Heights University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP SOFT JAW SPRING

Facility

$121.00

Hospital Charge Code	270335198
Hospital Revenue Code	272
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$60.50

CLAMP STAND ANLLE CCLAMP 01350

Facility

$7,435.10

Hospital Charge Code	270634727
Hospital Revenue Code	272
Min. Negotiated Rate	$966.56
Max. Negotiated Rate	$3,717.55
Rate for Payer: Aetna Commercial	$2,230.53
Rate for Payer: Aetna Medicare Advantage	$2,230.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,895.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,895.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,895.95
Rate for Payer: Cigna Commercial	$3,717.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$966.56
Rate for Payer: Oxford Commercial	$3,717.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,115.27
Rate for Payer: UnitedHealthcare Commercial	$3,717.55

CLAMP STAND ANLLE CCLAMP 01350

Facility

$7,435.10

Hospital Charge Code	270634727
Hospital Revenue Code	272
Min. Negotiated Rate	$1,115.27
Max. Negotiated Rate	$1,115.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,115.27

CLAMP SYN EXT FIX 4/2.5 395.54

Facility

$1,689.65

Hospital Charge Code	270601815
Hospital Revenue Code	278
Min. Negotiated Rate	$253.45
Max. Negotiated Rate	$408.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$337.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$408.90
Rate for Payer: Qualcare PPO/HMO/WC	$253.45

CLAMP SYN EXT FIX 4/2.5 395.54

Facility

$1,689.65

Hospital Charge Code	270601815
Hospital Revenue Code	278
Min. Negotiated Rate	$253.45
Max. Negotiated Rate	$844.83
Rate for Payer: Aetna Commercial	$506.89
Rate for Payer: Aetna Medicare Advantage	$506.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$430.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$430.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$337.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$430.86
Rate for Payer: Cigna Commercial	$844.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$408.90
Rate for Payer: Qualcare PPO/HMO/WC	$253.45

CLAMP SYN HOLD 1.25 K 395.125

Facility

$2,376.00

Hospital Charge Code	270622481
Hospital Revenue Code	272
Min. Negotiated Rate	$356.40
Max. Negotiated Rate	$356.40
Rate for Payer: Qualcare PPO/HMO/WC	$356.40

CLAMP SYN HOLD 1.25 K 395.125

Facility

$2,376.00

Hospital Charge Code	270622481
Hospital Revenue Code	272
Min. Negotiated Rate	$308.88
Max. Negotiated Rate	$1,188.00
Rate for Payer: Aetna Commercial	$712.80
Rate for Payer: Aetna Medicare Advantage	$712.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.88
Rate for Payer: Cigna Commercial	$1,188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.88
Rate for Payer: Oxford Commercial	$1,188.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.40
Rate for Payer: UnitedHealthcare Commercial	$1,188.00

CLAMP TRANSVERSE

Facility

$3,021.00

Hospital Charge Code	270656307
Hospital Revenue Code	272
Min. Negotiated Rate	$392.73
Max. Negotiated Rate	$1,510.50
Rate for Payer: Aetna Commercial	$906.30
Rate for Payer: Aetna Medicare Advantage	$906.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$770.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$770.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$770.36
Rate for Payer: Cigna Commercial	$1,510.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.73
Rate for Payer: Oxford Commercial	$1,510.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.15
Rate for Payer: UnitedHealthcare Commercial	$1,510.50

CLAMP TRANSVERSE

Facility

$3,021.00

Hospital Charge Code	270656307
Hospital Revenue Code	272
Min. Negotiated Rate	$453.15
Max. Negotiated Rate	$453.15
Rate for Payer: Qualcare PPO/HMO/WC	$453.15

CLAMP TUBE TO TUBE 390.007

Facility

$880.00

Hospital Charge Code	270648948
Hospital Revenue Code	272
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

CLAMP TUBE TO TUBE 390.007

Facility

$880.00

Hospital Charge Code	270648948
Hospital Revenue Code	272
Min. Negotiated Rate	$114.40
Max. Negotiated Rate	$440.00
Rate for Payer: Aetna Commercial	$264.00
Rate for Payer: Aetna Medicare Advantage	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.40
Rate for Payer: Cigna Commercial	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.40
Rate for Payer: Oxford Commercial	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Commercial	$440.00

CLAMP UMBILICAL CORD

Facility

$11.25

Hospital Charge Code	270130050
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CLAMP UMBILICAL CORD

Facility

$11.25

Hospital Charge Code	270130050
Hospital Revenue Code	272
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 VACUSTAT ANG 1001-501

Facility

$50.50

Hospital Charge Code	270612954
Hospital Revenue Code	272
Min. Negotiated Rate	$7.58
Max. Negotiated Rate	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.58

