Heights University Hospital

All Charges

Charge

Type

Setting

Price

ADAPTOR BMT FRILL 5.0 471851

Facility

$551.25

Hospital Charge Code	270621702
Hospital Revenue Code	270
Min. Negotiated Rate	$82.69
Max. Negotiated Rate	$82.69
Rate for Payer: Qualcare PPO/HMO/WC	$82.69

ADAPTOR ELBOW SWIVEL INS 1996

Facility

$7.05

Hospital Charge Code	270643693
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$3.52
Rate for Payer: Aetna Commercial	$2.12
Rate for Payer: Aetna Medicare Advantage	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.80
Rate for Payer: Cigna Commercial	$3.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.92
Rate for Payer: Oxford Commercial	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.06
Rate for Payer: UnitedHealthcare Commercial	$3.52

ADAPTOR ELBOW SWIVEL INS 1996

Facility

$7.05

Hospital Charge Code	270643693
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.06

ADAPTOR INSPIRATORY FORCE

Facility

$5.05

Hospital Charge Code	270634218
Hospital Revenue Code	270
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Qualcare PPO/HMO/WC	$0.76

ADAPTOR INSPIRATORY FORCE

Facility

$5.05

Hospital Charge Code	270634218
Hospital Revenue Code	270
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$2.52
Rate for Payer: Aetna Commercial	$1.51
Rate for Payer: Aetna Medicare Advantage	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.29
Rate for Payer: Cigna Commercial	$2.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.66
Rate for Payer: Oxford Commercial	$2.52
Rate for Payer: Qualcare PPO/HMO/WC	$0.76
Rate for Payer: UnitedHealthcare Commercial	$2.52

ADAPTOR LG BRE MRSE Y 64000123

Facility

$99.25

Hospital Charge Code	270632532
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

ADAPTOR LG BRE MRSE Y 64000123

Facility

$99.25

Hospital Charge Code	270632532
Hospital Revenue Code	272
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$29.77
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.90
Rate for Payer: Oxford Commercial	$49.62
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$49.62

ADAPTOR TAPER VERSA 25MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697700
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

ADAPTOR TAPER VERSA 25MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697700
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

ADAPTOR TEE AEROGEN SOLO 15MM

Facility

$96.95

Hospital Charge Code	270690911
Hospital Revenue Code	272
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$48.48
Rate for Payer: Aetna Commercial	$29.09
Rate for Payer: Aetna Medicare Advantage	$29.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.72
Rate for Payer: Cigna Commercial	$48.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.60
Rate for Payer: Oxford Commercial	$48.48
Rate for Payer: Qualcare PPO/HMO/WC	$14.54
Rate for Payer: UnitedHealthcare Commercial	$48.48

ADAPTOR TEE AEROGEN SOLO 15MM

Facility

$96.95

Hospital Charge Code	270690911
Hospital Revenue Code	272
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.54

ADAPTOR TIBIAL TRAY OFFSET 5MM

Facility

$4,260.00

Service Code	HCPCS C1776
Hospital Charge Code	270665686
Hospital Revenue Code	278
Min. Negotiated Rate	$639.00
Max. Negotiated Rate	$1,030.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$852.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,030.92
Rate for Payer: Qualcare PPO/HMO/WC	$639.00

ADAPTOR TIBIAL TRAY OFFSET 5MM

Facility

$4,260.00

Service Code	HCPCS C1776
Hospital Charge Code	270665686
Hospital Revenue Code	278
Min. Negotiated Rate	$639.00
Max. Negotiated Rate	$2,130.00
Rate for Payer: Aetna Commercial	$1,278.00
Rate for Payer: Aetna Medicare Advantage	$1,278.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,086.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,086.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$852.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,086.30
Rate for Payer: Cigna Commercial	$2,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,030.92
Rate for Payer: Qualcare PPO/HMO/WC	$639.00

ADAPTOR TRIMANO

Facility

$5,000.00

Hospital Charge Code	270676550
Hospital Revenue Code	272
Min. Negotiated Rate	$650.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$2,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Commercial	$2,500.00

ADAPTOR TRIMANO

Facility

$5,000.00

Hospital Charge Code	270676550
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

ADAPTOR URETERAL CATHETER

Facility

$4.48

Hospital Charge Code	270619750
Hospital Revenue Code	270
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$2.24
Rate for Payer: Aetna Commercial	$1.34
Rate for Payer: Aetna Medicare Advantage	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.14
Rate for Payer: Cigna Commercial	$2.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.58
Rate for Payer: Oxford Commercial	$2.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.67
Rate for Payer: UnitedHealthcare Commercial	$2.24

ADAPTOR URETERAL CATHETER

Facility

$4.48

Hospital Charge Code	270619750
Hospital Revenue Code	270
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Qualcare PPO/HMO/WC	$0.67

ADAPTOR VACUUM 422802

Facility

$225.00

Hospital Charge Code	270654324
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

ADAPTOR VACUUM 422802

Facility

$225.00

Hospital Charge Code	270654324
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

ADAPTOR VERSO AIRWAY ACCESS

Facility

$37.69

Hospital Charge Code	270644433
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

ADAPTOR VERSO AIRWAY ACCESS

Facility

$37.69

Hospital Charge Code	270644433
Hospital Revenue Code	272
Min. Negotiated Rate	$4.90
Max. Negotiated Rate	$18.84
Rate for Payer: Aetna Commercial	$11.31
Rate for Payer: Aetna Medicare Advantage	$11.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.61
Rate for Payer: Cigna Commercial	$18.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.90
Rate for Payer: Oxford Commercial	$18.84
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$18.84

ADAPT RING LOW PRESS 2-3/4 70M

Facility

$1.65

Hospital Charge Code	270650521
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.83
Rate for Payer: Aetna Commercial	$0.50
Rate for Payer: Aetna Medicare Advantage	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.42
Rate for Payer: Cigna Commercial	$0.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.21
Rate for Payer: Oxford Commercial	$0.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.25
Rate for Payer: UnitedHealthcare Commercial	$0.83

ADAPT RING LOW PRESS 2-3/4 70M

Facility

$1.65

Hospital Charge Code	270650521
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.25

ADAPT RING LOW PRESS 4 100M

Facility

$1.65

Hospital Charge Code	270650284
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.83
Rate for Payer: Aetna Commercial	$0.50
Rate for Payer: Aetna Medicare Advantage	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.42
Rate for Payer: Cigna Commercial	$0.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.21
Rate for Payer: Oxford Commercial	$0.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.25
Rate for Payer: UnitedHealthcare Commercial	$0.83

ADAPT RING LOW PRESS 4 100M

Facility

$1.65

Hospital Charge Code	270650284
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.25

Know your out-of-pocket cost for care.

All Charges