Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE DIEGO STR 4MM 70138000

Facility

$599.10

Hospital Charge Code	270627899
Hospital Revenue Code	272
Min. Negotiated Rate	$77.88
Max. Negotiated Rate	$299.55
Rate for Payer: Aetna Commercial	$179.73
Rate for Payer: Aetna Medicare Advantage	$179.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.77
Rate for Payer: Cigna Commercial	$299.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.88
Rate for Payer: Oxford Commercial	$299.55
Rate for Payer: Qualcare PPO/HMO/WC	$89.86
Rate for Payer: UnitedHealthcare Commercial	$299.55

BLADE DIEGO STR 4MM 70138000

Facility

$599.10

Hospital Charge Code	270627899
Hospital Revenue Code	272
Min. Negotiated Rate	$89.86
Max. Negotiated Rate	$89.86
Rate for Payer: Qualcare PPO/HMO/WC	$89.86

BLADE DISP. LARYNGOSCOPE

Facility

$35.00

Hospital Charge Code	270332573
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

BLADE DISP. LARYNGOSCOPE

Facility

$35.00

Hospital Charge Code	270332573
Hospital Revenue Code	272
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

BLADE DISSECTING HOOK C0CM

Facility

$4,600.00

Hospital Charge Code	270610061
Hospital Revenue Code	272
Min. Negotiated Rate	$690.00
Max. Negotiated Rate	$690.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.00

BLADE DISSECTING HOOK C0CM

Facility

$4,600.00

Hospital Charge Code	270610061
Hospital Revenue Code	272
Min. Negotiated Rate	$598.00
Max. Negotiated Rate	$2,300.00
Rate for Payer: Aetna Commercial	$1,380.00
Rate for Payer: Aetna Medicare Advantage	$1,380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,173.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,173.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,173.00
Rate for Payer: Cigna Commercial	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.00
Rate for Payer: Oxford Commercial	$2,300.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.00
Rate for Payer: UnitedHealthcare Commercial	$2,300.00

BLADE DUAL EDGE SHAVER - 3.5

Facility

$390.00

Hospital Charge Code	270680721
Hospital Revenue Code	272
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$195.00

BLADE DUAL EDGE SHAVER - 3.5

Facility

$390.00

Hospital Charge Code	270680721
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLADE DUAL EDGE SHAVER - 4.0

Facility

$390.00

Hospital Charge Code	270680722
Hospital Revenue Code	272
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$195.00

BLADE DUAL EDGE SHAVER - 4.0

Facility

$390.00

Hospital Charge Code	270680722
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLADE DUAL KAHOOK

Facility

$2,120.00

Hospital Charge Code	270688339
Hospital Revenue Code	272
Min. Negotiated Rate	$275.60
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$636.00
Rate for Payer: Aetna Medicare Advantage	$636.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$540.60
Rate for Payer: Cigna Commercial	$1,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.60
Rate for Payer: Oxford Commercial	$1,060.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00

BLADE DUAL KAHOOK

Facility

$2,120.00

Hospital Charge Code	270688339
Hospital Revenue Code	272
Min. Negotiated Rate	$318.00
Max. Negotiated Rate	$318.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.00

BLADE DUAL SAGIT 25x90x1.19mm

Facility

$200.00

Hospital Charge Code	270678714
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BLADE DUAL SAGIT 25x90x1.19mm

Facility

$200.00

Hospital Charge Code	270678714
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

BLADE DYONICS PLAT FULL 5.5MM

Facility

$400.00

Hospital Charge Code	270696202
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

BLADE DYONICS PLAT FULL 5.5MM

Facility

$400.00

Hospital Charge Code	270696202
Hospital Revenue Code	272
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$200.00

BLADE EDS NUCLEO 4.5 ES052401

Facility

$1,021.65

Hospital Charge Code	270628756
Hospital Revenue Code	272
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$153.25
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

BLADE EDS NUCLEO 4.5 ES052401

Facility

$1,021.65

Hospital Charge Code	270628756
Hospital Revenue Code	272
Min. Negotiated Rate	$132.81
Max. Negotiated Rate	$510.82
Rate for Payer: Aetna Commercial	$306.50
Rate for Payer: Aetna Medicare Advantage	$306.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.52
Rate for Payer: Cigna Commercial	$510.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.81
Rate for Payer: Oxford Commercial	$510.82
Rate for Payer: Qualcare PPO/HMO/WC	$153.25
Rate for Payer: UnitedHealthcare Commercial	$510.82

BLADE ELEC 4.5X25.5 ******

Facility

$51.00

Hospital Charge Code	1605096
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

BLADE ELEC 4.5X25.5 ******

Facility

$51.00

Hospital Charge Code	1605096
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$15.30
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.63
Rate for Payer: Oxford Commercial	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$25.50

BLADE ELEC 6.5 25.5 5053-232**

Facility

$53.00

Hospital Charge Code	1605013
Hospital Revenue Code	272
Min. Negotiated Rate	$6.89
Max. Negotiated Rate	$26.50
Rate for Payer: Aetna Commercial	$15.90
Rate for Payer: Aetna Medicare Advantage	$15.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.52
Rate for Payer: Cigna Commercial	$26.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.89
Rate for Payer: Oxford Commercial	$26.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$26.50

BLADE ELEC 6.5 25.5 5053-232**

Facility

$53.00

Hospital Charge Code	1605013
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

BLADE ELEC 9.5X25.5 5053-238**

Facility

$51.00

Hospital Charge Code	1604974
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

BLADE ELEC 9.5X25.5 5053-238**

Facility

$51.00

Hospital Charge Code	1604974
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$15.30
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.63
Rate for Payer: Oxford Commercial	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$25.50

BLADE ELECTRODE EXTENDED 6

Facility

$47.00

Hospital Charge Code	270331054
Hospital Revenue Code	272
Min. Negotiated Rate	$7.05
Max. Negotiated Rate	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$7.05

Know your out-of-pocket cost for care.

All Charges