Heights University Hospital

All Charges

Charge

Type

Setting

Price

FLEXI-SEAL COLLECTION BAG

Facility

$30.60

Hospital Charge Code	270646932
Hospital Revenue Code	272
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$4.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.59

FLEXI-SEAL FECAL MGMT SYSTEM

Facility

$796.53

Hospital Charge Code	270646928
Hospital Revenue Code	272
Min. Negotiated Rate	$119.48
Max. Negotiated Rate	$119.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.48

FLEXI-SEAL FECAL MGMT SYSTEM

Facility

$796.53

Hospital Charge Code	270646928
Hospital Revenue Code	272
Min. Negotiated Rate	$103.55
Max. Negotiated Rate	$398.26
Rate for Payer: Aetna Commercial	$238.96
Rate for Payer: Aetna Medicare Advantage	$238.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.12
Rate for Payer: Cigna Commercial	$398.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.55
Rate for Payer: Oxford Commercial	$398.26
Rate for Payer: Qualcare PPO/HMO/WC	$119.48
Rate for Payer: UnitedHealthcare Commercial	$398.26

FLEXISEAL FMS CL 1638411107

Facility

$668.33

Hospital Charge Code	270663373
Hospital Revenue Code	272
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$100.25
Rate for Payer: Qualcare PPO/HMO/WC	$100.25

FLEXISEAL FMS CL 1638411107

Facility

$668.33

Hospital Charge Code	270663373
Hospital Revenue Code	272
Min. Negotiated Rate	$86.88
Max. Negotiated Rate	$334.17
Rate for Payer: Aetna Commercial	$200.50
Rate for Payer: Aetna Medicare Advantage	$200.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.42
Rate for Payer: Cigna Commercial	$334.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.88
Rate for Payer: Oxford Commercial	$334.17
Rate for Payer: Qualcare PPO/HMO/WC	$100.25
Rate for Payer: UnitedHealthcare Commercial	$334.17

FLEXOR CONTRA LAT BALKIN 7FR

Facility

$323.25

Hospital Charge Code	270624720
Hospital Revenue Code	278
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$161.62
Rate for Payer: Aetna Commercial	$96.97
Rate for Payer: Aetna Medicare Advantage	$96.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.43
Rate for Payer: Cigna Commercial	$161.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.23
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

FLEXOR CONTRA LAT BALKIN 7FR

Facility

$323.25

Hospital Charge Code	270624720
Hospital Revenue Code	278
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$78.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.23
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

FLEXOR SHUTTLE-SL 4FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686951S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 4FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686951N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 4FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686951S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 4FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686951N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686953N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686953S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686953N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686953S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 90 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686952S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 90 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686952N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 90 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686952S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 90 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686952N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXPATCH 3X4CM

Facility

$13,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270700031
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$4,050.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

FLEXPATCH 3X4CM

Facility

$13,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270700031
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

FLEXPATCH DYNAMIC MATRIX 4X6CM

Facility

$14,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270700032
Hospital Revenue Code	278
Min. Negotiated Rate	$2,190.00
Max. Negotiated Rate	$3,533.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,920.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,533.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,190.00

FLEXPATCH DYNAMIC MATRIX 4X6CM

Facility

$14,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270700032
Hospital Revenue Code	278
Min. Negotiated Rate	$2,190.00
Max. Negotiated Rate	$7,300.00
Rate for Payer: Aetna Commercial	$4,380.00
Rate for Payer: Aetna Medicare Advantage	$4,380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,723.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,723.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,920.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,723.00
Rate for Payer: Cigna Commercial	$7,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,533.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,190.00

FLEX SHAFT CONN W JACOB CHUCK

Facility

$1,724.20

Service Code	HCPCS C1713
Hospital Charge Code	270626345
Hospital Revenue Code	278
Min. Negotiated Rate	$258.63
Max. Negotiated Rate	$417.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.26
Rate for Payer: Qualcare PPO/HMO/WC	$258.63

FLEX SHAFT CONN W JACOB CHUCK

Facility

$1,724.20

Service Code	HCPCS C1713
Hospital Charge Code	270626345
Hospital Revenue Code	278
Min. Negotiated Rate	$258.63
Max. Negotiated Rate	$862.10
Rate for Payer: Aetna Commercial	$517.26
Rate for Payer: Aetna Medicare Advantage	$517.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.67
Rate for Payer: Cigna Commercial	$862.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.26
Rate for Payer: Qualcare PPO/HMO/WC	$258.63

Know your out-of-pocket cost for care.

All Charges