Heights University Hospital

All Charges

Charge

Type

Setting

Price

ENDO CLIP LARGE *******

Facility

$696.00

Hospital Charge Code	1603505
Hospital Revenue Code	272
Min. Negotiated Rate	$104.40
Max. Negotiated Rate	$104.40
Rate for Payer: Qualcare PPO/HMO/WC	$104.40

ENDOCLIP LG 10MM PISTOL GRIP

Facility

$1,496.82

Hospital Charge Code	270600102
Hospital Revenue Code	272
Min. Negotiated Rate	$224.52
Max. Negotiated Rate	$224.52
Rate for Payer: Qualcare PPO/HMO/WC	$224.52

ENDOCLIP LG 10MM PISTOL GRIP

Facility

$1,496.82

Hospital Charge Code	270600102
Hospital Revenue Code	272
Min. Negotiated Rate	$194.59
Max. Negotiated Rate	$748.41
Rate for Payer: Aetna Commercial	$449.05
Rate for Payer: Aetna Medicare Advantage	$449.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.69
Rate for Payer: Cigna Commercial	$748.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.59
Rate for Payer: Oxford Commercial	$748.41
Rate for Payer: Qualcare PPO/HMO/WC	$224.52
Rate for Payer: UnitedHealthcare Commercial	$748.41

ENDO CLIP MED-LG DISP APPLIER

Facility

$103.00

Hospital Charge Code	270334625
Hospital Revenue Code	272
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$51.50
Rate for Payer: Aetna Commercial	$30.90
Rate for Payer: Aetna Medicare Advantage	$30.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.27
Rate for Payer: Cigna Commercial	$51.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.39
Rate for Payer: Oxford Commercial	$51.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.45
Rate for Payer: UnitedHealthcare Commercial	$51.50

ENDO CLIP MED-LG DISP APPLIER

Facility

$103.00

Hospital Charge Code	270334625
Hospital Revenue Code	272
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$15.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.45

ENDO CLIP ML 176615

Facility

$1,192.00

Hospital Charge Code	270600103
Hospital Revenue Code	272
Min. Negotiated Rate	$178.80
Max. Negotiated Rate	$178.80
Rate for Payer: Qualcare PPO/HMO/WC	$178.80

ENDO CLIP ML 176615

Facility

$1,192.00

Hospital Charge Code	270600103
Hospital Revenue Code	272
Min. Negotiated Rate	$154.96
Max. Negotiated Rate	$596.00
Rate for Payer: Aetna Commercial	$357.60
Rate for Payer: Aetna Medicare Advantage	$357.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.96
Rate for Payer: Cigna Commercial	$596.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.96
Rate for Payer: Oxford Commercial	$596.00
Rate for Payer: Qualcare PPO/HMO/WC	$178.80
Rate for Payer: UnitedHealthcare Commercial	$596.00

ENDO CLOSE 173022

Facility

$271.25

Hospital Charge Code	270600056
Hospital Revenue Code	272
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$40.69
Rate for Payer: Qualcare PPO/HMO/WC	$40.69

ENDO CLOSE 173022

Facility

$271.25

Hospital Charge Code	270600056
Hospital Revenue Code	272
Min. Negotiated Rate	$35.26
Max. Negotiated Rate	$135.62
Rate for Payer: Aetna Commercial	$81.38
Rate for Payer: Aetna Medicare Advantage	$81.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.17
Rate for Payer: Cigna Commercial	$135.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.26
Rate for Payer: Oxford Commercial	$135.62
Rate for Payer: Qualcare PPO/HMO/WC	$40.69
Rate for Payer: UnitedHealthcare Commercial	$135.62

ENDOCRINE DISORDERS WITH CC

Facility

$41,573.61

Service Code	MSDRG 644
Min. Negotiated Rate	$11,185.40
Max. Negotiated Rate	$41,573.61
Rate for Payer: Aetna Commercial	$34,562.89
Rate for Payer: Aetna Medicare Advantage	$11,185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,221.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,221.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,857.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,221.02
Rate for Payer: Cigna Commercial	$22,059.03
Rate for Payer: Cigna Medicare Advantage	$13,857.87
Rate for Payer: Clover Medicare Advantage	$13,164.98
Rate for Payer: EmblemHealth Commercial	$41,573.61
Rate for Payer: Humana Medicare Advantage	$14,273.61
Rate for Payer: Oxford Commercial	$13,786.25
Rate for Payer: UnitedHealthcare Commercial	$15,648.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,857.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,689.34
Rate for Payer: Wellcare Medicare Advantage	$13,857.87

