Heights University Hospital

All Charges

Charge

Type

Setting

Price

CLAVICLE COMPL-RT

Facility

$6,601.19

Service Code	HCPCS 73000RT
Hospital Charge Code	94061279
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

CLAVICLE PLATE

Facility

$5,830.00

Hospital Charge Code	270656023
Hospital Revenue Code	278
Min. Negotiated Rate	$874.50
Max. Negotiated Rate	$1,410.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,410.86
Rate for Payer: Qualcare PPO/HMO/WC	$874.50

CLAVICLE PLATE

Facility

$5,830.00

Hospital Charge Code	270656023
Hospital Revenue Code	278
Min. Negotiated Rate	$874.50
Max. Negotiated Rate	$2,915.00
Rate for Payer: Aetna Commercial	$1,749.00
Rate for Payer: Aetna Medicare Advantage	$1,749.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,486.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,486.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,166.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,486.65
Rate for Payer: Cigna Commercial	$2,915.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,410.86
Rate for Payer: Qualcare PPO/HMO/WC	$874.50

CLAVICULECTOMY,PARTIAL

Facility

$40,769.55

Service Code	HCPCS 23120
Hospital Charge Code	16000814
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,230.86
Rate for Payer: Aetna Commercial	$12,230.86
Rate for Payer: Aetna Medicare Advantage	$12,230.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,396.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,396.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,396.24
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,300.04
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,115.43
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CLAVICULECTOMY,PARTIAL

Facility

$40,769.55

Service Code	HCPCS 23120
Hospital Charge Code	16000814
Hospital Revenue Code	360
Min. Negotiated Rate	$6,115.43
Max. Negotiated Rate	$6,115.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,115.43

CLAW BMT TROCH 53 MED 11105020

Facility

$2,863.25

Hospital Charge Code	270611649
Hospital Revenue Code	272
Min. Negotiated Rate	$429.49
Max. Negotiated Rate	$429.49
Rate for Payer: Qualcare PPO/HMO/WC	$429.49

CLAW BMT TROCH 53 MED 11105020

Facility

$2,863.25

Hospital Charge Code	270611649
Hospital Revenue Code	272
Min. Negotiated Rate	$372.22
Max. Negotiated Rate	$1,431.62
Rate for Payer: Aetna Commercial	$858.98
Rate for Payer: Aetna Medicare Advantage	$858.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.13
Rate for Payer: Cigna Commercial	$1,431.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.22
Rate for Payer: Oxford Commercial	$1,431.62
Rate for Payer: Qualcare PPO/HMO/WC	$429.49
Rate for Payer: UnitedHealthcare Commercial	$1,431.62

CLEANER 15

Facility

$4,750.00

Hospital Charge Code	270678575N
Hospital Revenue Code	272
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

CLEANER 15

Facility

$4,750.00

Hospital Charge Code	270678575
Hospital Revenue Code	272
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

CLEANER 15

Facility

$4,750.00

Hospital Charge Code	270678575N
Hospital Revenue Code	272
Min. Negotiated Rate	$617.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$2,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Commercial	$2,375.00

CLEANER 15

Facility

$4,750.00

Hospital Charge Code	270678575
Hospital Revenue Code	272
Min. Negotiated Rate	$617.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$2,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Commercial	$2,375.00

CLEANER15 THR 7Fx65cm

Facility

$3,250.00

Hospital Charge Code	270678569N
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

CLEANER15 THR 7Fx65cm

Facility

$3,250.00

Hospital Charge Code	270678569
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

CLEANER15 THR 7Fx65cm

Facility

$3,250.00

Hospital Charge Code	270678569
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

CLEANER15 THR 7Fx65cm

Facility

$3,250.00

Hospital Charge Code	270678569N
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

CLEANER CAUTERY TIP

Facility

$9.65

Hospital Charge Code	270061200
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

CLEANER CAUTERY TIP

Facility

$9.65

Hospital Charge Code	270061200
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CLEANER CAUTERY TIP STERILE

Facility

$6.30

Hospital Charge Code	270646973
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$3.15
Rate for Payer: Aetna Commercial	$1.89
Rate for Payer: Aetna Medicare Advantage	$1.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.61
Rate for Payer: Cigna Commercial	$3.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.82
Rate for Payer: Oxford Commercial	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.95
Rate for Payer: UnitedHealthcare Commercial	$3.15

CLEANER CAUTERY TIP STERILE

Facility

$6.30

Hospital Charge Code	270646973
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.95

CLEANER DISINFECTANT 22 OUNCE

Facility

$24.55

Hospital Charge Code	270665155
Hospital Revenue Code	270
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$3.68
Rate for Payer: Qualcare PPO/HMO/WC	$3.68

CLEANER DISINFECTANT 22 OUNCE

Facility

$24.55

Hospital Charge Code	270665155
Hospital Revenue Code	270
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$12.28
Rate for Payer: Aetna Commercial	$7.37
Rate for Payer: Aetna Medicare Advantage	$7.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.26
Rate for Payer: Cigna Commercial	$12.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.19
Rate for Payer: Oxford Commercial	$12.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.68
Rate for Payer: UnitedHealthcare Commercial	$12.28

CLEANER DISINFECTANT 31% ISOPR

Facility

$38.10

Hospital Charge Code	270665371
Hospital Revenue Code	270
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$19.05
Rate for Payer: Aetna Commercial	$11.43
Rate for Payer: Aetna Medicare Advantage	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.72
Rate for Payer: Cigna Commercial	$19.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.95
Rate for Payer: Oxford Commercial	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.71
Rate for Payer: UnitedHealthcare Commercial	$19.05

CLEANER DISINFECTANT 31% ISOPR

Facility

$38.10

Hospital Charge Code	270665371
Hospital Revenue Code	270
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$5.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.71

CLEANER ELECTRO-SURGICAL TIP

Facility

$3.05

Hospital Charge Code	270649369N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Qualcare PPO/HMO/WC	$0.46

CLEANER ELECTRO-SURGICAL TIP

Facility

$3.05

Hospital Charge Code	270649369S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Qualcare PPO/HMO/WC	$0.46

Know your out-of-pocket cost for care.

All Charges