Heights University Hospital

All Charges

Charge

Type

Setting

Price

CRYOBALLON FOCAL CONTROLLER

Facility

$3,250.00

Hospital Charge Code	270679446
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

CRYOBALLON FOCAL CONTROLLER

Facility

$3,250.00

Hospital Charge Code	270679446
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

CRYOCUFF KNEE LG W/COOLER 11B

Facility

$571.25

Hospital Charge Code	270610603
Hospital Revenue Code	272
Min. Negotiated Rate	$85.69
Max. Negotiated Rate	$85.69
Rate for Payer: Qualcare PPO/HMO/WC	$85.69

CRYOCUFF KNEE LG W/COOLER 11B

Facility

$571.25

Hospital Charge Code	270610603
Hospital Revenue Code	272
Min. Negotiated Rate	$74.26
Max. Negotiated Rate	$285.62
Rate for Payer: Aetna Commercial	$171.38
Rate for Payer: Aetna Medicare Advantage	$171.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.67
Rate for Payer: Cigna Commercial	$285.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.26
Rate for Payer: Oxford Commercial	$285.62
Rate for Payer: Qualcare PPO/HMO/WC	$85.69
Rate for Payer: UnitedHealthcare Commercial	$285.62

CRYOCUFF KNEE MEDIUM 11A01

Facility

$197.25

Hospital Charge Code	270634687
Hospital Revenue Code	272
Min. Negotiated Rate	$25.64
Max. Negotiated Rate	$98.62
Rate for Payer: Aetna Commercial	$59.17
Rate for Payer: Aetna Medicare Advantage	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.30
Rate for Payer: Cigna Commercial	$98.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.64
Rate for Payer: Oxford Commercial	$98.62
Rate for Payer: Qualcare PPO/HMO/WC	$29.59
Rate for Payer: UnitedHealthcare Commercial	$98.62

CRYOCUFF KNEE MEDIUM 11A01

Facility

$197.25

Hospital Charge Code	270634687
Hospital Revenue Code	272
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$29.59
Rate for Payer: Qualcare PPO/HMO/WC	$29.59

CRYOCUFF SHOULDER W/COOLER 12A

Facility

$392.00

Hospital Charge Code	270633785
Hospital Revenue Code	272
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$58.80
Rate for Payer: Qualcare PPO/HMO/WC	$58.80

CRYOCUFF SHOULDER W/COOLER 12A

Facility

$392.00

Hospital Charge Code	270633785
Hospital Revenue Code	272
Min. Negotiated Rate	$50.96
Max. Negotiated Rate	$196.00
Rate for Payer: Aetna Commercial	$117.60
Rate for Payer: Aetna Medicare Advantage	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.96
Rate for Payer: Cigna Commercial	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.96
Rate for Payer: Oxford Commercial	$196.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.80
Rate for Payer: UnitedHealthcare Commercial	$196.00

CRYOFIBRINOGEN

Facility

$65.65

Service Code	HCPCS 82585
Hospital Charge Code	3008448
Hospital Revenue Code	301
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$45.81
Rate for Payer: Aetna Medicare Advantage	$14.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.81
Rate for Payer: Cigna Commercial	$14.14
Rate for Payer: Cigna Medicare Advantage	$7.07
Rate for Payer: Clover Medicare Advantage	$13.43
Rate for Payer: EmblemHealth Commercial	$42.42
Rate for Payer: Humana Medicare Advantage	$14.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.99
Rate for Payer: Wellcare Medicare Advantage	$14.14

CRYOFIBRINOGEN

Facility

$65.65

Service Code	HCPCS 82585
Hospital Charge Code	3008448
Hospital Revenue Code	301
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

CRYOGLOBULIN

Facility

$390.00

Service Code	HCPCS 82595
Hospital Charge Code	39900479
Hospital Revenue Code	301
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

CRYOGLOBULIN

Facility

$390.00

Service Code	HCPCS 82595
Hospital Charge Code	39900479
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CRYOGLOBULINS

Facility

$96.60

Service Code	HCPCS 82595
Hospital Charge Code	3000981
Hospital Revenue Code	301
Min. Negotiated Rate	$14.49
Max. Negotiated Rate	$14.49
Rate for Payer: Qualcare PPO/HMO/WC	$14.49

CRYOGLOBULINS

Facility

$94.00

Service Code	HCPCS 82595
Hospital Charge Code	38472247
Hospital Revenue Code	301
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

CRYOGLOBULINS

Facility

$94.00

Service Code	HCPCS 82595
Hospital Charge Code	38472247
Hospital Revenue Code	301
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

CRYOGLOBULINS

Facility

$96.60

Service Code	HCPCS 82595
Hospital Charge Code	3000981
Hospital Revenue Code	301
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

CRYOPRBE SHRPTP OBLONGICE1.7mm

Facility

$1,200.00

Hospital Charge Code	270658731
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

CRYOPRBE SHRPTP OBLONGICE1.7mm

Facility

$1,200.00

Hospital Charge Code	270658731
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

CRYOPRECIPITATE (1 UNIT)

Facility

$491.45

Hospital Charge Code	38471046
Hospital Revenue Code	390
Min. Negotiated Rate	$63.89
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$147.44
Rate for Payer: Aetna Medicare Advantage	$147.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.32
Rate for Payer: Cigna Commercial	$245.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.89
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.72
Rate for Payer: UnitedHealthcare Commercial	$756.00

CRYOPRECIPITATE (1 UNIT)

Facility

$491.45

Hospital Charge Code	38471046
Hospital Revenue Code	390
Min. Negotiated Rate	$73.72
Max. Negotiated Rate	$73.72
Rate for Payer: Qualcare PPO/HMO/WC	$73.72

CRYOPRECIPITATE REDUCED PLASMA

Facility

$585.50

Hospital Charge Code	3101521
Hospital Revenue Code	390
Min. Negotiated Rate	$87.83
Max. Negotiated Rate	$87.83
Rate for Payer: Qualcare PPO/HMO/WC	$87.83

CRYOPRECIPITATE REDUCED PLASMA

Facility

$585.50

Hospital Charge Code	3101521
Hospital Revenue Code	390
Min. Negotiated Rate	$76.11
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$175.65
Rate for Payer: Aetna Medicare Advantage	$175.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.30
Rate for Payer: Cigna Commercial	$292.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.11
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.83
Rate for Payer: UnitedHealthcare Commercial	$756.00

CRYOPRECIPITATE X5

Facility

$1,550.00

Service Code	HCPCS P9012
Hospital Charge Code	397031104
Hospital Revenue Code	390
Min. Negotiated Rate	$232.50
Max. Negotiated Rate	$232.50
Rate for Payer: Qualcare PPO/HMO/WC	$232.50

CRYOPRECIPITATE X5

Facility

$1,550.00

Service Code	HCPCS P9012
Hospital Charge Code	397031104
Hospital Revenue Code	390
Min. Negotiated Rate	$167.72
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$465.00
Rate for Payer: Aetna Medicare Advantage	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.25
Rate for Payer: Cigna Commercial	$167.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.50
Rate for Payer: UnitedHealthcare Commercial	$756.00

CRYOPRESERVATION

Facility

$2,066.45

Service Code	HCPCS 86930
Hospital Charge Code	3101169
Hospital Revenue Code	302
Min. Negotiated Rate	$65.94
Max. Negotiated Rate	$619.93
Rate for Payer: Aetna Commercial	$619.93
Rate for Payer: Aetna Medicare Advantage	$619.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$526.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$526.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$526.94
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$309.97
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges