Heights University Hospital

All Charges

Charge

Type

Setting

Price

COLLAGENASE 30GM

Facility

$367.95

Hospital Charge Code	60630082W
Hospital Revenue Code	250
Min. Negotiated Rate	$47.83
Max. Negotiated Rate	$183.97
Rate for Payer: Aetna Commercial	$110.39
Rate for Payer: Aetna Medicare Advantage	$110.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.83
Rate for Payer: Cigna Commercial	$183.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.83
Rate for Payer: Oxford Commercial	$183.97
Rate for Payer: Qualcare PPO/HMO/WC	$55.19
Rate for Payer: UnitedHealthcare Commercial	$183.97

COLLAGENASE 30GM

Facility

$367.95

Hospital Charge Code	60630082W
Hospital Revenue Code	250
Min. Negotiated Rate	$55.19
Max. Negotiated Rate	$55.19
Rate for Payer: Qualcare PPO/HMO/WC	$55.19

COLLAGENASE OINT 15GM

Facility

$226.45

Hospital Charge Code	60628877
Hospital Revenue Code	250
Min. Negotiated Rate	$33.97
Max. Negotiated Rate	$33.97
Rate for Payer: Qualcare PPO/HMO/WC	$33.97

COLLAGENASE OINT 15GM

Facility

$226.45

Hospital Charge Code	60628877
Hospital Revenue Code	250
Min. Negotiated Rate	$29.44
Max. Negotiated Rate	$113.22
Rate for Payer: Aetna Commercial	$67.94
Rate for Payer: Aetna Medicare Advantage	$67.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.74
Rate for Payer: Cigna Commercial	$113.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Oxford Commercial	$113.22
Rate for Payer: Qualcare PPO/HMO/WC	$33.97
Rate for Payer: UnitedHealthcare Commercial	$113.22

COLLAGENASE OINT 30GM

Facility

$1,493.56

Service Code	NDC 64501090
Hospital Charge Code	60628876
Hospital Revenue Code	250
Min. Negotiated Rate	$224.03
Max. Negotiated Rate	$224.03
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

COLLAGENASE OINT 30GM

Facility

$1,493.56

Service Code	NDC 64501090
Hospital Charge Code	60628876
Hospital Revenue Code	250
Min. Negotiated Rate	$194.16
Max. Negotiated Rate	$746.78
Rate for Payer: Aetna Commercial	$448.07
Rate for Payer: Aetna Medicare Advantage	$448.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.86
Rate for Payer: Cigna Commercial	$746.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.16
Rate for Payer: Oxford Commercial	$746.78
Rate for Payer: Qualcare PPO/HMO/WC	$224.03
Rate for Payer: UnitedHealthcare Commercial	$746.78

COLLAGEN CROSS LINKED N-TELO

Facility

$194.00

Service Code	HCPCS 82523
Hospital Charge Code	38472931
Hospital Revenue Code	301
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.52
Rate for Payer: Aetna Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.44
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: Cigna Medicare Advantage	$9.34
Rate for Payer: Clover Medicare Advantage	$17.75
Rate for Payer: EmblemHealth Commercial	$56.04
Rate for Payer: Humana Medicare Advantage	$19.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.80
Rate for Payer: Wellcare Medicare Advantage	$18.68

COLLAGEN CROSS LINKED N-TELO

Facility

$194.00

Service Code	HCPCS 82523
Hospital Charge Code	38472931
Hospital Revenue Code	301
Min. Negotiated Rate	$29.10
Max. Negotiated Rate	$29.10
Rate for Payer: Qualcare PPO/HMO/WC	$29.10

COLLAGEN MATRIX 6cmX8cm TISSUE

Facility

$4,935.25

Hospital Charge Code	270630693
Hospital Revenue Code	278
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$1,194.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

COLLAGEN MATRIX 6cmX8cm TISSUE

Facility

$4,935.25

Hospital Charge Code	270630693
Hospital Revenue Code	278
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$2,467.62
Rate for Payer: Aetna Commercial	$1,480.58
Rate for Payer: Aetna Medicare Advantage	$1,480.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,258.49
Rate for Payer: Cigna Commercial	$2,467.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

COLLAGEN MICROFIB TOP 1 GM

Facility

$1,045.15

Hospital Charge Code	6001341
Hospital Revenue Code	250
Min. Negotiated Rate	$156.77
Max. Negotiated Rate	$156.77
Rate for Payer: Qualcare PPO/HMO/WC	$156.77

