Heights University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE CATH XBRCA 6F

Facility

$274.75

Hospital Charge Code	2709001192
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$41.21
Rate for Payer: Qualcare PPO/HMO/WC	$41.21

GUIDE CATH XBRCA 6F

Facility

$274.75

Hospital Charge Code	2709001192
Hospital Revenue Code	272
Min. Negotiated Rate	$35.72
Max. Negotiated Rate	$137.38
Rate for Payer: Aetna Commercial	$82.42
Rate for Payer: Aetna Medicare Advantage	$82.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.06
Rate for Payer: Cigna Commercial	$137.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.72
Rate for Payer: Oxford Commercial	$137.38
Rate for Payer: Qualcare PPO/HMO/WC	$41.21
Rate for Payer: UnitedHealthcare Commercial	$137.38

GUIDE COMPRESSION IMPLANT SIZE

Facility

$300.00

Hospital Charge Code	270672145
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$150.00

GUIDE COMPRESSION IMPLANT SIZE

Facility

$300.00

Hospital Charge Code	270672145
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

GUIDE CONSTANT TIBIAL

Facility

$9,160.00

Hospital Charge Code	270691450
Hospital Revenue Code	272
Min. Negotiated Rate	$1,190.80
Max. Negotiated Rate	$4,580.00
Rate for Payer: Aetna Commercial	$2,748.00
Rate for Payer: Aetna Medicare Advantage	$2,748.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,335.80
Rate for Payer: Cigna Commercial	$4,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,190.80
Rate for Payer: Oxford Commercial	$4,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,374.00
Rate for Payer: UnitedHealthcare Commercial	$4,580.00

GUIDE CONSTANT TIBIAL

Facility

$9,160.00

Hospital Charge Code	270691450
Hospital Revenue Code	272
Min. Negotiated Rate	$1,374.00
Max. Negotiated Rate	$1,374.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,374.00

GUIDED PERCUT DRG PLMT OF CATH

Facility

$9,500.00

Service Code	HCPCS 75989
Hospital Charge Code	2200511
Hospital Revenue Code	350
Min. Negotiated Rate	$126.54
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$126.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,773.00

GUIDED PERCUT DRG PLMT OF CATH

Facility

$9,500.00

Service Code	HCPCS 75989
Hospital Charge Code	2200511
Hospital Revenue Code	350
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

GUIDE DRILL 2.0MM UNIVERSAL

Facility

$1,668.60

Hospital Charge Code	270678119
Hospital Revenue Code	272
Min. Negotiated Rate	$216.92
Max. Negotiated Rate	$834.30
Rate for Payer: Aetna Commercial	$500.58
Rate for Payer: Aetna Medicare Advantage	$500.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.49
Rate for Payer: Cigna Commercial	$834.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.92
Rate for Payer: Oxford Commercial	$834.30
Rate for Payer: Qualcare PPO/HMO/WC	$250.29
Rate for Payer: UnitedHealthcare Commercial	$834.30

GUIDE DRILL 2.0MM UNIVERSAL

Facility

$1,668.60

Hospital Charge Code	270678119
Hospital Revenue Code	272
Min. Negotiated Rate	$250.29
Max. Negotiated Rate	$250.29
Rate for Payer: Qualcare PPO/HMO/WC	$250.29

GUIDE DRILL 2.4MM UNIVERSAL

Facility

$1,668.60

Hospital Charge Code	270677800
Hospital Revenue Code	272
Min. Negotiated Rate	$250.29
Max. Negotiated Rate	$250.29
Rate for Payer: Qualcare PPO/HMO/WC	$250.29

GUIDE DRILL 2.4MM UNIVERSAL

Facility

$1,668.60

Hospital Charge Code	270677800
Hospital Revenue Code	272
Min. Negotiated Rate	$216.92
Max. Negotiated Rate	$834.30
Rate for Payer: Aetna Commercial	$500.58
Rate for Payer: Aetna Medicare Advantage	$500.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.49
Rate for Payer: Cigna Commercial	$834.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.92
Rate for Payer: Oxford Commercial	$834.30
Rate for Payer: Qualcare PPO/HMO/WC	$250.29
Rate for Payer: UnitedHealthcare Commercial	$834.30

