Heights University Hospital

All Charges

Charge

Type

Setting

Price

WLESHES STRY SLOTTED *******

Facility

$160.00

Hospital Charge Code	1606417
Hospital Revenue Code	272
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$80.00

WLESHES STRY SLOTTED *******

Facility

$160.00

Hospital Charge Code	1606417
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

WL GORE DUAL MESH 18CM

Facility

$10,525.00

Hospital Charge Code	270656332
Hospital Revenue Code	278
Min. Negotiated Rate	$1,578.75
Max. Negotiated Rate	$5,262.50
Rate for Payer: Aetna Commercial	$3,157.50
Rate for Payer: Aetna Medicare Advantage	$3,157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,683.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,683.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,683.88
Rate for Payer: Cigna Commercial	$5,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,578.75

WL GORE DUAL MESH 18CM

Facility

$10,525.00

Hospital Charge Code	270656332
Hospital Revenue Code	278
Min. Negotiated Rate	$1,578.75
Max. Negotiated Rate	$2,547.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,578.75

WND MATRX MULTILR 5X5CM/SQCMJW

Facility

$153.00

Hospital Charge Code	270666030W
Hospital Revenue Code	636
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$45.90
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.03
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

WND MATRX MULTILR 5X5CM/SQCMJW

Facility

$153.00

Hospital Charge Code	270666030W
Hospital Revenue Code	636
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$37.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.03
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

WND MATRX MULTILYR 5X5CM

Facility

$3,995.00

Service Code	HCPCS Q4166
Hospital Charge Code	270666030
Hospital Revenue Code	278
Min. Negotiated Rate	$599.25
Max. Negotiated Rate	$966.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$799.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$966.79
Rate for Payer: Qualcare PPO/HMO/WC	$599.25

WND MATRX MULTILYR 5X5CM

Facility

$3,995.00

Service Code	HCPCS Q4166
Hospital Charge Code	270666030
Hospital Revenue Code	278
Min. Negotiated Rate	$296.35
Max. Negotiated Rate	$1,198.50
Rate for Payer: Aetna Commercial	$1,198.50
Rate for Payer: Aetna Medicare Advantage	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,018.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,018.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$799.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,018.73
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$966.79
Rate for Payer: Qualcare PPO/HMO/WC	$599.25

WND PRP TRK/ARM/LEG 100SQCM/1B

Facility

$4,862.70

Service Code	HCPCS 15002
Hospital Charge Code	1600000380
Hospital Revenue Code	360
Min. Negotiated Rate	$729.40
Max. Negotiated Rate	$729.40
Rate for Payer: Qualcare PPO/HMO/WC	$729.40

WND PRP TRK/ARM/LEG 100SQCM/1B

Facility

$4,862.70

Service Code	HCPCS 15002
Hospital Charge Code	1600000380
Hospital Revenue Code	360
Min. Negotiated Rate	$632.15
Max. Negotiated Rate	$5,165.88
Rate for Payer: Aetna Better Health Medicaid	$5,064.59
Rate for Payer: Aetna Commercial	$1,458.81
Rate for Payer: Aetna Medicare Advantage	$1,458.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,239.99
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.15
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$729.40
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,165.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5,064.59

WOODEN BEE, BUTTERFLY + LADYBU

Facility

$74.95

Hospital Charge Code	270663164
Hospital Revenue Code	270
Min. Negotiated Rate	$9.74
Max. Negotiated Rate	$37.48
Rate for Payer: Aetna Commercial	$22.48
Rate for Payer: Aetna Medicare Advantage	$22.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.11
Rate for Payer: Cigna Commercial	$37.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: Oxford Commercial	$37.48
Rate for Payer: Qualcare PPO/HMO/WC	$11.24
Rate for Payer: UnitedHealthcare Commercial	$37.48

WOODEN BEE, BUTTERFLY + LADYBU

Facility

$74.95

Hospital Charge Code	270663164
Hospital Revenue Code	270
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$11.24
Rate for Payer: Qualcare PPO/HMO/WC	$11.24

