Heights University Hospital

All Charges

Charge

Type

Setting

Price

CORETRAK STERIPACK D 70MM

Facility

$18,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270699897
Hospital Revenue Code	278
Min. Negotiated Rate	$2,709.75
Max. Negotiated Rate	$9,032.50
Rate for Payer: Aetna Commercial	$5,419.50
Rate for Payer: Aetna Medicare Advantage	$5,419.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,606.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,606.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,613.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,606.57
Rate for Payer: Cigna Commercial	$9,032.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,371.73
Rate for Payer: Qualcare PPO/HMO/WC	$2,709.75

CORETRAX HEX DRIVE 3.5 mm

Facility

$555.00

Hospital Charge Code	270680475
Hospital Revenue Code	272
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$83.25
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

CORETRAX HEX DRIVE 3.5 mm

Facility

$555.00

Hospital Charge Code	270680475
Hospital Revenue Code	272
Min. Negotiated Rate	$72.15
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$166.50
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.15
Rate for Payer: Oxford Commercial	$277.50
Rate for Payer: Qualcare PPO/HMO/WC	$83.25
Rate for Payer: UnitedHealthcare Commercial	$277.50

CORE US BIOPSY NEEDLE

Facility

$533.00

Hospital Charge Code	270325614
Hospital Revenue Code	272
Min. Negotiated Rate	$79.95
Max. Negotiated Rate	$79.95
Rate for Payer: Qualcare PPO/HMO/WC	$79.95

CORE US BIOPSY NEEDLE

Facility

$533.00

Hospital Charge Code	270325614
Hospital Revenue Code	272
Min. Negotiated Rate	$69.29
Max. Negotiated Rate	$266.50
Rate for Payer: Aetna Commercial	$159.90
Rate for Payer: Aetna Medicare Advantage	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.91
Rate for Payer: Cigna Commercial	$266.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.29
Rate for Payer: Oxford Commercial	$266.50
Rate for Payer: Qualcare PPO/HMO/WC	$79.95
Rate for Payer: UnitedHealthcare Commercial	$266.50

CORGARD/120MG/TAB

Facility

$26.60

Service Code	NDC 378117101
Hospital Charge Code	60632744
Hospital Revenue Code	250
Min. Negotiated Rate	$3.99
Max. Negotiated Rate	$3.99
Rate for Payer: Qualcare PPO/HMO/WC	$3.99

CORGARD/120MG/TAB

Facility

$26.60

Service Code	NDC 378117101
Hospital Charge Code	60632744
Hospital Revenue Code	250
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$13.30
Rate for Payer: Aetna Commercial	$7.98
Rate for Payer: Aetna Medicare Advantage	$7.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.78
Rate for Payer: Cigna Commercial	$13.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.46
Rate for Payer: Oxford Commercial	$13.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.99
Rate for Payer: UnitedHealthcare Commercial	$13.30

CORGARD/20MG/TAB

Facility

$7.00

Hospital Charge Code	60632742
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

CORGARD/20MG/TAB

Facility

$7.00

Hospital Charge Code	60632742
Hospital Revenue Code	250
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

CORGARD/40MG/TAB

Facility

$7.00

Hospital Charge Code	60632746
Hospital Revenue Code	250
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

CORGARD/40MG/TAB

Facility

$5.00

Hospital Charge Code	60632743
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

CORGARD/40MG/TAB

Facility

$5.00

Hospital Charge Code	60632743
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

CORGARD/40MG/TAB

Facility

$7.00

Hospital Charge Code	60632746
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

CORGARD/80MG/TAB

Facility

$9.72

Service Code	NDC 27505010201
Hospital Charge Code	60632745
Hospital Revenue Code	250
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$4.86
Rate for Payer: Aetna Commercial	$2.92
Rate for Payer: Aetna Medicare Advantage	$2.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.48
Rate for Payer: Cigna Commercial	$4.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.26
Rate for Payer: Oxford Commercial	$4.86
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$4.86

CORGARD/80MG/TAB

Facility

$9.72

Service Code	NDC 27505010201
Hospital Charge Code	60632745
Hospital Revenue Code	250
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

CORKSCREW 4.5 X 15 MM

Facility

$1,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270666029
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$278.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

CORKSCREW 4.5 X 15 MM

Facility

$1,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270666029
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$345.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

CORKSCREW 4.75 MM SUTURE TAPE

Facility

$1,575.00

Hospital Charge Code	270684085
Hospital Revenue Code	272
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$472.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.75
Rate for Payer: Oxford Commercial	$787.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25
Rate for Payer: UnitedHealthcare Commercial	$787.50

CORKSCREW 4.75 MM SUTURE TAPE

Facility

$1,575.00

Hospital Charge Code	270684085
Hospital Revenue Code	272
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$236.25
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

CORKSCREW 4.75 MM W/ SUTURE

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270684037
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$472.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

CORKSCREW 4.75 MM W/ SUTURE

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270684037
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

CORKSCREW 5x15.5mm

Facility

$1,500.00

Hospital Charge Code	270665419
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

CORKSCREW 5x15.5mm

Facility

$1,500.00

Hospital Charge Code	270665419
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

CORKSCREW ANCHOR 3.5X10MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270660658
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

CORKSCREW ANCHOR 3.5X10MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270660658
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

Know your out-of-pocket cost for care.

All Charges