Heights University Hospital

All Charges

Charge

Type

Setting

Price

CUFF DISP DUAL PORT 8 SINGLE

Facility

$142.25

Hospital Charge Code	270648577
Hospital Revenue Code	272
Min. Negotiated Rate	$18.49
Max. Negotiated Rate	$71.12
Rate for Payer: Aetna Commercial	$42.67
Rate for Payer: Aetna Medicare Advantage	$42.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.27
Rate for Payer: Cigna Commercial	$71.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.49
Rate for Payer: Oxford Commercial	$71.12
Rate for Payer: Qualcare PPO/HMO/WC	$21.34
Rate for Payer: UnitedHealthcare Commercial	$71.12

CUFF DISP DUAL PORT 8 SINGLE

Facility

$142.25

Hospital Charge Code	270648577
Hospital Revenue Code	272
Min. Negotiated Rate	$21.34
Max. Negotiated Rate	$21.34
Rate for Payer: Qualcare PPO/HMO/WC	$21.34

CUFF DUAL PORT DISPOSABLE 34

Facility

$151.19

Hospital Charge Code	270664114
Hospital Revenue Code	272
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$75.59
Rate for Payer: Aetna Commercial	$45.36
Rate for Payer: Aetna Medicare Advantage	$45.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.55
Rate for Payer: Cigna Commercial	$75.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.65
Rate for Payer: Oxford Commercial	$75.59
Rate for Payer: Qualcare PPO/HMO/WC	$22.68
Rate for Payer: UnitedHealthcare Commercial	$75.59

CUFF DUAL PORT DISPOSABLE 34

Facility

$151.19

Hospital Charge Code	270664114
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

CUFF DUAL PORT SINGLE BLADDER

Facility

$149.05

Hospital Charge Code	270648199
Hospital Revenue Code	272
Min. Negotiated Rate	$22.36
Max. Negotiated Rate	$22.36
Rate for Payer: Qualcare PPO/HMO/WC	$22.36

CUFF DUAL PORT SINGLE BLADDER

Facility

$149.05

Hospital Charge Code	270648199
Hospital Revenue Code	272
Min. Negotiated Rate	$19.38
Max. Negotiated Rate	$74.53
Rate for Payer: Qualcare PPO/HMO/WC	$22.36
Rate for Payer: Aetna Commercial	$44.72
Rate for Payer: Aetna Medicare Advantage	$44.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.01
Rate for Payer: Cigna Commercial	$74.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.38
Rate for Payer: Oxford Commercial	$74.53
Rate for Payer: UnitedHealthcare Commercial	$74.53

CUFF DYN GEL TOURNET 24 531124

Facility

$213.35

Hospital Charge Code	270622086
Hospital Revenue Code	272
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.00

CUFF DYN GEL TOURNET 24 531124

Facility

$213.35

Hospital Charge Code	270622086
Hospital Revenue Code	272
Min. Negotiated Rate	$27.74
Max. Negotiated Rate	$106.67
Rate for Payer: Aetna Commercial	$64.00
Rate for Payer: Aetna Medicare Advantage	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.40
Rate for Payer: Cigna Commercial	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.74
Rate for Payer: Oxford Commercial	$106.67
Rate for Payer: Qualcare PPO/HMO/WC	$32.00
Rate for Payer: UnitedHealthcare Commercial	$106.67

CUFF MEDT ANEURX 16MM YREC1655

Facility

$8,164.85

Hospital Charge Code	270621565
Hospital Revenue Code	272
Min. Negotiated Rate	$1,224.73
Max. Negotiated Rate	$1,224.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,224.73

CUFF MEDT ANEURX 16MM YREC1655

Facility

$8,164.85

Hospital Charge Code	270621565
Hospital Revenue Code	272
Min. Negotiated Rate	$1,061.43
Max. Negotiated Rate	$4,082.43
Rate for Payer: Aetna Commercial	$2,449.45
Rate for Payer: Aetna Medicare Advantage	$2,449.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,082.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,082.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,082.04
Rate for Payer: Cigna Commercial	$4,082.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,061.43
Rate for Payer: Oxford Commercial	$4,082.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,224.73
Rate for Payer: UnitedHealthcare Commercial	$4,082.43

CUFF MEDT STENT GRAF YREC28375

Facility

$10,614.45

Hospital Charge Code	270623603
Hospital Revenue Code	278
Min. Negotiated Rate	$1,592.17
Max. Negotiated Rate	$5,307.23
Rate for Payer: Aetna Commercial	$3,184.34
Rate for Payer: Aetna Medicare Advantage	$3,184.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,706.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,706.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,122.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,706.68
Rate for Payer: Cigna Commercial	$5,307.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,568.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,592.17

CUFF MEDT STENT GRAF YREC28375

Facility

$10,614.45

Hospital Charge Code	270623603
Hospital Revenue Code	278
Min. Negotiated Rate	$1,592.17
Max. Negotiated Rate	$2,568.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,122.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,568.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,592.17

