Heights University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP PIN TO BAR SMALL

Facility

$2,560.00

Hospital Charge Code	270669002
Hospital Revenue Code	272
Min. Negotiated Rate	$332.80
Max. Negotiated Rate	$1,280.00
Rate for Payer: Aetna Commercial	$768.00
Rate for Payer: Aetna Medicare Advantage	$768.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$652.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$652.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$652.80
Rate for Payer: Cigna Commercial	$1,280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.80
Rate for Payer: Oxford Commercial	$1,280.00
Rate for Payer: Qualcare PPO/HMO/WC	$384.00
Rate for Payer: UnitedHealthcare Commercial	$1,280.00

CLAMP PIN TO BAR SMALL

Facility

$2,560.00

Hospital Charge Code	270669002
Hospital Revenue Code	272
Min. Negotiated Rate	$384.00
Max. Negotiated Rate	$384.00
Rate for Payer: Qualcare PPO/HMO/WC	$384.00

CLAMP PRESSURE PATIENT ARM

Facility

$21.25

Hospital Charge Code	270645384
Hospital Revenue Code	270
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$10.62
Rate for Payer: Aetna Commercial	$6.38
Rate for Payer: Aetna Medicare Advantage	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.42
Rate for Payer: Cigna Commercial	$10.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.76
Rate for Payer: Oxford Commercial	$10.62
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$10.62

CLAMP PRESSURE PATIENT ARM

Facility

$21.25

Hospital Charge Code	270645384
Hospital Revenue Code	270
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

CLAMP RAYPRT MUS BX SU130-1113

Facility

$150.45

Hospital Charge Code	270601097
Hospital Revenue Code	272
Min. Negotiated Rate	$22.57
Max. Negotiated Rate	$22.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.57

CLAMP RAYPRT MUS BX SU130-1113

Facility

$150.45

Hospital Charge Code	270601097
Hospital Revenue Code	272
Min. Negotiated Rate	$19.56
Max. Negotiated Rate	$75.22
Rate for Payer: Aetna Commercial	$45.13
Rate for Payer: Aetna Medicare Advantage	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.36
Rate for Payer: Cigna Commercial	$75.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.56
Rate for Payer: Oxford Commercial	$75.22
Rate for Payer: Qualcare PPO/HMO/WC	$22.57
Rate for Payer: UnitedHealthcare Commercial	$75.22

CLAMP RENAL RED OC-100-R

Facility

$11.25

Hospital Charge Code	270606794
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CLAMP RENAL RED OC-100-R

Facility

$11.25

Hospital Charge Code	270606794
Hospital Revenue Code	270
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

CLAMP RENAL YELLOW OC-100-Y

Facility

$11.25

Hospital Charge Code	270606419
Hospital Revenue Code	270
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

CLAMP RENAL YELLOW OC-100-Y

Facility

$11.25

Hospital Charge Code	270606419
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CLAMP RF SPIN DOWN 12MM

Facility

$1,930.00

Hospital Charge Code	270662172
Hospital Revenue Code	272
Min. Negotiated Rate	$289.50
Max. Negotiated Rate	$289.50
Rate for Payer: Qualcare PPO/HMO/WC	$289.50

CLAMP RF SPIN DOWN 12MM

Facility

$1,930.00

Hospital Charge Code	270662172
Hospital Revenue Code	272
Min. Negotiated Rate	$250.90
Max. Negotiated Rate	$965.00
Rate for Payer: Aetna Commercial	$579.00
Rate for Payer: Aetna Medicare Advantage	$579.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.15
Rate for Payer: Cigna Commercial	$965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.90
Rate for Payer: Oxford Commercial	$965.00
Rate for Payer: Qualcare PPO/HMO/WC	$289.50
Rate for Payer: UnitedHealthcare Commercial	$965.00

CLAMP RF SPIN DOWN 16MM

Facility

$2,020.00

Hospital Charge Code	270662173
Hospital Revenue Code	272
Min. Negotiated Rate	$262.60
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$606.00
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.60
Rate for Payer: Oxford Commercial	$1,010.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00
Rate for Payer: UnitedHealthcare Commercial	$1,010.00