COLLAGEN MICROFIB TOP 1 GM

Facility

$1,045.15

Hospital Charge Code	6001341
Hospital Revenue Code	250
Min. Negotiated Rate	$135.87
Max. Negotiated Rate	$522.58
Rate for Payer: Aetna Commercial	$313.55
Rate for Payer: Aetna Medicare Advantage	$313.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.51
Rate for Payer: Cigna Commercial	$522.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.87
Rate for Payer: Oxford Commercial	$522.58
Rate for Payer: Qualcare PPO/HMO/WC	$156.77
Rate for Payer: UnitedHealthcare Commercial	$522.58

COLLAGEN POWDER 1 GRAM

Facility

$45.00

Service Code	HCPCS A6010
Hospital Charge Code	270678861
Hospital Revenue Code	272
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$44.14
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$44.14
Rate for Payer: Cigna Medicare Advantage	$26.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.85
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$22.50

COLLAGEN POWDER 1 GRAM

Facility

$45.00

Service Code	HCPCS A6010
Hospital Charge Code	270678861
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

COLLAGEN TYPE 1 CTX

Facility

$390.00

Service Code	HCPCS 82523
Hospital Charge Code	397071387
Hospital Revenue Code	301
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.52
Rate for Payer: Aetna Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.44
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: Cigna Medicare Advantage	$9.34
Rate for Payer: Clover Medicare Advantage	$17.75
Rate for Payer: EmblemHealth Commercial	$56.04
Rate for Payer: Humana Medicare Advantage	$19.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.80
Rate for Payer: Wellcare Medicare Advantage	$18.68

COLLAGEN TYPE 1 CTX

Facility

$729.75

Service Code	HCPCS 82523
Hospital Charge Code	401082523
Hospital Revenue Code	301
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.52
Rate for Payer: Aetna Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.44
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: Cigna Medicare Advantage	$9.34
Rate for Payer: Clover Medicare Advantage	$17.75
Rate for Payer: EmblemHealth Commercial	$56.04
Rate for Payer: Humana Medicare Advantage	$19.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$109.46
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.80
Rate for Payer: Wellcare Medicare Advantage	$18.68

COLLAGEN TYPE 1 CTX

Facility

$729.75

Service Code	HCPCS 82523
Hospital Charge Code	401082523
Hospital Revenue Code	301
Min. Negotiated Rate	$109.46
Max. Negotiated Rate	$109.46
Rate for Payer: Qualcare PPO/HMO/WC	$109.46

COLLAGEN TYPE 1 CTX

Facility

$390.00

Service Code	HCPCS 82523
Hospital Charge Code	397071387
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

COLLAGEN X-LINK NTX

Facility

$92.85

Service Code	HCPCS 82523
Hospital Charge Code	3032752
Hospital Revenue Code	301
Min. Negotiated Rate	$13.93
Max. Negotiated Rate	$13.93
Rate for Payer: Qualcare PPO/HMO/WC	$13.93

COLLAGEN X-LINK NTX

Facility

$92.85

Service Code	HCPCS 82523
Hospital Charge Code	3032752
Hospital Revenue Code	301
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.52
Rate for Payer: Aetna Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.44
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: Cigna Medicare Advantage	$9.34
Rate for Payer: Clover Medicare Advantage	$17.75
Rate for Payer: EmblemHealth Commercial	$56.04
Rate for Payer: Humana Medicare Advantage	$19.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.07
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.93
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.80
Rate for Payer: Wellcare Medicare Advantage	$18.68

COLLAR CERV

Facility

$24.00

Hospital Charge Code	8001919
Hospital Revenue Code	279
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

COLLAR CERV

Facility

$24.00

Hospital Charge Code	8001919
Hospital Revenue Code	279
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

COLLAR CERV LGE SERP 737-04

Facility

$31.80

Hospital Charge Code	270302775
Hospital Revenue Code	270
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$4.77
Rate for Payer: Qualcare PPO/HMO/WC	$4.77

COLLAR CERV LGE SERP 737-04

Facility

$31.80

Hospital Charge Code	270302775
Hospital Revenue Code	270
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$15.90
Rate for Payer: Aetna Commercial	$9.54
Rate for Payer: Aetna Medicare Advantage	$9.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.11
Rate for Payer: Cigna Commercial	$15.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.13
Rate for Payer: Oxford Commercial	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$4.77
Rate for Payer: UnitedHealthcare Commercial	$15.90

COLLAR CERV LRG SERP 737-04

Facility

$19.25

Hospital Charge Code	270600220
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

Know your out-of-pocket cost for care.

All Charges