Heights University Hospital

All Charges

Charge

Type

Setting

Price

ENDOPROSTHESIS LEG 20MMX9.5CM

Facility

$21,500.00

Hospital Charge Code	270670934
Hospital Revenue Code	278
Min. Negotiated Rate	$3,225.00
Max. Negotiated Rate	$5,203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,203.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,225.00

ENDOPROSTHESIS LEG 20MMX9.5CM

Facility

$21,500.00

Hospital Charge Code	270670934
Hospital Revenue Code	278
Min. Negotiated Rate	$3,225.00
Max. Negotiated Rate	$10,750.00
Rate for Payer: Aetna Commercial	$6,450.00
Rate for Payer: Aetna Medicare Advantage	$6,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,482.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,482.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,482.50
Rate for Payer: Cigna Commercial	$10,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,203.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,225.00

ENDO PYELOT STENT SET-SMITH***

Facility

$232.00

Hospital Charge Code	1604362
Hospital Revenue Code	272
Min. Negotiated Rate	$34.80
Max. Negotiated Rate	$34.80
Rate for Payer: Qualcare PPO/HMO/WC	$34.80

ENDO PYELOT STENT SET-SMITH***

Facility

$232.00

Hospital Charge Code	1604362
Hospital Revenue Code	272
Min. Negotiated Rate	$30.16
Max. Negotiated Rate	$116.00
Rate for Payer: Aetna Commercial	$69.60
Rate for Payer: Aetna Medicare Advantage	$69.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.16
Rate for Payer: Cigna Commercial	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.16
Rate for Payer: Oxford Commercial	$116.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.80
Rate for Payer: UnitedHealthcare Commercial	$116.00

ENDO REACH NANAOPASS

Facility

$1,445.00

Hospital Charge Code	270668509
Hospital Revenue Code	272
Min. Negotiated Rate	$187.85
Max. Negotiated Rate	$722.50
Rate for Payer: Aetna Commercial	$433.50
Rate for Payer: Aetna Medicare Advantage	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.48
Rate for Payer: Cigna Commercial	$722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.85
Rate for Payer: Oxford Commercial	$722.50
Rate for Payer: Qualcare PPO/HMO/WC	$216.75
Rate for Payer: UnitedHealthcare Commercial	$722.50

ENDO REACH NANAOPASS

Facility

$1,445.00

Hospital Charge Code	270668509
Hospital Revenue Code	272
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$216.75
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

ENDO RECOVERY EA ADD 30 MIN

Facility

$400.00

Hospital Charge Code	2300915
Hospital Revenue Code	710
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

ENDO RECOVERY EA ADD 30 MIN

Facility

$400.00

Hospital Charge Code	2300915
Hospital Revenue Code	710
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$200.00

ENDO RECOVERY UP TO 1 HOUR

Facility

$800.00

Hospital Charge Code	2300914
Hospital Revenue Code	710
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

ENDO RECOVERY UP TO 1 HOUR

Facility

$800.00

Hospital Charge Code	2300914
Hospital Revenue Code	710
Min. Negotiated Rate	$104.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$400.00

ENDO RETRACT II 10MM 176647

Facility

$1,214.45

Hospital Charge Code	270600114
Hospital Revenue Code	272
Min. Negotiated Rate	$182.17
Max. Negotiated Rate	$182.17
Rate for Payer: Qualcare PPO/HMO/WC	$182.17

ENDO RETRACT II 10MM 176647

Facility

$1,214.45

Hospital Charge Code	270600114
Hospital Revenue Code	272
Min. Negotiated Rate	$157.88
Max. Negotiated Rate	$607.23
Rate for Payer: Aetna Commercial	$364.33
Rate for Payer: Aetna Medicare Advantage	$364.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.68
Rate for Payer: Cigna Commercial	$607.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.88
Rate for Payer: Oxford Commercial	$607.23
Rate for Payer: Qualcare PPO/HMO/WC	$182.17
Rate for Payer: UnitedHealthcare Commercial	$607.23

ENDO RETRACT II #176647 ******

Facility

$716.00

Hospital Charge Code	1606110
Hospital Revenue Code	272
Min. Negotiated Rate	$107.40
Max. Negotiated Rate	$107.40
Rate for Payer: Qualcare PPO/HMO/WC	$107.40