CLAMP RF SPIN DOWN 16MM

Facility

$2,020.00

Hospital Charge Code	270662173
Hospital Revenue Code	272
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$303.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

CLAMP RF SPINDOWN 20MM

Facility

$2,270.00

Service Code	HCPCS C1713
Hospital Charge Code	270662174
Hospital Revenue Code	278
Min. Negotiated Rate	$340.50
Max. Negotiated Rate	$549.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$454.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$549.34
Rate for Payer: Qualcare PPO/HMO/WC	$340.50

CLAMP RF SPINDOWN 20MM

Facility

$2,270.00

Service Code	HCPCS C1713
Hospital Charge Code	270662174
Hospital Revenue Code	278
Min. Negotiated Rate	$340.50
Max. Negotiated Rate	$1,135.00
Rate for Payer: Aetna Commercial	$681.00
Rate for Payer: Aetna Medicare Advantage	$681.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$578.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$578.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$454.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$578.85
Rate for Payer: Cigna Commercial	$1,135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$549.34
Rate for Payer: Qualcare PPO/HMO/WC	$340.50

CLAMP RING 4936-2-010

Facility

$2,685.00

Hospital Charge Code	270643404
Hospital Revenue Code	272
Min. Negotiated Rate	$402.75
Max. Negotiated Rate	$402.75
Rate for Payer: Qualcare PPO/HMO/WC	$402.75

CLAMP RING 4936-2-010

Facility

$2,685.00

Hospital Charge Code	270643404
Hospital Revenue Code	272
Min. Negotiated Rate	$349.05
Max. Negotiated Rate	$1,342.50
Rate for Payer: Aetna Commercial	$805.50
Rate for Payer: Aetna Medicare Advantage	$805.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$684.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$684.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$684.67
Rate for Payer: Cigna Commercial	$1,342.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.05
Rate for Payer: Oxford Commercial	$1,342.50
Rate for Payer: Qualcare PPO/HMO/WC	$402.75
Rate for Payer: UnitedHealthcare Commercial	$1,342.50

CLAMP ROD ATTACH LG MULTI PIN

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270699323
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

CLAMP ROD ATTACH LG MULTI PIN

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270699323
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$562.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

CLAMP SLIM RAPID ROD TO ROD

Facility

$2,790.00

Hospital Charge Code	270643269
Hospital Revenue Code	272
Min. Negotiated Rate	$418.50
Max. Negotiated Rate	$418.50
Rate for Payer: Qualcare PPO/HMO/WC	$418.50

CLAMP SLIM RAPID ROD TO ROD

Facility

$2,790.00

Hospital Charge Code	270643269
Hospital Revenue Code	272
Min. Negotiated Rate	$362.70
Max. Negotiated Rate	$1,395.00
Rate for Payer: Aetna Commercial	$837.00
Rate for Payer: Aetna Medicare Advantage	$837.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$711.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$711.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$711.45
Rate for Payer: Cigna Commercial	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.70
Rate for Payer: Oxford Commercial	$1,395.00
Rate for Payer: Qualcare PPO/HMO/WC	$418.50
Rate for Payer: UnitedHealthcare Commercial	$1,395.00

CLAMP SM EXT FIX 4x2.5mm

Facility

$1,435.40

Hospital Charge Code	270601817
Hospital Revenue Code	272
Min. Negotiated Rate	$186.60
Max. Negotiated Rate	$717.70
Rate for Payer: Aetna Commercial	$430.62
Rate for Payer: Aetna Medicare Advantage	$430.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$366.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$366.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$366.03
Rate for Payer: Cigna Commercial	$717.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.60
Rate for Payer: Oxford Commercial	$717.70
Rate for Payer: Qualcare PPO/HMO/WC	$215.31
Rate for Payer: UnitedHealthcare Commercial	$717.70

CLAMP SM EXT FIX 4x2.5mm

Facility

$1,435.40

Hospital Charge Code	270601817
Hospital Revenue Code	272
Min. Negotiated Rate	$215.31
Max. Negotiated Rate	$215.31
Rate for Payer: Qualcare PPO/HMO/WC	$215.31

CLAMP SOFT JAW SPRING

Facility

$121.00

Hospital Charge Code	270335198
Hospital Revenue Code	272
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

Know your out-of-pocket cost for care.

All Charges