Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

BLADE SAW MED NARROW 18.5x7MM

Facility

$180.20

Hospital Charge Code	270650289
Hospital Revenue Code	272
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$90.10
Rate for Payer: Aetna Commercial	$54.06
Rate for Payer: Aetna Medicare Advantage	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.95
Rate for Payer: Cigna Commercial	$90.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.43
Rate for Payer: Oxford Commercial	$90.10
Rate for Payer: Qualcare PPO/HMO/WC	$27.03
Rate for Payer: UnitedHealthcare Commercial	$90.10

BLADE SAW MED NARROW 18.5x7MM

Facility

$180.20

Hospital Charge Code	270650289
Hospital Revenue Code	272
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$27.03
Rate for Payer: Qualcare PPO/HMO/WC	$27.03

BLADE SAW MICR 5.5X.051X11.5MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691097
Hospital Revenue Code	272
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$27.03
Rate for Payer: Qualcare PPO/HMO/WC	$27.03

BLADE SAW MICR 5.5X.051X11.5MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691097
Hospital Revenue Code	272
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$90.10
Rate for Payer: Aetna Commercial	$54.06
Rate for Payer: Aetna Medicare Advantage	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.95
Rate for Payer: Cigna Commercial	$90.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.43
Rate for Payer: Oxford Commercial	$90.10
Rate for Payer: Qualcare PPO/HMO/WC	$27.03
Rate for Payer: UnitedHealthcare Commercial	$90.10

BLADE SAW OXFRD RSCTION 506078

Facility

$2,750.00

Hospital Charge Code	270639277
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

BLADE SAW OXFRD RSCTION 506078

Facility

$2,750.00

Hospital Charge Code	270639277
Hospital Revenue Code	272
Min. Negotiated Rate	$357.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

BLADE SAW SAGITAL 25x9MM

Facility

$131.95

Hospital Charge Code	270674136
Hospital Revenue Code	272
Min. Negotiated Rate	$17.15
Max. Negotiated Rate	$65.97
Rate for Payer: Aetna Commercial	$39.59
Rate for Payer: Aetna Medicare Advantage	$39.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.65
Rate for Payer: Cigna Commercial	$65.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.15
Rate for Payer: Oxford Commercial	$65.97
Rate for Payer: Qualcare PPO/HMO/WC	$19.79
Rate for Payer: UnitedHealthcare Commercial	$65.97

BLADE SAW SAGITAL 25x9MM

Facility

$131.95

Hospital Charge Code	270674136
Hospital Revenue Code	272
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$19.79
Rate for Payer: Qualcare PPO/HMO/WC	$19.79

BLADE SAW SAGITTAL 12.5x81.5

Facility

$149.45

Hospital Charge Code	270668627
Hospital Revenue Code	272
Min. Negotiated Rate	$22.42
Max. Negotiated Rate	$22.42
Rate for Payer: Qualcare PPO/HMO/WC	$22.42

BLADE SAW SAGITTAL 12.5x81.5

Facility

$149.45

Hospital Charge Code	270668627
Hospital Revenue Code	272
Min. Negotiated Rate	$19.43
Max. Negotiated Rate	$74.72
Rate for Payer: Aetna Commercial	$44.84
Rate for Payer: Aetna Medicare Advantage	$44.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.11
Rate for Payer: Cigna Commercial	$74.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.43
Rate for Payer: Oxford Commercial	$74.72
Rate for Payer: Qualcare PPO/HMO/WC	$22.42
Rate for Payer: UnitedHealthcare Commercial	$74.72

BLADE SAW SAGITTAL 18.5x90

Facility

$326.25

Hospital Charge Code	270656386
Hospital Revenue Code	272
Min. Negotiated Rate	$42.41
Max. Negotiated Rate	$163.12
Rate for Payer: Aetna Commercial	$97.88
Rate for Payer: Aetna Medicare Advantage	$97.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.19
Rate for Payer: Cigna Commercial	$163.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.41
Rate for Payer: Oxford Commercial	$163.12
Rate for Payer: Qualcare PPO/HMO/WC	$48.94
Rate for Payer: UnitedHealthcare Commercial	$163.12

BLADE SAW SAGITTAL 18.5x90

Facility

$326.25

Hospital Charge Code	270656386
Hospital Revenue Code	272
Min. Negotiated Rate	$48.94
Max. Negotiated Rate	$48.94
Rate for Payer: Qualcare PPO/HMO/WC	$48.94

BLADE SAW SAGITTAL 19.5MM CUT

Facility

$30.80

Hospital Charge Code	270657037
Hospital Revenue Code	272
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.62

