. Negotiated Rate	$13.02
Max. Negotiated Rate	$13.02
Rate for Payer: Qualcare PPO/HMO/WC	$13.02

BELT RIB MEN'S UNIVERSAL

Facility

$32.00

Hospital Charge Code	270302695
Hospital Revenue Code	270
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

BELT RIB MEN'S UNIVERSAL

Facility

$32.00

Hospital Charge Code	270302695
Hospital Revenue Code	270
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

BELT RIB UNIVERSAL***

Facility

$71.00

Hospital Charge Code	8001505
Hospital Revenue Code	279
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$21.30
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$35.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$35.50

BELT RIB UNIVERSAL***

Facility

$71.00

Hospital Charge Code	8001505
Hospital Revenue Code	279
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

BELT RIB WOMEN'S UNIVERSAL

Facility

$32.00

Hospital Charge Code	270302675
Hospital Revenue Code	270
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

BELT RIB WOMEN'S UNIVERSAL

Facility

$32.00

Hospital Charge Code	270302675
Hospital Revenue Code	270
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

BELT RIB WOMENS UNIVERSAL***

Facility

$81.00

Hospital Charge Code	8001372
Hospital Revenue Code	279
Min. Negotiated Rate	$10.53
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$24.30
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.53
Rate for Payer: Oxford Commercial	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$40.50

BELT RIB WOMENS UNIVERSAL***

Facility

$81.00

Hospital Charge Code	8001372
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BELT ROLL POSEY 1231

Facility

$93.65

Hospital Charge Code	270613230
Hospital Revenue Code	270
Min. Negotiated Rate	$12.17
Max. Negotiated Rate	$46.83
Rate for Payer: Aetna Commercial	$28.09
Rate for Payer: Aetna Medicare Advantage	$28.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.88
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.17
Rate for Payer: Oxford Commercial	$46.83
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$46.83

BELT ROLL POSEY 1231

Facility

$93.65

Hospital Charge Code	270613230
Hospital Revenue Code	270
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

BELT ROLL W/Q-RELEASE S/PREP

Facility

$40.00

Hospital Charge Code	270650455
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

BELT ROLL W/Q-RELEASE S/PREP

Facility

$40.00

Hospital Charge Code	270650455
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

Know your out-of-pocket cost for care.

All Charges