Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

COLLAR CERV MED SERP 737-03

Facility

$19.25

Hospital Charge Code	270600219
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

COLLAR CERV MED SERP 737-03

Facility

$19.25

Hospital Charge Code	270600219
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$5.78
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.50
Rate for Payer: Oxford Commercial	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$9.62

COLLAR CERV MED SERP LNG 73705

Facility

$31.80

Hospital Charge Code	270302770
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 MED SERP LNG 73705

Facility

$31.80

Hospital Charge Code	270302770
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 SML 737-02

Facility

$31.80

Hospital Charge Code	270302765
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 SML 737-02

Facility

$31.80

Hospital Charge Code	270302765
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 SML LO CNTR 737-07

Facility

$43.25

Hospital Charge Code	270600321
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

COLLAR CERV SML LO CNTR 737-07

Facility

$43.25

Hospital Charge Code	270600321
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

COLLAR CERV SML SERP 737-02

Facility

$43.25

Hospital Charge Code	270600218
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

COLLAR CERV SML SERP 737-02

Facility

$43.25

Hospital Charge Code	270600218
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

COLLAR CERV SML XLONG 737-06

Facility

$135.00

Hospital Charge Code	270600224
Hospital Revenue Code	272
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$67.50

COLLAR CERV SML XLONG 737-06

Facility

$135.00

Hospital Charge Code	270600224
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

COLLAR CERV SML XWIDE 737-01

Facility

$43.25

Hospital Charge Code	270600217
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

COLLAR CERV SML XWIDE 737-01

Facility

$43.25

Hospital Charge Code	270600217
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

COLLAR CERV SM/MED/LG SERP****

Facility

$7.00

Hospital Charge Code	1608082
Hospital Revenue Code	270
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

COLLAR CERV SM/MED/LG SERP****

Facility

$7.00

Hospital Charge Code	1608082
Hospital Revenue Code	270
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

COLLARD INTEGRAL POROUS STEM

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270683753
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,150.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

COLLARD INTEGRAL POROUS STEM

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270683753
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

COLLAR EXTRCATION ADLT 281-000

Facility

$44.95

Hospital Charge Code	270644286
Hospital Revenue Code	272
Min. Negotiated Rate	$6.74
Max. Negotiated Rate	$6.74
Rate for Payer: Qualcare PPO/HMO/WC	$6.74

COLLAR EXTRCATION ADLT 281-000

Facility

$44.95

Hospital Charge Code	270644286
Hospital Revenue Code	272
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$22.48
Rate for Payer: Aetna Commercial	$13.48
Rate for Payer: Aetna Medicare Advantage	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.46
Rate for Payer: Cigna Commercial	$22.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.84
Rate for Payer: Oxford Commercial	$22.48
Rate for Payer: Qualcare PPO/HMO/WC	$6.74
Rate for Payer: UnitedHealthcare Commercial	$22.48

COLLAR FOAM SERPENTINE LARGE

Facility

$19.05

Hospital Charge Code	270649375
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$9.53
Rate for Payer: Aetna Commercial	$5.71
Rate for Payer: Aetna Medicare Advantage	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.86
Rate for Payer: Cigna Commercial	$9.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.48
Rate for Payer: Oxford Commercial	$9.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.86
Rate for Payer: UnitedHealthcare Commercial	$9.53

COLLAR FOAM SERPENTINE LARGE

Facility

$19.05

Hospital Charge Code	270649375
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.86

COLLAR FOAM SERPENTINE MEDIUM

Facility

$19.05

Hospital Charge Code	270649376
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.86

COLLAR FOAM SERPENTINE MEDIUM

Facility

$19.05

Hospital Charge Code	270649376
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$9.53
Rate for Payer: Aetna Commercial	$5.71
Rate for Payer: Aetna Medicare Advantage	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.86
Rate for Payer: Cigna Commercial	$9.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.48
Rate for Payer: Oxford Commercial	$9.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.86
Rate for Payer: UnitedHealthcare Commercial	$9.53

Know your out-of-pocket cost for care.

All Charges