CUFF NEO NATAL BP SZ 3 DISPOSA

Facility

$217.15

Hospital Charge Code	270664144
Hospital Revenue Code	270
Min. Negotiated Rate	$32.57
Max. Negotiated Rate	$32.57
Rate for Payer: Qualcare PPO/HMO/WC	$32.57

CUFF NEO NATAL BP SZ 3 DISPOSA

Facility

$217.15

Hospital Charge Code	270664144
Hospital Revenue Code	270
Min. Negotiated Rate	$28.23
Max. Negotiated Rate	$108.58
Rate for Payer: Aetna Commercial	$65.14
Rate for Payer: Aetna Medicare Advantage	$65.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.37
Rate for Payer: Cigna Commercial	$108.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.23
Rate for Payer: Oxford Commercial	$108.58
Rate for Payer: Qualcare PPO/HMO/WC	$32.57
Rate for Payer: UnitedHealthcare Commercial	$108.58

CUFF NEO NATAL BP SZ 4 DISPOSA

Facility

$243.50

Hospital Charge Code	270664143
Hospital Revenue Code	270
Min. Negotiated Rate	$31.66
Max. Negotiated Rate	$121.75
Rate for Payer: Aetna Commercial	$73.05
Rate for Payer: Aetna Medicare Advantage	$73.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.09
Rate for Payer: Cigna Commercial	$121.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.66
Rate for Payer: Oxford Commercial	$121.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.52
Rate for Payer: UnitedHealthcare Commercial	$121.75

CUFF NEO NATAL BP SZ 4 DISPOSA

Facility

$243.50

Hospital Charge Code	270664143
Hospital Revenue Code	270
Min. Negotiated Rate	$36.52
Max. Negotiated Rate	$36.52
Rate for Payer: Qualcare PPO/HMO/WC	$36.52

CUFF OCCLU 4.0 W/INHI 72404130

Facility

$17,990.00

Hospital Charge Code	270641447
Hospital Revenue Code	278
Min. Negotiated Rate	$2,698.50
Max. Negotiated Rate	$4,353.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,598.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,353.58
Rate for Payer: Qualcare PPO/HMO/WC	$2,698.50

CUFF OCCLU 4.0 W/INHI 72404130

Facility

$17,990.00

Hospital Charge Code	270641447
Hospital Revenue Code	278
Min. Negotiated Rate	$2,698.50
Max. Negotiated Rate	$8,995.00
Rate for Payer: Aetna Commercial	$5,397.00
Rate for Payer: Aetna Medicare Advantage	$5,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,587.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,587.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,587.45
Rate for Payer: Cigna Commercial	$8,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,353.58
Rate for Payer: Qualcare PPO/HMO/WC	$2,698.50

CUFFS ATS DUAL PORT 24 SINGLE

Facility

$378.50

Hospital Charge Code	270645840
Hospital Revenue Code	271
Min. Negotiated Rate	$56.77
Max. Negotiated Rate	$56.77
Rate for Payer: Qualcare PPO/HMO/WC	$56.77

CUFFS ATS DUAL PORT 24 SINGLE

Facility

$378.50

Hospital Charge Code	270645840
Hospital Revenue Code	271
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$189.25
Rate for Payer: Aetna Commercial	$113.55
Rate for Payer: Aetna Medicare Advantage	$113.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.52
Rate for Payer: Cigna Commercial	$189.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.20
Rate for Payer: Oxford Commercial	$189.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.77
Rate for Payer: UnitedHealthcare Commercial	$189.25

CUFF STD ARM/SINGLE HOSE NAVY

Facility

$172.50

Hospital Charge Code	270658223
Hospital Revenue Code	270
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$25.88
Rate for Payer: Qualcare PPO/HMO/WC	$25.88

CUFF STD ARM/SINGLE HOSE NAVY

Facility

$172.50

Hospital Charge Code	270658223
Hospital Revenue Code	270
Min. Negotiated Rate	$22.43
Max. Negotiated Rate	$86.25
Rate for Payer: Aetna Commercial	$51.75
Rate for Payer: Aetna Medicare Advantage	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.99
Rate for Payer: Cigna Commercial	$86.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.43
Rate for Payer: Oxford Commercial	$86.25
Rate for Payer: Qualcare PPO/HMO/WC	$25.88
Rate for Payer: UnitedHealthcare Commercial	$86.25

CUFF TEMPA-KUFF ADULT DISP 1 T

Facility

$13.70

Hospital Charge Code	270662687
Hospital Revenue Code	270
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

CUFF TEMPA-KUFF ADULT DISP 1 T

Facility

$13.70

Hospital Charge Code	270662687
Hospital Revenue Code	270
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$6.85
Rate for Payer: Aetna Commercial	$4.11
Rate for Payer: Aetna Medicare Advantage	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.49
Rate for Payer: Cigna Commercial	$6.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.78
Rate for Payer: Oxford Commercial	$6.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$6.85

CUFF TEMPA-KUFF ADULT LARGE 1

Facility

$14.10

Hospital Charge Code	270662686
Hospital Revenue Code	270
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.12

Know your out-of-pocket cost for care.

All Charges