Heights University Hospital

All Charges

Charge

Type

Setting

Price

CLIPS 360 RESOLUTION

Facility

$1,027.50

Hospital Charge Code	270677227
Hospital Revenue Code	272
Min. Negotiated Rate	$133.57
Max. Negotiated Rate	$513.75
Rate for Payer: Aetna Commercial	$308.25
Rate for Payer: Aetna Medicare Advantage	$308.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.01
Rate for Payer: Cigna Commercial	$513.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.57
Rate for Payer: Oxford Commercial	$513.75
Rate for Payer: Qualcare PPO/HMO/WC	$154.12
Rate for Payer: UnitedHealthcare Commercial	$513.75

CLIPS 360 RESOLUTION

Facility

$1,027.50

Hospital Charge Code	270677227
Hospital Revenue Code	272
Min. Negotiated Rate	$154.12
Max. Negotiated Rate	$154.12
Rate for Payer: Qualcare PPO/HMO/WC	$154.12

CLIPS FOR IRRIGATION TUBE SET

Facility

$84.00

Hospital Charge Code	270674705
Hospital Revenue Code	272
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

CLIPS FOR IRRIGATION TUBE SET

Facility

$84.00

Hospital Charge Code	270674705
Hospital Revenue Code	272
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.92
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$42.00

CLIPS HEMOLOK MEDIUM LG 544230

Facility

$20.80

Hospital Charge Code	270640217
Hospital Revenue Code	272
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$10.40
Rate for Payer: Aetna Commercial	$6.24
Rate for Payer: Aetna Medicare Advantage	$6.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.30
Rate for Payer: Cigna Commercial	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$3.12
Rate for Payer: UnitedHealthcare Commercial	$10.40

CLIPS HEMOLOK MEDIUM LG 544230

Facility

$20.80

Hospital Charge Code	270640217
Hospital Revenue Code	272
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$3.12
Rate for Payer: Qualcare PPO/HMO/WC	$3.12

CLIPS HEMOLOK SMALL 544220

Facility

$71.35

Hospital Charge Code	270619752
Hospital Revenue Code	272
Min. Negotiated Rate	$10.70
Max. Negotiated Rate	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.70

CLIPS HEMOLOK SMALL 544220

Facility

$71.35

Hospital Charge Code	270619752
Hospital Revenue Code	272
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$35.67
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.19
Rate for Payer: Cigna Commercial	$35.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.28
Rate for Payer: Oxford Commercial	$35.67
Rate for Payer: Qualcare PPO/HMO/WC	$10.70
Rate for Payer: UnitedHealthcare Commercial	$35.67

CLIPS RANYE DISP.

Facility

$11.59

Hospital Charge Code	270600322
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$1.74
Rate for Payer: Qualcare PPO/HMO/WC	$1.74

CLIPS RANYE DISP.

Facility

$11.59

Hospital Charge Code	270600322
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$5.79
Rate for Payer: Aetna Commercial	$3.48
Rate for Payer: Aetna Medicare Advantage	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.96
Rate for Payer: Cigna Commercial	$5.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.51
Rate for Payer: Oxford Commercial	$5.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.74
Rate for Payer: UnitedHealthcare Commercial	$5.79

CLIP STIMULATING SAFEOP STER

Facility

$2,437.50

Hospital Charge Code	270698066
Hospital Revenue Code	272
Min. Negotiated Rate	$316.88
Max. Negotiated Rate	$1,218.75
Rate for Payer: Aetna Commercial	$731.25
Rate for Payer: Aetna Medicare Advantage	$731.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$621.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$621.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$621.56
Rate for Payer: Cigna Commercial	$1,218.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.88
Rate for Payer: Oxford Commercial	$1,218.75
Rate for Payer: Qualcare PPO/HMO/WC	$365.62
Rate for Payer: UnitedHealthcare Commercial	$1,218.75

CLIP STIMULATING SAFEOP STER

Facility

$2,437.50

Hospital Charge Code	270698066
Hospital Revenue Code	272
Min. Negotiated Rate	$365.62
Max. Negotiated Rate	$365.62
Rate for Payer: Qualcare PPO/HMO/WC	$365.62

CLIP SURGICAL SPRING INSERT 6M

Facility

$43.98

Hospital Charge Code	270690348
Hospital Revenue Code	272
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$21.99
Rate for Payer: Aetna Commercial	$13.19
Rate for Payer: Aetna Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.21
Rate for Payer: Cigna Commercial	$21.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$21.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$21.99

CLIP SURGICAL SPRING INSERT 6M

Facility

$43.98

Hospital Charge Code	270690348
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

CLIP TITANIUM LARGE

Facility

$24.88

Service Code	HCPCS C1713
Hospital Charge Code	270669638
Hospital Revenue Code	278
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$12.44
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.02
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

CLIP TITANIUM LARGE

Facility

$24.88

Service Code	HCPCS C1713
Hospital Charge Code	270669638
Hospital Revenue Code	278
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$6.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.02
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

CLIP TITANIUM MED/LARGE

Facility

$17.43

Hospital Charge Code	270669637
Hospital Revenue Code	278
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.61

CLIP TITANIUM MED/LARGE

Facility

$17.43

Hospital Charge Code	270669637
Hospital Revenue Code	278
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$8.71
Rate for Payer: Aetna Commercial	$5.23
Rate for Payer: Aetna Medicare Advantage	$5.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.44
Rate for Payer: Cigna Commercial	$8.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.61

CLIP TITANIUM WIDE SMALL

Facility

$40.04

Hospital Charge Code	270669636
Hospital Revenue Code	272
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$6.01
Rate for Payer: Qualcare PPO/HMO/WC	$6.01

CLIP TITANIUM WIDE SMALL

Facility

$40.04

Hospital Charge Code	270669636
Hospital Revenue Code	272
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$20.02
Rate for Payer: Aetna Commercial	$12.01
Rate for Payer: Aetna Medicare Advantage	$12.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.21
Rate for Payer: Cigna Commercial	$20.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.21
Rate for Payer: Oxford Commercial	$20.02
Rate for Payer: Qualcare PPO/HMO/WC	$6.01
Rate for Payer: UnitedHealthcare Commercial	$20.02

CLIP X-LARGE

Facility

$65.65

Hospital Charge Code	270665215
Hospital Revenue Code	272
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$19.70
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$32.83
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$32.83

CLIP X-LARGE

Facility

$65.65

Hospital Charge Code	270665215
Hospital Revenue Code	272
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

CLL IGVH MUTATION,CELL

Facility

$2,125.00

Service Code	HCPCS 81263
Hospital Charge Code	401081263
Hospital Revenue Code	310
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,079.12
Rate for Payer: Aetna Commercial	$954.24
Rate for Payer: Aetna Medicare Advantage	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,079.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,079.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,079.12
Rate for Payer: Cigna Commercial	$294.52
Rate for Payer: Cigna Medicare Advantage	$147.26
Rate for Payer: Clover Medicare Advantage	$279.79
Rate for Payer: EmblemHealth Commercial	$883.56
Rate for Payer: Humana Medicare Advantage	$303.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$294.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$312.19
Rate for Payer: Wellcare Medicare Advantage	$294.52

CLL IGVH MUTATION,CELL

Facility

$2,125.00

Service Code	HCPCS 81263
Hospital Charge Code	401081263
Hospital Revenue Code	310
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$318.75
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

CLMP MULTI PIN LARGE

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699322
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

Know your out-of-pocket cost for care.

All Charges