Heights University Hospital

All Charges

Charge

Type

Setting

Price

CRE BALLOON PULM 18-20MM

Facility

$1,575.00

Hospital Charge Code	270638730
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

CRE BALLOON PULM 18-20MM

Facility

$1,575.00

Hospital Charge Code	270638730
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

CRE BALLOON WG 15-18MM/240CM

Facility

$1,070.00

Hospital Charge Code	270642454
Hospital Revenue Code	272
Min. Negotiated Rate	$139.10
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$321.00
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.10
Rate for Payer: Oxford Commercial	$535.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$535.00

CRE BALLOON WG 15-18MM/240CM

Facility

$1,070.00

Hospital Charge Code	270642454
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

C.R.E. ESOPHAGEAL BALLOON

Facility

$521.00

Hospital Charge Code	270325603
Hospital Revenue Code	272
Min. Negotiated Rate	$67.73
Max. Negotiated Rate	$260.50
Rate for Payer: Aetna Commercial	$156.30
Rate for Payer: Aetna Medicare Advantage	$156.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.85
Rate for Payer: Cigna Commercial	$260.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.73
Rate for Payer: Oxford Commercial	$260.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.15
Rate for Payer: UnitedHealthcare Commercial	$260.50

C.R.E. ESOPHAGEAL BALLOON

Facility

$521.00

Hospital Charge Code	270325603
Hospital Revenue Code	272
Min. Negotiated Rate	$78.15
Max. Negotiated Rate	$78.15
Rate for Payer: Qualcare PPO/HMO/WC	$78.15

CREO SCREW SELFDRIV 6.5X50MM

Facility

$5,870.00

Service Code	HCPCS C1713
Hospital Charge Code	270693235
Hospital Revenue Code	278
Min. Negotiated Rate	$880.50
Max. Negotiated Rate	$1,420.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,420.54
Rate for Payer: Qualcare PPO/HMO/WC	$880.50

CREO SCREW SELFDRIV 6.5X50MM

Facility

$5,870.00

Service Code	HCPCS C1713
Hospital Charge Code	270693235
Hospital Revenue Code	278
Min. Negotiated Rate	$880.50
Max. Negotiated Rate	$2,935.00
Rate for Payer: Aetna Commercial	$1,761.00
Rate for Payer: Aetna Medicare Advantage	$1,761.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,496.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,496.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,496.85
Rate for Payer: Cigna Commercial	$2,935.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,420.54
Rate for Payer: Qualcare PPO/HMO/WC	$880.50

CREP F/G/H/F, 1-2.5CM

Facility

$2,591.60

Service Code	HCPCS 13131
Hospital Charge Code	1600000786
Hospital Revenue Code	360
Min. Negotiated Rate	$388.74
Max. Negotiated Rate	$388.74
Rate for Payer: Qualcare PPO/HMO/WC	$388.74

CREP F/G/H/F, 1-2.5CM

Facility

$2,591.60

Service Code	HCPCS 13131
Hospital Charge Code	1600000786
Hospital Revenue Code	360
Min. Negotiated Rate	$336.91
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$777.48
Rate for Payer: Aetna Medicare Advantage	$777.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.86
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.91
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$388.74
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CREP F/G/H/F,2.6-7.5CM

Facility

$4,862.70

Service Code	HCPCS 13132
Hospital Charge Code	1600000520
Hospital Revenue Code	360
Min. Negotiated Rate	$632.15
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$1,037.98
Rate for Payer: Aetna Commercial	$1,458.81
Rate for Payer: Aetna Medicare Advantage	$1,458.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,239.99
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.15
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$729.40
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

CREP F/G/H/F,2.6-7.5CM

Facility

$4,862.70

Service Code	HCPCS 13132
Hospital Charge Code	1600000520
Hospital Revenue Code	360
Min. Negotiated Rate	$729.40
Max. Negotiated Rate	$729.40
Rate for Payer: Qualcare PPO/HMO/WC	$729.40

CREP H/A/G/EXTR; EA ADD 5 CM/<

Facility

$2,929.20

Service Code	HCPCS 13133
Hospital Charge Code	16000531
Hospital Revenue Code	360
Min. Negotiated Rate	$439.38
Max. Negotiated Rate	$439.38
Rate for Payer: Qualcare PPO/HMO/WC	$439.38

CREP H/A/G/EXTR; EA ADD 5 CM/<

Facility

$2,929.20

Service Code	HCPCS 13133
Hospital Charge Code	16000531
Hospital Revenue Code	360
Min. Negotiated Rate	$110.80
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$878.76
Rate for Payer: Aetna Medicare Advantage	$878.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$746.95
Rate for Payer: Cigna Commercial	$110.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.80
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$439.38
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CREP S/A/L,2.6-7.5CM

Facility

$4,862.70

Service Code	HCPCS 13121
Hospital Charge Code	160000237
Hospital Revenue Code	360
Min. Negotiated Rate	$632.15
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,458.81
Rate for Payer: Aetna Medicare Advantage	$1,458.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,239.99
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.15
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$729.40
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CREP S/A/L,2.6-7.5CM

Facility

$4,862.70

Service Code	HCPCS 13121
Hospital Charge Code	160000237
Hospital Revenue Code	360
Min. Negotiated Rate	$729.40
Max. Negotiated Rate	$729.40
Rate for Payer: Qualcare PPO/HMO/WC	$729.40

C REP S/A/L,EA ADD 5 CM/<

Facility

$4,862.70

Service Code	HCPCS 13122
Hospital Charge Code	160000238
Hospital Revenue Code	360
Min. Negotiated Rate	$73.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,458.81
Rate for Payer: Aetna Medicare Advantage	$1,458.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,239.99
Rate for Payer: Cigna Commercial	$73.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.15
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$729.40
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

C REP S/A/L,EA ADD 5 CM/<

Facility

$4,862.70

Service Code	HCPCS 13122
Hospital Charge Code	160000238
Hospital Revenue Code	360
Min. Negotiated Rate	$729.40
Max. Negotiated Rate	$729.40
Rate for Payer: Qualcare PPO/HMO/WC	$729.40

CRESCENTIC BLADE 12MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674686
Hospital Revenue Code	272
Min. Negotiated Rate	$275.27
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$635.25
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.27
Rate for Payer: Oxford Commercial	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$1,058.75

CRESCENTIC BLADE 12MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674686
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 15MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674687
Hospital Revenue Code	272
Min. Negotiated Rate	$275.27
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$635.25
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.27
Rate for Payer: Oxford Commercial	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$1,058.75

CRESCENTIC BLADE 15MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674687
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 18MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674688
Hospital Revenue Code	272
Min. Negotiated Rate	$275.27
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$635.25
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.27
Rate for Payer: Oxford Commercial	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$1,058.75

CRESCENTIC BLADE 18MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674688
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 21MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674689
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

Know your out-of-pocket cost for care.

All Charges