Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE COBB ELEV 13MM 11 IN

Facility

$515.45

Hospital Charge Code	270678159
Hospital Revenue Code	272
Min. Negotiated Rate	$77.32
Max. Negotiated Rate	$77.32
Rate for Payer: Qualcare PPO/HMO/WC	$77.32

BLADE COBB ELEV 25MM 11 IN

Facility

$542.55

Hospital Charge Code	270678160
Hospital Revenue Code	272
Min. Negotiated Rate	$70.53
Max. Negotiated Rate	$271.27
Rate for Payer: Aetna Commercial	$162.76
Rate for Payer: Aetna Medicare Advantage	$162.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.35
Rate for Payer: Cigna Commercial	$271.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.53
Rate for Payer: Oxford Commercial	$271.27
Rate for Payer: Qualcare PPO/HMO/WC	$81.38
Rate for Payer: UnitedHealthcare Commercial	$271.27

BLADE COBB ELEV 25MM 11 IN

Facility

$542.55

Hospital Charge Code	270678160
Hospital Revenue Code	272
Min. Negotiated Rate	$81.38
Max. Negotiated Rate	$81.38
Rate for Payer: Qualcare PPO/HMO/WC	$81.38

BLADE COBB ELEV 9MM 11 IN

Facility

$516.15

Hospital Charge Code	270678158
Hospital Revenue Code	272
Min. Negotiated Rate	$67.10
Max. Negotiated Rate	$258.07
Rate for Payer: Aetna Commercial	$154.84
Rate for Payer: Aetna Medicare Advantage	$154.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.62
Rate for Payer: Cigna Commercial	$258.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.10
Rate for Payer: Oxford Commercial	$258.07
Rate for Payer: Qualcare PPO/HMO/WC	$77.42
Rate for Payer: UnitedHealthcare Commercial	$258.07

BLADE COBB ELEV 9MM 11 IN

Facility

$516.15

Hospital Charge Code	270678158
Hospital Revenue Code	272
Min. Negotiated Rate	$77.42
Max. Negotiated Rate	$77.42
Rate for Payer: Qualcare PPO/HMO/WC	$77.42

BLADE COOPER VISION SURGPLUS**

Facility

$40.00

Hospital Charge Code	1600741
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

BLADE COOPER VISION SURGPLUS**

Facility

$40.00

Hospital Charge Code	1600741
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

BLADE CRANIO CODMAN 26-1246

Facility

$220.00

Hospital Charge Code	270600320
Hospital Revenue Code	272
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.60
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$110.00

BLADE CRANIO CODMAN 26-1246

Facility

$220.00

Hospital Charge Code	270600320
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

BLADE CURVED 3MM ROUND EDGE

Facility

$804.00

Hospital Charge Code	270675734
Hospital Revenue Code	272
Min. Negotiated Rate	$104.52
Max. Negotiated Rate	$402.00
Rate for Payer: Aetna Commercial	$241.20
Rate for Payer: Aetna Medicare Advantage	$241.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.02
Rate for Payer: Cigna Commercial	$402.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.52
Rate for Payer: Oxford Commercial	$402.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.60
Rate for Payer: UnitedHealthcare Commercial	$402.00

BLADE CURVED 3MM ROUND EDGE

Facility

$804.00

Hospital Charge Code	270675734
Hospital Revenue Code	272
Min. Negotiated Rate	$120.60
Max. Negotiated Rate	$120.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.60

BLADE CYLINDER 1.2 X 3.7 MM

Facility

$24.05

Hospital Charge Code	270664988
Hospital Revenue Code	270
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$3.61
Rate for Payer: Qualcare PPO/HMO/WC	$3.61

BLADE CYLINDER 1.2 X 3.7 MM

Facility

$24.05

Hospital Charge Code	270664988
Hospital Revenue Code	270
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$12.03
Rate for Payer: Aetna Commercial	$7.21
Rate for Payer: Aetna Medicare Advantage	$7.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.13
Rate for Payer: Cigna Commercial	$12.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.13
Rate for Payer: Oxford Commercial	$12.03
Rate for Payer: Qualcare PPO/HMO/WC	$3.61
Rate for Payer: UnitedHealthcare Commercial	$12.03

