Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE LVT MICRO SAG 5023-231

Facility

$69.65

Hospital Charge Code	270624599
Hospital Revenue Code	272
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$10.45
Rate for Payer: Qualcare PPO/HMO/WC	$10.45

BLADE M-CLASS 1.27x13x90MM

Facility

$322.10

Hospital Charge Code	270675402
Hospital Revenue Code	272
Min. Negotiated Rate	$41.87
Max. Negotiated Rate	$161.05
Rate for Payer: Aetna Commercial	$96.63
Rate for Payer: Aetna Medicare Advantage	$96.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.14
Rate for Payer: Cigna Commercial	$161.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.87
Rate for Payer: Oxford Commercial	$161.05
Rate for Payer: Qualcare PPO/HMO/WC	$48.31
Rate for Payer: UnitedHealthcare Commercial	$161.05

BLADE M-CLASS 1.27x13x90MM

Facility

$322.10

Hospital Charge Code	270675402
Hospital Revenue Code	272
Min. Negotiated Rate	$48.31
Max. Negotiated Rate	$48.31
Rate for Payer: Qualcare PPO/HMO/WC	$48.31

BLADE M-CLASS 1.27x19x90MM

Facility

$322.10

Hospital Charge Code	270675401
Hospital Revenue Code	272
Min. Negotiated Rate	$41.87
Max. Negotiated Rate	$161.05
Rate for Payer: Aetna Commercial	$96.63
Rate for Payer: Aetna Medicare Advantage	$96.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.14
Rate for Payer: Cigna Commercial	$161.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.87
Rate for Payer: Oxford Commercial	$161.05
Rate for Payer: Qualcare PPO/HMO/WC	$48.31
Rate for Payer: UnitedHealthcare Commercial	$161.05

BLADE M-CLASS 1.27x19x90MM

Facility

$322.10

Hospital Charge Code	270675401
Hospital Revenue Code	272
Min. Negotiated Rate	$48.31
Max. Negotiated Rate	$48.31
Rate for Payer: Qualcare PPO/HMO/WC	$48.31

BLADE M-CLASS 1.27x25x90MM

Facility

$322.10

Hospital Charge Code	270675403
Hospital Revenue Code	272
Min. Negotiated Rate	$48.31
Max. Negotiated Rate	$48.31
Rate for Payer: Qualcare PPO/HMO/WC	$48.31

BLADE M-CLASS 1.27x25x90MM

Facility

$322.10

Hospital Charge Code	270675403
Hospital Revenue Code	272
Min. Negotiated Rate	$41.87
Max. Negotiated Rate	$161.05
Rate for Payer: Aetna Commercial	$96.63
Rate for Payer: Aetna Medicare Advantage	$96.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.14
Rate for Payer: Cigna Commercial	$161.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.87
Rate for Payer: Oxford Commercial	$161.05
Rate for Payer: Qualcare PPO/HMO/WC	$48.31
Rate for Payer: UnitedHealthcare Commercial	$161.05

BLADE MICRO OSCILLATING

Facility

$30.80

Hospital Charge Code	270651559
Hospital Revenue Code	270
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$15.40
Rate for Payer: Aetna Commercial	$9.24
Rate for Payer: Aetna Medicare Advantage	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.85
Rate for Payer: Cigna Commercial	$15.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.00
Rate for Payer: Oxford Commercial	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.62
Rate for Payer: UnitedHealthcare Commercial	$15.40

BLADE MICRO OSCILLATING

Facility

$30.80

Hospital Charge Code	270651559
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.62

BLADE MICRO OSCILLATR 5053-267

Facility

$79.00

Hospital Charge Code	1605070
Hospital Revenue Code	272
Min. Negotiated Rate	$10.27
Max. Negotiated Rate	$39.50
Rate for Payer: Aetna Commercial	$23.70
Rate for Payer: Aetna Medicare Advantage	$23.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.14
Rate for Payer: Cigna Commercial	$39.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.27
Rate for Payer: Oxford Commercial	$39.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.85
Rate for Payer: UnitedHealthcare Commercial	$39.50

