Heights University Hospital

All Charges

Charge

Type

Setting

Price

FORCEP BIOPSY 70 DEG

Facility

$3,504.80

Hospital Charge Code	270689938
Hospital Revenue Code	272
Min. Negotiated Rate	$525.72
Max. Negotiated Rate	$525.72
Rate for Payer: Qualcare PPO/HMO/WC	$525.72

FORCEP BIOPSY 70 DEG

Facility

$3,504.80

Hospital Charge Code	270689938
Hospital Revenue Code	272
Min. Negotiated Rate	$455.62
Max. Negotiated Rate	$1,752.40
Rate for Payer: Aetna Commercial	$1,051.44
Rate for Payer: Aetna Medicare Advantage	$1,051.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$893.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$893.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$893.72
Rate for Payer: Cigna Commercial	$1,752.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.62
Rate for Payer: Oxford Commercial	$1,752.40
Rate for Payer: Qualcare PPO/HMO/WC	$525.72
Rate for Payer: UnitedHealthcare Commercial	$1,752.40

FORCEP BIOPSY DIR BITE CT 548

Facility

$360.85

Hospital Charge Code	270608628
Hospital Revenue Code	272
Min. Negotiated Rate	$46.91
Max. Negotiated Rate	$180.43
Rate for Payer: Aetna Commercial	$108.25
Rate for Payer: Aetna Medicare Advantage	$108.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.02
Rate for Payer: Cigna Commercial	$180.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.91
Rate for Payer: Oxford Commercial	$180.43
Rate for Payer: Qualcare PPO/HMO/WC	$54.13
Rate for Payer: UnitedHealthcare Commercial	$180.43

FORCEP BIOPSY DIR BITE CT 548

Facility

$360.85

Hospital Charge Code	270608628
Hospital Revenue Code	272
Min. Negotiated Rate	$54.13
Max. Negotiated Rate	$54.13
Rate for Payer: Qualcare PPO/HMO/WC	$54.13

FORCEP BIOPSY HOT LOWER

Facility

$137.50

Hospital Charge Code	270700218
Hospital Revenue Code	272
Min. Negotiated Rate	$17.88
Max. Negotiated Rate	$68.75
Rate for Payer: Aetna Commercial	$41.25
Rate for Payer: Aetna Medicare Advantage	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.06
Rate for Payer: Cigna Commercial	$68.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.88
Rate for Payer: Oxford Commercial	$68.75
Rate for Payer: Qualcare PPO/HMO/WC	$20.62
Rate for Payer: UnitedHealthcare Commercial	$68.75

FORCEP BIOPSY HOT LOWER

Facility

$137.50

Hospital Charge Code	270700218
Hospital Revenue Code	272
Min. Negotiated Rate	$20.62
Max. Negotiated Rate	$20.62
Rate for Payer: Qualcare PPO/HMO/WC	$20.62

FORCEP BIOPSY RADIAL JAW HOT

Facility

$125.00

Hospital Charge Code	270647110
Hospital Revenue Code	271
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

FORCEP BIOPSY RADIAL JAW HOT

Facility

$125.00

Hospital Charge Code	270647110
Hospital Revenue Code	271
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

FORCEP BIOSPY 230 CM OVAL

Facility

$32.00

Hospital Charge Code	270700217
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

FORCEP BIOSPY 230 CM OVAL

Facility

$32.00

Hospital Charge Code	270700217
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

FORCEP BI POLAR BUZZ

Facility

$1,682.75

Hospital Charge Code	270690492
Hospital Revenue Code	272
Min. Negotiated Rate	$218.76
Max. Negotiated Rate	$841.38
Rate for Payer: Aetna Commercial	$504.82
Rate for Payer: Aetna Medicare Advantage	$504.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$429.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$429.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$429.10
Rate for Payer: Cigna Commercial	$841.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.76
Rate for Payer: Oxford Commercial	$841.38
Rate for Payer: Qualcare PPO/HMO/WC	$252.41
Rate for Payer: UnitedHealthcare Commercial	$841.38

FORCEP BI POLAR BUZZ

Facility

$1,682.75

Hospital Charge Code	270690492
Hospital Revenue Code	272
Min. Negotiated Rate	$252.41
Max. Negotiated Rate	$252.41
Rate for Payer: Qualcare PPO/HMO/WC	$252.41

FORCEP BIPOLAR CUT 10m 41010US

Facility

$1,135.90

Hospital Charge Code	270619585
Hospital Revenue Code	272
Min. Negotiated Rate	$147.67
Max. Negotiated Rate	$567.95
Rate for Payer: Aetna Commercial	$340.77
Rate for Payer: Aetna Medicare Advantage	$340.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.65
Rate for Payer: Cigna Commercial	$567.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.67
Rate for Payer: Oxford Commercial	$567.95
Rate for Payer: Qualcare PPO/HMO/WC	$170.38
Rate for Payer: UnitedHealthcare Commercial	$567.95

