Heights University Hospital

All Charges

Charge

Type

Setting

Price

FILTER FAN

Facility

$75.00

Hospital Charge Code	270665504
Hospital Revenue Code	300
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

FILTER FINAL****

Facility

$19.00

Hospital Charge Code	7000433
Hospital Revenue Code	279
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.85

FILTER FINAL****

Facility

$19.00

Hospital Charge Code	7000433
Hospital Revenue Code	279
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$9.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.84
Rate for Payer: Cigna Commercial	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.47
Rate for Payer: Oxford Commercial	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.85
Rate for Payer: UnitedHealthcare Commercial	$9.50

FILTER FOR PCI GUS VAPOR CONTR

Facility

$1,480.00

Hospital Charge Code	270656301
Hospital Revenue Code	278
Min. Negotiated Rate	$222.00
Max. Negotiated Rate	$358.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.16
Rate for Payer: Qualcare PPO/HMO/WC	$222.00

FILTER FOR PCI GUS VAPOR CONTR

Facility

$1,480.00

Hospital Charge Code	270656301
Hospital Revenue Code	278
Min. Negotiated Rate	$222.00
Max. Negotiated Rate	$740.00
Rate for Payer: Aetna Commercial	$444.00
Rate for Payer: Aetna Medicare Advantage	$444.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$377.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$377.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$377.40
Rate for Payer: Cigna Commercial	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.16
Rate for Payer: Qualcare PPO/HMO/WC	$222.00

FILTER G2 EXPRESS RF400F

Facility

$7,475.00

Service Code	HCPCS C1880
Hospital Charge Code	270641168
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

FILTER G2 EXPRESS RF400F

Facility

$7,475.00

Service Code	HCPCS C1880
Hospital Charge Code	270641168
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

FILTER GREENFIELD FEMORAL

Facility

$4,994.50

Service Code	HCPCS C1880
Hospital Charge Code	270601124
Hospital Revenue Code	278
Min. Negotiated Rate	$749.17
Max. Negotiated Rate	$1,208.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$998.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.67
Rate for Payer: Qualcare PPO/HMO/WC	$749.17

FILTER GREENFIELD FEMORAL

Facility

$4,994.50

Service Code	HCPCS C1880
Hospital Charge Code	270601124
Hospital Revenue Code	278
Min. Negotiated Rate	$749.17
Max. Negotiated Rate	$2,497.25
Rate for Payer: Aetna Commercial	$1,498.35
Rate for Payer: Aetna Medicare Advantage	$1,498.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,273.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,273.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$998.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,273.60
Rate for Payer: Cigna Commercial	$2,497.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.67
Rate for Payer: Qualcare PPO/HMO/WC	$749.17

FILTER GREENFIELD JUGULAR 12FR

Facility

$4,994.50

Hospital Charge Code	270601123
Hospital Revenue Code	278
Min. Negotiated Rate	$749.17
Max. Negotiated Rate	$1,208.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$998.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.67
Rate for Payer: Qualcare PPO/HMO/WC	$749.17

FILTER GREENFIELD JUGULAR 12FR

Facility

$4,994.50

Hospital Charge Code	270601123
Hospital Revenue Code	278
Min. Negotiated Rate	$749.17
Max. Negotiated Rate	$2,497.25
Rate for Payer: Aetna Commercial	$1,498.35
Rate for Payer: Aetna Medicare Advantage	$1,498.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,273.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,273.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$998.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,273.60
Rate for Payer: Cigna Commercial	$2,497.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.67
Rate for Payer: Qualcare PPO/HMO/WC	$749.17

FILTER GS SYSTEM CO2 ABS

Facility

$13.65

Hospital Charge Code	270600630
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

FILTER GS SYSTEM CO2 ABS

Facility

$13.65

Hospital Charge Code	270600630
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

FILTER GUN TUL FEM IGTCFS45FEM

Facility

$5,748.85

Hospital Charge Code	270626675
Hospital Revenue Code	278
Min. Negotiated Rate	$862.33
Max. Negotiated Rate	$1,391.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,149.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.22
Rate for Payer: Qualcare PPO/HMO/WC	$862.33

