Heights University Hospital

All Charges

Charge

Type

Setting

Price

WAGNER SL REVISION DIA16/190

Facility

$30,870.45

Service Code	HCPCS C1776
Hospital Charge Code	270704225
Hospital Revenue Code	278
Min. Negotiated Rate	$4,630.57
Max. Negotiated Rate	$7,470.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,174.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,470.65
Rate for Payer: Qualcare PPO/HMO/WC	$4,630.57

WALKER BARIATRIC FOLDING

Facility

$162.58

Service Code	HCPCS E0130
Hospital Charge Code	270691277
Hospital Revenue Code	292
Min. Negotiated Rate	$21.14
Max. Negotiated Rate	$81.29
Rate for Payer: Aetna Commercial	$48.77
Rate for Payer: Aetna Medicare Advantage	$48.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.46
Rate for Payer: Cigna Commercial	$81.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.14
Rate for Payer: Qualcare PPO/HMO/WC	$24.39

WALKER BARIATRIC FOLDING

Facility

$162.58

Service Code	HCPCS E0130
Hospital Charge Code	270691277
Hospital Revenue Code	292
Min. Negotiated Rate	$24.39
Max. Negotiated Rate	$24.39
Rate for Payer: Qualcare PPO/HMO/WC	$24.39

WALKER CAM

Facility

$990.00

Hospital Charge Code	270646152
Hospital Revenue Code	270
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$148.50

WALKER CAM

Facility

$990.00

Hospital Charge Code	270646152
Hospital Revenue Code	270
Min. Negotiated Rate	$128.70
Max. Negotiated Rate	$495.00
Rate for Payer: Aetna Commercial	$297.00
Rate for Payer: Aetna Medicare Advantage	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.45
Rate for Payer: Cigna Commercial	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.70
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.50
Rate for Payer: UnitedHealthcare Commercial	$495.00

WALKER EQ LOW TOP SMALL

Facility

$152.00

Hospital Charge Code	270655835
Hospital Revenue Code	270
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

WALKER EQ LOW TOP SMALL

Facility

$152.00

Hospital Charge Code	270655835
Hospital Revenue Code	270
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$76.00

WALKER EQ LOW TOP X-LAR

Facility

$145.00

Hospital Charge Code	270655836
Hospital Revenue Code	270
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

WALKER EQ LOW TOP X-LAR

Facility

$145.00

Hospital Charge Code	270655836
Hospital Revenue Code	270
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$43.50
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$72.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$72.50

WALKER FOLDING W/3 WHEELS

Facility

$177.81

Hospital Charge Code	270647798
Hospital Revenue Code	270
Min. Negotiated Rate	$26.67
Max. Negotiated Rate	$26.67
Rate for Payer: Qualcare PPO/HMO/WC	$26.67

WALKER FOLDING W/3 WHEELS

Facility

$177.81

Hospital Charge Code	270647798
Hospital Revenue Code	270
Min. Negotiated Rate	$23.12
Max. Negotiated Rate	$88.91
Rate for Payer: Aetna Commercial	$53.34
Rate for Payer: Aetna Medicare Advantage	$53.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.34
Rate for Payer: Cigna Commercial	$88.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.12
Rate for Payer: Oxford Commercial	$88.91
Rate for Payer: Qualcare PPO/HMO/WC	$26.67
Rate for Payer: UnitedHealthcare Commercial	$88.91

WALKER FRACTURE INFANT LOW TOP

Facility

$243.10

Hospital Charge Code	270636640
Hospital Revenue Code	270
Min. Negotiated Rate	$36.47
Max. Negotiated Rate	$36.47
Rate for Payer: Qualcare PPO/HMO/WC	$36.47

WALKER FRACTURE INFANT LOW TOP

Facility

$243.10

Hospital Charge Code	270636640
Hospital Revenue Code	270
Min. Negotiated Rate	$31.60
Max. Negotiated Rate	$121.55
Rate for Payer: Aetna Commercial	$72.93
Rate for Payer: Aetna Medicare Advantage	$72.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.99
Rate for Payer: Cigna Commercial	$121.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.60
Rate for Payer: Oxford Commercial	$121.55
Rate for Payer: Qualcare PPO/HMO/WC	$36.47
Rate for Payer: UnitedHealthcare Commercial	$121.55