FORCEP BIPOLAR CUT 10m 41010US

Facility

$1,135.90

Hospital Charge Code	270619585
Hospital Revenue Code	272
Min. Negotiated Rate	$170.38
Max. Negotiated Rate	$170.38
Rate for Payer: Qualcare PPO/HMO/WC	$170.38

FORCEP BLUNT NOSE UP 2.1 MM

Facility

$5,051.00

Hospital Charge Code	270692123
Hospital Revenue Code	272
Min. Negotiated Rate	$656.63
Max. Negotiated Rate	$2,525.50
Rate for Payer: Aetna Commercial	$1,515.30
Rate for Payer: Aetna Medicare Advantage	$1,515.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,288.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,288.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,288.01
Rate for Payer: Cigna Commercial	$2,525.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$656.63
Rate for Payer: Oxford Commercial	$2,525.50
Rate for Payer: Qualcare PPO/HMO/WC	$757.65
Rate for Payer: UnitedHealthcare Commercial	$2,525.50

FORCEP BLUNT NOSE UP 2.1 MM

Facility

$5,051.00

Hospital Charge Code	270692123
Hospital Revenue Code	272
Min. Negotiated Rate	$757.65
Max. Negotiated Rate	$757.65
Rate for Payer: Qualcare PPO/HMO/WC	$757.65

FORCEP BONE SERRATED 18MM

Facility

$3,840.85

Hospital Charge Code	270655151
Hospital Revenue Code	272
Min. Negotiated Rate	$499.31
Max. Negotiated Rate	$1,920.42
Rate for Payer: Aetna Commercial	$1,152.26
Rate for Payer: Aetna Medicare Advantage	$1,152.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$979.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$979.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$979.42
Rate for Payer: Cigna Commercial	$1,920.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$499.31
Rate for Payer: Oxford Commercial	$1,920.42
Rate for Payer: Qualcare PPO/HMO/WC	$576.13
Rate for Payer: UnitedHealthcare Commercial	$1,920.42

FORCEP BONE SERRATED 18MM

Facility

$3,840.85

Hospital Charge Code	270655151
Hospital Revenue Code	272
Min. Negotiated Rate	$576.13
Max. Negotiated Rate	$576.13
Rate for Payer: Qualcare PPO/HMO/WC	$576.13

FORCEP BONE SERRATED 23MM

Facility

$4,072.60

Hospital Charge Code	270655152
Hospital Revenue Code	272
Min. Negotiated Rate	$529.44
Max. Negotiated Rate	$2,036.30
Rate for Payer: Aetna Commercial	$1,221.78
Rate for Payer: Aetna Medicare Advantage	$1,221.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,038.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,038.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,038.51
Rate for Payer: Cigna Commercial	$2,036.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.44
Rate for Payer: Oxford Commercial	$2,036.30
Rate for Payer: Qualcare PPO/HMO/WC	$610.89
Rate for Payer: UnitedHealthcare Commercial	$2,036.30

FORCEP BONE SERRATED 23MM

Facility

$4,072.60

Hospital Charge Code	270655152
Hospital Revenue Code	272
Min. Negotiated Rate	$610.89
Max. Negotiated Rate	$610.89
Rate for Payer: Qualcare PPO/HMO/WC	$610.89

FORCEP DUAL IRRIGATING 1.0 TIP

Facility

$2,362.00

Hospital Charge Code	270692064
Hospital Revenue Code	272
Min. Negotiated Rate	$307.06
Max. Negotiated Rate	$1,181.00
Rate for Payer: Aetna Commercial	$708.60
Rate for Payer: Aetna Medicare Advantage	$708.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$602.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$602.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$602.31
Rate for Payer: Cigna Commercial	$1,181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.06
Rate for Payer: Oxford Commercial	$1,181.00
Rate for Payer: Qualcare PPO/HMO/WC	$354.30
Rate for Payer: UnitedHealthcare Commercial	$1,181.00

FORCEP DUAL IRRIGATING 1.0 TIP

Facility

$2,362.00

Hospital Charge Code	270692064
Hospital Revenue Code	272
Min. Negotiated Rate	$354.30
Max. Negotiated Rate	$354.30
Rate for Payer: Qualcare PPO/HMO/WC	$354.30

FORCEP EVEREST BIPOLAR MACRO

Facility

$4,875.00

Hospital Charge Code	270655611
Hospital Revenue Code	272
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$731.25
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

FORCEP EVEREST BIPOLAR MACRO

Facility

$920.00

Hospital Charge Code	270654831
Hospital Revenue Code	272
Min. Negotiated Rate	$119.60
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$276.00
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.60
Rate for Payer: Oxford Commercial	$460.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$460.00

FORCEP EVEREST BIPOLAR MACRO

Facility

$920.00

Hospital Charge Code	270654831
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

Know your out-of-pocket cost for care.

All Charges