Heights University Hospital

All Charges

Charge

Type

Setting

Price

FORCEP RAD JAW PULM 9 1269

Facility

$2,301.65

Hospital Charge Code	270603917
Hospital Revenue Code	270
Min. Negotiated Rate	$345.25
Max. Negotiated Rate	$345.25
Rate for Payer: Qualcare PPO/HMO/WC	$345.25

FORCEP RAT TOOTH

Facility

$375.00

Hospital Charge Code	270680382
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

FORCEP RAT TOOTH

Facility

$375.00

Hospital Charge Code	270680382
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

FORCEP REDUCT SPEED LOCK 205mm

Facility

$3,052.90

Hospital Charge Code	270652235
Hospital Revenue Code	272
Min. Negotiated Rate	$457.94
Max. Negotiated Rate	$457.94
Rate for Payer: Qualcare PPO/HMO/WC	$457.94

FORCEP REDUCT SPEED LOCK 205mm

Facility

$3,052.90

Hospital Charge Code	270652235
Hospital Revenue Code	272
Min. Negotiated Rate	$396.88
Max. Negotiated Rate	$1,526.45
Rate for Payer: Aetna Commercial	$915.87
Rate for Payer: Aetna Medicare Advantage	$915.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$778.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$778.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$778.49
Rate for Payer: Cigna Commercial	$1,526.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.88
Rate for Payer: Oxford Commercial	$1,526.45
Rate for Payer: Qualcare PPO/HMO/WC	$457.94
Rate for Payer: UnitedHealthcare Commercial	$1,526.45

FORCEP REMOVAL CRANOFIX 2

Facility

$1,613.65

Hospital Charge Code	270684902
Hospital Revenue Code	272
Min. Negotiated Rate	$242.05
Max. Negotiated Rate	$242.05
Rate for Payer: Qualcare PPO/HMO/WC	$242.05

FORCEP REMOVAL CRANOFIX 2

Facility

$1,613.65

Hospital Charge Code	270684902
Hospital Revenue Code	272
Min. Negotiated Rate	$209.77
Max. Negotiated Rate	$806.83
Rate for Payer: Aetna Commercial	$484.10
Rate for Payer: Aetna Medicare Advantage	$484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.48
Rate for Payer: Cigna Commercial	$806.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.77
Rate for Payer: Oxford Commercial	$806.83
Rate for Payer: Qualcare PPO/HMO/WC	$242.05
Rate for Payer: UnitedHealthcare Commercial	$806.83

FORCEP RESCUE NET RETIRVAL DEV

Facility

$425.00

Hospital Charge Code	270688849
Hospital Revenue Code	272
Min. Negotiated Rate	$55.25
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.25
Rate for Payer: Oxford Commercial	$212.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$212.50

FORCEP RESCUE NET RETIRVAL DEV

Facility

$425.00

Hospital Charge Code	270688849
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

FORCEP RESUE COMBO RAT ALLIGAT

Facility

$425.00

Hospital Charge Code	270680398
Hospital Revenue Code	272
Min. Negotiated Rate	$55.25
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.25
Rate for Payer: Oxford Commercial	$212.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$212.50

FORCEP RESUE COMBO RAT ALLIGAT

Facility

$425.00

Hospital Charge Code	270680398
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

FORCEP RETRIEVAL ALLIGATOR

Facility

$61.75

Hospital Charge Code	270700754
Hospital Revenue Code	272
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$30.88
Rate for Payer: Aetna Commercial	$18.52
Rate for Payer: Aetna Medicare Advantage	$18.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.75
Rate for Payer: Cigna Commercial	$30.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.03
Rate for Payer: Oxford Commercial	$30.88
Rate for Payer: Qualcare PPO/HMO/WC	$9.26
Rate for Payer: UnitedHealthcare Commercial	$30.88

FORCEP RETRIEVAL ALLIGATOR

Facility

$61.75

Hospital Charge Code	270700754
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$9.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

FORCEPS 1x2 TEETH, 6 1/4 IN OC

Facility

$79.55

Hospital Charge Code	270608501
Hospital Revenue Code	270
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$39.77
Rate for Payer: Aetna Commercial	$23.86
Rate for Payer: Aetna Medicare Advantage	$23.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.34
Rate for Payer: Oxford Commercial	$39.77
Rate for Payer: Qualcare PPO/HMO/WC	$11.93
Rate for Payer: UnitedHealthcare Commercial	$39.77

