Heights University Hospital

All Charges

Charge

Type

Setting

Price

BURR SWAN S 2MM HD LGTH 6.3MM

Facility

$430.50

Hospital Charge Code	270674491
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR SWAN S 2MM HD LGTH 6.3MM

Facility

$430.50

Hospital Charge Code	270674491
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 SWAN S 3MM HD LGTH 9.7MM

Facility

$430.50

Hospital Charge Code	270674494
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR SWAN S 3MM HD LGTH 9.7MM

Facility

$430.50

Hospital Charge Code	270674494
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 SWAN S 4MM HD LGTH 12.7MM

Facility

$430.50

Hospital Charge Code	270674497
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 SWAN S 4MM HD LGTH 12.7MM

Facility

$430.50

Hospital Charge Code	270674497
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR SWANSON L 5.0MMx15.8MM

Facility

$430.50

Hospital Charge Code	270674539
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 SWANSON L 5.0MMx15.8MM

Facility

$430.50

Hospital Charge Code	270674539
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR SWANSON M 5.0MMx15.8MM

Facility

$430.50

Hospital Charge Code	270674538
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR SWANSON M 5.0MMx15.8MM

Facility

$430.50

Hospital Charge Code	270674538
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 SWANSON S 5.0MMx15.8MM

Facility

$430.50

Hospital Charge Code	270674537
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 SWANSON S 5.0MMx15.8MM

Facility

$430.50

Hospital Charge Code	270674537
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR TAPER DIAM 15D ANG

Facility

$2,275.00

Hospital Charge Code	270693077
Hospital Revenue Code	272
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$341.25
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

BURR TAPER DIAM 15D ANG

Facility

$2,275.00

Hospital Charge Code	270693077
Hospital Revenue Code	272
Min. Negotiated Rate	$295.75
Max. Negotiated Rate	$1,137.50
Rate for Payer: Aetna Commercial	$682.50
Rate for Payer: Aetna Medicare Advantage	$682.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$580.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$580.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$580.12
Rate for Payer: Cigna Commercial	$1,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.75
Rate for Payer: Oxford Commercial	$1,137.50
Rate for Payer: Qualcare PPO/HMO/WC	$341.25
Rate for Payer: UnitedHealthcare Commercial	$1,137.50

BURR TAPER FISS 2.1x31MM J-LAT

Facility

$381.50

Hospital Charge Code	270674608
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 TAPER FISS 2.1x31MM J-LAT

Facility

$381.50

Hospital Charge Code	270674608
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR TAPER FISS 2.1x31MM MQC

Facility

$381.50

Hospital Charge Code	270674560
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 TAPER FISS 2.1x31MM MQC

Facility

$381.50

Hospital Charge Code	270674560
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR TAPER FISS 2.1x45MM J-LAT

Facility

$381.50

Hospital Charge Code	270674609
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR TAPER FISS 2.1x45MM J-LAT

Facility

$381.50

Hospital Charge Code	270674609
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 TAPER FISS 2.1x45MM MQC

Facility

$381.50

Hospital Charge Code	270674561
Hospital Revenue Code	278
Min. Negotiated Rate	$57.23
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) NJ Health	$76.30
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	$92.32
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR TAPER FISS 2.1x45MM MQC

Facility

$381.50

Hospital Charge Code	270674561
Hospital Revenue Code	278
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$92.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.32
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR TAPER FISS 3.2x31MM J-LAT

Facility

$381.50

Hospital Charge Code	270674610
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR TAPER FISS 3.2x31MM J-LAT

Facility

$381.50

Hospital Charge Code	270674610
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 TAPER FISS 3.2x31MM MQC

Facility

$381.50

Hospital Charge Code	270674562
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

Know your out-of-pocket cost for care.

All Charges