Heights University Hospital

All Charges

Charge

Type

Setting

Price

UNI SOLVE ********

Facility

$25.00

Hospital Charge Code	8002693
Hospital Revenue Code	279
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

UNI SOLVE ********

Facility

$25.00

Hospital Charge Code	8002693
Hospital Revenue Code	279
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

UNIT COLLECTION DISP

Facility

$44.00

Hospital Charge Code	270600489
Hospital Revenue Code	270
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

UNIT COLLECTION DISP

Facility

$44.00

Hospital Charge Code	270600489
Hospital Revenue Code	270
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

UNIT PLURAL VAC/SUC DRNG

Facility

$392.00

Hospital Charge Code	270608495
Hospital Revenue Code	272
Min. Negotiated Rate	$50.96
Max. Negotiated Rate	$196.00
Rate for Payer: Aetna Commercial	$117.60
Rate for Payer: Aetna Medicare Advantage	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.96
Rate for Payer: Cigna Commercial	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.96
Rate for Payer: Oxford Commercial	$196.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.80
Rate for Payer: UnitedHealthcare Commercial	$196.00

UNIT PLURAL VAC/SUC DRNG

Facility

$392.00

Hospital Charge Code	270608495
Hospital Revenue Code	272
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$58.80
Rate for Payer: Qualcare PPO/HMO/WC	$58.80

UNIV. CEMENT DISP. INST-SZ SM

Facility

$930.00

Hospital Charge Code	270656569
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$465.00
Rate for Payer: Aetna Commercial	$279.00
Rate for Payer: Aetna Medicare Advantage	$279.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.15
Rate for Payer: Cigna Commercial	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

UNIV. CEMENT DISP. INST-SZ SM

Facility

$930.00

Hospital Charge Code	270656569
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$225.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

UNIVERSAL 5TH METATRSAL HOOK P

Facility

$6,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270686301
Hospital Revenue Code	278
Min. Negotiated Rate	$991.50
Max. Negotiated Rate	$1,599.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,599.62
Rate for Payer: Qualcare PPO/HMO/WC	$991.50

UNIVERSAL 5TH METATRSAL HOOK P

Facility

$6,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270686301
Hospital Revenue Code	278
Min. Negotiated Rate	$991.50
Max. Negotiated Rate	$3,305.00
Rate for Payer: Aetna Commercial	$1,983.00
Rate for Payer: Aetna Medicare Advantage	$1,983.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,685.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,685.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,685.55
Rate for Payer: Cigna Commercial	$3,305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,599.62
Rate for Payer: Qualcare PPO/HMO/WC	$991.50

Universal Bandage Scissors w/

Facility

$52.50

Hospital Charge Code	270662585
Hospital Revenue Code	270
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

Universal Bandage Scissors w/

Facility

$52.50

Hospital Charge Code	270662585
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$26.25
Rate for Payer: Aetna Commercial	$15.75
Rate for Payer: Aetna Medicare Advantage	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.39
Rate for Payer: Cigna Commercial	$26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.83
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.88
Rate for Payer: UnitedHealthcare Commercial	$26.25

UNIVERSAL CEMENT RESTRICTOR

Facility

$960.00

Service Code	HCPCS C1713
Hospital Charge Code	270664954
Hospital Revenue Code	278
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$480.00
Rate for Payer: Aetna Commercial	$288.00
Rate for Payer: Aetna Medicare Advantage	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.80
Rate for Payer: Cigna Commercial	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.32
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

UNIVERSAL CEMENT RESTRICTOR

Facility

$960.00

Service Code	HCPCS C1713
Hospital Charge Code	270664954
Hospital Revenue Code	278
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$232.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.32
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

UNIVERSAL HEAD 50 X 26MM

Facility

$3,763.65

Service Code	HCPCS C1776
Hospital Charge Code	270685005
Hospital Revenue Code	278
Min. Negotiated Rate	$564.55
Max. Negotiated Rate	$910.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$752.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.80
Rate for Payer: Qualcare PPO/HMO/WC	$564.55

UNIVERSAL HEAD 50 X 26MM

Facility

$3,763.65

Service Code	HCPCS C1776
Hospital Charge Code	270685005
Hospital Revenue Code	278
Min. Negotiated Rate	$564.55
Max. Negotiated Rate	$1,881.83
Rate for Payer: Aetna Commercial	$1,129.10
Rate for Payer: Aetna Medicare Advantage	$1,129.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$959.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$959.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$752.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$959.73
Rate for Payer: Cigna Commercial	$1,881.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.80
Rate for Payer: Qualcare PPO/HMO/WC	$564.55

UNIVERSAL HEAD UHR 55MM 28MM

Facility

$4,125.00

Hospital Charge Code	270669390
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,237.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

UNIVERSAL HEAD UHR 55MM 28MM

Facility

$4,125.00

Hospital Charge Code	270669390
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

UNIVERSAL HUM NAIL 7 X 240MM

Facility

$6,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270685092
Hospital Revenue Code	278
Min. Negotiated Rate	$978.75
Max. Negotiated Rate	$1,579.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.05
Rate for Payer: Qualcare PPO/HMO/WC	$978.75

UNIVERSAL HUM NAIL 7 X 240MM

Facility

$6,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270685092
Hospital Revenue Code	278
Min. Negotiated Rate	$978.75
Max. Negotiated Rate	$3,262.50
Rate for Payer: Aetna Commercial	$1,957.50
Rate for Payer: Aetna Medicare Advantage	$1,957.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,663.88
Rate for Payer: Cigna Commercial	$3,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.05
Rate for Payer: Qualcare PPO/HMO/WC	$978.75

UNIVERSAL SLING KIT

Facility

$2,975.00

Hospital Charge Code	270642135
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$719.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

UNIVERSAL SLING KIT

Facility

$2,975.00

Hospital Charge Code	270642135
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$892.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

UNIVERSAL STREE POST

Facility

$2,970.00

Hospital Charge Code	270665319
Hospital Revenue Code	270
Min. Negotiated Rate	$445.50
Max. Negotiated Rate	$445.50
Rate for Payer: Qualcare PPO/HMO/WC	$445.50

UNIVERSAL STREE POST

Facility

$2,970.00

Hospital Charge Code	270665319
Hospital Revenue Code	270
Min. Negotiated Rate	$386.10
Max. Negotiated Rate	$1,485.00
Rate for Payer: Aetna Commercial	$891.00
Rate for Payer: Aetna Medicare Advantage	$891.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$757.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$757.35
Rate for Payer: Cigna Commercial	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.10
Rate for Payer: Oxford Commercial	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$445.50
Rate for Payer: UnitedHealthcare Commercial	$1,485.00

UNIVERSAL TENODESIS

Facility

$2,227.50

Hospital Charge Code	270678631
Hospital Revenue Code	272
Min. Negotiated Rate	$334.12
Max. Negotiated Rate	$334.12
Rate for Payer: Qualcare PPO/HMO/WC	$334.12

Know your out-of-pocket cost for care.

All Charges