Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIN BREA LIN 2XL 45-49 S-XL/L

Facility

$110.00

Hospital Charge Code	270637535
Hospital Revenue Code	272
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$33.00
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.30
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$55.00

BIN BR LIN LG 36-40 L/L-BBIND

Facility

$232.20

Hospital Charge Code	270637533
Hospital Revenue Code	272
Min. Negotiated Rate	$34.83
Max. Negotiated Rate	$34.83
Rate for Payer: Qualcare PPO/HMO/WC	$34.83

BIN BR LIN LG 36-40 L/L-BBIND

Facility

$232.20

Hospital Charge Code	270637533
Hospital Revenue Code	272
Min. Negotiated Rate	$30.19
Max. Negotiated Rate	$116.10
Rate for Payer: Aetna Commercial	$69.66
Rate for Payer: Aetna Medicare Advantage	$69.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.21
Rate for Payer: Cigna Commercial	$116.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.19
Rate for Payer: Oxford Commercial	$116.10
Rate for Payer: Qualcare PPO/HMO/WC	$34.83
Rate for Payer: UnitedHealthcare Commercial	$116.10

BIN BR LIN MED 34-36 M/L-BBIND

Facility

$110.00

Hospital Charge Code	270637532
Hospital Revenue Code	272
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

BIN BR LIN MED 34-36 M/L-BBIND

Facility

$110.00

Hospital Charge Code	270637532
Hospital Revenue Code	272
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$33.00
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.30
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$55.00

BIN BR LIN XLG 42-46XL/L-BBIND

Facility

$233.25

Hospital Charge Code	270637534
Hospital Revenue Code	272
Min. Negotiated Rate	$34.99
Max. Negotiated Rate	$34.99
Rate for Payer: Qualcare PPO/HMO/WC	$34.99

BIN BR LIN XLG 42-46XL/L-BBIND

Facility

$233.25

Hospital Charge Code	270637534
Hospital Revenue Code	272
Min. Negotiated Rate	$30.32
Max. Negotiated Rate	$116.62
Rate for Payer: Aetna Commercial	$69.97
Rate for Payer: Aetna Medicare Advantage	$69.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.48
Rate for Payer: Cigna Commercial	$116.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.32
Rate for Payer: Oxford Commercial	$116.62
Rate for Payer: Qualcare PPO/HMO/WC	$34.99
Rate for Payer: UnitedHealthcare Commercial	$116.62

BIN BR LI SM 32-34in S/L-BBIND

Facility

$110.00

Hospital Charge Code	270637531
Hospital Revenue Code	272
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

BIN BR LI SM 32-34in S/L-BBIND

Facility

$110.00

Hospital Charge Code	270637531
Hospital Revenue Code	272
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$33.00
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.30
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$55.00

BINDER ABDOMINAL

Facility

$31.70

Hospital Charge Code	270303090
Hospital Revenue Code	270
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$4.75

BINDER ABDOMINAL

Facility

$31.70

Hospital Charge Code	270303090
Hospital Revenue Code	270
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$15.85
Rate for Payer: Aetna Commercial	$9.51
Rate for Payer: Aetna Medicare Advantage	$9.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.08
Rate for Payer: Cigna Commercial	$15.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.12
Rate for Payer: Oxford Commercial	$15.85
Rate for Payer: Qualcare PPO/HMO/WC	$4.75
Rate for Payer: UnitedHealthcare Commercial	$15.85

BINDER ABDOMINAL******

Facility

$19.00

Hospital Charge Code	8000051
Hospital Revenue Code	279
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.85

BINDER ABDOMINAL******

Facility

$19.00

Hospital Charge Code	8000051
Hospital Revenue Code	279
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$9.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.84
Rate for Payer: Cigna Commercial	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.47
Rate for Payer: Oxford Commercial	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.85
Rate for Payer: UnitedHealthcare Commercial	$9.50

BINDER ABDOMINAL 3 PANEL 26-49

Facility

$38.95

Hospital Charge Code	270650460
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$19.48
Rate for Payer: Aetna Commercial	$11.69
Rate for Payer: Aetna Medicare Advantage	$11.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.93
Rate for Payer: Cigna Commercial	$19.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.06
Rate for Payer: Oxford Commercial	$19.48
Rate for Payer: Qualcare PPO/HMO/WC	$5.84
Rate for Payer: UnitedHealthcare Commercial	$19.48

BINDER ABDOMINAL 3 PANEL 26-49

Facility

$38.95

Hospital Charge Code	270650460
Hospital Revenue Code	272
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$5.84
Rate for Payer: Qualcare PPO/HMO/WC	$5.84

BINDER ABDOMINAL 3 PANEL 46-62

Facility

$39.45

Hospital Charge Code	270650463
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.92

BINDER ABDOMINAL 3 PANEL 46-62

Facility

$39.45

Hospital Charge Code	270650463
Hospital Revenue Code	272
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$19.73
Rate for Payer: Aetna Commercial	$11.84
Rate for Payer: Aetna Medicare Advantage	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.06
Rate for Payer: Cigna Commercial	$19.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.13
Rate for Payer: Oxford Commercial	$19.73
Rate for Payer: Qualcare PPO/HMO/WC	$5.92
Rate for Payer: UnitedHealthcare Commercial	$19.73

BINDER ABDOMINAL 46-62

Facility

$24.00

Hospital Charge Code	270650243
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

BINDER ABDOMINAL 46-62

Facility

$24.00

Hospital Charge Code	270650243
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

BINDER ABDOMINAL 4 PANEL12UNIV

Facility

$69.95

Hospital Charge Code	270650469
Hospital Revenue Code	272
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

BINDER ABDOMINAL 4 PANEL12UNIV

Facility

$69.95

Hospital Charge Code	270650469
Hospital Revenue Code	272
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$34.98
Rate for Payer: Aetna Commercial	$20.98
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.09
Rate for Payer: Oxford Commercial	$34.98
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$34.98

BINDER ABDOMINAL 4 PANEL 46-62

Facility

$57.45

Hospital Charge Code	270650461
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BINDER ABDOMINAL 4 PANEL 46-62

Facility

$57.45

Hospital Charge Code	270650461
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.73
Rate for Payer: Aetna Commercial	$17.23
Rate for Payer: Aetna Medicare Advantage	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.65
Rate for Payer: Cigna Commercial	$28.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.73
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.73

BIOARCH IMPLANT 10MM

Facility

$9,860.00

Hospital Charge Code	270656812
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.00
Max. Negotiated Rate	$4,930.00
Rate for Payer: Aetna Commercial	$2,958.00
Rate for Payer: Aetna Medicare Advantage	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,514.30
Rate for Payer: Cigna Commercial	$4,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00

BIOARCH IMPLANT 10MM

Facility

$9,860.00

Hospital Charge Code	270656812
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.00
Max. Negotiated Rate	$2,386.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00

Know your out-of-pocket cost for care.

All Charges