Heights University Hospital

All Charges

Charge

Type

Setting

Price

CORNEA TISSUE

Facility

$19,000.00

Hospital Charge Code	270663595
Hospital Revenue Code	810
Min. Negotiated Rate	$2,470.00
Max. Negotiated Rate	$9,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$5,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,845.00
Rate for Payer: Cigna Commercial	$9,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,470.00
Rate for Payer: Oxford Commercial	$9,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00
Rate for Payer: UnitedHealthcare Commercial	$9,500.00

CORNEA TISSUE

Facility

$15,500.00

Hospital Charge Code	270661141
Hospital Revenue Code	810
Min. Negotiated Rate	$2,015.00
Max. Negotiated Rate	$7,750.00
Rate for Payer: Aetna Commercial	$4,650.00
Rate for Payer: Aetna Medicare Advantage	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,952.50
Rate for Payer: Cigna Commercial	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,015.00
Rate for Payer: Oxford Commercial	$7,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00
Rate for Payer: UnitedHealthcare Commercial	$7,750.00

CORNEA TISSUE

Facility

$15,500.00

Hospital Charge Code	270661141
Hospital Revenue Code	810
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$2,325.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

CORNEA TISSUE

Facility

$15,500.00

Hospital Charge Code	270661154
Hospital Revenue Code	810
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$2,325.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

CORNER CHISEL TMT RAPID RELEAS

Facility

$2,750.00

Hospital Charge Code	270704360
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CORNER CHISEL TMT RAPID RELEAS

Facility

$2,750.00

Hospital Charge Code	270704360
Hospital Revenue Code	272
Min. Negotiated Rate	$357.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

COROENT LARGE 9X9X28.8 DEGREES

Facility

$26,660.00

Hospital Charge Code	270663771
Hospital Revenue Code	270
Min. Negotiated Rate	$3,999.00
Max. Negotiated Rate	$3,999.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,999.00

COROENT LARGE 9X9X28.8 DEGREES

Facility

$26,660.00

Hospital Charge Code	270663771
Hospital Revenue Code	270
Min. Negotiated Rate	$3,465.80
Max. Negotiated Rate	$13,330.00
Rate for Payer: Aetna Commercial	$7,998.00
Rate for Payer: Aetna Medicare Advantage	$7,998.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,798.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,798.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,798.30
Rate for Payer: Cigna Commercial	$13,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,465.80
Rate for Payer: Oxford Commercial	$13,330.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,999.00
Rate for Payer: UnitedHealthcare Commercial	$13,330.00

COROENT LARGE MP 9x9x23 4 DEG

Facility

$26,660.00

Service Code	HCPCS C1713
Hospital Charge Code	270672669
Hospital Revenue Code	278
Min. Negotiated Rate	$3,999.00
Max. Negotiated Rate	$6,451.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,451.72
Rate for Payer: Qualcare PPO/HMO/WC	$3,999.00

COROENT LARGE MP 9x9x23 4 DEG

Facility

$26,660.00

Service Code	HCPCS C1713
Hospital Charge Code	270672669
Hospital Revenue Code	278
Min. Negotiated Rate	$3,999.00
Max. Negotiated Rate	$13,330.00
Rate for Payer: Aetna Commercial	$7,998.00
Rate for Payer: Aetna Medicare Advantage	$7,998.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,798.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,798.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,798.30
Rate for Payer: Cigna Commercial	$13,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,451.72
Rate for Payer: Qualcare PPO/HMO/WC	$3,999.00

COROENT LARGE MP TI 10X9X23 MM

Facility

$44,525.00

Service Code	HCPCS C1889
Hospital Charge Code	270691452
Hospital Revenue Code	278
Min. Negotiated Rate	$6,678.75
Max. Negotiated Rate	$22,262.50
Rate for Payer: Aetna Commercial	$13,357.50
Rate for Payer: Aetna Medicare Advantage	$13,357.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,353.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,353.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,353.88
Rate for Payer: Cigna Commercial	$22,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,775.05
Rate for Payer: Qualcare PPO/HMO/WC	$6,678.75

COROENT LARGE MP TI 10X9X23 MM

Facility

$44,525.00

Service Code	HCPCS C1889
Hospital Charge Code	270691452
Hospital Revenue Code	278
Min. Negotiated Rate	$6,678.75
Max. Negotiated Rate	$10,775.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,905.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,775.05
Rate for Payer: Qualcare PPO/HMO/WC	$6,678.75

