Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE HIP ACCESS KIT CURVED

Facility

$2,910.00

Hospital Charge Code	270670482
Hospital Revenue Code	272
Min. Negotiated Rate	$378.30
Max. Negotiated Rate	$1,455.00
Rate for Payer: Aetna Commercial	$873.00
Rate for Payer: Aetna Medicare Advantage	$873.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$742.05
Rate for Payer: Cigna Commercial	$1,455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.30
Rate for Payer: Oxford Commercial	$1,455.00
Rate for Payer: Qualcare PPO/HMO/WC	$436.50
Rate for Payer: UnitedHealthcare Commercial	$1,455.00

BLADE HIP ACCESS KIT CURVED

Facility

$2,910.00

Hospital Charge Code	270670482
Hospital Revenue Code	272
Min. Negotiated Rate	$436.50
Max. Negotiated Rate	$436.50
Rate for Payer: Qualcare PPO/HMO/WC	$436.50

BLADE HIP ACCESS KIT STR

Facility

$2,780.00

Hospital Charge Code	270670481
Hospital Revenue Code	272
Min. Negotiated Rate	$417.00
Max. Negotiated Rate	$417.00
Rate for Payer: Qualcare PPO/HMO/WC	$417.00

BLADE HIP ACCESS KIT STR

Facility

$2,780.00

Hospital Charge Code	270670481
Hospital Revenue Code	272
Min. Negotiated Rate	$361.40
Max. Negotiated Rate	$1,390.00
Rate for Payer: Aetna Commercial	$834.00
Rate for Payer: Aetna Medicare Advantage	$834.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$708.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$708.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$708.90
Rate for Payer: Cigna Commercial	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.40
Rate for Payer: Oxford Commercial	$1,390.00
Rate for Payer: Qualcare PPO/HMO/WC	$417.00
Rate for Payer: UnitedHealthcare Commercial	$1,390.00

BLADE HIP CURVED XL LONG 4MM

Facility

$332.28

Hospital Charge Code	270679826
Hospital Revenue Code	272
Min. Negotiated Rate	$49.84
Max. Negotiated Rate	$49.84
Rate for Payer: Qualcare PPO/HMO/WC	$49.84

BLADE HIP CURVED XL LONG 4MM

Facility

$332.28

Hospital Charge Code	270679826
Hospital Revenue Code	272
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$166.14
Rate for Payer: Aetna Commercial	$99.68
Rate for Payer: Aetna Medicare Advantage	$99.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.73
Rate for Payer: Cigna Commercial	$166.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.20
Rate for Payer: Oxford Commercial	$166.14
Rate for Payer: Qualcare PPO/HMO/WC	$49.84
Rate for Payer: UnitedHealthcare Commercial	$166.14

BLADE HIP STRAIGHT LONG 4 MM

Facility

$1,711.25

Hospital Charge Code	270693111
Hospital Revenue Code	272
Min. Negotiated Rate	$222.46
Max. Negotiated Rate	$855.62
Rate for Payer: Aetna Commercial	$513.38
Rate for Payer: Aetna Medicare Advantage	$513.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.37
Rate for Payer: Cigna Commercial	$855.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.46
Rate for Payer: Oxford Commercial	$855.62
Rate for Payer: Qualcare PPO/HMO/WC	$256.69
Rate for Payer: UnitedHealthcare Commercial	$855.62

BLADE HIP STRAIGHT LONG 4 MM

Facility

$1,711.25

Hospital Charge Code	270693111
Hospital Revenue Code	272
Min. Negotiated Rate	$256.69
Max. Negotiated Rate	$256.69
Rate for Payer: Qualcare PPO/HMO/WC	$256.69

BLADE HIP STRAIGHT LONG 4MM

Facility

$1,661.40

Hospital Charge Code	270679825
Hospital Revenue Code	272
Min. Negotiated Rate	$249.21
Max. Negotiated Rate	$249.21
Rate for Payer: Qualcare PPO/HMO/WC	$249.21

BLADE HIP STRAIGHT LONG 4MM

Facility

$1,661.40

Hospital Charge Code	270679825
Hospital Revenue Code	272
Min. Negotiated Rate	$215.98
Max. Negotiated Rate	$830.70
Rate for Payer: Aetna Commercial	$498.42
Rate for Payer: Aetna Medicare Advantage	$498.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.66
Rate for Payer: Cigna Commercial	$830.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.98
Rate for Payer: Oxford Commercial	$830.70
Rate for Payer: Qualcare PPO/HMO/WC	$249.21
Rate for Payer: UnitedHealthcare Commercial	$830.70