WOODEN BIRDHOUSES

Facility

$239.95

Hospital Charge Code	270663155
Hospital Revenue Code	270
Min. Negotiated Rate	$35.99
Max. Negotiated Rate	$35.99
Rate for Payer: Qualcare PPO/HMO/WC	$35.99

WOODEN BIRDHOUSES

Facility

$239.95

Hospital Charge Code	270663155
Hospital Revenue Code	270
Min. Negotiated Rate	$31.19
Max. Negotiated Rate	$119.97
Rate for Payer: Aetna Commercial	$71.98
Rate for Payer: Aetna Medicare Advantage	$71.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.19
Rate for Payer: Cigna Commercial	$119.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.19
Rate for Payer: Oxford Commercial	$119.97
Rate for Payer: Qualcare PPO/HMO/WC	$35.99
Rate for Payer: UnitedHealthcare Commercial	$119.97

WOODEN CANE

Facility

$81.00

Hospital Charge Code	84202100
Hospital Revenue Code	270
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

WOODEN CANE

Facility

$81.00

Hospital Charge Code	84202100
Hospital Revenue Code	270
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

WOODSON ELEVATOR W/SPATULAR

Facility

$322.50

Hospital Charge Code	270667512
Hospital Revenue Code	272
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$48.38
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

WOODSON ELEVATOR W/SPATULAR

Facility

$322.50

Hospital Charge Code	270667512
Hospital Revenue Code	272
Min. Negotiated Rate	$41.92
Max. Negotiated Rate	$161.25
Rate for Payer: Aetna Commercial	$96.75
Rate for Payer: Aetna Medicare Advantage	$96.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.24
Rate for Payer: Cigna Commercial	$161.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.92
Rate for Payer: Oxford Commercial	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$48.38
Rate for Payer: UnitedHealthcare Commercial	$161.25

WOODSON ELEVATOR W/SPATULAR

Facility

$195.00

Hospital Charge Code	270667513
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$29.25
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

WOODSON ELEVATOR W/SPATULAR

Facility

$195.00

Hospital Charge Code	270667513
Hospital Revenue Code	272
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$58.50
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.35
Rate for Payer: Oxford Commercial	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$29.25
Rate for Payer: UnitedHealthcare Commercial	$97.50

WOUNDAVC CANISTER W/GEL 500ML

Facility

$180.02

Hospital Charge Code	270672869
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

WOUNDAVC CANISTER W/GEL 500ML

Facility

$180.02

Hospital Charge Code	270672869
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.01
Rate for Payer: Aetna Commercial	$54.01
Rate for Payer: Aetna Medicare Advantage	$54.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.91
Rate for Payer: Cigna Commercial	$90.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.01

WOUND CLOSER 3-0 GR 18 V-20 12

Facility

$293.89

Hospital Charge Code	270683967
Hospital Revenue Code	272
Min. Negotiated Rate	$38.21
Max. Negotiated Rate	$146.94
Rate for Payer: Aetna Commercial	$88.17
Rate for Payer: Aetna Medicare Advantage	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.94
Rate for Payer: Cigna Commercial	$146.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.21
Rate for Payer: Oxford Commercial	$146.94
Rate for Payer: Qualcare PPO/HMO/WC	$44.08
Rate for Payer: UnitedHealthcare Commercial	$146.94

WOUND CLOSER 3-0 GR 18 V-20 12

Facility

$293.89

Hospital Charge Code	270683967
Hospital Revenue Code	272
Min. Negotiated Rate	$44.08
Max. Negotiated Rate	$44.08
Rate for Payer: Qualcare PPO/HMO/WC	$44.08

WOUND CULTURE PANEL

Facility

$349.00

Service Code	HCPCS 87070
Hospital Charge Code	38475120
Hospital Revenue Code	306
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.58
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$8.19
Rate for Payer: EmblemHealth Commercial	$25.86
Rate for Payer: Humana Medicare Advantage	$8.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.62
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.14
Rate for Payer: Wellcare Medicare Advantage	$8.62

Know your out-of-pocket cost for care.

All Charges