COROENT LC 14x1x25.8

Facility

$24,955.00

Service Code	HCPCS C1713
Hospital Charge Code	270676534
Hospital Revenue Code	278
Min. Negotiated Rate	$3,743.25
Max. Negotiated Rate	$12,477.50
Rate for Payer: Aetna Commercial	$7,486.50
Rate for Payer: Aetna Medicare Advantage	$7,486.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,363.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,363.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,991.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,363.52
Rate for Payer: Cigna Commercial	$12,477.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,039.11
Rate for Payer: Qualcare PPO/HMO/WC	$3,743.25

COROENT LC 14x1x25.8

Facility

$24,955.00

Service Code	HCPCS C1713
Hospital Charge Code	270676534
Hospital Revenue Code	278
Min. Negotiated Rate	$3,743.25
Max. Negotiated Rate	$6,039.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,991.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,039.11
Rate for Payer: Qualcare PPO/HMO/WC	$3,743.25

COROENT SI SCRW 4X13MM SELFTAP

Facility

$2,775.00

Service Code	HCPCS C1713
Hospital Charge Code	270692885
Hospital Revenue Code	278
Min. Negotiated Rate	$416.25
Max. Negotiated Rate	$1,387.50
Rate for Payer: Aetna Commercial	$832.50
Rate for Payer: Aetna Medicare Advantage	$832.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$707.62
Rate for Payer: Cigna Commercial	$1,387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$671.55
Rate for Payer: Qualcare PPO/HMO/WC	$416.25

COROENT SI SCRW 4X13MM SELFTAP

Facility

$2,775.00

Service Code	HCPCS C1713
Hospital Charge Code	270692885
Hospital Revenue Code	278
Min. Negotiated Rate	$416.25
Max. Negotiated Rate	$671.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$671.55
Rate for Payer: Qualcare PPO/HMO/WC	$416.25

COROENT SM 5X11X14MM 5D LORD

Facility

$9,075.00

Service Code	HCPCS L8699
Hospital Charge Code	270693073
Hospital Revenue Code	278
Min. Negotiated Rate	$1,361.25
Max. Negotiated Rate	$2,196.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,196.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,361.25

COROENT SM 5X11X14MM 5D LORD

Facility

$9,075.00

Service Code	HCPCS L8699
Hospital Charge Code	270693073
Hospital Revenue Code	278
Min. Negotiated Rate	$1,361.25
Max. Negotiated Rate	$4,537.50
Rate for Payer: Aetna Commercial	$2,722.50
Rate for Payer: Aetna Medicare Advantage	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,314.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,314.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,314.12
Rate for Payer: Cigna Commercial	$4,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,196.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,361.25

COROENT SM INTERLK 7X17X14MM7D

Facility

$17,495.00

Service Code	HCPCS L8699
Hospital Charge Code	270692884
Hospital Revenue Code	278
Min. Negotiated Rate	$2,624.25
Max. Negotiated Rate	$8,747.50
Rate for Payer: Aetna Commercial	$5,248.50
Rate for Payer: Aetna Medicare Advantage	$5,248.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,461.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,461.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,499.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,461.23
Rate for Payer: Cigna Commercial	$8,747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,233.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,624.25

COROENT SM INTERLK 7X17X14MM7D

Facility

$17,495.00

Service Code	HCPCS L8699
Hospital Charge Code	270692884
Hospital Revenue Code	278
Min. Negotiated Rate	$2,624.25
Max. Negotiated Rate	$4,233.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,499.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,233.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,624.25

CORONARY ANGIO INJ

Facility

$25,737.16

Service Code	HCPCS 93454
Hospital Charge Code	5100177
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

CORONARY ANGIO INJ

Facility

$25,737.16

Service Code	HCPCS 93454
Hospital Charge Code	5100177
Hospital Revenue Code	481
Min. Negotiated Rate	$3,345.83
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$7,721.15
Rate for Payer: Aetna Medicare Advantage	$7,721.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,562.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,562.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,562.98
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,345.83
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

CORONARY ANGIO INJ

Facility

$25,737.16

Service Code	HCPCS 93454
Hospital Charge Code	74110019
Hospital Revenue Code	481
Min. Negotiated Rate	$3,345.83
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$7,721.15
Rate for Payer: Aetna Medicare Advantage	$7,721.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,562.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,562.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,562.98
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,345.83
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

CORONARY ANGIO INJ

Facility

$25,737.16

Service Code	HCPCS 93454
Hospital Charge Code	74110019
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

CORONARY ANGIO ONLY

Facility

$12,026.00

Service Code	HCPCS 93454
Hospital Charge Code	7411221
Hospital Revenue Code	481
Min. Negotiated Rate	$1,803.90
Max. Negotiated Rate	$1,803.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90

Know your out-of-pocket cost for care.

All Charges