Heights University Hospital

All Charges

Charge

Type

Setting

Price

COLLAR FOAM SERPENTINE SMALL

Facility

$18.50

Hospital Charge Code	270649377
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$2.77
Rate for Payer: Qualcare PPO/HMO/WC	$2.77

COLLAR FOAM SERPENTINE SMALL

Facility

$18.50

Hospital Charge Code	270649377
Hospital Revenue Code	272
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$9.25
Rate for Payer: Aetna Commercial	$5.55
Rate for Payer: Aetna Medicare Advantage	$5.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.72
Rate for Payer: Cigna Commercial	$9.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$9.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.77
Rate for Payer: UnitedHealthcare Commercial	$9.25

COLLAR FOAM SERPENTINE X-LG

Facility

$19.05

Hospital Charge Code	270649378
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 X-LG

Facility

$19.05

Hospital Charge Code	270649378
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.86

COLLAR FORM FIT CERVICAL MED

Facility

$16.05

Hospital Charge Code	270649876
Hospital Revenue Code	270
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$8.03
Rate for Payer: Aetna Commercial	$4.82
Rate for Payer: Aetna Medicare Advantage	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.09
Rate for Payer: Cigna Commercial	$8.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.09
Rate for Payer: Oxford Commercial	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$2.41
Rate for Payer: UnitedHealthcare Commercial	$8.03

COLLAR FORM FIT CERVICAL MED

Facility

$16.05

Hospital Charge Code	270649876
Hospital Revenue Code	270
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$2.41
Rate for Payer: Qualcare PPO/HMO/WC	$2.41

COLLAR HOOD 0308

Facility

$161.65

Hospital Charge Code	270600476
Hospital Revenue Code	272
Min. Negotiated Rate	$21.01
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$48.49
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.01
Rate for Payer: Oxford Commercial	$80.83
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$80.83

COLLAR HOOD 0308

Facility

$161.65

Hospital Charge Code	270600476
Hospital Revenue Code	272
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

COLLAR LD CONTOUR 3 FOAM XLG

Facility

$23.80

Hospital Charge Code	270654990
Hospital Revenue Code	270
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.57

COLLAR LD CONTOUR 3 FOAM XLG

Facility

$23.80

Hospital Charge Code	270654990
Hospital Revenue Code	270
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$11.90
Rate for Payer: Aetna Commercial	$7.14
Rate for Payer: Aetna Medicare Advantage	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.07
Rate for Payer: Cigna Commercial	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.09
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.57
Rate for Payer: UnitedHealthcare Commercial	$11.90

COLLAR MIAMI J

Facility

$1,320.00

Hospital Charge Code	270607222
Hospital Revenue Code	270
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

COLLAR MIAMI J

Facility

$1,320.00

Hospital Charge Code	270607222
Hospital Revenue Code	270
Min. Negotiated Rate	$171.60
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$396.00
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.60
Rate for Payer: Oxford Commercial	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.00
Rate for Payer: UnitedHealthcare Commercial	$660.00

COLLAR MIAMI J MEDIUM

Facility

$196.50

Service Code	HCPCS L0174
Hospital Charge Code	270670525
Hospital Revenue Code	274
Min. Negotiated Rate	$29.48
Max. Negotiated Rate	$315.67
Rate for Payer: Qualcare PPO/HMO/WC	$29.48
Rate for Payer: Aetna Commercial	$58.95
Rate for Payer: Aetna Medicare Advantage	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.11
Rate for Payer: Cigna Commercial	$315.67
Rate for Payer: Cigna Medicare Advantage	$189.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.55

COLLAR MIAMI J MEDIUM

Facility

$196.50

Service Code	HCPCS L0174
Hospital Charge Code	270670525
Hospital Revenue Code	274
Min. Negotiated Rate	$29.48
Max. Negotiated Rate	$47.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.55
Rate for Payer: Qualcare PPO/HMO/WC	$29.48

COLLAR MIAMI J MED MJ400

Facility

$463.25

Hospital Charge Code	270610724
Hospital Revenue Code	270
Min. Negotiated Rate	$60.22
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$138.97
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.22
Rate for Payer: Oxford Commercial	$231.62
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$231.62

COLLAR MIAMI J MED MJ400

Facility

$463.25

Hospital Charge Code	270610724
Hospital Revenue Code	270
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

COLLAR MIAMI J SM MJR300

Facility

$522.45

Hospital Charge Code	270613185
Hospital Revenue Code	272
Min. Negotiated Rate	$67.92
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$156.74
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.92
Rate for Payer: Oxford Commercial	$261.23
Rate for Payer: Qualcare PPO/HMO/WC	$78.37
Rate for Payer: UnitedHealthcare Commercial	$261.23

COLLAR MIAMI J SM MJR300

Facility

$522.45

Hospital Charge Code	270613185
Hospital Revenue Code	272
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$78.37
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

COLLAR MIAMI J STOUT MJR-200L

Facility

$524.85

Hospital Charge Code	270613184
Hospital Revenue Code	270
Min. Negotiated Rate	$68.23
Max. Negotiated Rate	$262.43
Rate for Payer: Aetna Commercial	$157.46
Rate for Payer: Aetna Medicare Advantage	$157.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.84
Rate for Payer: Cigna Commercial	$262.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.23
Rate for Payer: Oxford Commercial	$262.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.73
Rate for Payer: UnitedHealthcare Commercial	$262.43

COLLAR MIAMI J STOUT MJR-200L

Facility

$524.85

Hospital Charge Code	270613184
Hospital Revenue Code	270
Min. Negotiated Rate	$78.73
Max. Negotiated Rate	$78.73
Rate for Payer: Qualcare PPO/HMO/WC	$78.73

COLLAR PHILADELPHIA 4

Facility

$1,040.85

Hospital Charge Code	270608487
Hospital Revenue Code	270
Min. Negotiated Rate	$156.13
Max. Negotiated Rate	$156.13
Rate for Payer: Qualcare PPO/HMO/WC	$156.13

COLLAR PHILADELPHIA 4

Facility

$1,040.85

Hospital Charge Code	270608487
Hospital Revenue Code	270
Min. Negotiated Rate	$135.31
Max. Negotiated Rate	$520.42
Rate for Payer: Aetna Commercial	$312.25
Rate for Payer: Aetna Medicare Advantage	$312.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.42
Rate for Payer: Cigna Commercial	$520.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.31
Rate for Payer: Oxford Commercial	$520.42
Rate for Payer: Qualcare PPO/HMO/WC	$156.13
Rate for Payer: UnitedHealthcare Commercial	$520.42

COLLAR STIFNECK EXTRICATN

Facility

$70.00

Hospital Charge Code	270645108
Hospital Revenue Code	271
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

COLLAR STIFNECK EXTRICATN

Facility

$70.00

Hospital Charge Code	270645108
Hospital Revenue Code	271
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

COLLAR STIFNECK EXTRICATN PEDS

Facility

$70.00

Hospital Charge Code	270645110
Hospital Revenue Code	271
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: UnitedHealthcare Commercial	$35.00

Know your out-of-pocket cost for care.

All Charges