ENDOCRINE DISORDERS WITH MCC

Facility

$59,601.48

Service Code	MSDRG 643
Min. Negotiated Rate	$17,963.20
Max. Negotiated Rate	$59,601.48
Rate for Payer: Aetna Commercial	$55,506.29
Rate for Payer: Aetna Medicare Advantage	$17,963.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,485.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,485.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,867.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,485.55
Rate for Payer: Cigna Commercial	$35,425.72
Rate for Payer: Cigna Medicare Advantage	$19,867.16
Rate for Payer: Clover Medicare Advantage	$18,873.80
Rate for Payer: EmblemHealth Commercial	$59,601.48
Rate for Payer: Humana Medicare Advantage	$20,463.17
Rate for Payer: Oxford Commercial	$22,140.04
Rate for Payer: UnitedHealthcare Commercial	$25,131.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,867.16
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,059.19
Rate for Payer: Wellcare Medicare Advantage	$19,867.16

ENDOCRINE DISORDERS WITHOUT CC/MCC

Facility

$34,122.69

Service Code	MSDRG 645
Min. Negotiated Rate	$8,384.14
Max. Negotiated Rate	$34,122.69
Rate for Payer: Aetna Commercial	$25,906.99
Rate for Payer: Aetna Medicare Advantage	$8,384.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,950.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,950.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,374.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,950.92
Rate for Payer: Cigna Commercial	$16,534.58
Rate for Payer: Cigna Medicare Advantage	$11,374.23
Rate for Payer: Clover Medicare Advantage	$10,805.52
Rate for Payer: EmblemHealth Commercial	$34,122.69
Rate for Payer: Humana Medicare Advantage	$11,715.46
Rate for Payer: Oxford Commercial	$10,333.64
Rate for Payer: UnitedHealthcare Commercial	$11,729.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,374.23
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,056.68
Rate for Payer: Wellcare Medicare Advantage	$11,374.23

ENDO DISC KIT

Facility

$12,500.00

Hospital Charge Code	270702956
Hospital Revenue Code	272
Min. Negotiated Rate	$1,875.00
Max. Negotiated Rate	$1,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00

ENDO DISC KIT

Facility

$12,500.00

Hospital Charge Code	270702956
Hospital Revenue Code	272
Min. Negotiated Rate	$1,625.00
Max. Negotiated Rate	$6,250.00
Rate for Payer: Aetna Commercial	$3,750.00
Rate for Payer: Aetna Medicare Advantage	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.50
Rate for Payer: Cigna Commercial	$6,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$6,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00
Rate for Payer: UnitedHealthcare Commercial	$6,250.00

ENDO DISSECTOR ******

Facility

$519.00

Hospital Charge Code	1603372
Hospital Revenue Code	272
Min. Negotiated Rate	$67.47
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$155.70
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.47
Rate for Payer: Oxford Commercial	$259.50
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Commercial	$259.50

ENDO DISSECTOR ******

Facility

$519.00

Hospital Charge Code	1603372
Hospital Revenue Code	272
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$77.85
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

ENDO EMR KIT

Facility

$495.00

Hospital Charge Code	270325500
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

ENDO EMR KIT

Facility

$495.00

Hospital Charge Code	270325500
Hospital Revenue Code	272
Min. Negotiated Rate	$64.35
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$148.50
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.35
Rate for Payer: Oxford Commercial	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$247.50

ENDO GAUGE ******

Facility

$33.00

Hospital Charge Code	1603422
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$9.90
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.29
Rate for Payer: Oxford Commercial	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$16.50

ENDO GAUGE ******

Facility

$33.00

Hospital Charge Code	1603422
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

ENDO GAUGE 6.0 ******

Facility

$83.00

Hospital Charge Code	1603497
Hospital Revenue Code	272
Min. Negotiated Rate	$12.45
Max. Negotiated Rate	$12.45
Rate for Payer: Qualcare PPO/HMO/WC	$12.45

ENDO GAUGE 6.0 ******

Facility

$83.00

Hospital Charge Code	1603497
Hospital Revenue Code	272
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$41.50
Rate for Payer: Aetna Commercial	$24.90
Rate for Payer: Aetna Medicare Advantage	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.16
Rate for Payer: Cigna Commercial	$41.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Oxford Commercial	$41.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.45
Rate for Payer: UnitedHealthcare Commercial	$41.50

ENDO GAUGE 60 173035

Facility

$71.25

Hospital Charge Code	270600098
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$35.62

ENDO GAUGE 60 173035

Facility

$71.25

Hospital Charge Code	270600098
Hospital Revenue Code	272
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

ENDO GIA 30 3.5 *********

Facility

$1,141.00

Hospital Charge Code	1603398
Hospital Revenue Code	272
Min. Negotiated Rate	$171.15
Max. Negotiated Rate	$171.15
Rate for Payer: Qualcare PPO/HMO/WC	$171.15

Know your out-of-pocket cost for care.

All Charges