Heights University Hospital

All Charges

Charge

Type

Setting

Price

FINGER PULSE OXIMETER ECONOMY

Facility

$271.90

Hospital Charge Code	270665870
Hospital Revenue Code	270
Min. Negotiated Rate	$35.35
Max. Negotiated Rate	$135.95
Rate for Payer: Aetna Commercial	$81.57
Rate for Payer: Aetna Medicare Advantage	$81.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.33
Rate for Payer: Cigna Commercial	$135.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.35
Rate for Payer: Oxford Commercial	$135.95
Rate for Payer: Qualcare PPO/HMO/WC	$40.78
Rate for Payer: UnitedHealthcare Commercial	$135.95

FINGER-RT 2ND DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F6
Hospital Charge Code	94061339
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-RT 2ND DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F6
Hospital Charge Code	94061339
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER-RT 3RD DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F7
Hospital Charge Code	94061341
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER-RT 3RD DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F7
Hospital Charge Code	94061341
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-RT 5TH DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F9
Hospital Charge Code	94061345
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-RT 5TH DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F9
Hospital Charge Code	94061345
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER-RT HAND, 4TH DI

Facility

$250.00

Service Code	HCPCS 73140F8
Hospital Charge Code	94061343
Hospital Revenue Code	320
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FINGER-RT HAND, 4TH DI

Facility

$250.00

Service Code	HCPCS 73140F8
Hospital Charge Code	94061343
Hospital Revenue Code	320
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER-RT HAND, THUMB

Facility

$5,100.00

Service Code	HCPCS 73140F5
Hospital Charge Code	94061337
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-RT HAND, THUMB

Facility

$5,100.00

Service Code	HCPCS 73140F5
Hospital Charge Code	94061337
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGERS-BILAT

Facility

$250.00

Service Code	HCPCS 73140
Hospital Charge Code	94061105
Hospital Revenue Code	320
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FINGERS-BILAT

Facility

$250.00

Service Code	HCPCS 73140
Hospital Charge Code	94061105
Hospital Revenue Code	320
Min. Negotiated Rate	$13.09
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER SPLINT DYNAMIC

Facility

$322.82

Service Code	HCPCS 29131
Hospital Charge Code	412329131
Hospital Revenue Code	361
Min. Negotiated Rate	$41.97
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$96.85
Rate for Payer: Aetna Medicare Advantage	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.32
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	$82.32
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.97
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.42
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FINGER SPLINT DYNAMIC

Facility

$322.82

Service Code	HCPCS 29131
Hospital Charge Code	412329131
Hospital Revenue Code	361
Min. Negotiated Rate	$48.42
Max. Negotiated Rate	$48.42
Rate for Payer: Qualcare PPO/HMO/WC	$48.42

FINGER SPLINT-STATIC

Facility

$288.00

Service Code	HCPCS 29130
Hospital Charge Code	94186045
Hospital Revenue Code	361
Min. Negotiated Rate	$37.44
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$86.40
Rate for Payer: Aetna Medicare Advantage	$86.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.44
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	$73.44
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.20
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FINGER SPLINT-STATIC

Facility

$288.00

Service Code	HCPCS 29130
Hospital Charge Code	94186045
Hospital Revenue Code	361
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.20

FINGER TRAP LARGE

Facility

$91.57

Hospital Charge Code	270677425
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

FINGER TRAP LARGE

Facility

$91.57

Hospital Charge Code	270677425
Hospital Revenue Code	272
Min. Negotiated Rate	$11.90
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$27.47
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.90
Rate for Payer: Oxford Commercial	$45.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$45.78

FINGER TRAP MEDIUM

Facility

$91.57

Hospital Charge Code	270677424
Hospital Revenue Code	272
Min. Negotiated Rate	$11.90
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$27.47
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.90
Rate for Payer: Oxford Commercial	$45.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$45.78

FINGER TRAP MEDIUM

Facility

$91.57

Hospital Charge Code	270677424
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

FINGER TRAP SMALL

Facility

$91.57

Hospital Charge Code	270677423
Hospital Revenue Code	272
Min. Negotiated Rate	$11.90
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$27.47
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.90
Rate for Payer: Oxford Commercial	$45.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$45.78

FINGER TRAP SMALL

Facility

$91.57

Hospital Charge Code	270677423
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

FINGER TRAP X-LARGE

Facility

$91.57

Hospital Charge Code	270677426
Hospital Revenue Code	272
Min. Negotiated Rate	$11.90
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$27.47
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.90
Rate for Payer: Oxford Commercial	$45.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$45.78

FINGER TRAP X-LARGE

Facility

$91.57

Hospital Charge Code	270677426
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

Know your out-of-pocket cost for care.

All Charges