Heights University Hospital

All Charges

Charge

Type

Setting

Price

ENDO GIA RELOAD 45MM MED THICK

Facility

$481.84

Hospital Charge Code	270652106
Hospital Revenue Code	272
Min. Negotiated Rate	$62.64
Max. Negotiated Rate	$240.92
Rate for Payer: Aetna Commercial	$144.55
Rate for Payer: Aetna Medicare Advantage	$144.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.87
Rate for Payer: Cigna Commercial	$240.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.64
Rate for Payer: Oxford Commercial	$240.92
Rate for Payer: Qualcare PPO/HMO/WC	$72.28
Rate for Payer: UnitedHealthcare Commercial	$240.92

ENDO GIA RELOAD 45MM MED THICK

Facility

$481.84

Hospital Charge Code	270652106
Hospital Revenue Code	272
Min. Negotiated Rate	$72.28
Max. Negotiated Rate	$72.28
Rate for Payer: Qualcare PPO/HMO/WC	$72.28

ENDO GIA UNIV ULTRA STD

Facility

$539.98

Hospital Charge Code	270655981
Hospital Revenue Code	271
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

ENDO GIA UNIV ULTRA STD

Facility

$539.98

Hospital Charge Code	270655981
Hospital Revenue Code	271
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$269.99
Rate for Payer: Aetna Commercial	$161.99
Rate for Payer: Aetna Medicare Advantage	$161.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.69
Rate for Payer: Cigna Commercial	$269.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.20
Rate for Payer: Oxford Commercial	$269.99
Rate for Payer: Qualcare PPO/HMO/WC	$81.00
Rate for Payer: UnitedHealthcare Commercial	$269.99

ENDO GLUCOSE CAPILLARY FINGERS

Facility

$20.85

Service Code	HCPCS 82948
Hospital Charge Code	2300901
Hospital Revenue Code	301
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.13

ENDO GLUCOSE CAPILLARY FINGERS

Facility

$20.85

Service Code	HCPCS 82948
Hospital Charge Code	2300901
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
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	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.71
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.13
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

ENDOGRAFT BIFUR BA28-90/I16-30

Facility

$56,475.00

Hospital Charge Code	270647242C
Hospital Revenue Code	278
Min. Negotiated Rate	$8,471.25
Max. Negotiated Rate	$28,237.50
Rate for Payer: Aetna Commercial	$16,942.50
Rate for Payer: Aetna Medicare Advantage	$16,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,401.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,401.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,401.12
Rate for Payer: Cigna Commercial	$28,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,666.95
Rate for Payer: Qualcare PPO/HMO/WC	$8,471.25

ENDOGRAFT BIFUR BA28-90/I16-30

Facility

$56,475.00

Hospital Charge Code	270647242C
Hospital Revenue Code	278
Min. Negotiated Rate	$8,471.25
Max. Negotiated Rate	$13,666.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,666.95
Rate for Payer: Qualcare PPO/HMO/WC	$8,471.25

ENDOGRAFT BIFURCATED MAIN BODY

Facility

$57,900.00

Hospital Charge Code	270665548
Hospital Revenue Code	278
Min. Negotiated Rate	$8,685.00
Max. Negotiated Rate	$28,950.00
Rate for Payer: Aetna Commercial	$17,370.00
Rate for Payer: Aetna Medicare Advantage	$17,370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,764.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,764.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,764.50
Rate for Payer: Cigna Commercial	$28,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,011.80
Rate for Payer: Qualcare PPO/HMO/WC	$8,685.00

ENDOGRAFT BIFURCATED MAIN BODY

Facility

$57,900.00

Hospital Charge Code	270665548
Hospital Revenue Code	278
Min. Negotiated Rate	$8,685.00
Max. Negotiated Rate	$14,011.80
Rate for Payer: Qualcare PPO/HMO/WC	$8,685.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,011.80

ENDO GRASP

Facility

$908.00

Hospital Charge Code	270335076
Hospital Revenue Code	272
Min. Negotiated Rate	$136.20
Max. Negotiated Rate	$136.20
Rate for Payer: Qualcare PPO/HMO/WC	$136.20