ENDO RETRACT II #176647 ******

Facility

$716.00

Hospital Charge Code	1606110
Hospital Revenue Code	272
Min. Negotiated Rate	$93.08
Max. Negotiated Rate	$358.00
Rate for Payer: Aetna Commercial	$214.80
Rate for Payer: Aetna Medicare Advantage	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.58
Rate for Payer: Cigna Commercial	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.08
Rate for Payer: Oxford Commercial	$358.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.40
Rate for Payer: UnitedHealthcare Commercial	$358.00

ENDORPHIN

Facility

$333.00

Service Code	HCPCS 84999
Hospital Charge Code	38472426
Hospital Revenue Code	301
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$49.95
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

ENDORPHIN

Facility

$333.00

Service Code	HCPCS 84999
Hospital Charge Code	38472426
Hospital Revenue Code	301
Min. Negotiated Rate	$43.29
Max. Negotiated Rate	$166.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: Aetna Commercial	$99.90
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.29
Rate for Payer: Oxford Commercial	$101.00

ENDO SCIZ *******

Facility

$554.00

Hospital Charge Code	1603554
Hospital Revenue Code	272
Min. Negotiated Rate	$83.10
Max. Negotiated Rate	$83.10
Rate for Payer: Qualcare PPO/HMO/WC	$83.10

ENDO SCIZ *******

Facility

$554.00

Hospital Charge Code	1603554
Hospital Revenue Code	272
Min. Negotiated Rate	$72.02
Max. Negotiated Rate	$277.00
Rate for Payer: Aetna Commercial	$166.20
Rate for Payer: Aetna Medicare Advantage	$166.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.27
Rate for Payer: Cigna Commercial	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.02
Rate for Payer: Oxford Commercial	$277.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.10
Rate for Payer: UnitedHealthcare Commercial	$277.00

ENDOSCOP APPLICATOR 5MMX41CM

Facility

$282.66

Service Code	HCPCS A4649
Hospital Charge Code	270662368
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$141.33
Rate for Payer: Aetna Commercial	$84.80
Rate for Payer: Aetna Medicare Advantage	$84.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.08
Rate for Payer: Cigna Commercial	$141.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.75
Rate for Payer: Oxford Commercial	$141.33
Rate for Payer: Qualcare PPO/HMO/WC	$42.40
Rate for Payer: UnitedHealthcare Commercial	$141.33

ENDOSCOP APPLICATOR 5MMX41CM

Facility

$282.66

Service Code	HCPCS A4649
Hospital Charge Code	270662368
Hospital Revenue Code	272
Min. Negotiated Rate	$42.40
Max. Negotiated Rate	$42.40
Rate for Payer: Qualcare PPO/HMO/WC	$42.40

ENDOSCOPIC GASTROC RELEASE KIT

Facility

$4,672.80

Hospital Charge Code	270667237
Hospital Revenue Code	272
Min. Negotiated Rate	$607.46
Max. Negotiated Rate	$2,336.40
Rate for Payer: Aetna Commercial	$1,401.84
Rate for Payer: Aetna Medicare Advantage	$1,401.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,191.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,191.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,191.56
Rate for Payer: Cigna Commercial	$2,336.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.46
Rate for Payer: Oxford Commercial	$2,336.40
Rate for Payer: Qualcare PPO/HMO/WC	$700.92
Rate for Payer: UnitedHealthcare Commercial	$2,336.40

ENDOSCOPIC GASTROC RELEASE KIT

Facility

$4,672.80

Hospital Charge Code	270667237
Hospital Revenue Code	272
Min. Negotiated Rate	$700.92
Max. Negotiated Rate	$700.92
Rate for Payer: Qualcare PPO/HMO/WC	$700.92

ENDOSCOPIC INJECTION/IMPLANT

Facility

$15,142.80

Service Code	HCPCS 51715
Hospital Charge Code	1600000470
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$4,542.84
Rate for Payer: Aetna Medicare Advantage	$4,542.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,861.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,861.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,861.41
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,968.56
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,271.42
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ENDOSCOPIC INJECTION/IMPLANT

Facility

$15,142.80

Service Code	HCPCS 51715
Hospital Charge Code	1600000470
Hospital Revenue Code	360
Min. Negotiated Rate	$2,271.42
Max. Negotiated Rate	$2,271.42
Rate for Payer: Qualcare PPO/HMO/WC	$2,271.42

ENDOSCOPIC PLANTAR FASCITMY-LT

Facility

$21,064.35

Service Code	HCPCS 29893
Hospital Charge Code	16000257
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$6,319.31
Rate for Payer: Aetna Medicare Advantage	$6,319.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,371.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,371.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,371.41
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.37
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.65
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges