Heights University Hospital

All Charges

Charge

Type

Setting

Price

WRAP ONE STEP 24 X 24

Facility

$298.30

Hospital Charge Code	270639874
Hospital Revenue Code	272
Min. Negotiated Rate	$44.74
Max. Negotiated Rate	$44.74
Rate for Payer: Qualcare PPO/HMO/WC	$44.74

WRAP ONE STEP 24 X 24

Facility

$298.30

Hospital Charge Code	270639874
Hospital Revenue Code	272
Min. Negotiated Rate	$38.78
Max. Negotiated Rate	$149.15
Rate for Payer: Aetna Commercial	$89.49
Rate for Payer: Aetna Medicare Advantage	$89.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.07
Rate for Payer: Cigna Commercial	$149.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.78
Rate for Payer: Oxford Commercial	$149.15
Rate for Payer: Qualcare PPO/HMO/WC	$44.74
Rate for Payer: UnitedHealthcare Commercial	$149.15

WRAP ORTHO 6

Facility

$37.90

Hospital Charge Code	270600246
Hospital Revenue Code	272
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.93
Rate for Payer: Oxford Commercial	$18.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Commercial	$18.95

WRAP ORTHO 6

Facility

$37.90

Hospital Charge Code	270600246
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$5.68
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

WRAP ORTHO 6 #5555-026 *****

Facility

$33.00

Hospital Charge Code	1606151
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$9.90
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.29
Rate for Payer: Oxford Commercial	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$16.50

WRAP ORTHO 6 #5555-026 *****

Facility

$33.00

Hospital Charge Code	1606151
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

WRAPPER STR 45X45

Facility

$402.80

Hospital Charge Code	270649211
Hospital Revenue Code	272
Min. Negotiated Rate	$60.42
Max. Negotiated Rate	$60.42
Rate for Payer: Qualcare PPO/HMO/WC	$60.42

WRAPPER STR 45X45

Facility

$402.80

Hospital Charge Code	270649211
Hospital Revenue Code	272
Min. Negotiated Rate	$52.36
Max. Negotiated Rate	$201.40
Rate for Payer: Aetna Commercial	$120.84
Rate for Payer: Aetna Medicare Advantage	$120.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.71
Rate for Payer: Cigna Commercial	$201.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.36
Rate for Payer: Oxford Commercial	$201.40
Rate for Payer: Qualcare PPO/HMO/WC	$60.42
Rate for Payer: UnitedHealthcare Commercial	$201.40

WRAPPER STR 54X54

Facility

$234.50

Hospital Charge Code	270649212
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

WRAPPER STR 54X54

Facility

$234.50

Hospital Charge Code	270649212
Hospital Revenue Code	272
Min. Negotiated Rate	$30.48
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$70.35
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.48
Rate for Payer: Oxford Commercial	$117.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$117.25

WRAPPR STER 36X36

Facility

$566.45

Hospital Charge Code	270649210
Hospital Revenue Code	272
Min. Negotiated Rate	$73.64
Max. Negotiated Rate	$283.23
Rate for Payer: Aetna Commercial	$169.94
Rate for Payer: Aetna Medicare Advantage	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.44
Rate for Payer: Cigna Commercial	$283.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.64
Rate for Payer: Oxford Commercial	$283.23
Rate for Payer: Qualcare PPO/HMO/WC	$84.97
Rate for Payer: UnitedHealthcare Commercial	$283.23

WRAPPR STER 36X36

Facility

$566.45

Hospital Charge Code	270649210
Hospital Revenue Code	272
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$84.97
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

WRAP, STERILIZATION 54X54

Facility

$7.30

Hospital Charge Code	270654432
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

WRAP, STERILIZATION 54X54

Facility

$7.30

Hospital Charge Code	270654432
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$3.65
Rate for Payer: Aetna Commercial	$2.19
Rate for Payer: Aetna Medicare Advantage	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.86
Rate for Payer: Cigna Commercial	$3.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.95
Rate for Payer: Oxford Commercial	$3.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$3.65

WRAP, STERILIZATION, CSR GEMI

Facility

$7.69

Hospital Charge Code	270658993
Hospital Revenue Code	270
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.31
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.15
Rate for Payer: UnitedHealthcare Commercial	$3.85

WRAP, STERILIZATION, CSR GEMI

Facility

$7.69

Hospital Charge Code	270658993
Hospital Revenue Code	270
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.15

WRENCH

Facility

$175.00

Hospital Charge Code	270694157
Hospital Revenue Code	272
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: Oxford Commercial	$87.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$87.50

WRENCH

Facility

$175.00

Hospital Charge Code	270694157
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

WRENCH DPY OPNEND 10MM FF10502

Facility

$2,126.45

Hospital Charge Code	270612496
Hospital Revenue Code	272
Min. Negotiated Rate	$318.97
Max. Negotiated Rate	$318.97
Rate for Payer: Qualcare PPO/HMO/WC	$318.97

WRENCH DPY OPNEND 10MM FF10502

Facility

$2,126.45

Hospital Charge Code	270612496
Hospital Revenue Code	272
Min. Negotiated Rate	$276.44
Max. Negotiated Rate	$1,063.22
Rate for Payer: Aetna Commercial	$637.93
Rate for Payer: Aetna Medicare Advantage	$637.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$542.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$542.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$542.24
Rate for Payer: Cigna Commercial	$1,063.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.44
Rate for Payer: Oxford Commercial	$1,063.22
Rate for Payer: Qualcare PPO/HMO/WC	$318.97
Rate for Payer: UnitedHealthcare Commercial	$1,063.22

WRENCH DPY SOCKET 10MM FF10507

Facility

$1,349.65

Hospital Charge Code	270612497
Hospital Revenue Code	272
Min. Negotiated Rate	$202.45
Max. Negotiated Rate	$202.45
Rate for Payer: Qualcare PPO/HMO/WC	$202.45

WRENCH DPY SOCKET 10MM FF10507

Facility

$1,349.65

Hospital Charge Code	270612497
Hospital Revenue Code	272
Min. Negotiated Rate	$175.45
Max. Negotiated Rate	$674.83
Rate for Payer: Aetna Commercial	$404.89
Rate for Payer: Aetna Medicare Advantage	$404.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.16
Rate for Payer: Cigna Commercial	$674.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: Oxford Commercial	$674.83
Rate for Payer: Qualcare PPO/HMO/WC	$202.45
Rate for Payer: UnitedHealthcare Commercial	$674.83

WRENCH HMD HOFF2 4920-9-020

Facility

$460.85

Hospital Charge Code	270621580
Hospital Revenue Code	272
Min. Negotiated Rate	$59.91
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$138.25
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.91
Rate for Payer: Oxford Commercial	$230.43
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Commercial	$230.43

WRENCH HMD HOFF2 4920-9-020

Facility

$460.85

Hospital Charge Code	270621580
Hospital Revenue Code	272
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$69.13
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

WRENCH IMPACT 1/2 4WM64

Facility

$957.00

Hospital Charge Code	270614607
Hospital Revenue Code	272
Min. Negotiated Rate	$143.55
Max. Negotiated Rate	$143.55
Rate for Payer: Qualcare PPO/HMO/WC	$143.55

Know your out-of-pocket cost for care.

All Charges