BLADE MICRO OSCILLATR 5053-267

Facility

$79.00

Hospital Charge Code	1605070
Hospital Revenue Code	272
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

BLADE MICRO SAGITTAL

Facility

$33.50

Hospital Charge Code	270654634
Hospital Revenue Code	272
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$16.75
Rate for Payer: Aetna Commercial	$10.05
Rate for Payer: Aetna Medicare Advantage	$10.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.54
Rate for Payer: Cigna Commercial	$16.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Oxford Commercial	$16.75
Rate for Payer: Qualcare PPO/HMO/WC	$5.03
Rate for Payer: UnitedHealthcare Commercial	$16.75

BLADE MICRO SAGITTAL

Facility

$33.50

Hospital Charge Code	270654634
Hospital Revenue Code	272
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$5.03
Rate for Payer: Qualcare PPO/HMO/WC	$5.03

BLADE MICRO SAGITTAL5.5X0.38MM

Facility

$463.50

Hospital Charge Code	270691101
Hospital Revenue Code	272
Min. Negotiated Rate	$60.26
Max. Negotiated Rate	$231.75
Rate for Payer: Aetna Commercial	$139.05
Rate for Payer: Aetna Medicare Advantage	$139.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.19
Rate for Payer: Cigna Commercial	$231.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.26
Rate for Payer: Oxford Commercial	$231.75
Rate for Payer: Qualcare PPO/HMO/WC	$69.53
Rate for Payer: UnitedHealthcare Commercial	$231.75

BLADE MICRO SAGITTAL5.5X0.38MM

Facility

$463.50

Hospital Charge Code	270691101
Hospital Revenue Code	272
Min. Negotiated Rate	$69.53
Max. Negotiated Rate	$69.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.53

BLADE MICRO SAGITTAL FINE

Facility

$67.85

Hospital Charge Code	270690395
Hospital Revenue Code	272
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$10.18
Rate for Payer: Qualcare PPO/HMO/WC	$10.18

BLADE MICRO SAGITTAL FINE

Facility

$67.85

Hospital Charge Code	270690395
Hospital Revenue Code	272
Min. Negotiated Rate	$8.82
Max. Negotiated Rate	$33.92
Rate for Payer: Aetna Commercial	$20.36
Rate for Payer: Aetna Medicare Advantage	$20.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.30
Rate for Payer: Cigna Commercial	$33.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.82
Rate for Payer: Oxford Commercial	$33.92
Rate for Payer: Qualcare PPO/HMO/WC	$10.18
Rate for Payer: UnitedHealthcare Commercial	$33.92

BLADE MICROSHARP 75

Facility

$26.45

Hospital Charge Code	270601025
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$7.93
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.22

BLADE MICROSHARP 75

Facility

$26.45

Hospital Charge Code	270601025
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

BLADE MIC SAG 5.5X25.5 5023132

Facility

$69.50

Hospital Charge Code	270631073
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$34.75
Rate for Payer: Aetna Commercial	$20.85
Rate for Payer: Aetna Medicare Advantage	$20.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.72
Rate for Payer: Cigna Commercial	$34.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Oxford Commercial	$34.75
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Commercial	$34.75

BLADE MIC SAG 5.5X25.5 5023132

Facility

$69.50

Hospital Charge Code	270631073
Hospital Revenue Code	272
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$10.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

BLADE MICS SAG 4X.38X15.2 MM

Facility

$395.00

Hospital Charge Code	270688511
Hospital Revenue Code	272
Min. Negotiated Rate	$51.35
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$118.50
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.35
Rate for Payer: Oxford Commercial	$197.50
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$197.50

BLADE MICS SAG 4X.38X15.2 MM

Facility

$395.00

Hospital Charge Code	270688511
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

BLADE MILLER F/O LARYNGO SZ

Facility

$450.00

Hospital Charge Code	270665588
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

BLADE MILLER F/O LARYNGO SZ

Facility

$450.00

Hospital Charge Code	270665588
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

Know your out-of-pocket cost for care.

All Charges