Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE MORCELLATOR CUTTER 15MM

Facility

$3,402.00

Hospital Charge Code	270662745
Hospital Revenue Code	270
Min. Negotiated Rate	$510.30
Max. Negotiated Rate	$510.30
Rate for Payer: Qualcare PPO/HMO/WC	$510.30

BLADE MORCELLATOR CUTTER 15MM

Facility

$3,402.00

Hospital Charge Code	270662745
Hospital Revenue Code	270
Min. Negotiated Rate	$442.26
Max. Negotiated Rate	$1,701.00
Rate for Payer: Aetna Commercial	$1,020.60
Rate for Payer: Aetna Medicare Advantage	$1,020.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$867.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$867.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$867.51
Rate for Payer: Cigna Commercial	$1,701.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.26
Rate for Payer: Oxford Commercial	$1,701.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.30
Rate for Payer: UnitedHealthcare Commercial	$1,701.00

BLADE MORCELLATOR DISP *****

Facility

$278.00

Hospital Charge Code	1608025
Hospital Revenue Code	251
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$41.70
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

BLADE MORCELLATOR DISP *****

Facility

$278.00

Hospital Charge Code	1608025
Hospital Revenue Code	251
Min. Negotiated Rate	$36.14
Max. Negotiated Rate	$139.00
Rate for Payer: Aetna Commercial	$83.40
Rate for Payer: Aetna Medicare Advantage	$83.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.89
Rate for Payer: Cigna Commercial	$139.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.14
Rate for Payer: Oxford Commercial	$139.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.70
Rate for Payer: UnitedHealthcare Commercial	$139.00

BLADE MORCEOR SAW 12m 26711250

Facility

$1,125.00

Hospital Charge Code	270633015
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.25
Rate for Payer: Oxford Commercial	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$562.50

BLADE MORCEOR SAW 12m 26711250

Facility

$1,125.00

Hospital Charge Code	270633015
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BLADE MULTI ULTRACUT STER 5.5m

Facility

$437.75

Hospital Charge Code	270674988
Hospital Revenue Code	272
Min. Negotiated Rate	$56.91
Max. Negotiated Rate	$218.88
Rate for Payer: Aetna Commercial	$131.32
Rate for Payer: Aetna Medicare Advantage	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.63
Rate for Payer: Cigna Commercial	$218.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.91
Rate for Payer: Oxford Commercial	$218.88
Rate for Payer: Qualcare PPO/HMO/WC	$65.66
Rate for Payer: UnitedHealthcare Commercial	$218.88

BLADE MULTI ULTRACUT STER 5.5m

Facility

$437.75

Hospital Charge Code	270674988
Hospital Revenue Code	272
Min. Negotiated Rate	$65.66
Max. Negotiated Rate	$65.66
Rate for Payer: Qualcare PPO/HMO/WC	$65.66

BLADE MYRING DISP NO522

Facility

$63.25

Hospital Charge Code	270600305
Hospital Revenue Code	272
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$18.98
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$31.62
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$31.62

BLADE MYRING DISP NO522

Facility

$63.25

Hospital Charge Code	270600305
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

BLADE MYRINGTOMY SPEAR 45DEG

Facility

$68.62

Hospital Charge Code	270645139
Hospital Revenue Code	270
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$34.31
Rate for Payer: Aetna Commercial	$20.59
Rate for Payer: Aetna Medicare Advantage	$20.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.50
Rate for Payer: Cigna Commercial	$34.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.92
Rate for Payer: Oxford Commercial	$34.31
Rate for Payer: Qualcare PPO/HMO/WC	$10.29
Rate for Payer: UnitedHealthcare Commercial	$34.31

BLADE MYRINGTOMY SPEAR 45DEG

Facility

$68.62

Hospital Charge Code	270645139
Hospital Revenue Code	270
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$10.29
Rate for Payer: Qualcare PPO/HMO/WC	$10.29

BLADE OMEGA OSC 40X11.1X0.58MM

Facility

$725.00

Service Code	HCPCS A4649
Hospital Charge Code	270698030
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

BLADE OMEGA OSC 40X11.1X0.58MM

Facility

$725.00

Service Code	HCPCS A4649
Hospital Charge Code	270698030
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 OSCI FIN 10x12.4 5023161

Facility

$46.35

Hospital Charge Code	270631018
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$23.18
Rate for Payer: Aetna Commercial	$13.90
Rate for Payer: Aetna Medicare Advantage	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.82
Rate for Payer: Cigna Commercial	$23.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.03
Rate for Payer: Oxford Commercial	$23.18
Rate for Payer: Qualcare PPO/HMO/WC	$6.95
Rate for Payer: UnitedHealthcare Commercial	$23.18

BLADE OSCI FIN 10x12.4 5023161

Facility

$46.35

Hospital Charge Code	270631018
Hospital Revenue Code	272
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$6.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.95

BLADE OSCIL 5052-552

Facility

$57.00

Hospital Charge Code	1604958
Hospital Revenue Code	272
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$8.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.55

BLADE OSCIL 5052-552

Facility

$57.00

Hospital Charge Code	1604958
Hospital Revenue Code	272
Min. Negotiated Rate	$7.41
Max. Negotiated Rate	$28.50
Rate for Payer: Aetna Commercial	$17.10
Rate for Payer: Aetna Medicare Advantage	$17.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.54
Rate for Payer: Cigna Commercial	$28.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.41
Rate for Payer: Oxford Commercial	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.55
Rate for Payer: UnitedHealthcare Commercial	$28.50

BLADE OSCILL

Facility

$288.00

Hospital Charge Code	270657686
Hospital Revenue Code	272
Min. Negotiated Rate	$37.44
Max. Negotiated Rate	$144.00
Rate for Payer: Aetna Commercial	$86.40
Rate for Payer: Aetna Medicare Advantage	$86.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.44
Rate for Payer: Cigna Commercial	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Oxford Commercial	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.20
Rate for Payer: UnitedHealthcare Commercial	$144.00

BLADE OSCILL

Facility

$288.00

Hospital Charge Code	270657686
Hospital Revenue Code	272
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.20

BLADE OSCILLATING SAW

Facility

$82.00

Hospital Charge Code	270658462
Hospital Revenue Code	272
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$12.30
Rate for Payer: Qualcare PPO/HMO/WC	$12.30

BLADE OSCILLATING SAW

Facility

$82.00

Hospital Charge Code	270658462
Hospital Revenue Code	272
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$41.00
Rate for Payer: Aetna Commercial	$24.60
Rate for Payer: Aetna Medicare Advantage	$24.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.91
Rate for Payer: Cigna Commercial	$41.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.66
Rate for Payer: Oxford Commercial	$41.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.30
Rate for Payer: UnitedHealthcare Commercial	$41.00

BLADE OSCIL LG 5052-553

Facility

$60.00

Hospital Charge Code	1605021
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 OSCIL LG 5052-553

Facility

$60.00

Hospital Charge Code	1605021
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BLADE OSCIL LG BONE 5052551***

Facility

$57.00

Hospital Charge Code	1604982
Hospital Revenue Code	272
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$8.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.55

Know your out-of-pocket cost for care.

All Charges