Heights University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE PIN N-FORCE 7.3 3.2MM

Facility

$495.00

Hospital Charge Code	270687089
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

GUIDEPIN PERFORM 3X100MM

Facility

$1,810.00

Hospital Charge Code	270700537
Hospital Revenue Code	272
Min. Negotiated Rate	$235.30
Max. Negotiated Rate	$905.00
Rate for Payer: Aetna Commercial	$543.00
Rate for Payer: Aetna Medicare Advantage	$543.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.55
Rate for Payer: Cigna Commercial	$905.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.30
Rate for Payer: Oxford Commercial	$905.00
Rate for Payer: Qualcare PPO/HMO/WC	$271.50
Rate for Payer: UnitedHealthcare Commercial	$905.00

GUIDEPIN PERFORM 3X100MM

Facility

$1,810.00

Hospital Charge Code	270700537
Hospital Revenue Code	272
Min. Negotiated Rate	$271.50
Max. Negotiated Rate	$271.50
Rate for Payer: Qualcare PPO/HMO/WC	$271.50

GUIDE PIN PHALANGEAL

Facility

$300.00

Hospital Charge Code	270672049
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
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) NJ Health	$60.00
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	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

GUIDE PIN PHALANGEAL

Facility

$300.00

Hospital Charge Code	270672049
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

GUIDE PIN PHALANGEAL

Facility

$425.00

Hospital Charge Code	270669665
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

GUIDE PIN PHALANGEAL

Facility

$425.00

Hospital Charge Code	270669665
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
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) NJ Health	$85.00
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	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

GUIDE PIN SMN 3.2 353MM 115163

Facility

$267.25

Hospital Charge Code	270621505
Hospital Revenue Code	270
Min. Negotiated Rate	$40.09
Max. Negotiated Rate	$40.09
Rate for Payer: Qualcare PPO/HMO/WC	$40.09

GUIDE PIN SMN 3.2 353MM 115163

Facility

$267.25

Hospital Charge Code	270621505
Hospital Revenue Code	270
Min. Negotiated Rate	$34.74
Max. Negotiated Rate	$133.62
Rate for Payer: Aetna Commercial	$80.17
Rate for Payer: Aetna Medicare Advantage	$80.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.15
Rate for Payer: Cigna Commercial	$133.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.74
Rate for Payer: Oxford Commercial	$133.62
Rate for Payer: Qualcare PPO/HMO/WC	$40.09
Rate for Payer: UnitedHealthcare Commercial	$133.62

GUIDE PIN THREADED ITST 225867

Facility

$824.00

Hospital Charge Code	270632317
Hospital Revenue Code	272
Min. Negotiated Rate	$107.12
Max. Negotiated Rate	$412.00
Rate for Payer: Aetna Commercial	$247.20
Rate for Payer: Aetna Medicare Advantage	$247.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.12
Rate for Payer: Cigna Commercial	$412.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.12
Rate for Payer: Oxford Commercial	$412.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.60
Rate for Payer: UnitedHealthcare Commercial	$412.00

GUIDE PIN THREADED ITST 225867

Facility

$824.00

Hospital Charge Code	270632317
Hospital Revenue Code	272
Min. Negotiated Rate	$123.60
Max. Negotiated Rate	$123.60
Rate for Payer: Qualcare PPO/HMO/WC	$123.60

GUIDE PIN TIP THD 3.2 71631190

Facility

$265.20

Hospital Charge Code	270633368
Hospital Revenue Code	272
Min. Negotiated Rate	$39.78
Max. Negotiated Rate	$39.78
Rate for Payer: Qualcare PPO/HMO/WC	$39.78

GUIDE PIN TIP THD 3.2 71631190

Facility

$265.20

Hospital Charge Code	270633368
Hospital Revenue Code	272
Min. Negotiated Rate	$34.48
Max. Negotiated Rate	$132.60
Rate for Payer: Aetna Commercial	$79.56
Rate for Payer: Aetna Medicare Advantage	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.63
Rate for Payer: Cigna Commercial	$132.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.48
Rate for Payer: Oxford Commercial	$132.60
Rate for Payer: Qualcare PPO/HMO/WC	$39.78
Rate for Payer: UnitedHealthcare Commercial	$132.60

GUIDE PLS A.I.M. ING 9MMx10DEG

Facility

$260.00

Hospital Charge Code	270671343
Hospital Revenue Code	272
Min. Negotiated Rate	$33.80
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$78.00
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$130.00

GUIDE PLS A.I.M. ING 9MMx10DEG

Facility

$260.00

Hospital Charge Code	270671343
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

GUIDE RADIAL CATH IKARI LT 3.5

Facility

$500.00

Hospital Charge Code	270675912
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

GUIDE RADIAL CATH IKARI LT 3.5

Facility

$500.00

Hospital Charge Code	270675912
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

GUIDE RADIAL CATH IKAR LT 3.75

Facility

$500.00

Hospital Charge Code	270675913
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

GUIDE RADIAL CATH IKAR LT 3.75

Facility

$500.00

Hospital Charge Code	270675913
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

GUIDE REAMER 4 PEG AUG LEFT

Facility

$1,525.00

Service Code	HCPCS A4649
Hospital Charge Code	270699508
Hospital Revenue Code	272
Min. Negotiated Rate	$198.25
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$457.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.25
Rate for Payer: Oxford Commercial	$762.50
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Commercial	$762.50

GUIDE REAMER 4 PEG AUG LEFT

Facility

$1,525.00

Service Code	HCPCS A4649
Hospital Charge Code	270699508
Hospital Revenue Code	272
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$228.75
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

GUIDE ROD 2.5x280MM W/STOP

Facility

$285.00

Hospital Charge Code	270650157
Hospital Revenue Code	272
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

GUIDE ROD 2.5x280MM W/STOP

Facility

$285.00

Hospital Charge Code	270650157
Hospital Revenue Code	272
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$142.50

GUIDEROD BALL 3.0x1000 7161126

Facility

$560.50

Hospital Charge Code	270633377
Hospital Revenue Code	272
Min. Negotiated Rate	$84.08
Max. Negotiated Rate	$84.08
Rate for Payer: Qualcare PPO/HMO/WC	$84.08

GUIDEROD BALL 3.0x1000 7161126

Facility

$560.50

Hospital Charge Code	270633377
Hospital Revenue Code	272
Min. Negotiated Rate	$72.86
Max. Negotiated Rate	$280.25
Rate for Payer: Aetna Commercial	$168.15
Rate for Payer: Aetna Medicare Advantage	$168.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.93
Rate for Payer: Cigna Commercial	$280.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.86
Rate for Payer: Oxford Commercial	$280.25
Rate for Payer: Qualcare PPO/HMO/WC	$84.08
Rate for Payer: UnitedHealthcare Commercial	$280.25

Know your out-of-pocket cost for care.

All Charges