BLADE HOOK HARMONIC

Facility

$1,429.25

Hospital Charge Code	270670759
Hospital Revenue Code	272
Min. Negotiated Rate	$185.80
Max. Negotiated Rate	$714.62
Rate for Payer: Aetna Commercial	$428.77
Rate for Payer: Aetna Medicare Advantage	$428.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.46
Rate for Payer: Cigna Commercial	$714.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.80
Rate for Payer: Oxford Commercial	$714.62
Rate for Payer: Qualcare PPO/HMO/WC	$214.39
Rate for Payer: UnitedHealthcare Commercial	$714.62

BLADE HOOK HARMONIC

Facility

$1,429.25

Hospital Charge Code	270670759
Hospital Revenue Code	272
Min. Negotiated Rate	$214.39
Max. Negotiated Rate	$214.39
Rate for Payer: Qualcare PPO/HMO/WC	$214.39

BLADE HOOK MINI AGL 50DG 4058A

Facility

$375.00

Hospital Charge Code	270632346
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

BLADE HOOK MINI AGL 50DG 4058A

Facility

$375.00

Hospital Charge Code	270632346
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

BLADE ICM ELECTRODE ICM-0200

Facility

$212.85

Hospital Charge Code	270600236
Hospital Revenue Code	272
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$31.93
Rate for Payer: Qualcare PPO/HMO/WC	$31.93

BLADE ICM ELECTRODE ICM-0200

Facility

$212.85

Hospital Charge Code	270600236
Hospital Revenue Code	272
Min. Negotiated Rate	$27.67
Max. Negotiated Rate	$106.42
Rate for Payer: Aetna Commercial	$63.85
Rate for Payer: Aetna Medicare Advantage	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.28
Rate for Payer: Cigna Commercial	$106.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.67
Rate for Payer: Oxford Commercial	$106.42
Rate for Payer: Qualcare PPO/HMO/WC	$31.93
Rate for Payer: UnitedHealthcare Commercial	$106.42

BLADE ICT RELEASE TOME 200060

Facility

$725.00

Hospital Charge Code	270600353
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

BLADE ICT RELEASE TOME 200060

Facility

$725.00

Hospital Charge Code	270600353
Hospital Revenue Code	272
Min. Negotiated Rate	$94.25
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$217.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$362.50
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$362.50

BLADE ILLUMINATION SYSTEM

Facility

$12,400.00

Hospital Charge Code	270695150
Hospital Revenue Code	272
Min. Negotiated Rate	$1,612.00
Max. Negotiated Rate	$6,200.00
Rate for Payer: Aetna Commercial	$3,720.00
Rate for Payer: Aetna Medicare Advantage	$3,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,162.00
Rate for Payer: Cigna Commercial	$6,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.00
Rate for Payer: Oxford Commercial	$6,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.00
Rate for Payer: UnitedHealthcare Commercial	$6,200.00

BLADE ILLUMINATION SYSTEM

Facility

$12,400.00

Hospital Charge Code	270695150
Hospital Revenue Code	272
Min. Negotiated Rate	$1,860.00
Max. Negotiated Rate	$1,860.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.00

BLADE INFER TURB 2mm 1882040HR

Facility

$787.00

Hospital Charge Code	270639581
Hospital Revenue Code	272
Min. Negotiated Rate	$102.31
Max. Negotiated Rate	$393.50
Rate for Payer: Aetna Commercial	$236.10
Rate for Payer: Aetna Medicare Advantage	$236.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.69
Rate for Payer: Cigna Commercial	$393.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.31
Rate for Payer: Oxford Commercial	$393.50
Rate for Payer: Qualcare PPO/HMO/WC	$118.05
Rate for Payer: UnitedHealthcare Commercial	$393.50

BLADE INFER TURB 2mm 1882040HR

Facility

$787.00

Hospital Charge Code	270639581
Hospital Revenue Code	272
Min. Negotiated Rate	$118.05
Max. Negotiated Rate	$118.05
Rate for Payer: Qualcare PPO/HMO/WC	$118.05

BLADE INFR TURB 2mm 1882040HRE

Facility

$780.00

Hospital Charge Code	270639303
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

BLADE INFR TURB 2mm 1882040HRE

Facility

$780.00

Hospital Charge Code	270639303
Hospital Revenue Code	272
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$234.00
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00
Rate for Payer: UnitedHealthcare Commercial	$390.00

BLADE INTREX 25x90MM 1.19MM

Facility

$335.00

Hospital Charge Code	270647596
Hospital Revenue Code	272
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$50.25
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

Know your out-of-pocket cost for care.

All Charges