BLADE SAW SAGITTAL 19.5MM CUT

Facility

$30.80

Hospital Charge Code	270657037
Hospital Revenue Code	272
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 SAW SAGITTAL 25x5.5MM

Facility

$97.20

Hospital Charge Code	270674224
Hospital Revenue Code	272
Min. Negotiated Rate	$14.58
Max. Negotiated Rate	$14.58
Rate for Payer: Qualcare PPO/HMO/WC	$14.58

BLADE SAW SAGITTAL 25x5.5MM

Facility

$97.20

Hospital Charge Code	270674224
Hospital Revenue Code	272
Min. Negotiated Rate	$12.64
Max. Negotiated Rate	$48.60
Rate for Payer: Aetna Commercial	$29.16
Rate for Payer: Aetna Medicare Advantage	$29.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.79
Rate for Payer: Cigna Commercial	$48.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.64
Rate for Payer: Oxford Commercial	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.58
Rate for Payer: UnitedHealthcare Commercial	$48.60

BLADE SAW SAGITTAL 25x5.5x.38

Facility

$101.05

Hospital Charge Code	270675010
Hospital Revenue Code	272
Min. Negotiated Rate	$13.14
Max. Negotiated Rate	$50.52
Rate for Payer: Aetna Commercial	$30.32
Rate for Payer: Aetna Medicare Advantage	$30.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.77
Rate for Payer: Cigna Commercial	$50.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.14
Rate for Payer: Oxford Commercial	$50.52
Rate for Payer: Qualcare PPO/HMO/WC	$15.16
Rate for Payer: UnitedHealthcare Commercial	$50.52

BLADE SAW SAGITTAL 25x5.5x.38

Facility

$101.05

Hospital Charge Code	270675010
Hospital Revenue Code	272
Min. Negotiated Rate	$15.16
Max. Negotiated Rate	$15.16
Rate for Payer: Qualcare PPO/HMO/WC	$15.16

BLADE SAW SAGITTAL 25x9x.51MM

Facility

$95.65

Hospital Charge Code	270673036
Hospital Revenue Code	272
Min. Negotiated Rate	$14.35
Max. Negotiated Rate	$14.35
Rate for Payer: Qualcare PPO/HMO/WC	$14.35

BLADE SAW SAGITTAL 25x9x.51MM

Facility

$95.65

Hospital Charge Code	270673036
Hospital Revenue Code	272
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$47.83
Rate for Payer: Aetna Commercial	$28.70
Rate for Payer: Aetna Medicare Advantage	$28.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.39
Rate for Payer: Cigna Commercial	$47.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.43
Rate for Payer: Oxford Commercial	$47.83
Rate for Payer: Qualcare PPO/HMO/WC	$14.35
Rate for Payer: UnitedHealthcare Commercial	$47.83

BLADE SAW SAGITTAL 31x9MM

Facility

$96.45

Hospital Charge Code	270673576
Hospital Revenue Code	272
Min. Negotiated Rate	$12.54
Max. Negotiated Rate	$48.23
Rate for Payer: Aetna Commercial	$28.93
Rate for Payer: Aetna Medicare Advantage	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.59
Rate for Payer: Cigna Commercial	$48.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.54
Rate for Payer: Oxford Commercial	$48.23
Rate for Payer: Qualcare PPO/HMO/WC	$14.47
Rate for Payer: UnitedHealthcare Commercial	$48.23

BLADE SAW SAGITTAL 31x9MM

Facility

$96.45

Hospital Charge Code	270673576
Hospital Revenue Code	272
Min. Negotiated Rate	$14.47
Max. Negotiated Rate	$14.47
Rate for Payer: Qualcare PPO/HMO/WC	$14.47

BLADE SAW SAGITTAL 40x19.5MM

Facility

$118.65

Hospital Charge Code	270675967
Hospital Revenue Code	272
Min. Negotiated Rate	$17.80
Max. Negotiated Rate	$17.80
Rate for Payer: Qualcare PPO/HMO/WC	$17.80

BLADE SAW SAGITTAL 40x19.5MM

Facility

$118.65

Hospital Charge Code	270675967
Hospital Revenue Code	272
Min. Negotiated Rate	$15.42
Max. Negotiated Rate	$59.33
Rate for Payer: Aetna Commercial	$35.59
Rate for Payer: Aetna Medicare Advantage	$35.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.26
Rate for Payer: Cigna Commercial	$59.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.42
Rate for Payer: Oxford Commercial	$59.33
Rate for Payer: Qualcare PPO/HMO/WC	$17.80
Rate for Payer: UnitedHealthcare Commercial	$59.33

Know your out-of-pocket cost for care.

All Charges