Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUTTON BMT PATELLA SM 11150826

Facility

$3,020.70

Hospital Charge Code	270609002
Hospital Revenue Code	272
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$1,510.35
Rate for Payer: Aetna Commercial	$906.21
Rate for Payer: Aetna Medicare Advantage	$906.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$770.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$770.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$770.28
Rate for Payer: Cigna Commercial	$1,510.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.69
Rate for Payer: Oxford Commercial	$1,510.35
Rate for Payer: Qualcare PPO/HMO/WC	$453.11
Rate for Payer: UnitedHealthcare Commercial	$1,510.35

BUTTON CERCLAGE HEX T25 3.5MM

Facility

$756.00

Hospital Charge Code	270676918
Hospital Revenue Code	272
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$113.40
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

BUTTON CERCLAGE HEX T25 3.5MM

Facility

$756.00

Hospital Charge Code	270676918
Hospital Revenue Code	272
Min. Negotiated Rate	$98.28
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$226.80
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.28
Rate for Payer: Oxford Commercial	$378.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Commercial	$378.00

BUTTON HEX SST SING 2232-01-50

Facility

$248.00

Hospital Charge Code	270632366
Hospital Revenue Code	272
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.40
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$124.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$124.00

BUTTON HEX SST SING 2232-01-50

Facility

$248.00

Hospital Charge Code	270632366
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

BUTTON NASAL SEPTAL 3cmSP78100

Facility

$370.00

Hospital Charge Code	270639164
Hospital Revenue Code	272
Min. Negotiated Rate	$48.10
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.10
Rate for Payer: Oxford Commercial	$185.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Commercial	$185.00

BUTTON NASAL SEPTAL 3cmSP78100

Facility

$370.00

Hospital Charge Code	270639164
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

BUTTON NASAL SEPTAL 5cmSP78105

Facility

$370.00

Hospital Charge Code	270639165
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

BUTTON NASAL SEPTAL 5cmSP78105

Facility

$370.00

Hospital Charge Code	270639165
Hospital Revenue Code	272
Min. Negotiated Rate	$48.10
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.10
Rate for Payer: Oxford Commercial	$185.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Commercial	$185.00

BUTTON NEXGEN MICR 29 59726129

Facility

$2,747.90

Hospital Charge Code	270633689
Hospital Revenue Code	272
Min. Negotiated Rate	$412.19
Max. Negotiated Rate	$412.19
Rate for Payer: Qualcare PPO/HMO/WC	$412.19

BUTTON NEXGEN MICR 29 59726129

Facility

$2,747.90

Hospital Charge Code	270633689
Hospital Revenue Code	272
Min. Negotiated Rate	$357.23
Max. Negotiated Rate	$1,373.95
Rate for Payer: Aetna Commercial	$824.37
Rate for Payer: Aetna Medicare Advantage	$824.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$700.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$700.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$700.71
Rate for Payer: Cigna Commercial	$1,373.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.23
Rate for Payer: Oxford Commercial	$1,373.95
Rate for Payer: Qualcare PPO/HMO/WC	$412.19
Rate for Payer: UnitedHealthcare Commercial	$1,373.95

BUTTON NSL SEP 3.2 AP-SP-78100

Facility

$372.00

Hospital Charge Code	270634857
Hospital Revenue Code	272
Min. Negotiated Rate	$48.36
Max. Negotiated Rate	$186.00
Rate for Payer: Aetna Commercial	$111.60
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.36
Rate for Payer: Oxford Commercial	$186.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$186.00

BUTTON NSL SEP 3.2 AP-SP-78100

Facility

$372.00

Hospital Charge Code	270634857
Hospital Revenue Code	272
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

BUTTON NSL SEPT 1PC LG AP29-5

Facility

$817.65

Hospital Charge Code	270608814
Hospital Revenue Code	278
Min. Negotiated Rate	$122.65
Max. Negotiated Rate	$408.82
Rate for Payer: Aetna Commercial	$245.29
Rate for Payer: Aetna Medicare Advantage	$245.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.50
Rate for Payer: Cigna Commercial	$408.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.87
Rate for Payer: Qualcare PPO/HMO/WC	$122.65

BUTTON NSL SEPT 1PC LG AP29-5

Facility

$817.65

Hospital Charge Code	270608814
Hospital Revenue Code	278
Min. Negotiated Rate	$122.65
Max. Negotiated Rate	$197.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.87
Rate for Payer: Qualcare PPO/HMO/WC	$122.65

BUTTON NSL SEPT 1PC MED AP29-4

Facility

$811.25

Hospital Charge Code	270608813
Hospital Revenue Code	278
Min. Negotiated Rate	$121.69
Max. Negotiated Rate	$405.62
Rate for Payer: Aetna Commercial	$243.38
Rate for Payer: Aetna Medicare Advantage	$243.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.87
Rate for Payer: Cigna Commercial	$405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: Qualcare PPO/HMO/WC	$121.69

BUTTON NSL SEPT 1PC MED AP29-4

Facility

$811.25

Hospital Charge Code	270608813
Hospital Revenue Code	278
Min. Negotiated Rate	$121.69
Max. Negotiated Rate	$196.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: Qualcare PPO/HMO/WC	$121.69

BUTTON NSL SEPT 1PC SM AP29-3

Facility

$811.25

Hospital Charge Code	270608812
Hospital Revenue Code	278
Min. Negotiated Rate	$121.69
Max. Negotiated Rate	$405.62
Rate for Payer: Aetna Commercial	$243.38
Rate for Payer: Aetna Medicare Advantage	$243.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.87
Rate for Payer: Cigna Commercial	$405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: Qualcare PPO/HMO/WC	$121.69

BUTTON NSL SEPT 1PC SM AP29-3

Facility

$811.25

Hospital Charge Code	270608812
Hospital Revenue Code	278
Min. Negotiated Rate	$121.69
Max. Negotiated Rate	$196.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: Qualcare PPO/HMO/WC	$121.69

BUTTON NSL SEPT 2PC LG AP30-7

Facility

$616.00

Hospital Charge Code	270608816
Hospital Revenue Code	278
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$149.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.07
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

BUTTON NSL SEPT 2PC LG AP30-7

Facility

$616.00

Hospital Charge Code	270608816
Hospital Revenue Code	278
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$184.80
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.07
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

BUTTON NSL SEPT 2PC MED AP30

Facility

$616.00

Hospital Charge Code	270608815
Hospital Revenue Code	278
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$184.80
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.07
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

BUTTON NSL SEPT 2PC MED AP30

Facility

$616.00

Hospital Charge Code	270608815
Hospital Revenue Code	278
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$149.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.07
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

BUTTON NSL SEPT 2PC XLG AP30-8

Facility

$616.00

Hospital Charge Code	270608817
Hospital Revenue Code	278
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$149.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.07
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

BUTTON NSL SEPT 2PC XLG AP30-8

Facility

$616.00

Hospital Charge Code	270608817
Hospital Revenue Code	278
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$184.80
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.07
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

Know your out-of-pocket cost for care.

All Charges