Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE LARYGO MAC SIZE 2 DISP

Facility

$72.14

Hospital Charge Code	270684537
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 2 DISP

Facility

$72.14

Hospital Charge Code	270684537
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 LARYGO MAC SIZE 3 DISP

Facility

$72.14

Hospital Charge Code	270684538
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 3 DISP

Facility

$72.14

Hospital Charge Code	270684538
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 LARYGO MAC SIZE 4 DISP

Facility

$72.14

Hospital Charge Code	270684539
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 LARYGO MAC SIZE 4 DISP

Facility

$72.14

Hospital Charge Code	270684539
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARYNG MILLER #00 PREMIE

Facility

$104.10

Hospital Charge Code	270677122
Hospital Revenue Code	272
Min. Negotiated Rate	$13.53
Max. Negotiated Rate	$52.05
Rate for Payer: Aetna Commercial	$31.23
Rate for Payer: Aetna Medicare Advantage	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.55
Rate for Payer: Cigna Commercial	$52.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.53
Rate for Payer: Oxford Commercial	$52.05
Rate for Payer: Qualcare PPO/HMO/WC	$15.62
Rate for Payer: UnitedHealthcare Commercial	$52.05

BLADE LARYNG MILLER #00 PREMIE

Facility

$104.10

Hospital Charge Code	270677122
Hospital Revenue Code	272
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$15.62
Rate for Payer: Qualcare PPO/HMO/WC	$15.62

BLADE LARYNG MILLER #0 NEWBORN

Facility

$105.20

Hospital Charge Code	270677123
Hospital Revenue Code	272
Min. Negotiated Rate	$13.68
Max. Negotiated Rate	$52.60
Rate for Payer: Aetna Commercial	$31.56
Rate for Payer: Aetna Medicare Advantage	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.83
Rate for Payer: Cigna Commercial	$52.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.68
Rate for Payer: Oxford Commercial	$52.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.78
Rate for Payer: UnitedHealthcare Commercial	$52.60

BLADE LARYNG MILLER #0 NEWBORN

Facility

$105.20

Hospital Charge Code	270677123
Hospital Revenue Code	272
Min. Negotiated Rate	$15.78
Max. Negotiated Rate	$15.78
Rate for Payer: Qualcare PPO/HMO/WC	$15.78

BLADE LARYNG MILLER #1 INFANT

Facility

$102.10

Hospital Charge Code	270677124
Hospital Revenue Code	272
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$51.05
Rate for Payer: Aetna Commercial	$30.63
Rate for Payer: Aetna Medicare Advantage	$30.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.04
Rate for Payer: Cigna Commercial	$51.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.27
Rate for Payer: Oxford Commercial	$51.05
Rate for Payer: Qualcare PPO/HMO/WC	$15.31
Rate for Payer: UnitedHealthcare Commercial	$51.05

BLADE LARYNG MILLER #1 INFANT

Facility

$102.10

Hospital Charge Code	270677124
Hospital Revenue Code	272
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.31

BLADE LARYNG MILLER #3 ADULT M

Facility

$60.00

Hospital Charge Code	270678201
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BLADE LARYNG MILLER #3 ADULT M

Facility

$60.00

Hospital Charge Code	270678201
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

BLADE LARYNG MILLER #4 ADULT L

Facility

$54.50

Hospital Charge Code	270678202
Hospital Revenue Code	272
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$27.25
Rate for Payer: Aetna Commercial	$16.35
Rate for Payer: Aetna Medicare Advantage	$16.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.90
Rate for Payer: Cigna Commercial	$27.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.08
Rate for Payer: Oxford Commercial	$27.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.18
Rate for Payer: UnitedHealthcare Commercial	$27.25

BLADE LARYNG MILLER #4 ADULT L

Facility

$54.50

Hospital Charge Code	270678202
Hospital Revenue Code	272
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$8.18
Rate for Payer: Qualcare PPO/HMO/WC	$8.18

BLADE LG HIP 4.0MM

Facility

$300.35

Hospital Charge Code	270688488
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$150.18
Rate for Payer: Aetna Commercial	$90.11
Rate for Payer: Aetna Medicare Advantage	$90.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.59
Rate for Payer: Cigna Commercial	$150.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.05
Rate for Payer: Oxford Commercial	$150.18
Rate for Payer: Qualcare PPO/HMO/WC	$45.05
Rate for Payer: UnitedHealthcare Commercial	$150.18

BLADE LG HIP 4.0MM

Facility

$300.35

Hospital Charge Code	270688488
Hospital Revenue Code	272
Min. Negotiated Rate	$45.05
Max. Negotiated Rate	$45.05
Rate for Payer: Qualcare PPO/HMO/WC	$45.05

BLADE LRG BONE 18.5x100x1.19mm

Facility

$200.00

Hospital Charge Code	270678715
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BLADE LRG BONE 18.5x100x1.19mm

Facility

$200.00

Hospital Charge Code	270678715
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 LRG BONE 18.5x90x1.27mm

Facility

$233.70

Hospital Charge Code	270678716
Hospital Revenue Code	272
Min. Negotiated Rate	$30.38
Max. Negotiated Rate	$116.85
Rate for Payer: Aetna Commercial	$70.11
Rate for Payer: Aetna Medicare Advantage	$70.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.59
Rate for Payer: Cigna Commercial	$116.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.38
Rate for Payer: Oxford Commercial	$116.85
Rate for Payer: Qualcare PPO/HMO/WC	$35.05
Rate for Payer: UnitedHealthcare Commercial	$116.85

BLADE LRG BONE 18.5x90x1.27mm

Facility

$233.70

Hospital Charge Code	270678716
Hospital Revenue Code	272
Min. Negotiated Rate	$35.05
Max. Negotiated Rate	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$35.05

BLADE LRG RASP TEAR 13X6.5MM

Facility

$438.15

Hospital Charge Code	270701904
Hospital Revenue Code	272
Min. Negotiated Rate	$56.96
Max. Negotiated Rate	$219.07
Rate for Payer: Aetna Commercial	$131.44
Rate for Payer: Aetna Medicare Advantage	$131.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.73
Rate for Payer: Cigna Commercial	$219.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.96
Rate for Payer: Oxford Commercial	$219.07
Rate for Payer: Qualcare PPO/HMO/WC	$65.72
Rate for Payer: UnitedHealthcare Commercial	$219.07

BLADE LRG RASP TEAR 13X6.5MM

Facility

$438.15

Hospital Charge Code	270701904
Hospital Revenue Code	272
Min. Negotiated Rate	$65.72
Max. Negotiated Rate	$65.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.72

BLADE LVT MICRO SAG 5023-231

Facility

$69.65

Hospital Charge Code	270624599
Hospital Revenue Code	272
Min. Negotiated Rate	$9.05
Max. Negotiated Rate	$34.83
Rate for Payer: Aetna Commercial	$20.89
Rate for Payer: Aetna Medicare Advantage	$20.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.76
Rate for Payer: Cigna Commercial	$34.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.05
Rate for Payer: Oxford Commercial	$34.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.45
Rate for Payer: UnitedHealthcare Commercial	$34.83

Know your out-of-pocket cost for care.

All Charges