Heights University Hospital

All Charges

Charge

Type

Setting

Price

FORCEP RAD JAW 3 240CM 1536-20

Facility

$228.85

Hospital Charge Code	270607142
Hospital Revenue Code	270
Min. Negotiated Rate	$34.33
Max. Negotiated Rate	$34.33
Rate for Payer: Qualcare PPO/HMO/WC	$34.33

FORCEP RAD JAW 3 240CM 1536-20

Facility

$228.85

Hospital Charge Code	270607142
Hospital Revenue Code	270
Min. Negotiated Rate	$29.75
Max. Negotiated Rate	$114.42
Rate for Payer: Aetna Commercial	$68.66
Rate for Payer: Aetna Medicare Advantage	$68.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.36
Rate for Payer: Cigna Commercial	$114.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.75
Rate for Payer: Oxford Commercial	$114.42
Rate for Payer: Qualcare PPO/HMO/WC	$34.33
Rate for Payer: UnitedHealthcare Commercial	$114.42

FORCEP RAD JAW 3LC 240 1598-20

Facility

$192.05

Hospital Charge Code	270609387
Hospital Revenue Code	270
Min. Negotiated Rate	$28.81
Max. Negotiated Rate	$28.81
Rate for Payer: Qualcare PPO/HMO/WC	$28.81

FORCEP RAD JAW 3LC 240 1598-20

Facility

$192.05

Hospital Charge Code	270609387
Hospital Revenue Code	270
Min. Negotiated Rate	$24.97
Max. Negotiated Rate	$96.03
Rate for Payer: Aetna Commercial	$57.62
Rate for Payer: Aetna Medicare Advantage	$57.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.97
Rate for Payer: Cigna Commercial	$96.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.97
Rate for Payer: Oxford Commercial	$96.03
Rate for Payer: Qualcare PPO/HMO/WC	$28.81
Rate for Payer: UnitedHealthcare Commercial	$96.03

FORCEP RAD JAW HOT BIOP

Facility

$180.00

Hospital Charge Code	270603901
Hospital Revenue Code	279
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

FORCEP RAD JAW HOT BIOP

Facility

$180.00

Hospital Charge Code	270603901
Hospital Revenue Code	279
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

FORCEP RAD JAW HOT BX 1550-20

Facility

$187.50

Hospital Charge Code	270607143
Hospital Revenue Code	270
Min. Negotiated Rate	$28.12
Max. Negotiated Rate	$28.12
Rate for Payer: Qualcare PPO/HMO/WC	$28.12

FORCEP RAD JAW HOT BX 1550-20

Facility

$187.50

Hospital Charge Code	270607143
Hospital Revenue Code	270
Min. Negotiated Rate	$24.38
Max. Negotiated Rate	$93.75
Rate for Payer: Aetna Commercial	$56.25
Rate for Payer: Aetna Medicare Advantage	$56.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.81
Rate for Payer: Cigna Commercial	$93.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.38
Rate for Payer: Oxford Commercial	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$28.12
Rate for Payer: UnitedHealthcare Commercial	$93.75

FORCEP RAD JAW LG W/NDL 1598

Facility

$704.00

Hospital Charge Code	270606231
Hospital Revenue Code	270
Min. Negotiated Rate	$105.60
Max. Negotiated Rate	$105.60
Rate for Payer: Qualcare PPO/HMO/WC	$105.60

FORCEP RAD JAW LG W/NDL 1598

Facility

$704.00

Hospital Charge Code	270606231
Hospital Revenue Code	270
Min. Negotiated Rate	$91.52
Max. Negotiated Rate	$352.00
Rate for Payer: Aetna Commercial	$211.20
Rate for Payer: Aetna Medicare Advantage	$211.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.52
Rate for Payer: Cigna Commercial	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.52
Rate for Payer: Oxford Commercial	$352.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.60
Rate for Payer: UnitedHealthcare Commercial	$352.00

FORCEP RAD JAW MXCP 240CM 1588

Facility

$268.85

Hospital Charge Code	270608082
Hospital Revenue Code	272
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$134.43
Rate for Payer: Aetna Commercial	$80.66
Rate for Payer: Aetna Medicare Advantage	$80.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.56
Rate for Payer: Cigna Commercial	$134.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.95
Rate for Payer: Oxford Commercial	$134.43
Rate for Payer: Qualcare PPO/HMO/WC	$40.33
Rate for Payer: UnitedHealthcare Commercial	$134.43

FORCEP RAD JAW MXCP 240CM 1588

Facility

$268.85

Hospital Charge Code	270608082
Hospital Revenue Code	272
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$40.33
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

