Heights University Hospital

All Charges

Charge

Type

Setting

Price

FISH DISPOSABLE VISCERAL LRG

Facility

$243.37

Hospital Charge Code	270653825
Hospital Revenue Code	272
Min. Negotiated Rate	$36.51
Max. Negotiated Rate	$36.51
Rate for Payer: Qualcare PPO/HMO/WC	$36.51

FISKARS SCHOOL WORKS SCISSORS

Facility

$67.95

Hospital Charge Code	270663162
Hospital Revenue Code	270
Min. Negotiated Rate	$8.83
Max. Negotiated Rate	$33.98
Rate for Payer: Aetna Commercial	$20.39
Rate for Payer: Aetna Medicare Advantage	$20.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.33
Rate for Payer: Cigna Commercial	$33.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.83
Rate for Payer: Oxford Commercial	$33.98
Rate for Payer: Qualcare PPO/HMO/WC	$10.19
Rate for Payer: UnitedHealthcare Commercial	$33.98

FISKARS SCHOOL WORKS SCISSORS

Facility

$67.95

Hospital Charge Code	270663162
Hospital Revenue Code	270
Min. Negotiated Rate	$10.19
Max. Negotiated Rate	$10.19
Rate for Payer: Qualcare PPO/HMO/WC	$10.19

FISSURECTOMY

Facility

$11,435.00

Service Code	HCPCS 46200
Hospital Charge Code	1600000263
Hospital Revenue Code	360
Min. Negotiated Rate	$1,715.25
Max. Negotiated Rate	$1,715.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,715.25

FISSURECTOMY

Facility

$11,435.00

Service Code	HCPCS 46200
Hospital Charge Code	1600000263
Hospital Revenue Code	360
Min. Negotiated Rate	$1,486.55
Max. Negotiated Rate	$6,609.93
Rate for Payer: Aetna Commercial	$3,430.50
Rate for Payer: Aetna Medicare Advantage	$3,430.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,915.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,915.93
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	$2,915.93
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,486.55
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,715.25
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

FISTULA PLUG

Facility

$4,210.00

Hospital Charge Code	270667870
Hospital Revenue Code	270
Min. Negotiated Rate	$547.30
Max. Negotiated Rate	$2,105.00
Rate for Payer: Aetna Commercial	$1,263.00
Rate for Payer: Aetna Medicare Advantage	$1,263.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,073.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,073.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,073.55
Rate for Payer: Cigna Commercial	$2,105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$547.30
Rate for Payer: Oxford Commercial	$2,105.00
Rate for Payer: Qualcare PPO/HMO/WC	$631.50
Rate for Payer: UnitedHealthcare Commercial	$2,105.00

FISTULA PLUG

Facility

$4,210.00

Hospital Charge Code	270667870
Hospital Revenue Code	270
Min. Negotiated Rate	$631.50
Max. Negotiated Rate	$631.50
Rate for Payer: Qualcare PPO/HMO/WC	$631.50

FISTULA WOUND MANAGEMENT SYSTM

Facility

$439.74

Hospital Charge Code	270650457
Hospital Revenue Code	271
Min. Negotiated Rate	$57.17
Max. Negotiated Rate	$219.87
Rate for Payer: Aetna Commercial	$131.92
Rate for Payer: Aetna Medicare Advantage	$131.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.13
Rate for Payer: Cigna Commercial	$219.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Oxford Commercial	$219.87
Rate for Payer: Qualcare PPO/HMO/WC	$65.96
Rate for Payer: UnitedHealthcare Commercial	$219.87

FISTULA WOUND MANAGEMENT SYSTM

Facility

$439.74

Hospital Charge Code	270650457
Hospital Revenue Code	271
Min. Negotiated Rate	$65.96
Max. Negotiated Rate	$65.96
Rate for Payer: Qualcare PPO/HMO/WC	$65.96

FITS 3CC AND 5CC PRO-TEC II SY

Facility

$90.00

Hospital Charge Code	270665913
Hospital Revenue Code	270
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

