Heights University Hospital

All Charges

Charge

Type

Setting

Price

CONNECTOR ADD-A-VIAL PRIMARY

Facility

$7.70

Hospital Charge Code	6023121
Hospital Revenue Code	250
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.31
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.85

CONNECTOR ANGLE SLOT 5200-55AN

Facility

$2,321.65

Hospital Charge Code	270608046
Hospital Revenue Code	278
Min. Negotiated Rate	$348.25
Max. Negotiated Rate	$561.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.84
Rate for Payer: Qualcare PPO/HMO/WC	$348.25

CONNECTOR ANGLE SLOT 5200-55AN

Facility

$2,321.65

Hospital Charge Code	270608046
Hospital Revenue Code	278
Min. Negotiated Rate	$348.25
Max. Negotiated Rate	$1,160.83
Rate for Payer: Aetna Commercial	$696.50
Rate for Payer: Aetna Medicare Advantage	$696.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.02
Rate for Payer: Cigna Commercial	$1,160.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.84
Rate for Payer: Qualcare PPO/HMO/WC	$348.25

CONNECTOR ARWY W/PORT 610U5257

Facility

$5.25

Hospital Charge Code	270619411
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

CONNECTOR ARWY W/PORT 610U5257

Facility

$5.25

Hospital Charge Code	270619411
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$1.57
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.68
Rate for Payer: Oxford Commercial	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$2.62

CONNECTOR AXOGUARD 2X15MM

Facility

$10,390.00

Service Code	HCPCS C1763
Hospital Charge Code	270700135
Hospital Revenue Code	278
Min. Negotiated Rate	$1,558.50
Max. Negotiated Rate	$2,514.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,078.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,514.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,558.50

CONNECTOR AXOGUARD 2X15MM

Facility

$10,390.00

Service Code	HCPCS C1763
Hospital Charge Code	270700135
Hospital Revenue Code	278
Min. Negotiated Rate	$1,558.50
Max. Negotiated Rate	$5,195.00
Rate for Payer: Aetna Commercial	$3,117.00
Rate for Payer: Aetna Medicare Advantage	$3,117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,649.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,649.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,078.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,649.45
Rate for Payer: Cigna Commercial	$5,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,514.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,558.50

CONNECTOR CLAW 40-50 11-105005

Facility

$1,061.65

Hospital Charge Code	270611654
Hospital Revenue Code	272
Min. Negotiated Rate	$159.25
Max. Negotiated Rate	$159.25
Rate for Payer: Qualcare PPO/HMO/WC	$159.25

CONNECTOR CLAW 40-50 11-105005

Facility

$1,061.65

Hospital Charge Code	270611654
Hospital Revenue Code	272
Min. Negotiated Rate	$138.01
Max. Negotiated Rate	$530.83
Rate for Payer: Aetna Commercial	$318.50
Rate for Payer: Aetna Medicare Advantage	$318.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.72
Rate for Payer: Cigna Commercial	$530.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.01
Rate for Payer: Oxford Commercial	$530.83
Rate for Payer: Qualcare PPO/HMO/WC	$159.25
Rate for Payer: UnitedHealthcare Commercial	$530.83

CONNECTOR COVER

Facility

$27.25

Hospital Charge Code	270658657
Hospital Revenue Code	270
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$4.09

CONNECTOR COVER

Facility

$27.25

Hospital Charge Code	270658657
Hospital Revenue Code	270
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$13.62
Rate for Payer: Aetna Commercial	$8.18
Rate for Payer: Aetna Medicare Advantage	$8.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.95
Rate for Payer: Cigna Commercial	$13.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.54
Rate for Payer: Oxford Commercial	$13.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.09
Rate for Payer: UnitedHealthcare Commercial	$13.62

CONNECTOR CUFF 22 MMOD

Facility

$2.44

Hospital Charge Code	270651888
Hospital Revenue Code	270
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

CONNECTOR CUFF 22 MMOD

Facility

$2.44

Hospital Charge Code	270651888
Hospital Revenue Code	270
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$1.22
Rate for Payer: Aetna Commercial	$0.73
Rate for Payer: Aetna Medicare Advantage	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.32
Rate for Payer: Oxford Commercial	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$1.22

CONNECTOR DIALYSIS HEMOSAFE

Facility

$1.23

Hospital Charge Code	270642494
Hospital Revenue Code	270
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.18
Rate for Payer: Qualcare PPO/HMO/WC	$0.18

CONNECTOR DIALYSIS HEMOSAFE

Facility

$1.23

Hospital Charge Code	270642494
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.62
Rate for Payer: Aetna Commercial	$0.37
Rate for Payer: Aetna Medicare Advantage	$0.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.31
Rate for Payer: Cigna Commercial	$0.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.16
Rate for Payer: Oxford Commercial	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.18
Rate for Payer: UnitedHealthcare Commercial	$0.62

CONNECTOR EVACUATOR ELLIK

Facility

$442.90

Hospital Charge Code	270655908
Hospital Revenue Code	271
Min. Negotiated Rate	$66.44
Max. Negotiated Rate	$66.44
Rate for Payer: Qualcare PPO/HMO/WC	$66.44

CONNECTOR EVACUATOR ELLIK

Facility

$442.90

Hospital Charge Code	270655908
Hospital Revenue Code	271
Min. Negotiated Rate	$57.58
Max. Negotiated Rate	$221.45
Rate for Payer: Aetna Commercial	$132.87
Rate for Payer: Aetna Medicare Advantage	$132.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.94
Rate for Payer: Cigna Commercial	$221.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.58
Rate for Payer: Oxford Commercial	$221.45
Rate for Payer: Qualcare PPO/HMO/WC	$66.44
Rate for Payer: UnitedHealthcare Commercial	$221.45

CONNECTOR EXTEND SLOT 5200-56

Facility

$2,445.65

Hospital Charge Code	270608047
Hospital Revenue Code	278
Min. Negotiated Rate	$366.85
Max. Negotiated Rate	$591.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$489.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.85
Rate for Payer: Qualcare PPO/HMO/WC	$366.85

CONNECTOR EXTEND SLOT 5200-56

Facility

$2,445.65

Hospital Charge Code	270608047
Hospital Revenue Code	278
Min. Negotiated Rate	$366.85
Max. Negotiated Rate	$1,222.83
Rate for Payer: Aetna Commercial	$733.70
Rate for Payer: Aetna Medicare Advantage	$733.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$623.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$623.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$489.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$623.64
Rate for Payer: Cigna Commercial	$1,222.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.85
Rate for Payer: Qualcare PPO/HMO/WC	$366.85

CONNECTOR FBRJT BLENDNG SA3674

Facility

$132.50

Hospital Charge Code	270639731
Hospital Revenue Code	271
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$19.88
Rate for Payer: Qualcare PPO/HMO/WC	$19.88

CONNECTOR FBRJT BLENDNG SA3674

Facility

$132.50

Hospital Charge Code	270639731
Hospital Revenue Code	271
Min. Negotiated Rate	$17.23
Max. Negotiated Rate	$66.25
Rate for Payer: Aetna Commercial	$39.75
Rate for Payer: Aetna Medicare Advantage	$39.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.79
Rate for Payer: Cigna Commercial	$66.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.23
Rate for Payer: Oxford Commercial	$66.25
Rate for Payer: Qualcare PPO/HMO/WC	$19.88
Rate for Payer: UnitedHealthcare Commercial	$66.25

CONNECTOR FLEXFLO RT AGL 50370

Facility

$50.45

Hospital Charge Code	270600964
Hospital Revenue Code	272
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$25.23
Rate for Payer: Aetna Commercial	$15.13
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.56
Rate for Payer: Oxford Commercial	$25.23
Rate for Payer: Qualcare PPO/HMO/WC	$7.57
Rate for Payer: UnitedHealthcare Commercial	$25.23

CONNECTOR FLEXFLO RT AGL 50370

Facility

$50.45

Hospital Charge Code	270600964
Hospital Revenue Code	272
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$7.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

CONNECTOR FLEXFLO Y PORT 836

Facility

$54.45

Hospital Charge Code	270600960
Hospital Revenue Code	272
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$8.17
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

CONNECTOR FLEXFLO Y PORT 836

Facility

$54.45

Hospital Charge Code	270600960
Hospital Revenue Code	272
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$27.23
Rate for Payer: Aetna Commercial	$16.34
Rate for Payer: Aetna Medicare Advantage	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.88
Rate for Payer: Cigna Commercial	$27.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.08
Rate for Payer: Oxford Commercial	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$8.17
Rate for Payer: UnitedHealthcare Commercial	$27.23

Know your out-of-pocket cost for care.

All Charges