FORCEP RAD JAW PER 160MM 1578

Facility

$346.45

Hospital Charge Code	270608083
Hospital Revenue Code	272
Min. Negotiated Rate	$45.04
Max. Negotiated Rate	$173.22
Rate for Payer: Aetna Commercial	$103.94
Rate for Payer: Aetna Medicare Advantage	$103.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.34
Rate for Payer: Cigna Commercial	$173.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.04
Rate for Payer: Oxford Commercial	$173.22
Rate for Payer: Qualcare PPO/HMO/WC	$51.97
Rate for Payer: UnitedHealthcare Commercial	$173.22

FORCEP RAD JAW PER 160MM 1578

Facility

$346.45

Hospital Charge Code	270608083
Hospital Revenue Code	272
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$51.97
Rate for Payer: Qualcare PPO/HMO/WC	$51.97

FORCEP RAD JAW PULM 111 1523

Facility

$154.50

Hospital Charge Code	270603912
Hospital Revenue Code	270
Min. Negotiated Rate	$20.09
Max. Negotiated Rate	$77.25
Rate for Payer: Aetna Commercial	$46.35
Rate for Payer: Aetna Medicare Advantage	$46.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.40
Rate for Payer: Cigna Commercial	$77.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.09
Rate for Payer: Oxford Commercial	$77.25
Rate for Payer: Qualcare PPO/HMO/WC	$23.18
Rate for Payer: UnitedHealthcare Commercial	$77.25

FORCEP RAD JAW PULM 111 1523

Facility

$154.50

Hospital Charge Code	270603912
Hospital Revenue Code	270
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$23.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.18

FORCEP RAD JAW PULM 111 1524

Facility

$154.58

Hospital Charge Code	270603913
Hospital Revenue Code	270
Min. Negotiated Rate	$23.19
Max. Negotiated Rate	$23.19
Rate for Payer: Qualcare PPO/HMO/WC	$23.19

FORCEP RAD JAW PULM 111 1524

Facility

$154.58

Hospital Charge Code	270603913
Hospital Revenue Code	270
Min. Negotiated Rate	$20.10
Max. Negotiated Rate	$77.29
Rate for Payer: Aetna Commercial	$46.37
Rate for Payer: Aetna Medicare Advantage	$46.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.42
Rate for Payer: Cigna Commercial	$77.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.10
Rate for Payer: Oxford Commercial	$77.29
Rate for Payer: Qualcare PPO/HMO/WC	$23.19
Rate for Payer: UnitedHealthcare Commercial	$77.29

FORCEP RAD JAW PULM 6 1266

Facility

$2,301.65

Hospital Charge Code	270603914
Hospital Revenue Code	270
Min. Negotiated Rate	$299.21
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$690.50
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.21
Rate for Payer: Oxford Commercial	$1,150.83
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$1,150.83

FORCEP RAD JAW PULM 6 1266

Facility

$2,301.65

Hospital Charge Code	270603914
Hospital Revenue Code	270
Min. Negotiated Rate	$345.25
Max. Negotiated Rate	$345.25
Rate for Payer: Qualcare PPO/HMO/WC	$345.25

FORCEP RAD JAW PULM 7 1267

Facility

$2,301.65

Hospital Charge Code	270603915
Hospital Revenue Code	270
Min. Negotiated Rate	$299.21
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$690.50
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.21
Rate for Payer: Oxford Commercial	$1,150.83
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$1,150.83

FORCEP RAD JAW PULM 7 1267

Facility

$2,301.65

Hospital Charge Code	270603915
Hospital Revenue Code	270
Min. Negotiated Rate	$345.25
Max. Negotiated Rate	$345.25
Rate for Payer: Qualcare PPO/HMO/WC	$345.25

FORCEP RAD JAW PULM 8 1268

Facility

$2,301.65

Hospital Charge Code	270603916
Hospital Revenue Code	270
Min. Negotiated Rate	$299.21
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$690.50
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.21
Rate for Payer: Oxford Commercial	$1,150.83
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$1,150.83

FORCEP RAD JAW PULM 8 1268

Facility

$2,301.65

Hospital Charge Code	270603916
Hospital Revenue Code	270
Min. Negotiated Rate	$345.25
Max. Negotiated Rate	$345.25
Rate for Payer: Qualcare PPO/HMO/WC	$345.25

FORCEP RAD JAW PULM 9 1269

Facility

$2,301.65

Hospital Charge Code	270603917
Hospital Revenue Code	270
Min. Negotiated Rate	$299.21
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$690.50
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.21
Rate for Payer: Oxford Commercial	$1,150.83
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$1,150.83

Know your out-of-pocket cost for care.

All Charges