Heights University Hospital

All Charges

Charge

Type

Setting

Price

BURR PEAR LGTH 45x5MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674604
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR PEAR LGTH 45x5MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674604
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$114.45
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.59
Rate for Payer: Oxford Commercial	$190.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$190.75

BURR PEAR LGTH 45x6MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674607
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR PEAR LGTH 45x6MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674607
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$114.45
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.59
Rate for Payer: Oxford Commercial	$190.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$190.75

BURR PEAR M 4MM HD LGTH 6.9MM

Facility

$329.00

Hospital Charge Code	270674624
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR PEAR M 4MM HD LGTH 6.9MM

Facility

$329.00

Hospital Charge Code	270674624
Hospital Revenue Code	272
Min. Negotiated Rate	$42.77
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$98.70
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$164.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$164.50

BURR PEAR M 5MM HD LGTH 8.3MM

Facility

$329.00

Hospital Charge Code	270674453
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR PEAR M 5MM HD LGTH 8.3MM

Facility

$329.00

Hospital Charge Code	270674453
Hospital Revenue Code	272
Min. Negotiated Rate	$42.77
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$98.70
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$164.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$164.50

BURR PEAR M 6MM HD LGTH 9.7MM

Facility

$329.00

Hospital Charge Code	270674456
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR PEAR M 6MM HD LGTH 9.7MM

Facility

$329.00

Hospital Charge Code	270674456
Hospital Revenue Code	272
Min. Negotiated Rate	$42.77
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$98.70
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$164.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$164.50

BURR PEAR S 4MM HD LGTH 6.9MM

Facility

$329.00

Hospital Charge Code	270674623
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR PEAR S 4MM HD LGTH 6.9MM

Facility

$329.00

Hospital Charge Code	270674623
Hospital Revenue Code	272
Min. Negotiated Rate	$42.77
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$98.70
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$164.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$164.50

BURR PEAR S 5MM HD LGTH 8.3MM

Facility

$329.00

Hospital Charge Code	270674452
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR PEAR S 5MM HD LGTH 8.3MM

Facility

$329.00

Hospital Charge Code	270674452
Hospital Revenue Code	272
Min. Negotiated Rate	$42.77
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$98.70
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$164.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$164.50

BURR PEAR S 6MM HD LGTH 9.7MM

Facility

$329.00

Hospital Charge Code	270674455
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR PEAR S 6MM HD LGTH 9.7MM

Facility

$329.00

Hospital Charge Code	270674455
Hospital Revenue Code	272
Min. Negotiated Rate	$42.77
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$98.70
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$164.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$164.50

BURR PIN L 3MM HD LGTH 19.5MM

Facility

$430.50

Hospital Charge Code	270674637
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

BURR PIN L 3MM HD LGTH 19.5MM

Facility

$430.50

Hospital Charge Code	270674637
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR PIN M 3MM HD LGTH 19.5MM

Facility

$430.50

Hospital Charge Code	270674636
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR PIN M 3MM HD LGTH 19.5MM

Facility

$430.50

Hospital Charge Code	270674636
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

BURR PIN S 3MM HD LGTH 19.5MM

Facility

$430.50

Hospital Charge Code	270674635
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR PIN S 3MM HD LGTH 19.5MM

Facility

$430.50

Hospital Charge Code	270674635
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

BURR PIN-SHAPED L 1.4MMx6.0MM

Facility

$430.50

Hospital Charge Code	270674505
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

BURR PIN-SHAPED L 1.4MMx6.0MM

Facility

$430.50

Hospital Charge Code	270674505
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR PIN-SHAPED L 2.1MMx12MM

Facility

$430.50

Hospital Charge Code	270674508
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

Know your out-of-pocket cost for care.

All Charges