Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE QUADCUT M4 4.3MM 13CM

Facility

$1,960.00

Hospital Charge Code	270663277
Hospital Revenue Code	272
Min. Negotiated Rate	$254.80
Max. Negotiated Rate	$980.00
Rate for Payer: Aetna Commercial	$588.00
Rate for Payer: Aetna Medicare Advantage	$588.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$499.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$499.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$499.80
Rate for Payer: Cigna Commercial	$980.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.80
Rate for Payer: Oxford Commercial	$980.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.00
Rate for Payer: UnitedHealthcare Commercial	$980.00

BLADE QUADCUT M4 4.3MM 13CM

Facility

$1,960.00

Hospital Charge Code	270663277
Hospital Revenue Code	272
Min. Negotiated Rate	$294.00
Max. Negotiated Rate	$294.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.00

BLADE RADENOID ADULT 4.5MM

Facility

$4,310.00

Hospital Charge Code	270665449
Hospital Revenue Code	270
Min. Negotiated Rate	$646.50
Max. Negotiated Rate	$646.50
Rate for Payer: Qualcare PPO/HMO/WC	$646.50

BLADE RADENOID ADULT 4.5MM

Facility

$4,310.00

Hospital Charge Code	270665449
Hospital Revenue Code	270
Min. Negotiated Rate	$560.30
Max. Negotiated Rate	$2,155.00
Rate for Payer: Aetna Commercial	$1,293.00
Rate for Payer: Aetna Medicare Advantage	$1,293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,099.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,099.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,099.05
Rate for Payer: Cigna Commercial	$2,155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$560.30
Rate for Payer: Oxford Commercial	$2,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$646.50
Rate for Payer: UnitedHealthcare Commercial	$2,155.00

BLADE RADENOID PEDIATRIC 4.0M

Facility

$4,435.00

Hospital Charge Code	270665450
Hospital Revenue Code	270
Min. Negotiated Rate	$665.25
Max. Negotiated Rate	$665.25
Rate for Payer: Qualcare PPO/HMO/WC	$665.25

BLADE RADENOID PEDIATRIC 4.0M

Facility

$4,435.00

Hospital Charge Code	270665450
Hospital Revenue Code	270
Min. Negotiated Rate	$576.55
Max. Negotiated Rate	$2,217.50
Rate for Payer: Aetna Commercial	$1,330.50
Rate for Payer: Aetna Medicare Advantage	$1,330.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,130.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,130.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,130.92
Rate for Payer: Cigna Commercial	$2,217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$576.55
Rate for Payer: Oxford Commercial	$2,217.50
Rate for Payer: Qualcare PPO/HMO/WC	$665.25
Rate for Payer: UnitedHealthcare Commercial	$2,217.50

BLADE RASP LARGE TEAR 6.5MMV 1

Facility

$249.20

Hospital Charge Code	270655957
Hospital Revenue Code	270
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

BLADE RASP LARGE TEAR 6.5MMV 1

Facility

$249.20

Hospital Charge Code	270655957
Hospital Revenue Code	270
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$124.60
Rate for Payer: Aetna Commercial	$74.76
Rate for Payer: Aetna Medicare Advantage	$74.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.55
Rate for Payer: Cigna Commercial	$124.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$124.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$124.60

BLADE RASP SMALL TEAR STR CUT

Facility

$249.20

Hospital Charge Code	270655953
Hospital Revenue Code	271
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$124.60
Rate for Payer: Aetna Commercial	$74.76
Rate for Payer: Aetna Medicare Advantage	$74.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.55
Rate for Payer: Cigna Commercial	$124.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$124.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$124.60

BLADE RASP SMALL TEAR STR CUT

Facility

$249.20

Hospital Charge Code	270655953
Hospital Revenue Code	271
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

BLADE RECIP DBL SIDE 70X0.64MM

Facility

$209.40

Hospital Charge Code	270693704
Hospital Revenue Code	272
Min. Negotiated Rate	$31.41
Max. Negotiated Rate	$31.41
Rate for Payer: Qualcare PPO/HMO/WC	$31.41

BLADE RECIP DBL SIDE 70X0.64MM

Facility

$209.40

Hospital Charge Code	270693704
Hospital Revenue Code	272
Min. Negotiated Rate	$27.22
Max. Negotiated Rate	$104.70
Rate for Payer: Aetna Commercial	$62.82
Rate for Payer: Aetna Medicare Advantage	$62.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.40
Rate for Payer: Cigna Commercial	$104.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.22
Rate for Payer: Oxford Commercial	$104.70
Rate for Payer: Qualcare PPO/HMO/WC	$31.41
Rate for Payer: UnitedHealthcare Commercial	$104.70

BLADE RECIPROC 25MMx0.4MMKM-54

Facility

$163.75

Hospital Charge Code	270614424
Hospital Revenue Code	272
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$24.56
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

BLADE RECIPROC 25MMx0.4MMKM-54

Facility

$163.75

Hospital Charge Code	270614424
Hospital Revenue Code	272
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.29
Rate for Payer: Oxford Commercial	$81.88
Rate for Payer: Qualcare PPO/HMO/WC	$24.56
Rate for Payer: UnitedHealthcare Commercial	$81.88

BLADE REESE DERMATOME

Facility

$412.85

Hospital Charge Code	270600396
Hospital Revenue Code	272
Min. Negotiated Rate	$53.67
Max. Negotiated Rate	$206.43
Rate for Payer: Aetna Commercial	$123.86
Rate for Payer: Aetna Medicare Advantage	$123.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.28
Rate for Payer: Cigna Commercial	$206.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.67
Rate for Payer: Oxford Commercial	$206.43
Rate for Payer: Qualcare PPO/HMO/WC	$61.93
Rate for Payer: UnitedHealthcare Commercial	$206.43

BLADE REESE DERMATOME

Facility

$412.85

Hospital Charge Code	270600396
Hospital Revenue Code	272
Min. Negotiated Rate	$61.93
Max. Negotiated Rate	$61.93
Rate for Payer: Qualcare PPO/HMO/WC	$61.93

BLADE REMOVAL 58MM

Facility

$3,750.00

Hospital Charge Code	270671834
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.50
Rate for Payer: Oxford Commercial	$1,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Commercial	$1,875.00

BLADE REMOVAL 58MM

Facility

$3,750.00

Hospital Charge Code	270671834
Hospital Revenue Code	272
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

BLADE RETRACTOR KOLBEL 36X68

Facility

$858.80

Hospital Charge Code	270691430
Hospital Revenue Code	272
Min. Negotiated Rate	$111.64
Max. Negotiated Rate	$429.40
Rate for Payer: Aetna Commercial	$257.64
Rate for Payer: Aetna Medicare Advantage	$257.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.99
Rate for Payer: Cigna Commercial	$429.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.64
Rate for Payer: Oxford Commercial	$429.40
Rate for Payer: Qualcare PPO/HMO/WC	$128.82
Rate for Payer: UnitedHealthcare Commercial	$429.40

BLADE RETRACTOR KOLBEL 36X68

Facility

$858.80

Hospital Charge Code	270691430
Hospital Revenue Code	272
Min. Negotiated Rate	$128.82
Max. Negotiated Rate	$128.82
Rate for Payer: Qualcare PPO/HMO/WC	$128.82

BLADE ROUND FLEX MED

Facility

$3,375.00

Hospital Charge Code	270680026
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

BLADE ROUND FLEX MED

Facility

$3,375.00

Hospital Charge Code	270680026
Hospital Revenue Code	272
Min. Negotiated Rate	$438.75
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,012.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.75
Rate for Payer: Oxford Commercial	$1,687.50
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$1,687.50

BLADE ROUND SOLID BUR 1.5MM

Facility

$115.35

Hospital Charge Code	270691108
Hospital Revenue Code	272
Min. Negotiated Rate	$17.30
Max. Negotiated Rate	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.30

BLADE ROUND SOLID BUR 1.5MM

Facility

$115.35

Hospital Charge Code	270691108
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$57.67
Rate for Payer: Aetna Commercial	$34.60
Rate for Payer: Aetna Medicare Advantage	$34.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.41
Rate for Payer: Cigna Commercial	$57.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.00
Rate for Payer: Oxford Commercial	$57.67
Rate for Payer: Qualcare PPO/HMO/WC	$17.30
Rate for Payer: UnitedHealthcare Commercial	$57.67

BLADE S9 FLAT 10MMX5CM

Facility

$850.00

Hospital Charge Code	270696316
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

Know your out-of-pocket cost for care.

All Charges