Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE INTREX 25x90MM 1.19MM

Facility

$335.00

Hospital Charge Code	270647596
Hospital Revenue Code	272
Min. Negotiated Rate	$43.55
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$100.50
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.55
Rate for Payer: Oxford Commercial	$167.50
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$167.50

BLADE KOBYGARD

Facility

$1,625.00

Hospital Charge Code	270668932
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

BLADE KOBYGARD

Facility

$1,625.00

Hospital Charge Code	270668932
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

BLADE KOMET 9.5 X 25.5 KM-218

Facility

$50.45

Hospital Charge Code	270614421
Hospital Revenue Code	272
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$7.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

BLADE KOMET 9.5 X 25.5 KM-218

Facility

$50.45

Hospital Charge Code	270614421
Hospital Revenue Code	272
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$25.23
Rate for Payer: Aetna Commercial	$15.13
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.56
Rate for Payer: Oxford Commercial	$25.23
Rate for Payer: Qualcare PPO/HMO/WC	$7.57
Rate for Payer: UnitedHealthcare Commercial	$25.23

BLADE KOMET KM 102 5053-239

Facility

$124.85

Hospital Charge Code	270601060
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

BLADE KOMET KM 102 5053-239

Facility

$124.85

Hospital Charge Code	270601060
Hospital Revenue Code	272
Min. Negotiated Rate	$16.23
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$37.45
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.23
Rate for Payer: Oxford Commercial	$62.42
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$62.42

BLADE LAPSC MORCELL 26712010

Facility

$1,382.45

Hospital Charge Code	270600250
Hospital Revenue Code	272
Min. Negotiated Rate	$179.72
Max. Negotiated Rate	$691.23
Rate for Payer: Aetna Commercial	$414.74
Rate for Payer: Aetna Medicare Advantage	$414.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$352.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$352.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$352.52
Rate for Payer: Cigna Commercial	$691.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.72
Rate for Payer: Oxford Commercial	$691.23
Rate for Payer: Qualcare PPO/HMO/WC	$207.37
Rate for Payer: UnitedHealthcare Commercial	$691.23

BLADE LAPSC MORCELL 26712010

Facility

$1,382.45

Hospital Charge Code	270600250
Hospital Revenue Code	272
Min. Negotiated Rate	$207.37
Max. Negotiated Rate	$207.37
Rate for Payer: Qualcare PPO/HMO/WC	$207.37

BLADE LARGE SERRATED SONICONE

Facility

$2,025.00

Hospital Charge Code	270678537
Hospital Revenue Code	272
Min. Negotiated Rate	$263.25
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$607.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.25
Rate for Payer: Oxford Commercial	$1,012.50
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Commercial	$1,012.50

BLADE LARGE SERRATED SONICONE

Facility

$2,025.00

Hospital Charge Code	270678537
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

BLADE LARGO MAC MILLER SZ 0

Facility

$72.14

Hospital Charge Code	270684541
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 0

Facility

$72.14

Hospital Charge Code	270684541
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$21.64
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$36.07
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$36.07

BLADE LARGO MAC MILLER SZ 00

Facility

$72.14

Hospital Charge Code	270684540
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 00

Facility

$72.14

Hospital Charge Code	270684540
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$21.64
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$36.07
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$36.07

BLADE LARGO MAC MILLER SZ 1

Facility

$72.14

Hospital Charge Code	270684542
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 1

Facility

$72.14

Hospital Charge Code	270684542
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$21.64
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$36.07
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$36.07

BLADE LARGO MAC MILLER SZ 2

Facility

$72.14

Hospital Charge Code	270684543
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$21.64
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$36.07
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$36.07

BLADE LARGO MAC MILLER SZ 2

Facility

$72.14

Hospital Charge Code	270684543
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 3

Facility

$72.14

Hospital Charge Code	270684544
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 3

Facility

$72.14

Hospital Charge Code	270684544
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$21.64
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$36.07
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$36.07

BLADE LARGO MAC MILLER SZ 4

Facility

$72.14

Hospital Charge Code	270684545
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$21.64
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$36.07
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$36.07

BLADE LARGO MAC MILLER SZ 4

Facility

$72.14

Hospital Charge Code	270684545
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARYGO MAC SIZE 1 DISP

Facility

$72.14

Hospital Charge Code	270684536
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARYGO MAC SIZE 1 DISP

Facility

$72.14

Hospital Charge Code	270684536
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$21.64
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$36.07
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$36.07

Know your out-of-pocket cost for care.

All Charges