ENDO GRASP

Facility

$908.00

Hospital Charge Code	270335076
Hospital Revenue Code	272
Min. Negotiated Rate	$118.04
Max. Negotiated Rate	$454.00
Rate for Payer: Aetna Commercial	$272.40
Rate for Payer: Aetna Medicare Advantage	$272.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.54
Rate for Payer: Cigna Commercial	$454.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.04
Rate for Payer: Oxford Commercial	$454.00
Rate for Payer: Qualcare PPO/HMO/WC	$136.20
Rate for Payer: UnitedHealthcare Commercial	$454.00

ENDO HERNIA LOAD UNIT

Facility

$223.00

Hospital Charge Code	270335081
Hospital Revenue Code	272
Min. Negotiated Rate	$28.99
Max. Negotiated Rate	$111.50
Rate for Payer: Aetna Commercial	$66.90
Rate for Payer: Aetna Medicare Advantage	$66.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.87
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.99
Rate for Payer: Oxford Commercial	$111.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.45
Rate for Payer: UnitedHealthcare Commercial	$111.50

ENDO HERNIA LOAD UNIT

Facility

$223.00

Hospital Charge Code	270335081
Hospital Revenue Code	272
Min. Negotiated Rate	$33.45
Max. Negotiated Rate	$33.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.45

ENDO HERNIA MLTFR #174007 ****

Facility

$245.00

Hospital Charge Code	1605955
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

ENDO HERNIA MLTFR #174007 ****

Facility

$245.00

Hospital Charge Code	1605955
Hospital Revenue Code	272
Min. Negotiated Rate	$31.85
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.85
Rate for Payer: Oxford Commercial	$122.50
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$122.50

ENDO HERNIA STAPLER

Facility

$770.00

Hospital Charge Code	270335080
Hospital Revenue Code	272
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$115.50

ENDO HERNIA STAPLER

Facility

$770.00

Hospital Charge Code	270335080
Hospital Revenue Code	272
Min. Negotiated Rate	$100.10
Max. Negotiated Rate	$385.00
Rate for Payer: Aetna Commercial	$231.00
Rate for Payer: Aetna Medicare Advantage	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.35
Rate for Payer: Cigna Commercial	$385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$115.50
Rate for Payer: UnitedHealthcare Commercial	$385.00

ENDOHOLDER ENDOSUTURE SYSTEM

Facility

$1,184.70

Hospital Charge Code	270669354
Hospital Revenue Code	272
Min. Negotiated Rate	$154.01
Max. Negotiated Rate	$592.35
Rate for Payer: Aetna Commercial	$355.41
Rate for Payer: Aetna Medicare Advantage	$355.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$302.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$302.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$302.10
Rate for Payer: Cigna Commercial	$592.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.01
Rate for Payer: Oxford Commercial	$592.35
Rate for Payer: Qualcare PPO/HMO/WC	$177.71
Rate for Payer: UnitedHealthcare Commercial	$592.35

ENDOHOLDER ENDOSUTURE SYSTEM

Facility

$1,184.70

Hospital Charge Code	270669354
Hospital Revenue Code	272
Min. Negotiated Rate	$177.71
Max. Negotiated Rate	$177.71
Rate for Payer: Qualcare PPO/HMO/WC	$177.71

ENDOKNOT ETHIBOND

Facility

$124.00

Hospital Charge Code	270335232
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

ENDOKNOT ETHIBOND

Facility

$124.00

Hospital Charge Code	270335232
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

ENDOKNOT VICRYL

Facility

$124.00

Hospital Charge Code	270335233
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

ENDOKNOT VICRYL

Facility

$124.00

Hospital Charge Code	270335233
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

ENDO LEVEL 1 VISIT

Facility

$224.00

Service Code	HCPCS 99211
Hospital Charge Code	2300920
Hospital Revenue Code	510
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

Know your out-of-pocket cost for care.

All Charges