FILTER GUN TUL FEM IGTCFS45FEM

Facility

$5,748.85

Hospital Charge Code	270626675
Hospital Revenue Code	278
Min. Negotiated Rate	$862.33
Max. Negotiated Rate	$2,874.43
Rate for Payer: Aetna Commercial	$1,724.65
Rate for Payer: Aetna Medicare Advantage	$1,724.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,149.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,465.96
Rate for Payer: Cigna Commercial	$2,874.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.22
Rate for Payer: Qualcare PPO/HMO/WC	$862.33

FILTER GUN TUL JUG IGTCFS80JUG

Facility

$5,748.85

Hospital Charge Code	270626676
Hospital Revenue Code	278
Min. Negotiated Rate	$862.33
Max. Negotiated Rate	$2,874.43
Rate for Payer: Aetna Commercial	$1,724.65
Rate for Payer: Aetna Medicare Advantage	$1,724.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,149.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,465.96
Rate for Payer: Cigna Commercial	$2,874.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.22
Rate for Payer: Qualcare PPO/HMO/WC	$862.33

FILTER GUN TUL JUG IGTCFS80JUG

Facility

$5,748.85

Hospital Charge Code	270626676
Hospital Revenue Code	278
Min. Negotiated Rate	$862.33
Max. Negotiated Rate	$1,391.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,149.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.22
Rate for Payer: Qualcare PPO/HMO/WC	$862.33

FILTER, HEAT/MOIST, SM, SAMPLE

Facility

$338.60

Hospital Charge Code	270646165
Hospital Revenue Code	270
Min. Negotiated Rate	$44.02
Max. Negotiated Rate	$169.30
Rate for Payer: Aetna Commercial	$101.58
Rate for Payer: Aetna Medicare Advantage	$101.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.34
Rate for Payer: Cigna Commercial	$169.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.02
Rate for Payer: Oxford Commercial	$169.30
Rate for Payer: Qualcare PPO/HMO/WC	$50.79
Rate for Payer: UnitedHealthcare Commercial	$169.30

FILTER, HEAT/MOIST, SM, SAMPLE

Facility

$338.60

Hospital Charge Code	270646165
Hospital Revenue Code	270
Min. Negotiated Rate	$50.79
Max. Negotiated Rate	$50.79
Rate for Payer: Qualcare PPO/HMO/WC	$50.79

FILTER IN-LINE

Facility

$30.00

Hospital Charge Code	270646324
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

FILTER IN-LINE

Facility

$30.00

Hospital Charge Code	270646324
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

FILTER IVC JUGULAR W/ NAVALIGN

Facility

$5,250.00

Service Code	HCPCS C1880
Hospital Charge Code	270673332
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

FILTER IVC JUGULAR W/ NAVALIGN

Facility

$5,250.00

Service Code	HCPCS C1880
Hospital Charge Code	270673332
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

FILTER JUG ECLIP SUBCLA EC500J

Facility

$5,232.50

Hospital Charge Code	27064410
Hospital Revenue Code	278
Min. Negotiated Rate	$784.88
Max. Negotiated Rate	$1,266.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,046.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,266.27
Rate for Payer: Qualcare PPO/HMO/WC	$784.88

FILTER JUG ECLIP SUBCLA EC500J

Facility

$5,232.50

Hospital Charge Code	27064410
Hospital Revenue Code	278
Min. Negotiated Rate	$784.88
Max. Negotiated Rate	$2,616.25
Rate for Payer: Aetna Commercial	$1,569.75
Rate for Payer: Aetna Medicare Advantage	$1,569.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,334.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,334.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,046.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,334.29
Rate for Payer: Cigna Commercial	$2,616.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,266.27
Rate for Payer: Qualcare PPO/HMO/WC	$784.88

Know your out-of-pocket cost for care.

All Charges