Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE SIDEWINER ICW

Facility

$4,462.00

Hospital Charge Code	270688039
Hospital Revenue Code	272
Min. Negotiated Rate	$669.30
Max. Negotiated Rate	$669.30
Rate for Payer: Qualcare PPO/HMO/WC	$669.30

BLADES INC PL ELITE MINI 3.5MM

Facility

$1,500.00

Hospital Charge Code	270693725
Hospital Revenue Code	272
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$750.00

BLADES INC PL ELITE MINI 3.5MM

Facility

$1,500.00

Hospital Charge Code	270693725
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

BLADE SLIT ALCON 2.75 CLEAR

Facility

$137.50

Hospital Charge Code	270651605
Hospital Revenue Code	272
Min. Negotiated Rate	$20.62
Max. Negotiated Rate	$20.62
Rate for Payer: Qualcare PPO/HMO/WC	$20.62

BLADE SLIT ALCON 2.75 CLEAR

Facility

$137.50

Hospital Charge Code	270651605
Hospital Revenue Code	272
Min. Negotiated Rate	$17.88
Max. Negotiated Rate	$68.75
Rate for Payer: Aetna Commercial	$41.25
Rate for Payer: Aetna Medicare Advantage	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.06
Rate for Payer: Cigna Commercial	$68.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.88
Rate for Payer: Oxford Commercial	$68.75
Rate for Payer: Qualcare PPO/HMO/WC	$20.62
Rate for Payer: UnitedHealthcare Commercial	$68.75

BLADE SPHERICAL STERILING 4.5m

Facility

$39.48

Hospital Charge Code	270674987
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.92

BLADE SPHERICAL STERILING 4.5m

Facility

$39.48

Hospital Charge Code	270674987
Hospital Revenue Code	272
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$19.74
Rate for Payer: Aetna Commercial	$11.84
Rate for Payer: Aetna Medicare Advantage	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.07
Rate for Payer: Cigna Commercial	$19.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.13
Rate for Payer: Oxford Commercial	$19.74
Rate for Payer: Qualcare PPO/HMO/WC	$5.92
Rate for Payer: UnitedHealthcare Commercial	$19.74

BLADE SPIRAL TI 75MM

Facility

$2,640.75

Service Code	HCPCS C1713
Hospital Charge Code	270693260
Hospital Revenue Code	278
Min. Negotiated Rate	$396.11
Max. Negotiated Rate	$639.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$639.06
Rate for Payer: Qualcare PPO/HMO/WC	$396.11

BLADE SPIRAL TI 75MM

Facility

$2,640.75

Service Code	HCPCS C1713
Hospital Charge Code	270693260
Hospital Revenue Code	278
Min. Negotiated Rate	$396.11
Max. Negotiated Rate	$1,320.38
Rate for Payer: Aetna Commercial	$792.23
Rate for Payer: Aetna Medicare Advantage	$792.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$673.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$673.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$673.39
Rate for Payer: Cigna Commercial	$1,320.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$639.06
Rate for Payer: Qualcare PPO/HMO/WC	$396.11

BLADE STABLECUT MICRO 9X31MM

Facility

$489.60

Hospital Charge Code	270694258
Hospital Revenue Code	272
Min. Negotiated Rate	$73.44
Max. Negotiated Rate	$73.44
Rate for Payer: Qualcare PPO/HMO/WC	$73.44

BLADE STABLECUT MICRO 9X31MM

Facility

$489.60

Hospital Charge Code	270694258
Hospital Revenue Code	272
Min. Negotiated Rate	$63.65
Max. Negotiated Rate	$244.80
Rate for Payer: Aetna Commercial	$146.88
Rate for Payer: Aetna Medicare Advantage	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.85
Rate for Payer: Cigna Commercial	$244.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.65
Rate for Payer: Oxford Commercial	$244.80
Rate for Payer: Qualcare PPO/HMO/WC	$73.44
Rate for Payer: UnitedHealthcare Commercial	$244.80

BLADE STERILE 9.5x25.5 5023138

Facility

$49.65

Hospital Charge Code	270634977
Hospital Revenue Code	272
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$24.82
Rate for Payer: Aetna Commercial	$14.89
Rate for Payer: Aetna Medicare Advantage	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.66
Rate for Payer: Cigna Commercial	$24.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.45
Rate for Payer: Oxford Commercial	$24.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.45
Rate for Payer: UnitedHealthcare Commercial	$24.82

BLADE STERILE 9.5x25.5 5023138

Facility

$49.65

Hospital Charge Code	270634977
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

BLADE STERNUM SAW 5059532

Facility

$108.70

Hospital Charge Code	270634802
Hospital Revenue Code	272
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$54.35
Rate for Payer: Aetna Commercial	$32.61
Rate for Payer: Aetna Medicare Advantage	$32.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.72
Rate for Payer: Cigna Commercial	$54.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.13
Rate for Payer: Oxford Commercial	$54.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.30
Rate for Payer: UnitedHealthcare Commercial	$54.35

BLADE STERNUM SAW 5059532

Facility

$108.70

Hospital Charge Code	270634802
Hospital Revenue Code	272
Min. Negotiated Rate	$16.30
Max. Negotiated Rate	$16.30
Rate for Payer: Qualcare PPO/HMO/WC	$16.30

BLADE STRAIGHT

Facility

$3,500.00

Hospital Charge Code	270687188
Hospital Revenue Code	272
Min. Negotiated Rate	$455.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$1,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Commercial	$1,750.00

BLADE STRAIGHT

Facility

$3,500.00

Hospital Charge Code	270687188
Hospital Revenue Code	272
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

BLADE STRY FL RAD 3.5 27563700

Facility

$422.45

Hospital Charge Code	270616918
Hospital Revenue Code	272
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$63.37
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

BLADE STRY FL RAD 3.5 27563700

Facility

$422.45

Hospital Charge Code	270616918
Hospital Revenue Code	272
Min. Negotiated Rate	$54.92
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$126.73
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.92
Rate for Payer: Oxford Commercial	$211.22
Rate for Payer: Qualcare PPO/HMO/WC	$63.37
Rate for Payer: UnitedHealthcare Commercial	$211.22

BLADE STRYKER DUAL 18MMX9X1.19

Facility

$233.70

Hospital Charge Code	270688550
Hospital Revenue Code	272
Min. Negotiated Rate	$30.38
Max. Negotiated Rate	$116.85
Rate for Payer: Aetna Commercial	$70.11
Rate for Payer: Aetna Medicare Advantage	$70.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.59
Rate for Payer: Cigna Commercial	$116.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.38
Rate for Payer: Oxford Commercial	$116.85
Rate for Payer: Qualcare PPO/HMO/WC	$35.05
Rate for Payer: UnitedHealthcare Commercial	$116.85

BLADE STRYKER DUAL 18MMX9X1.19

Facility

$233.70

Hospital Charge Code	270688550
Hospital Revenue Code	272
Min. Negotiated Rate	$35.05
Max. Negotiated Rate	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$35.05

BLADE SUG PRECISION 9X.38X25MM

Facility

$175.40

Hospital Charge Code	270691104
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 SUG PRECISION 9X.38X25MM

Facility

$175.40

Hospital Charge Code	270691104
Hospital Revenue Code	272
Min. Negotiated Rate	$26.31
Max. Negotiated Rate	$26.31
Rate for Payer: Qualcare PPO/HMO/WC	$26.31

BLADE SURGICAL #10

Facility

$5.00

Hospital Charge Code	270300345
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BLADE SURGICAL #10

Facility

$5.00

Hospital Charge Code	270300345
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

Know your out-of-pocket cost for care.

All Charges