Heights University Hospital

All Charges

Charge

Type

Setting

Price

CUFF TEMPA-KUFF ADULT LARGE 1

Facility

$14.10

Hospital Charge Code	270662686
Hospital Revenue Code	270
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$7.05
Rate for Payer: Aetna Commercial	$4.23
Rate for Payer: Aetna Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.60
Rate for Payer: Cigna Commercial	$7.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.83
Rate for Payer: Oxford Commercial	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.12
Rate for Payer: UnitedHealthcare Commercial	$7.05

CUFF TEMPA-KUFF ADULT SMALL 1

Facility

$13.44

Hospital Charge Code	270662688
Hospital Revenue Code	270
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$6.72
Rate for Payer: Aetna Commercial	$4.03
Rate for Payer: Aetna Medicare Advantage	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.43
Rate for Payer: Cigna Commercial	$6.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$6.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$6.72

CUFF TEMPA-KUFF ADULT SMALL 1

Facility

$13.44

Hospital Charge Code	270662688
Hospital Revenue Code	270
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

CUFF TOURNIQ 18IN 60-7070-103

Facility

$2,222.45

Hospital Charge Code	270611314
Hospital Revenue Code	272
Min. Negotiated Rate	$288.92
Max. Negotiated Rate	$1,111.22
Rate for Payer: Aetna Commercial	$666.74
Rate for Payer: Aetna Medicare Advantage	$666.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$566.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$566.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$566.72
Rate for Payer: Cigna Commercial	$1,111.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.92
Rate for Payer: Oxford Commercial	$1,111.22
Rate for Payer: Qualcare PPO/HMO/WC	$333.37
Rate for Payer: UnitedHealthcare Commercial	$1,111.22

CUFF TOURNIQ 18IN 60-7070-103

Facility

$2,222.45

Hospital Charge Code	270611314
Hospital Revenue Code	272
Min. Negotiated Rate	$333.37
Max. Negotiated Rate	$333.37
Rate for Payer: Qualcare PPO/HMO/WC	$333.37

CUFF TOURNIQ DISP 18 2911-18

Facility

$96.90

Hospital Charge Code	270602691
Hospital Revenue Code	272
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.54

CUFF TOURNIQ DISP 18 2911-18

Facility

$96.90

Hospital Charge Code	270602691
Hospital Revenue Code	272
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$48.45
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.71
Rate for Payer: Cigna Commercial	$48.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.60
Rate for Payer: Oxford Commercial	$48.45
Rate for Payer: Qualcare PPO/HMO/WC	$14.54
Rate for Payer: UnitedHealthcare Commercial	$48.45

CUFF TOURNIQ DISP 2911-34

Facility

$139.00

Hospital Charge Code	270600368
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$69.50
Rate for Payer: Aetna Commercial	$41.70
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.45
Rate for Payer: Cigna Commercial	$69.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.07
Rate for Payer: Oxford Commercial	$69.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.85
Rate for Payer: UnitedHealthcare Commercial	$69.50

CUFF TOURNIQ DISP 2911-34

Facility

$139.00

Hospital Charge Code	270600368
Hospital Revenue Code	272
Min. Negotiated Rate	$20.85
Max. Negotiated Rate	$20.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.85

CUFF TOURNIQUET DISP 24

Facility

$355.00

Hospital Charge Code	270666472
Hospital Revenue Code	272
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$177.50
Rate for Payer: Aetna Commercial	$106.50
Rate for Payer: Aetna Medicare Advantage	$106.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.53
Rate for Payer: Cigna Commercial	$177.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.15
Rate for Payer: Oxford Commercial	$177.50
Rate for Payer: Qualcare PPO/HMO/WC	$53.25
Rate for Payer: UnitedHealthcare Commercial	$177.50

CUFF TOURNIQUET DISP 24

Facility

$355.00

Hospital Charge Code	270666472
Hospital Revenue Code	272
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$53.25
Rate for Payer: Qualcare PPO/HMO/WC	$53.25

CUFF TOURNIQUET PLC 12 DISP

Facility

$100.96

Hospital Charge Code	270648578
Hospital Revenue Code	272
Min. Negotiated Rate	$13.12
Max. Negotiated Rate	$50.48
Rate for Payer: Aetna Commercial	$30.29
Rate for Payer: Aetna Medicare Advantage	$30.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.74
Rate for Payer: Cigna Commercial	$50.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.12
Rate for Payer: Oxford Commercial	$50.48
Rate for Payer: Qualcare PPO/HMO/WC	$15.14
Rate for Payer: UnitedHealthcare Commercial	$50.48

CUFF TOURNIQUET PLC 12 DISP

Facility

$100.96

Hospital Charge Code	270648578
Hospital Revenue Code	272
Min. Negotiated Rate	$15.14
Max. Negotiated Rate	$15.14
Rate for Payer: Qualcare PPO/HMO/WC	$15.14

CUFF TOURNIQUET PLC 30 DISP

Facility

$139.92

Hospital Charge Code	270639239
Hospital Revenue Code	272
Min. Negotiated Rate	$18.19
Max. Negotiated Rate	$69.96
Rate for Payer: Aetna Commercial	$41.98
Rate for Payer: Aetna Medicare Advantage	$41.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.68
Rate for Payer: Cigna Commercial	$69.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.19
Rate for Payer: Oxford Commercial	$69.96
Rate for Payer: Qualcare PPO/HMO/WC	$20.99
Rate for Payer: UnitedHealthcare Commercial	$69.96

