Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE TREPHINE DISP 7.25MM N/S

Facility

$310.00

Hospital Charge Code	270667424
Hospital Revenue Code	272
Min. Negotiated Rate	$40.30
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.30
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Commercial	$155.00

BLADE TREPHINE DISP 7.5MM N/S

Facility

$310.00

Hospital Charge Code	270667425
Hospital Revenue Code	272
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

BLADE TREPHINE DISP 7.5MM N/S

Facility

$310.00

Hospital Charge Code	270667425
Hospital Revenue Code	272
Min. Negotiated Rate	$40.30
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.30
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Commercial	$155.00

BLADE TREPHINE DISP 7.75mm N/S

Facility

$310.00

Hospital Charge Code	270667426
Hospital Revenue Code	272
Min. Negotiated Rate	$40.30
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.30
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Commercial	$155.00

BLADE TREPHINE DISP 7.75mm N/S

Facility

$310.00

Hospital Charge Code	270667426
Hospital Revenue Code	272
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

BLADE TREPHINE DISP 8.25mm N/S

Facility

$310.00

Hospital Charge Code	270667427
Hospital Revenue Code	272
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

BLADE TREPHINE DISP 8.25mm N/S

Facility

$310.00

Hospital Charge Code	270667427
Hospital Revenue Code	272
Min. Negotiated Rate	$40.30
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.30
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Commercial	$155.00

BLADE TREPHINE DISP 8.5mm N/S

Facility

$310.00

Hospital Charge Code	270667428
Hospital Revenue Code	272
Min. Negotiated Rate	$40.30
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.30
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Commercial	$155.00

BLADE TREPHINE DISP 8.5mm N/S

Facility

$310.00

Hospital Charge Code	270667428
Hospital Revenue Code	272
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

BLADE TREPHINE DISP 8.75mm N/S

Facility

$610.00

Hospital Charge Code	270667429
Hospital Revenue Code	272
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$91.50
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

BLADE TREPHINE DISP 8.75mm N/S

Facility

$610.00

Hospital Charge Code	270667429
Hospital Revenue Code	272
Min. Negotiated Rate	$79.30
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$183.00
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.30
Rate for Payer: Oxford Commercial	$305.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Commercial	$305.00

BLADE TREPHINE RAD KATENA VAC

Facility

$116.00

Hospital Charge Code	1607035
Hospital Revenue Code	251
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

BLADE TREPHINE RAD KATENA VAC

Facility

$116.00

Hospital Charge Code	1607035
Hospital Revenue Code	251
Min. Negotiated Rate	$15.08
Max. Negotiated Rate	$58.00
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$34.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.58
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$58.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$58.00

BLADE TRICUT 4mm 1884004HR

Facility

$830.00

Hospital Charge Code	270639580
Hospital Revenue Code	272
Min. Negotiated Rate	$107.90
Max. Negotiated Rate	$415.00
Rate for Payer: Aetna Commercial	$249.00
Rate for Payer: Aetna Medicare Advantage	$249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.65
Rate for Payer: Cigna Commercial	$415.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.90
Rate for Payer: Oxford Commercial	$415.00
Rate for Payer: Qualcare PPO/HMO/WC	$124.50
Rate for Payer: UnitedHealthcare Commercial	$415.00

BLADE TRICUT 4mm 1884004HR

Facility

$830.00

Hospital Charge Code	270639580
Hospital Revenue Code	272
Min. Negotiated Rate	$124.50
Max. Negotiated Rate	$124.50
Rate for Payer: Qualcare PPO/HMO/WC	$124.50

BLADE TRICUT 4mm 1884004HRE

Facility

$780.00

Hospital Charge Code	270639302
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

BLADE TRICUT 4mm 1884004HRE

Facility

$780.00

Hospital Charge Code	270639302
Hospital Revenue Code	272
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$234.00
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00
Rate for Payer: UnitedHealthcare Commercial	$390.00

BLADE TRUNICATED 64MM EXPLANT

Facility

$3,420.00

Hospital Charge Code	270690964
Hospital Revenue Code	272
Min. Negotiated Rate	$513.00
Max. Negotiated Rate	$513.00
Rate for Payer: Qualcare PPO/HMO/WC	$513.00

BLADE TRUNICATED 64MM EXPLANT

Facility

$3,420.00

Hospital Charge Code	270690964
Hospital Revenue Code	272
Min. Negotiated Rate	$444.60
Max. Negotiated Rate	$1,710.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$1,026.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$872.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$872.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$872.10
Rate for Payer: Cigna Commercial	$1,710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.60
Rate for Payer: Oxford Commercial	$1,710.00
Rate for Payer: Qualcare PPO/HMO/WC	$513.00
Rate for Payer: UnitedHealthcare Commercial	$1,710.00

BLADE TYMPANOPLASTY ANGLE 7200

Facility

$87.50

Hospital Charge Code	270639278
Hospital Revenue Code	272
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$43.75
Rate for Payer: Aetna Commercial	$26.25
Rate for Payer: Aetna Medicare Advantage	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.31
Rate for Payer: Cigna Commercial	$43.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.38
Rate for Payer: Oxford Commercial	$43.75
Rate for Payer: Qualcare PPO/HMO/WC	$13.12
Rate for Payer: UnitedHealthcare Commercial	$43.75

BLADE TYMPANOPLASTY ANGLE 7200

Facility

$87.50

Hospital Charge Code	270639278
Hospital Revenue Code	272
Min. Negotiated Rate	$13.12
Max. Negotiated Rate	$13.12
Rate for Payer: Qualcare PPO/HMO/WC	$13.12

BLADE TYMPANOPLSTY STRT 377200

Facility

$65.30

Hospital Charge Code	270639266
Hospital Revenue Code	272
Min. Negotiated Rate	$8.49
Max. Negotiated Rate	$32.65
Rate for Payer: Aetna Commercial	$19.59
Rate for Payer: Aetna Medicare Advantage	$19.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.65
Rate for Payer: Cigna Commercial	$32.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.49
Rate for Payer: Oxford Commercial	$32.65
Rate for Payer: Qualcare PPO/HMO/WC	$9.79
Rate for Payer: UnitedHealthcare Commercial	$32.65

BLADE TYMPANOPLSTY STRT 377200

Facility

$65.30

Hospital Charge Code	270639266
Hospital Revenue Code	272
Min. Negotiated Rate	$9.79
Max. Negotiated Rate	$9.79
Rate for Payer: Qualcare PPO/HMO/WC	$9.79

BLADE UNIVERSAL FOR MEDICLIP

Facility

$10.96

Hospital Charge Code	270645783C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$5.48
Rate for Payer: Aetna Commercial	$3.29
Rate for Payer: Aetna Medicare Advantage	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.79
Rate for Payer: Cigna Commercial	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.42
Rate for Payer: Oxford Commercial	$5.48
Rate for Payer: Qualcare PPO/HMO/WC	$1.64
Rate for Payer: UnitedHealthcare Commercial	$5.48

BLADE UNIVERSAL FOR MEDICLIP

Facility

$10.96

Hospital Charge Code	270645783C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

Know your out-of-pocket cost for care.

All Charges