Heights University Hospital

All Charges

Charge

Type

Setting

Price

CAGE TI 8MM XWIDE

Facility

$1,250.00

Hospital Charge Code	270699692
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CAGE TI 8MM XWIDE

Facility

$9,150.00

Hospital Charge Code	270698204
Hospital Revenue Code	278
Min. Negotiated Rate	$1,372.50
Max. Negotiated Rate	$2,214.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,830.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,214.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,372.50

CAGE TI 8MM XWIDE

Facility

$1,250.00

Hospital Charge Code	270699692
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CAGE TI 8MM XWIDE

Facility

$9,150.00

Hospital Charge Code	270698204
Hospital Revenue Code	278
Min. Negotiated Rate	$1,372.50
Max. Negotiated Rate	$4,575.00
Rate for Payer: Aetna Commercial	$2,745.00
Rate for Payer: Aetna Medicare Advantage	$2,745.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,333.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,333.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,333.25
Rate for Payer: Cigna Commercial	$4,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,214.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,372.50

CAGE TIGER LAT 45X17X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695207
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TIGER LAT 45X17X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695207
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$11,175.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TIGER LAT 50X17X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695206
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TIGER LAT 50X17X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695206
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$11,175.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TIGER LAT 50X22X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695205
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$11,175.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TIGER LAT 50X22X12D 11H

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695205
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGETIGERSHARKLAT50X22X1312D

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695253
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$11,175.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGETIGERSHARKLAT50X22X1312D

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695253
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGETIGERSHARKLAT50X22X1512D

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695257
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$9,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGETIGERSHARKLAT50X22X1512D

Facility

$37,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695257
Hospital Revenue Code	278
Min. Negotiated Rate	$5,587.50
Max. Negotiated Rate	$18,625.00
Rate for Payer: Aetna Commercial	$11,175.00
Rate for Payer: Aetna Medicare Advantage	$11,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,498.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,498.75
Rate for Payer: Cigna Commercial	$18,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,014.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,587.50

CAGE TILIF-O 8X10X30MM 4D

Facility

$32,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270698042
Hospital Revenue Code	278
Min. Negotiated Rate	$4,875.00
Max. Negotiated Rate	$16,250.00
Rate for Payer: Aetna Commercial	$9,750.00
Rate for Payer: Aetna Medicare Advantage	$9,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,287.50
Rate for Payer: Cigna Commercial	$16,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00

CAGE TILIF-O 8X10X30MM 4D

Facility

$32,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270698042
Hospital Revenue Code	278
Min. Negotiated Rate	$4,875.00
Max. Negotiated Rate	$7,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00

CAGE TI STALIF-C 6.5X12MM 6D

Facility

$22,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270693735
Hospital Revenue Code	278
Min. Negotiated Rate	$3,300.00
Max. Negotiated Rate	$11,000.00
Rate for Payer: Aetna Commercial	$6,600.00
Rate for Payer: Aetna Medicare Advantage	$6,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,610.00
Rate for Payer: Cigna Commercial	$11,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,324.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,300.00

CAGE TI STALIF-C 6.5X12MM 6D

Facility

$22,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270693735
Hospital Revenue Code	278
Min. Negotiated Rate	$3,300.00
Max. Negotiated Rate	$5,324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,324.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,300.00

CAGE TLX20 11X11X26MM 20D

Facility

$39,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270699307
Hospital Revenue Code	278
Min. Negotiated Rate	$5,850.00
Max. Negotiated Rate	$19,500.00
Rate for Payer: Aetna Commercial	$11,700.00
Rate for Payer: Aetna Medicare Advantage	$11,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,945.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,945.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,945.00
Rate for Payer: Cigna Commercial	$19,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,438.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,850.00

CAGE TLX20 11X11X26MM 20D

Facility

$39,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270699307
Hospital Revenue Code	278
Min. Negotiated Rate	$5,850.00
Max. Negotiated Rate	$9,438.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,438.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,850.00

CAGE TLX20 11X11X31 MM

Facility

$32,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270691826
Hospital Revenue Code	278
Min. Negotiated Rate	$4,875.00
Max. Negotiated Rate	$16,250.00
Rate for Payer: Aetna Commercial	$9,750.00
Rate for Payer: Aetna Medicare Advantage	$9,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,287.50
Rate for Payer: Cigna Commercial	$16,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00

CAGE TLX20 11X11X31 MM

Facility

$32,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270691826
Hospital Revenue Code	278
Min. Negotiated Rate	$4,875.00
Max. Negotiated Rate	$7,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00

CAGE TLX20 12X11X26MM 20D

Facility

$39,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270699308
Hospital Revenue Code	278
Min. Negotiated Rate	$5,850.00
Max. Negotiated Rate	$9,438.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,438.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,850.00

CAGE TLX20 12X11X26MM 20D

Facility

$39,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270699308
Hospital Revenue Code	278
Min. Negotiated Rate	$5,850.00
Max. Negotiated Rate	$19,500.00
Rate for Payer: Aetna Commercial	$11,700.00
Rate for Payer: Aetna Medicare Advantage	$11,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,945.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,945.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,945.00
Rate for Payer: Cigna Commercial	$19,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,438.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,850.00

CAGE TLX20 9X11X26MM 20 DEG

Facility

$31,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270691369
Hospital Revenue Code	278
Min. Negotiated Rate	$4,650.00
Max. Negotiated Rate	$15,500.00
Rate for Payer: Aetna Commercial	$9,300.00
Rate for Payer: Aetna Medicare Advantage	$9,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,905.00
Rate for Payer: Cigna Commercial	$15,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,502.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,650.00

Know your out-of-pocket cost for care.

All Charges