Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE SAMUEL

Facility

$1,212.00

Hospital Charge Code	270673920
Hospital Revenue Code	272
Min. Negotiated Rate	$157.56
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.56
Rate for Payer: Oxford Commercial	$606.00
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Commercial	$606.00

BLADE SAMUEL

Facility

$1,212.00

Hospital Charge Code	270673920
Hospital Revenue Code	272
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$181.80
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

BLADE SAW 1.37X25X90MM

Facility

$135.00

Service Code	HCPCS A4649
Hospital Charge Code	270698895
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

BLADE SAW 1.37X25X90MM

Facility

$135.00

Service Code	HCPCS A4649
Hospital Charge Code	270698895
Hospital Revenue Code	272
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$67.50

BLADE SAW 13X19MM

Facility

$625.00

Hospital Charge Code	698285
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

BLADE SAW 13X19MM

Facility

$625.00

Hospital Charge Code	270698285
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

BLADE SAW 13X19MM

Facility

$625.00

Hospital Charge Code	698285
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 13X19MM

Facility

$625.00

Hospital Charge Code	270698285
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 25.0MMx9.0MM

Facility

$175.40

Hospital Charge Code	270650290
Hospital Revenue Code	272
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$87.70
Rate for Payer: Aetna Commercial	$52.62
Rate for Payer: Aetna Medicare Advantage	$52.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.73
Rate for Payer: Cigna Commercial	$87.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.80
Rate for Payer: Oxford Commercial	$87.70
Rate for Payer: Qualcare PPO/HMO/WC	$26.31
Rate for Payer: UnitedHealthcare Commercial	$87.70

BLADE SAW 25.0MMx9.0MM

Facility

$175.40

Hospital Charge Code	270650290
Hospital Revenue Code	272
Min. Negotiated Rate	$26.31
Max. Negotiated Rate	$26.31
Rate for Payer: Qualcare PPO/HMO/WC	$26.31

BLADE SAW 40X11MM DISP

Facility

$725.00

Hospital Charge Code	270693224
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 SAW 40X11MM DISP

Facility

$725.00

Hospital Charge Code	270693224
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

BLADE SAW .89mmX13mX85m 506085

Facility

$500.00

Hospital Charge Code	270638795
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

BLADE SAW .89mmX13mX85m 506085

Facility

$500.00

Hospital Charge Code	270638795
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

BLADE SAW 90X12.5MM

Facility

$625.00

Hospital Charge Code	698286
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

BLADE SAW 90X12.5MM

Facility

$625.00

Hospital Charge Code	270698286
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X12.5MM

Facility

$625.00

Hospital Charge Code	270698286
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

BLADE SAW 90X12.5MM

Facility

$625.00

Hospital Charge Code	698286
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	270698284
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	698284
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	698284
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	270698284
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

BLADE SAW 9X31X.051MM

Facility

$9,375.00

Service Code	HCPCS A4649
Hospital Charge Code	270699359
Hospital Revenue Code	272
Min. Negotiated Rate	$1,218.75
Max. Negotiated Rate	$4,687.50
Rate for Payer: Aetna Commercial	$2,812.50
Rate for Payer: Aetna Medicare Advantage	$2,812.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,390.62
Rate for Payer: Cigna Commercial	$4,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,218.75
Rate for Payer: Oxford Commercial	$4,687.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25
Rate for Payer: UnitedHealthcare Commercial	$4,687.50

BLADE SAW 9X31X.051MM

Facility

$9,375.00

Service Code	HCPCS A4649
Hospital Charge Code	270699359
Hospital Revenue Code	272
Min. Negotiated Rate	$1,406.25
Max. Negotiated Rate	$1,406.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25

BLADE SAW HIPER 0.54X25mm

Facility

$491.10

Hospital Charge Code	270636755
Hospital Revenue Code	272
Min. Negotiated Rate	$73.67
Max. Negotiated Rate	$73.67
Rate for Payer: Qualcare PPO/HMO/WC	$73.67

Know your out-of-pocket cost for care.

All Charges