Heights University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE A.I.M ING 1.5MM

Facility

$180.00

Hospital Charge Code	270661782
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$358.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334N
Hospital Revenue Code	278
Min. Negotiated Rate	$53.81
Max. Negotiated Rate	$86.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.82
Rate for Payer: Qualcare PPO/HMO/WC	$53.81

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$362.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334C
Hospital Revenue Code	278
Min. Negotiated Rate	$54.41
Max. Negotiated Rate	$87.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.79
Rate for Payer: Qualcare PPO/HMO/WC	$54.41

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$362.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334C
Hospital Revenue Code	278
Min. Negotiated Rate	$54.41
Max. Negotiated Rate	$181.38
Rate for Payer: Aetna Commercial	$108.83
Rate for Payer: Aetna Medicare Advantage	$108.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.50
Rate for Payer: Cigna Commercial	$181.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.79
Rate for Payer: Qualcare PPO/HMO/WC	$54.41

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$358.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334N
Hospital Revenue Code	278
Min. Negotiated Rate	$53.81
Max. Negotiated Rate	$179.38
Rate for Payer: Aetna Commercial	$107.62
Rate for Payer: Aetna Medicare Advantage	$107.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.48
Rate for Payer: Cigna Commercial	$179.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.82
Rate for Payer: Qualcare PPO/HMO/WC	$53.81

GUIDE.ATW.FLOP J195CM 595EJ014

Facility

$370.00

Hospital Charge Code	270636288
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE.ATW.FLOP J195CM 595EJ014

Facility

$370.00

Hospital Charge Code	270636288
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE.ATW.FLOP J300CM 595EY014

Facility

$370.00

Hospital Charge Code	270636289
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE.ATW.FLOP J300CM 595EY014

Facility

$370.00

Hospital Charge Code	270636289
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE.ATWFLOPSTR195CM 595ME014

Facility

$370.00

Hospital Charge Code	270636290
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE.ATWFLOPSTR195CM 595ME014

Facility

$370.00

Hospital Charge Code	270636290
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE BIOPSY BIPLANE FOR 8818

Facility

$80.56

Hospital Charge Code	270665893
Hospital Revenue Code	270
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$12.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.08

GUIDE BIOPSY BIPLANE FOR 8818

Facility

$80.56

Hospital Charge Code	270665893
Hospital Revenue Code	270
Min. Negotiated Rate	$10.47
Max. Negotiated Rate	$40.28
Rate for Payer: Aetna Commercial	$24.17
Rate for Payer: Aetna Medicare Advantage	$24.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.54
Rate for Payer: Cigna Commercial	$40.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Oxford Commercial	$40.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.08
Rate for Payer: UnitedHealthcare Commercial	$40.28

GUIDE BIOPSY ENDFIRE FOR 8818

Facility

$80.56

Hospital Charge Code	270665892
Hospital Revenue Code	270
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$12.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.08

GUIDE BIOPSY ENDFIRE FOR 8818

Facility

$80.56

Hospital Charge Code	270665892
Hospital Revenue Code	270
Min. Negotiated Rate	$10.47
Max. Negotiated Rate	$40.28
Rate for Payer: Aetna Commercial	$24.17
Rate for Payer: Aetna Medicare Advantage	$24.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.54
Rate for Payer: Cigna Commercial	$40.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Oxford Commercial	$40.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.08
Rate for Payer: UnitedHealthcare Commercial	$40.28

GUIDE BMT NAIL DRIV 3.2 467210

Facility

$463.25

Hospital Charge Code	270606455
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

GUIDE BMT NAIL DRIV 3.2 467210

Facility

$463.25

Hospital Charge Code	270606455
Hospital Revenue Code	272
Min. Negotiated Rate	$60.22
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$138.97
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.22
Rate for Payer: Oxford Commercial	$231.62
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$231.62

GUIDE BMT NAIL DRIV 4.4 467220

Facility

$737.65

Hospital Charge Code	270614899
Hospital Revenue Code	272
Min. Negotiated Rate	$95.89
Max. Negotiated Rate	$368.82
Rate for Payer: Aetna Commercial	$221.29
Rate for Payer: Aetna Medicare Advantage	$221.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.10
Rate for Payer: Cigna Commercial	$368.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.89
Rate for Payer: Oxford Commercial	$368.82
Rate for Payer: Qualcare PPO/HMO/WC	$110.65
Rate for Payer: UnitedHealthcare Commercial	$368.82

GUIDE BMT NAIL DRIV 4.4 467220

Facility

$737.65

Hospital Charge Code	270614899
Hospital Revenue Code	272
Min. Negotiated Rate	$110.65
Max. Negotiated Rate	$110.65
Rate for Payer: Qualcare PPO/HMO/WC	$110.65

GUIDE BMT NAIL DRIV 467216

Facility

$463.25

Hospital Charge Code	270607864
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

GUIDE BMT NAIL DRIV 467216

Facility

$463.25

Hospital Charge Code	270607864
Hospital Revenue Code	272
Min. Negotiated Rate	$60.22
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$138.97
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.22
Rate for Payer: Oxford Commercial	$231.62
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$231.62

GUIDE BMT NAIL DRIV 48 467212

Facility

$545.00

Hospital Charge Code	270614909
Hospital Revenue Code	272
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$81.75
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

GUIDE BMT NAIL DRIV 48 467212

Facility

$545.00

Hospital Charge Code	270614909
Hospital Revenue Code	272
Min. Negotiated Rate	$70.85
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$163.50
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.85
Rate for Payer: Oxford Commercial	$272.50
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Commercial	$272.50

GUIDE CATH 6F

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270637096
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

GUIDE CATH 6F

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270637096
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

Know your out-of-pocket cost for care.

All Charges