WALKER LARGE LOW TOP

Facility

$143.15

Hospital Charge Code	270654884
Hospital Revenue Code	270
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$71.58
Rate for Payer: Aetna Commercial	$42.95
Rate for Payer: Aetna Medicare Advantage	$42.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.50
Rate for Payer: Cigna Commercial	$71.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.61
Rate for Payer: Oxford Commercial	$71.58
Rate for Payer: Qualcare PPO/HMO/WC	$21.47
Rate for Payer: UnitedHealthcare Commercial	$71.58

WALKER LARGE LOW TOP

Facility

$143.15

Hospital Charge Code	270654884
Hospital Revenue Code	270
Min. Negotiated Rate	$21.47
Max. Negotiated Rate	$21.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.47

WALKER MED LOW TOP

Facility

$143.15

Hospital Charge Code	270654883
Hospital Revenue Code	270
Min. Negotiated Rate	$21.47
Max. Negotiated Rate	$21.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.47

WALKER MED LOW TOP

Facility

$143.15

Hospital Charge Code	270654883
Hospital Revenue Code	270
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$71.58
Rate for Payer: Aetna Commercial	$42.95
Rate for Payer: Aetna Medicare Advantage	$42.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.50
Rate for Payer: Cigna Commercial	$71.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.61
Rate for Payer: Oxford Commercial	$71.58
Rate for Payer: Qualcare PPO/HMO/WC	$21.47
Rate for Payer: UnitedHealthcare Commercial	$71.58

WALKER ROLLER

Facility

$212.30

Service Code	HCPCS E0143
Hospital Charge Code	270691278
Hospital Revenue Code	292
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$106.15
Rate for Payer: Aetna Commercial	$63.69
Rate for Payer: Aetna Medicare Advantage	$63.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.14
Rate for Payer: Cigna Commercial	$106.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$31.84

WALKER ROLLER

Facility

$212.30

Service Code	HCPCS E0143
Hospital Charge Code	270691278
Hospital Revenue Code	292
Min. Negotiated Rate	$31.84
Max. Negotiated Rate	$31.84
Rate for Payer: Qualcare PPO/HMO/WC	$31.84

WALKING CAST

Facility

$1,066.99

Service Code	HCPCS 29425
Hospital Charge Code	5770060
Hospital Revenue Code	450
Min. Negotiated Rate	$54.05
Max. Negotiated Rate	$666.07
Rate for Payer: Aetna Commercial	$320.10
Rate for Payer: Aetna Medicare Advantage	$320.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.08
Rate for Payer: Cigna Commercial	$666.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.71
Rate for Payer: Qualcare PPO/HMO/WC	$160.05

WALKING CAST

Facility

$1,066.99

Service Code	HCPCS 29425
Hospital Charge Code	5770060
Hospital Revenue Code	450
Min. Negotiated Rate	$160.05
Max. Negotiated Rate	$160.05
Rate for Payer: Qualcare PPO/HMO/WC	$160.05

WALLFLEXFC18/23-25mmx10cmEsoSt

Facility

$9,900.00

Hospital Charge Code	643739
Hospital Revenue Code	272
Min. Negotiated Rate	$1,287.00
Max. Negotiated Rate	$4,950.00
Rate for Payer: Aetna Commercial	$2,970.00
Rate for Payer: Aetna Medicare Advantage	$2,970.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,524.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,524.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,524.50
Rate for Payer: Cigna Commercial	$4,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,287.00
Rate for Payer: Oxford Commercial	$4,950.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.00
Rate for Payer: UnitedHealthcare Commercial	$4,950.00

WALLFLEXFC18/23-25mmx10cmEsoSt

Facility

$9,900.00

Hospital Charge Code	643739
Hospital Revenue Code	272
Min. Negotiated Rate	$1,485.00
Max. Negotiated Rate	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.00

WALLFLEX FC 18/23-25x10 1670

Facility

$11,995.00

Service Code	HCPCS C1874
Hospital Charge Code	270643739
Hospital Revenue Code	278
Min. Negotiated Rate	$1,799.25
Max. Negotiated Rate	$5,997.50
Rate for Payer: Aetna Commercial	$3,598.50
Rate for Payer: Aetna Medicare Advantage	$3,598.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,058.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,058.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,399.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,058.72
Rate for Payer: Cigna Commercial	$5,997.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,902.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,799.25

WALLFLEX FC 18/23-25x10 1670

Facility

$11,995.00

Service Code	HCPCS C1874
Hospital Charge Code	270643739
Hospital Revenue Code	278
Min. Negotiated Rate	$1,799.25
Max. Negotiated Rate	$2,902.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,399.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,902.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,799.25

Know your out-of-pocket cost for care.

All Charges