Heights University Hospital

All Charges

Charge

Type

Setting

Price

CORTOSS CARTRIDGE 10 CC

Facility

$7,500.00

Hospital Charge Code	2709006357
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

CORTOSS DELIVERY GUN

Facility

$500.00

Hospital Charge Code	2709006358
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

CORTOSS DELIVERY GUN

Facility

$500.00

Hospital Charge Code	2709006358
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

CORTOSS FLEXIBLE EXTENSION

Facility

$40.00

Hospital Charge Code	270906360
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

CORTOSS FLEXIBLE EXTENSION

Facility

$40.00

Hospital Charge Code	270906360
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CORTOSS PLUNGER 6

Facility

$200.00

Hospital Charge Code	2706006362
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CORTOSS PLUNGER 6

Facility

$200.00

Hospital Charge Code	2706006362
Hospital Revenue Code	272
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

CORTOSS SYRINGE DELIVERY SYS

Facility

$2,100.00

Hospital Charge Code	2709006359
Hospital Revenue Code	272
Min. Negotiated Rate	$273.00
Max. Negotiated Rate	$1,050.00
Rate for Payer: Aetna Commercial	$630.00
Rate for Payer: Aetna Medicare Advantage	$630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$535.50
Rate for Payer: Cigna Commercial	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.00
Rate for Payer: Oxford Commercial	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.00
Rate for Payer: UnitedHealthcare Commercial	$1,050.00

CORTOSS SYRINGE DELIVERY SYS

Facility

$2,100.00

Hospital Charge Code	2709006359
Hospital Revenue Code	272
Min. Negotiated Rate	$315.00
Max. Negotiated Rate	$315.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.00

CORUS PCSS IMPLANT 4MM

Facility

$19,000.00

Hospital Charge Code	270703456
Hospital Revenue Code	278
Min. Negotiated Rate	$2,850.00
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) NJ Health	$3,800.00
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	$4,598.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00

CORUS PCSS IMPLANT 4MM

Facility

$19,000.00

Hospital Charge Code	270703456
Hospital Revenue Code	278
Min. Negotiated Rate	$2,850.00
Max. Negotiated Rate	$4,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,598.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00

CORUS PCSS L1 4MM

Facility

$41,500.00

Hospital Charge Code	270703455
Hospital Revenue Code	278
Min. Negotiated Rate	$6,225.00
Max. Negotiated Rate	$10,043.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,043.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,225.00

CORUS PCSS L1 4MM

Facility

$41,500.00

Hospital Charge Code	270703455
Hospital Revenue Code	278
Min. Negotiated Rate	$6,225.00
Max. Negotiated Rate	$20,750.00
Rate for Payer: Aetna Commercial	$12,450.00
Rate for Payer: Aetna Medicare Advantage	$12,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,582.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,582.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,582.50
Rate for Payer: Cigna Commercial	$20,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,043.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,225.00

COSEAL PREMIX 2mL 934070

Facility

$1,463.25

Hospital Charge Code	270635991
Hospital Revenue Code	272
Min. Negotiated Rate	$219.49
Max. Negotiated Rate	$219.49
Rate for Payer: Qualcare PPO/HMO/WC	$219.49

COSEAL PREMIX 2mL 934070

Facility

$1,463.25

Hospital Charge Code	270635991
Hospital Revenue Code	272
Min. Negotiated Rate	$190.22
Max. Negotiated Rate	$731.62
Rate for Payer: Aetna Commercial	$438.98
Rate for Payer: Aetna Medicare Advantage	$438.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.13
Rate for Payer: Cigna Commercial	$731.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.22
Rate for Payer: Oxford Commercial	$731.62
Rate for Payer: Qualcare PPO/HMO/WC	$219.49
Rate for Payer: UnitedHealthcare Commercial	$731.62

COSEAL PREMIX 4ml 934071

Facility

$2,375.90

Hospital Charge Code	270636142
Hospital Revenue Code	272
Min. Negotiated Rate	$308.87
Max. Negotiated Rate	$1,187.95
Rate for Payer: Aetna Commercial	$712.77
Rate for Payer: Aetna Medicare Advantage	$712.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.85
Rate for Payer: Cigna Commercial	$1,187.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.87
Rate for Payer: Oxford Commercial	$1,187.95
Rate for Payer: Qualcare PPO/HMO/WC	$356.38
Rate for Payer: UnitedHealthcare Commercial	$1,187.95

COSEAL PREMIX 4ml 934071

Facility

$2,375.90

Hospital Charge Code	270636142
Hospital Revenue Code	272
Min. Negotiated Rate	$356.38
Max. Negotiated Rate	$356.38
Rate for Payer: Qualcare PPO/HMO/WC	$356.38

COSYNTROPIN 0.25 MG PDS

Facility

$856.93

Service Code	HCPCS J0834
Hospital Charge Code	6001382
Hospital Revenue Code	636
Min. Negotiated Rate	$16.26
Max. Negotiated Rate	$257.08
Rate for Payer: Aetna Commercial	$257.08
Rate for Payer: Aetna Medicare Advantage	$257.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.52
Rate for Payer: Cigna Commercial	$16.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.38
Rate for Payer: Qualcare PPO/HMO/WC	$128.54

COSYNTROPIN 0.25 MG PDS

Facility

$856.93

Service Code	HCPCS J0834
Hospital Charge Code	6001382
Hospital Revenue Code	636
Min. Negotiated Rate	$128.54
Max. Negotiated Rate	$207.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.38
Rate for Payer: Qualcare PPO/HMO/WC	$128.54

CO-T2318

Facility

$470.00

Hospital Charge Code	270656024
Hospital Revenue Code	271
Min. Negotiated Rate	$61.10
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$141.00
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$235.00

CO-T2318

Facility

$470.00

Hospital Charge Code	270656024
Hospital Revenue Code	271
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

CO-T2324

Facility

$470.00

Hospital Charge Code	270656025
Hospital Revenue Code	271
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

CO-T2324

Facility

$470.00

Hospital Charge Code	270656025
Hospital Revenue Code	271
Min. Negotiated Rate	$61.10
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$141.00
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$235.00

COTAZYM/CAP

Facility

$3.00

Hospital Charge Code	60632754
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

COTAZYM/CAP

Facility

$3.00

Hospital Charge Code	60632754
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

Know your out-of-pocket cost for care.

All Charges