Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE 2-1/2 FOR CAST CUTTER

Facility

$154.00

Hospital Charge Code	270330633
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

BLADE 2-1/2 FOR CAST CUTTER

Facility

$154.00

Hospital Charge Code	270330633
Hospital Revenue Code	272
Min. Negotiated Rate	$20.02
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$46.20
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$77.00

BLADE 25.0 X1.19X 90MM

Facility

$300.25

Hospital Charge Code	270668541
Hospital Revenue Code	272
Min. Negotiated Rate	$39.03
Max. Negotiated Rate	$150.12
Rate for Payer: Aetna Commercial	$90.08
Rate for Payer: Aetna Medicare Advantage	$90.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.56
Rate for Payer: Cigna Commercial	$150.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.03
Rate for Payer: Oxford Commercial	$150.12
Rate for Payer: Qualcare PPO/HMO/WC	$45.04
Rate for Payer: UnitedHealthcare Commercial	$150.12

BLADE 25.0 X1.19X 90MM

Facility

$300.25

Hospital Charge Code	270668541
Hospital Revenue Code	272
Min. Negotiated Rate	$45.04
Max. Negotiated Rate	$45.04
Rate for Payer: Qualcare PPO/HMO/WC	$45.04

BLADE 25.0 X1.37X 90MM

Facility

$300.25

Hospital Charge Code	270687657
Hospital Revenue Code	272
Min. Negotiated Rate	$39.03
Max. Negotiated Rate	$150.12
Rate for Payer: Aetna Commercial	$90.08
Rate for Payer: Aetna Medicare Advantage	$90.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.56
Rate for Payer: Cigna Commercial	$150.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.03
Rate for Payer: Oxford Commercial	$150.12
Rate for Payer: Qualcare PPO/HMO/WC	$45.04
Rate for Payer: UnitedHealthcare Commercial	$150.12

BLADE 25.0 X1.37X 90MM

Facility

$300.25

Hospital Charge Code	270687657
Hospital Revenue Code	272
Min. Negotiated Rate	$45.04
Max. Negotiated Rate	$45.04
Rate for Payer: Qualcare PPO/HMO/WC	$45.04

BLADE 2.9 ABRADER 3530 ******

Facility

$124.00

Hospital Charge Code	1607001
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

BLADE 2.9 ABRADER 3530 ******

Facility

$124.00

Hospital Charge Code	1607001
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

BLADE 2.9MM CUTTER ******

Facility

$124.00

Hospital Charge Code	1606672
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

BLADE 2.9MM CUTTER ******

Facility

$124.00

Hospital Charge Code	1606672
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

BLADE 2.9MM CUTTER 3604 *****

Facility

$124.00

Hospital Charge Code	1606664
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

BLADE 2.9MM CUTTER 3604 *****

Facility

$124.00

Hospital Charge Code	1606664
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

BLADE 3.5 INCISOR MINI 4225***

Facility

$124.00

Hospital Charge Code	1606698
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

BLADE 3.5 INCISOR MINI 4225***

Facility

$124.00

Hospital Charge Code	1606698
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

BLADE 3M AGEE 81010A

Facility

$2,036.85

Hospital Charge Code	270608413
Hospital Revenue Code	272
Min. Negotiated Rate	$264.79
Max. Negotiated Rate	$1,018.42
Rate for Payer: Aetna Commercial	$611.05
Rate for Payer: Aetna Medicare Advantage	$611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$519.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$519.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$519.40
Rate for Payer: Cigna Commercial	$1,018.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.79
Rate for Payer: Oxford Commercial	$1,018.42
Rate for Payer: Qualcare PPO/HMO/WC	$305.53
Rate for Payer: UnitedHealthcare Commercial	$1,018.42

BLADE 3M AGEE 81010A

Facility

$2,036.85

Hospital Charge Code	270608413
Hospital Revenue Code	272
Min. Negotiated Rate	$305.53
Max. Negotiated Rate	$305.53
Rate for Payer: Qualcare PPO/HMO/WC	$305.53

BLADE 40.0 X 10.0MM 1.19MM

Facility

$127.00

Hospital Charge Code	270703058
Hospital Revenue Code	270
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

BLADE 40.0 X 10.0MM 1.19MM

Facility

$127.00

Hospital Charge Code	270703058
Hospital Revenue Code	270
Min. Negotiated Rate	$16.51
Max. Negotiated Rate	$63.50
Rate for Payer: Aetna Commercial	$38.10
Rate for Payer: Aetna Medicare Advantage	$38.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.38
Rate for Payer: Cigna Commercial	$63.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.51
Rate for Payer: Oxford Commercial	$63.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.05
Rate for Payer: UnitedHealthcare Commercial	$63.50

BLADE 90X18 1.14 MAT 1.27CUT

Facility

$129.60

Hospital Charge Code	270699047
Hospital Revenue Code	279
Min. Negotiated Rate	$19.44
Max. Negotiated Rate	$19.44
Rate for Payer: Qualcare PPO/HMO/WC	$19.44

BLADE 90X18 1.14 MAT 1.27CUT

Facility

$129.60

Hospital Charge Code	270699047
Hospital Revenue Code	279
Min. Negotiated Rate	$16.85
Max. Negotiated Rate	$64.80
Rate for Payer: Aetna Commercial	$38.88
Rate for Payer: Aetna Medicare Advantage	$38.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.05
Rate for Payer: Cigna Commercial	$64.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.85
Rate for Payer: Oxford Commercial	$64.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.44
Rate for Payer: UnitedHealthcare Commercial	$64.80

BLADE AGEE ASSEMBLY 81010

Facility

$1,495.25

Hospital Charge Code	270618636
Hospital Revenue Code	272
Min. Negotiated Rate	$194.38
Max. Negotiated Rate	$747.62
Rate for Payer: Aetna Commercial	$448.57
Rate for Payer: Aetna Medicare Advantage	$448.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.29
Rate for Payer: Cigna Commercial	$747.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.38
Rate for Payer: Oxford Commercial	$747.62
Rate for Payer: Qualcare PPO/HMO/WC	$224.29
Rate for Payer: UnitedHealthcare Commercial	$747.62

BLADE AGEE ASSEMBLY 81010

Facility

$1,495.25

Hospital Charge Code	270618636
Hospital Revenue Code	272
Min. Negotiated Rate	$224.29
Max. Negotiated Rate	$224.29
Rate for Payer: Qualcare PPO/HMO/WC	$224.29

BLADE ASSEMBLY ICT RELSE *****

Facility

$240.00

Hospital Charge Code	1607332
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

BLADE ASSEMBLY ICT RELSE *****

Facility

$240.00

Hospital Charge Code	1607332
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$120.00

BLADE BARREL BUR 5.5MM

Facility

$200.00

Hospital Charge Code	270657600
Hospital Revenue Code	272
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

Know your out-of-pocket cost for care.

All Charges