CLAMP VACUSTAT ANG 1001-501

Facility

$50.50

Hospital Charge Code	270612954
Hospital Revenue Code	272
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$25.25
Rate for Payer: Aetna Commercial	$15.15
Rate for Payer: Aetna Medicare Advantage	$15.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.88
Rate for Payer: Cigna Commercial	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.57
Rate for Payer: Oxford Commercial	$25.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.58
Rate for Payer: UnitedHealthcare Commercial	$25.25

CLAMP VACUSTAT STR 1001-500

Facility

$34.70

Hospital Charge Code	270612953
Hospital Revenue Code	272
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$17.35
Rate for Payer: Aetna Commercial	$10.41
Rate for Payer: Aetna Medicare Advantage	$10.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.85
Rate for Payer: Cigna Commercial	$17.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.51
Rate for Payer: Oxford Commercial	$17.35
Rate for Payer: Qualcare PPO/HMO/WC	$5.21
Rate for Payer: UnitedHealthcare Commercial	$17.35

CLAMP VACUSTAT STR 1001-500

Facility

$34.70

Hospital Charge Code	270612953
Hospital Revenue Code	272
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$5.21

CLAMP W/CRIMP 1.0x750MM

Facility

$2,145.15

Hospital Charge Code	270674357
Hospital Revenue Code	272
Min. Negotiated Rate	$321.77
Max. Negotiated Rate	$321.77
Rate for Payer: Qualcare PPO/HMO/WC	$321.77

CLAMP W/CRIMP 1.0x750MM

Facility

$2,145.15

Hospital Charge Code	270674357
Hospital Revenue Code	272
Min. Negotiated Rate	$278.87
Max. Negotiated Rate	$1,072.58
Rate for Payer: Aetna Commercial	$643.54
Rate for Payer: Aetna Medicare Advantage	$643.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$547.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$547.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$547.01
Rate for Payer: Cigna Commercial	$1,072.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.87
Rate for Payer: Oxford Commercial	$1,072.58
Rate for Payer: Qualcare PPO/HMO/WC	$321.77
Rate for Payer: UnitedHealthcare Commercial	$1,072.58

CLAMP W/CRIMP 1.0X750MM

Facility

$2,940.55

Hospital Charge Code	674357
Hospital Revenue Code	278
Min. Negotiated Rate	$441.08
Max. Negotiated Rate	$711.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.61
Rate for Payer: Qualcare PPO/HMO/WC	$441.08

CLAMP W/CRIMP 1.0X750MM

Facility

$2,940.55

Hospital Charge Code	674357
Hospital Revenue Code	278
Min. Negotiated Rate	$441.08
Max. Negotiated Rate	$1,470.28
Rate for Payer: Aetna Commercial	$882.16
Rate for Payer: Aetna Medicare Advantage	$882.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$749.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$749.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$749.84
Rate for Payer: Cigna Commercial	$1,470.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.61
Rate for Payer: Qualcare PPO/HMO/WC	$441.08

CLARITHROMYCIN 250 MG TAB

Facility

$40.33

Service Code	NDC 781196160
Hospital Charge Code	6016505
Hospital Revenue Code	250
Min. Negotiated Rate	$5.24
Max. Negotiated Rate	$20.16
Rate for Payer: Aetna Commercial	$12.10
Rate for Payer: Aetna Medicare Advantage	$12.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.28
Rate for Payer: Cigna Commercial	$20.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.24
Rate for Payer: Oxford Commercial	$20.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.05
Rate for Payer: UnitedHealthcare Commercial	$20.16

CLARITHROMYCIN 250 MG TAB

Facility

$40.33

Service Code	NDC 781196160
Hospital Charge Code	6016505
Hospital Revenue Code	250
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$6.05

CLARITHROMYCIN 500 MG TAB UD

Facility

$30.28

Service Code	NDC 68382076214
Hospital Charge Code	6016513
Hospital Revenue Code	250
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$15.14
Rate for Payer: Aetna Commercial	$9.08
Rate for Payer: Aetna Medicare Advantage	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.72
Rate for Payer: Cigna Commercial	$15.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.94
Rate for Payer: Oxford Commercial	$15.14
Rate for Payer: Qualcare PPO/HMO/WC	$4.54
Rate for Payer: UnitedHealthcare Commercial	$15.14

CLARITHROMYCIN 500 MG TAB UD

Facility

$30.28

Service Code	NDC 68382076214
Hospital Charge Code	6016513
Hospital Revenue Code	250
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$4.54
Rate for Payer: Qualcare PPO/HMO/WC	$4.54

Know your out-of-pocket cost for care.

All Charges