BLADE DERMATOME ********

Facility

$58.00

Hospital Charge Code	1601244
Hospital Revenue Code	272
Min. Negotiated Rate	$7.54
Max. Negotiated Rate	$29.00
Rate for Payer: Aetna Commercial	$17.40
Rate for Payer: Aetna Medicare Advantage	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.79
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.54
Rate for Payer: Oxford Commercial	$29.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$29.00

BLADE DERMATOME ********

Facility

$58.00

Hospital Charge Code	1601244
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

BLADE DERMATOME 8800-00-10

Facility

$247.93

Hospital Charge Code	270605722
Hospital Revenue Code	272
Min. Negotiated Rate	$37.19
Max. Negotiated Rate	$37.19
Rate for Payer: Qualcare PPO/HMO/WC	$37.19

BLADE DERMATOME 8800-00-10

Facility

$247.93

Hospital Charge Code	270605722
Hospital Revenue Code	272
Min. Negotiated Rate	$32.23
Max. Negotiated Rate	$123.97
Rate for Payer: Aetna Commercial	$74.38
Rate for Payer: Aetna Medicare Advantage	$74.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.22
Rate for Payer: Cigna Commercial	$123.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.23
Rate for Payer: Oxford Commercial	$123.97
Rate for Payer: Qualcare PPO/HMO/WC	$37.19
Rate for Payer: UnitedHealthcare Commercial	$123.97

BLADE DERMATONE 8800-000-10

Facility

$240.00

Hospital Charge Code	270060165
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

BLADE DERMATONE 8800-000-10

Facility

$240.00

Hospital Charge Code	270060165
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 DIEGO 4MM

Facility

$567.45

Hospital Charge Code	270658141
Hospital Revenue Code	272
Min. Negotiated Rate	$73.77
Max. Negotiated Rate	$283.73
Rate for Payer: Aetna Commercial	$170.24
Rate for Payer: Aetna Medicare Advantage	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.70
Rate for Payer: Cigna Commercial	$283.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.77
Rate for Payer: Oxford Commercial	$283.73
Rate for Payer: Qualcare PPO/HMO/WC	$85.12
Rate for Payer: UnitedHealthcare Commercial	$283.73

BLADE DIEGO 4MM

Facility

$567.45

Hospital Charge Code	270658141
Hospital Revenue Code	272
Min. Negotiated Rate	$85.12
Max. Negotiated Rate	$85.12
Rate for Payer: Qualcare PPO/HMO/WC	$85.12

BLADE DIEGO POWER DISSECT 4MM

Facility

$607.27

Hospital Charge Code	270658161
Hospital Revenue Code	270
Min. Negotiated Rate	$78.95
Max. Negotiated Rate	$303.63
Rate for Payer: Aetna Commercial	$182.18
Rate for Payer: Aetna Medicare Advantage	$182.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.85
Rate for Payer: Cigna Commercial	$303.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.95
Rate for Payer: Oxford Commercial	$303.63
Rate for Payer: Qualcare PPO/HMO/WC	$91.09
Rate for Payer: UnitedHealthcare Commercial	$303.63

BLADE DIEGO POWER DISSECT 4MM

Facility

$607.27

Hospital Charge Code	270658161
Hospital Revenue Code	270
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$91.09
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

BLADE DIEGO POWER DISSECTOR

Facility

$567.45

Hospital Charge Code	270658228
Hospital Revenue Code	272
Min. Negotiated Rate	$73.77
Max. Negotiated Rate	$283.73
Rate for Payer: Aetna Commercial	$170.24
Rate for Payer: Aetna Medicare Advantage	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.70
Rate for Payer: Cigna Commercial	$283.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.77
Rate for Payer: Oxford Commercial	$283.73
Rate for Payer: Qualcare PPO/HMO/WC	$85.12
Rate for Payer: UnitedHealthcare Commercial	$283.73

BLADE DIEGO POWER DISSECTOR

Facility

$567.45

Hospital Charge Code	270658228
Hospital Revenue Code	272
Min. Negotiated Rate	$85.12
Max. Negotiated Rate	$85.12
Rate for Payer: Qualcare PPO/HMO/WC	$85.12

Know your out-of-pocket cost for care.

All Charges