Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE UNIGLIDE ANGL .035x320

Facility

$175.00

Hospital Charge Code	270677158
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

WIRE UNIGLIDE STF ANG .035x150

Facility

$215.00

Hospital Charge Code	270677159
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

WIRE UNIGLIDE STF ANG .035x150

Facility

$215.00

Hospital Charge Code	270677159
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

WIRE UNIGLIDE STF ANG .035x180

Facility

$215.00

Hospital Charge Code	270677160
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

WIRE UNIGLIDE STF ANG .035x180

Facility

$215.00

Hospital Charge Code	270677160
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

WIRE UNIGLIDE STF ANG .035x180

Facility

$215.00

Hospital Charge Code	270677160N
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

WIRE UNIGLIDE STF ANG .035x180

Facility

$215.00

Hospital Charge Code	270677160N
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

WIRE UNIGLIDE STF ANG .035x260

Facility

$215.00

Hospital Charge Code	270677161
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

WIRE UNIGLIDE STF ANG .035x260

Facility

$215.00

Hospital Charge Code	270677161
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

WIRE UNIGLIDE STF ANG .035x260

Facility

$215.00

Hospital Charge Code	270677161N
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

WIRE UNIGLIDE STF ANG .035x260

Facility

$215.00

Hospital Charge Code	270677161N
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

WIRE UNIGLIDE STF ANG .035x320

Facility

$215.00

Hospital Charge Code	270677162
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

WIRE UNIGLIDE STF ANG .035x320

Facility

$215.00

Hospital Charge Code	270677162
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

WIRE VIPER ADVANCED VPR-GW-17

Facility

$850.00

Hospital Charge Code	270644368C
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

WIRE VIPER ADVANCED VPR-GW-17

Facility

$850.00

Hospital Charge Code	270644368C
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

WIRE VLX K .45 K100-11

Facility

$25.00

Service Code	HCPCS C1769
Hospital Charge Code	270621470
Hospital Revenue Code	278
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$6.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

WIRE VLX K .45 K100-11

Facility

$25.00

Service Code	HCPCS C1769
Hospital Charge Code	270621470
Hospital Revenue Code	278
Min. Negotiated Rate	$3.75
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) NJ Health	$5.00
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	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

WIRE WC GUIDE .038 145 638413

Facility

$105.65

Hospital Charge Code	270608176
Hospital Revenue Code	278
Min. Negotiated Rate	$15.85
Max. Negotiated Rate	$52.83
Rate for Payer: Aetna Commercial	$31.70
Rate for Payer: Aetna Medicare Advantage	$31.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.94
Rate for Payer: Cigna Commercial	$52.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.57
Rate for Payer: Qualcare PPO/HMO/WC	$15.85

WIRE WC GUIDE .038 145 638413

Facility

$105.65

Hospital Charge Code	270608176
Hospital Revenue Code	278
Min. Negotiated Rate	$15.85
Max. Negotiated Rate	$25.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.57
Rate for Payer: Qualcare PPO/HMO/WC	$15.85

WIRE WC GUIDE PAPILL PTG-30-6

Facility

$1,175.25

Hospital Charge Code	270600978
Hospital Revenue Code	278
Min. Negotiated Rate	$176.29
Max. Negotiated Rate	$587.62
Rate for Payer: Aetna Commercial	$352.57
Rate for Payer: Aetna Medicare Advantage	$352.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.69
Rate for Payer: Cigna Commercial	$587.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.41
Rate for Payer: Qualcare PPO/HMO/WC	$176.29

WIRE WC GUIDE PAPILL PTG-30-6

Facility

$1,175.25

Hospital Charge Code	270600978
Hospital Revenue Code	278
Min. Negotiated Rate	$176.29
Max. Negotiated Rate	$284.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.41
Rate for Payer: Qualcare PPO/HMO/WC	$176.29

WIRE WC GUIDE TFL THSF-21-400

Facility

$440.85

Hospital Charge Code	270600983
Hospital Revenue Code	278
Min. Negotiated Rate	$66.13
Max. Negotiated Rate	$220.43
Rate for Payer: Aetna Commercial	$132.25
Rate for Payer: Aetna Medicare Advantage	$132.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.42
Rate for Payer: Cigna Commercial	$220.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.69
Rate for Payer: Qualcare PPO/HMO/WC	$66.13

WIRE WC GUIDE TFL THSF-21-400

Facility

$440.85

Hospital Charge Code	270600983
Hospital Revenue Code	278
Min. Negotiated Rate	$66.13
Max. Negotiated Rate	$106.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.69
Rate for Payer: Qualcare PPO/HMO/WC	$66.13

WIRE WC GUIDE THSF-35-400

Facility

$440.85

Hospital Charge Code	270600971
Hospital Revenue Code	278
Min. Negotiated Rate	$66.13
Max. Negotiated Rate	$220.43
Rate for Payer: Aetna Commercial	$132.25
Rate for Payer: Aetna Medicare Advantage	$132.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.42
Rate for Payer: Cigna Commercial	$220.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.69
Rate for Payer: Qualcare PPO/HMO/WC	$66.13

WIRE WC GUIDE THSF-35-400

Facility

$440.85

Hospital Charge Code	270600971
Hospital Revenue Code	278
Min. Negotiated Rate	$66.13
Max. Negotiated Rate	$106.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.69
Rate for Payer: Qualcare PPO/HMO/WC	$66.13

Know your out-of-pocket cost for care.

All Charges