CUFF TOURNIQUET PLC 30 DISP

Facility

$139.92

Hospital Charge Code	270639239
Hospital Revenue Code	272
Min. Negotiated Rate	$20.99
Max. Negotiated Rate	$20.99
Rate for Payer: Qualcare PPO/HMO/WC	$20.99

CUFUNGUS,RESP

Facility

$222.00

Service Code	HCPCS 87102
Hospital Charge Code	38479083
Hospital Revenue Code	309
Min. Negotiated Rate	$33.30
Max. Negotiated Rate	$33.30
Rate for Payer: Qualcare PPO/HMO/WC	$33.30

CUFUNGUS,RESP

Facility

$222.00

Service Code	HCPCS 87102
Hospital Charge Code	38479083
Hospital Revenue Code	309
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.25
Rate for Payer: Aetna Medicare Advantage	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.81
Rate for Payer: Cigna Commercial	$8.41
Rate for Payer: Cigna Medicare Advantage	$4.21
Rate for Payer: Clover Medicare Advantage	$7.99
Rate for Payer: EmblemHealth Commercial	$25.23
Rate for Payer: Humana Medicare Advantage	$8.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.91
Rate for Payer: Wellcare Medicare Advantage	$8.41

CU INDEX

Facility

$933.75

Service Code	HCPCS 86352
Hospital Charge Code	3038150
Hospital Revenue Code	302
Min. Negotiated Rate	$140.06
Max. Negotiated Rate	$140.06
Rate for Payer: Qualcare PPO/HMO/WC	$140.06

CU INDEX

Facility

$933.75

Service Code	HCPCS 86352
Hospital Charge Code	3038150
Hospital Revenue Code	302
Min. Negotiated Rate	$67.93
Max. Negotiated Rate	$497.79
Rate for Payer: Aetna Commercial	$440.19
Rate for Payer: Aetna Medicare Advantage	$135.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$497.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$497.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$135.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$497.79
Rate for Payer: Cigna Commercial	$135.86
Rate for Payer: Cigna Medicare Advantage	$67.93
Rate for Payer: Clover Medicare Advantage	$129.07
Rate for Payer: EmblemHealth Commercial	$407.58
Rate for Payer: Humana Medicare Advantage	$139.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$140.06
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$135.86
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$144.01
Rate for Payer: Wellcare Medicare Advantage	$135.86

CULT,FUNG'HAIR'DK,NAIL W/KOH I

Facility

$29.10

Service Code	HCPCS 87220
Hospital Charge Code	3990157B
Hospital Revenue Code	309
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$4.37
Rate for Payer: Qualcare PPO/HMO/WC	$4.37

CULT,FUNG'HAIR'DK,NAIL W/KOH I

Facility

$53.00

Service Code	HCPCS 87101
Hospital Charge Code	3990157A
Hospital Revenue Code	309
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

CULT,FUNG'HAIR'DK,NAIL W/KOH I

Facility

$29.10

Service Code	HCPCS 87220
Hospital Charge Code	3990157B
Hospital Revenue Code	309
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.83
Rate for Payer: Aetna Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.65
Rate for Payer: Cigna Commercial	$4.27
Rate for Payer: Cigna Medicare Advantage	$2.13
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.53
Rate for Payer: Wellcare Medicare Advantage	$4.27

CULT,FUNG'HAIR'DK,NAIL W/KOH I

Facility

$53.00

Service Code	HCPCS 87101
Hospital Charge Code	3990157A
Hospital Revenue Code	309
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$7.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.25
Rate for Payer: Cigna Commercial	$7.71
Rate for Payer: Cigna Medicare Advantage	$3.85
Rate for Payer: Clover Medicare Advantage	$7.32
Rate for Payer: EmblemHealth Commercial	$23.13
Rate for Payer: Humana Medicare Advantage	$7.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.71
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.17
Rate for Payer: Wellcare Medicare Advantage	$7.71

CULT,FUNGUS,TISSUE

Facility

$222.00

Service Code	HCPCS 87102
Hospital Charge Code	38479082
Hospital Revenue Code	309
Min. Negotiated Rate	$33.30
Max. Negotiated Rate	$33.30
Rate for Payer: Qualcare PPO/HMO/WC	$33.30

CULT,FUNGUS,TISSUE

Facility

$222.00

Service Code	HCPCS 87102
Hospital Charge Code	38479082
Hospital Revenue Code	309
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.25
Rate for Payer: Aetna Medicare Advantage	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.81
Rate for Payer: Cigna Commercial	$8.41
Rate for Payer: Cigna Medicare Advantage	$4.21
Rate for Payer: Clover Medicare Advantage	$7.99
Rate for Payer: EmblemHealth Commercial	$25.23
Rate for Payer: Humana Medicare Advantage	$8.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.91
Rate for Payer: Wellcare Medicare Advantage	$8.41

Know your out-of-pocket cost for care.

All Charges