Heights University Hospital

All Charges

Charge

Type

Setting

Price

CURVED NDLE.SPLIT CANNULA

Facility

$487.00

Hospital Charge Code	270339441
Hospital Revenue Code	272
Min. Negotiated Rate	$63.31
Max. Negotiated Rate	$243.50
Rate for Payer: Aetna Commercial	$146.10
Rate for Payer: Aetna Medicare Advantage	$146.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.19
Rate for Payer: Cigna Commercial	$243.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.31
Rate for Payer: Oxford Commercial	$243.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.05
Rate for Payer: UnitedHealthcare Commercial	$243.50

CURVED NDLE.SPLIT CANNULA

Facility

$487.00

Hospital Charge Code	270339441
Hospital Revenue Code	272
Min. Negotiated Rate	$73.05
Max. Negotiated Rate	$73.05
Rate for Payer: Qualcare PPO/HMO/WC	$73.05

CURVED ROD 100MM

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270702000
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$227.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

CURVED ROD 100MM

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270702000
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$282.00
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

CURVED ROD 5.5MM 40MM

Facility

$1,575.00

Hospital Charge Code	270656678
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

CURVED ROD 5.5MM 40MM

Facility

$1,575.00

Hospital Charge Code	270656678
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

CURVED ROD 5.5 X 45 MM

Facility

$2,900.00

Hospital Charge Code	270663476
Hospital Revenue Code	270
Min. Negotiated Rate	$377.00
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$870.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.00
Rate for Payer: Oxford Commercial	$1,450.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Commercial	$1,450.00

CURVED ROD 5.5 X 45 MM

Facility

$2,900.00

Hospital Charge Code	270663476
Hospital Revenue Code	270
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

CURVED ROD 5.5X75MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704711
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

CURVED ROD 5.5X75MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704711
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

CURVED ROD 5.5X85MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704712
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

CURVED ROD 5.5X85MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704712
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

CUSHING RONG-IVD 7 1.5 10M

Facility

$3,573.33

Hospital Charge Code	270665554
Hospital Revenue Code	278
Min. Negotiated Rate	$536.00
Max. Negotiated Rate	$1,786.66
Rate for Payer: Aetna Commercial	$1,072.00
Rate for Payer: Aetna Medicare Advantage	$1,072.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$911.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$911.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$714.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$911.20
Rate for Payer: Cigna Commercial	$1,786.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$864.75
Rate for Payer: Qualcare PPO/HMO/WC	$536.00

CUSHING RONG-IVD 7 1.5 10M

Facility

$3,573.33

Hospital Charge Code	270665554
Hospital Revenue Code	278
Min. Negotiated Rate	$536.00
Max. Negotiated Rate	$864.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$714.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$864.75
Rate for Payer: Qualcare PPO/HMO/WC	$536.00

CUSHION COMFORT AIR RING

Facility

$16.55

Hospital Charge Code	270300775
Hospital Revenue Code	270
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$2.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.48

CUSHION COMFORT AIR RING

Facility

$16.55

Hospital Charge Code	270300775
Hospital Revenue Code	270
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$8.28
Rate for Payer: Aetna Commercial	$4.96
Rate for Payer: Aetna Medicare Advantage	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.22
Rate for Payer: Cigna Commercial	$8.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.15
Rate for Payer: Oxford Commercial	$8.28
Rate for Payer: Qualcare PPO/HMO/WC	$2.48
Rate for Payer: UnitedHealthcare Commercial	$8.28

CUSHION FOAM RING

Facility

$76.18

Hospital Charge Code	270649400
Hospital Revenue Code	272
Min. Negotiated Rate	$11.43
Max. Negotiated Rate	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$11.43

CUSHION FOAM RING

Facility

$76.18

Hospital Charge Code	270649400
Hospital Revenue Code	272
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$38.09
Rate for Payer: Aetna Commercial	$22.85
Rate for Payer: Aetna Medicare Advantage	$22.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.43
Rate for Payer: Cigna Commercial	$38.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.90
Rate for Payer: Oxford Commercial	$38.09
Rate for Payer: Qualcare PPO/HMO/WC	$11.43
Rate for Payer: UnitedHealthcare Commercial	$38.09

CUSHION WHEELCHAIR W/SOFT-SKIN

Facility

$124.28

Hospital Charge Code	270653258
Hospital Revenue Code	272
Min. Negotiated Rate	$16.16
Max. Negotiated Rate	$62.14
Rate for Payer: Aetna Commercial	$37.28
Rate for Payer: Aetna Medicare Advantage	$37.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.69
Rate for Payer: Cigna Commercial	$62.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.16
Rate for Payer: Oxford Commercial	$62.14
Rate for Payer: Qualcare PPO/HMO/WC	$18.64
Rate for Payer: UnitedHealthcare Commercial	$62.14

CUSHION WHEELCHAIR W/SOFT-SKIN

Facility

$124.28

Hospital Charge Code	270653258
Hospital Revenue Code	272
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$18.64
Rate for Payer: Qualcare PPO/HMO/WC	$18.64

CUSTOM CATARACT PACK

Facility

$761.00

Hospital Charge Code	270331751
Hospital Revenue Code	272
Min. Negotiated Rate	$114.15
Max. Negotiated Rate	$114.15
Rate for Payer: Qualcare PPO/HMO/WC	$114.15

CUSTOM CATARACT PACK

Facility

$761.00

Hospital Charge Code	270331751
Hospital Revenue Code	272
Min. Negotiated Rate	$98.93
Max. Negotiated Rate	$380.50
Rate for Payer: Aetna Commercial	$228.30
Rate for Payer: Aetna Medicare Advantage	$228.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.06
Rate for Payer: Cigna Commercial	$380.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.93
Rate for Payer: Oxford Commercial	$380.50
Rate for Payer: Qualcare PPO/HMO/WC	$114.15
Rate for Payer: UnitedHealthcare Commercial	$380.50

CUSTOMSEAL KIT

Facility

$3,750.00

Hospital Charge Code	270677357
Hospital Revenue Code	272
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

CUSTOMSEAL KIT

Facility

$3,750.00

Hospital Charge Code	270677357
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.50
Rate for Payer: Oxford Commercial	$1,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Commercial	$1,875.00

CUSTOM WASTE MANAGEMENT KIT

Facility

$15.00

Hospital Charge Code	270625319S
Hospital Revenue Code	271
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

Know your out-of-pocket cost for care.

All Charges