GUIDE DRILL 2.7*100 MM LOCKING

Facility

$1,800.00

Hospital Charge Code	270648304
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

GUIDE DRILL 2.7*100 MM LOCKING

Facility

$1,800.00

Hospital Charge Code	270648304
Hospital Revenue Code	272
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$900.00

GUIDE DRILL 2.7MM UNIVERSAL

Facility

$1,708.75

Hospital Charge Code	270678120
Hospital Revenue Code	272
Min. Negotiated Rate	$222.14
Max. Negotiated Rate	$854.38
Rate for Payer: Aetna Commercial	$512.62
Rate for Payer: Aetna Medicare Advantage	$512.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.73
Rate for Payer: Cigna Commercial	$854.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.14
Rate for Payer: Oxford Commercial	$854.38
Rate for Payer: Qualcare PPO/HMO/WC	$256.31
Rate for Payer: UnitedHealthcare Commercial	$854.38

GUIDE DRILL 2.7MM UNIVERSAL

Facility

$1,708.75

Hospital Charge Code	270678120
Hospital Revenue Code	272
Min. Negotiated Rate	$256.31
Max. Negotiated Rate	$256.31
Rate for Payer: Qualcare PPO/HMO/WC	$256.31

GUIDE DRILL 3.5 UNIVERSAL

Facility

$1,903.25

Hospital Charge Code	270614773
Hospital Revenue Code	272
Min. Negotiated Rate	$247.42
Max. Negotiated Rate	$951.62
Rate for Payer: Aetna Commercial	$570.98
Rate for Payer: Aetna Medicare Advantage	$570.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$485.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$485.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$485.33
Rate for Payer: Cigna Commercial	$951.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.42
Rate for Payer: Oxford Commercial	$951.62
Rate for Payer: Qualcare PPO/HMO/WC	$285.49
Rate for Payer: UnitedHealthcare Commercial	$951.62

GUIDE DRILL 3.5 UNIVERSAL

Facility

$1,903.25

Hospital Charge Code	270614773
Hospital Revenue Code	272
Min. Negotiated Rate	$285.49
Max. Negotiated Rate	$285.49
Rate for Payer: Qualcare PPO/HMO/WC	$285.49

GUIDE DRILL PRE-CUT TM 4MM

Facility

$1,050.00

Hospital Charge Code	270697187
Hospital Revenue Code	272
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$157.50
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

GUIDE DRILL PRE-CUT TM 4MM

Facility

$1,050.00

Hospital Charge Code	270697187
Hospital Revenue Code	272
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$315.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Commercial	$525.00

GUIDE DRILL THREADED 3.5

Facility

$448.05

Hospital Charge Code	270646926
Hospital Revenue Code	272
Min. Negotiated Rate	$67.21
Max. Negotiated Rate	$67.21
Rate for Payer: Qualcare PPO/HMO/WC	$67.21

GUIDE DRILL THREADED 3.5

Facility

$448.05

Hospital Charge Code	270646926
Hospital Revenue Code	272
Min. Negotiated Rate	$58.25
Max. Negotiated Rate	$224.03
Rate for Payer: Aetna Commercial	$134.41
Rate for Payer: Aetna Medicare Advantage	$134.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.25
Rate for Payer: Cigna Commercial	$224.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.25
Rate for Payer: Oxford Commercial	$224.03
Rate for Payer: Qualcare PPO/HMO/WC	$67.21
Rate for Payer: UnitedHealthcare Commercial	$224.03

GUIDE DUOFLEX SPRING WIRE ****

Facility

$76.00

Hospital Charge Code	8004350
Hospital Revenue Code	272
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

GUIDE DUOFLEX SPRING WIRE ****

Facility

$76.00

Hospital Charge Code	8004350
Hospital Revenue Code	272
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$38.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$22.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.38
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.88
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$38.00

GUIDE INSERT 3.5 W/STOP

Facility

$864.00

Hospital Charge Code	270657125
Hospital Revenue Code	272
Min. Negotiated Rate	$129.60
Max. Negotiated Rate	$129.60
Rate for Payer: Qualcare PPO/HMO/WC	$129.60

Know your out-of-pocket cost for care.

All Charges