FORCEPS 1x2 TEETH, 6 1/4 IN OC

Facility

$79.55

Hospital Charge Code	270608501
Hospital Revenue Code	270
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$11.93
Rate for Payer: Qualcare PPO/HMO/WC	$11.93

FORCEPS ADSON 1 X 2 TEETH SERR

Facility

$23.65

Hospital Charge Code	270604503
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$11.82
Rate for Payer: Aetna Commercial	$7.09
Rate for Payer: Aetna Medicare Advantage	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.03
Rate for Payer: Cigna Commercial	$11.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.07
Rate for Payer: Oxford Commercial	$11.82
Rate for Payer: Qualcare PPO/HMO/WC	$3.55
Rate for Payer: UnitedHealthcare Commercial	$11.82

FORCEPS ADSON 1 X 2 TEETH SERR

Facility

$23.65

Hospital Charge Code	270604503
Hospital Revenue Code	272
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$3.55
Rate for Payer: Qualcare PPO/HMO/WC	$3.55

FORCEPS ADSON BI-POLAR FORCEPS

Facility

$531.30

Hospital Charge Code	270665575
Hospital Revenue Code	272
Min. Negotiated Rate	$79.69
Max. Negotiated Rate	$79.69
Rate for Payer: Qualcare PPO/HMO/WC	$79.69

FORCEPS ADSON BI-POLAR FORCEPS

Facility

$531.30

Hospital Charge Code	270665575
Hospital Revenue Code	272
Min. Negotiated Rate	$69.07
Max. Negotiated Rate	$265.65
Rate for Payer: Aetna Commercial	$159.39
Rate for Payer: Aetna Medicare Advantage	$159.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.48
Rate for Payer: Cigna Commercial	$265.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.07
Rate for Payer: Oxford Commercial	$265.65
Rate for Payer: Qualcare PPO/HMO/WC	$79.69
Rate for Payer: UnitedHealthcare Commercial	$265.65

FORCEPS ADULT MAGILL

Facility

$80.00

Hospital Charge Code	270665163
Hospital Revenue Code	270
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

FORCEPS ADULT MAGILL

Facility

$80.00

Hospital Charge Code	270665163
Hospital Revenue Code	270
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.40
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$40.00

FORCEPS ARTERY PEAN CVD 6.25

Facility

$59.90

Hospital Charge Code	270601026
Hospital Revenue Code	270
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$29.95
Rate for Payer: Aetna Commercial	$17.97
Rate for Payer: Aetna Medicare Advantage	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.27
Rate for Payer: Cigna Commercial	$29.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.79
Rate for Payer: Oxford Commercial	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.98
Rate for Payer: UnitedHealthcare Commercial	$29.95

FORCEPS ARTERY PEAN CVD 6.25

Facility

$59.90

Hospital Charge Code	270601026
Hospital Revenue Code	270
Min. Negotiated Rate	$8.98
Max. Negotiated Rate	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.98

FORCEPS BIOPSY HOT 2.0mm

Facility

$2,979.50

Hospital Charge Code	270678683
Hospital Revenue Code	272
Min. Negotiated Rate	$446.93
Max. Negotiated Rate	$446.93
Rate for Payer: Qualcare PPO/HMO/WC	$446.93

FORCEPS BIOPSY HOT 2.0mm

Facility

$2,979.50

Hospital Charge Code	270678683
Hospital Revenue Code	272
Min. Negotiated Rate	$387.33
Max. Negotiated Rate	$1,489.75
Rate for Payer: Aetna Commercial	$893.85
Rate for Payer: Aetna Medicare Advantage	$893.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$759.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$759.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$759.77
Rate for Payer: Cigna Commercial	$1,489.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.33
Rate for Payer: Oxford Commercial	$1,489.75
Rate for Payer: Qualcare PPO/HMO/WC	$446.93
Rate for Payer: UnitedHealthcare Commercial	$1,489.75

Know your out-of-pocket cost for care.

All Charges