FITS 3CC AND 5CC PRO-TEC II SY

Facility

$90.00

Hospital Charge Code	270665913
Hospital Revenue Code	270
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

FITZGERALD FACTOR ASSAY

Facility

$198.00

Service Code	HCPCS 85293
Hospital Charge Code	401385293
Hospital Revenue Code	305
Min. Negotiated Rate	$9.46
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$18.93
Rate for Payer: Aetna Commercial	$61.33
Rate for Payer: Aetna Medicare Advantage	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.36
Rate for Payer: Cigna Medicare Advantage	$9.46
Rate for Payer: Clover Medicare Advantage	$17.98
Rate for Payer: EmblemHealth Commercial	$56.79
Rate for Payer: Humana Medicare Advantage	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.07
Rate for Payer: Wellcare Medicare Advantage	$18.93

FITZGERALD FACTOR ASSAY

Facility

$198.00

Service Code	HCPCS 85293
Hospital Charge Code	401385293
Hospital Revenue Code	305
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$29.70
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

FIX ANG ST SCREW 4X14MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704425
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

FIX ANG ST SCREW 4X14MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704425
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

FIXATION CANN W/5MM SEA SINGLE

Facility

$43.35

Hospital Charge Code	270659661
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

FIXATION CANN W/5MM SEA SINGLE

Facility

$43.35

Hospital Charge Code	270659661
Hospital Revenue Code	272
Min. Negotiated Rate	$5.64
Max. Negotiated Rate	$21.68
Rate for Payer: Aetna Commercial	$13.01
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.05
Rate for Payer: Cigna Commercial	$21.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.64
Rate for Payer: Oxford Commercial	$21.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$21.68

FIXATION DEVICE ABS W/ 30 TACK

Facility

$3,756.26

Hospital Charge Code	270664468
Hospital Revenue Code	272
Min. Negotiated Rate	$488.31
Max. Negotiated Rate	$1,878.13
Rate for Payer: Aetna Commercial	$1,126.88
Rate for Payer: Aetna Medicare Advantage	$1,126.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$957.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$957.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$957.85
Rate for Payer: Cigna Commercial	$1,878.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.31
Rate for Payer: Oxford Commercial	$1,878.13
Rate for Payer: Qualcare PPO/HMO/WC	$563.44
Rate for Payer: UnitedHealthcare Commercial	$1,878.13

FIXATION DEVICE ABS W/ 30 TACK

Facility

$3,756.26

Hospital Charge Code	270664468
Hospital Revenue Code	272
Min. Negotiated Rate	$563.44
Max. Negotiated Rate	$563.44
Rate for Payer: Qualcare PPO/HMO/WC	$563.44

FIXATION PEEKSWVLK 4.75 X 19.1

Facility

$3,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270688456
Hospital Revenue Code	278
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

FIXATION PEEKSWVLK 4.75 X 19.1

Facility

$3,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270688456
Hospital Revenue Code	278
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,087.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

FIXATION PIN

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704426
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$125.00
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	$50.00
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	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FIXATION PIN

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704426
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FIXATOR 220 DIS RAD 03390053S

Facility

$11,100.00

Hospital Charge Code	270638402
Hospital Revenue Code	272
Min. Negotiated Rate	$1,665.00
Max. Negotiated Rate	$1,665.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.00

FIXATOR 220 DIS RAD 03390053S

Facility

$11,100.00

Hospital Charge Code	270638402
Hospital Revenue Code	272
Min. Negotiated Rate	$1,443.00
Max. Negotiated Rate	$5,550.00
Rate for Payer: Aetna Commercial	$3,330.00
Rate for Payer: Aetna Medicare Advantage	$3,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,830.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,830.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,830.50
Rate for Payer: Cigna Commercial	$5,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,443.00
Rate for Payer: Oxford Commercial	$5,550.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.00
Rate for Payer: UnitedHealthcare Commercial	$5,550.00

Know your out-of-pocket cost for care.

All Charges