Heights University Hospital

All Charges

Charge

Type

Setting

Price

GUIDEWIRE CRD .018 503-558X

Facility

$560.00

Hospital Charge Code	270624763
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$135.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

GUIDEWIRE CRD .025 503-539

Facility

$56.00

Hospital Charge Code	270615828
Hospital Revenue Code	278
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$13.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

GUIDEWIRE CRD .025 503-539

Facility

$56.00

Hospital Charge Code	270615828
Hospital Revenue Code	278
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$28.00
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

GUIDEWIRE CRD .025 ST 502-549

Facility

$37.75

Service Code	HCPCS C1769
Hospital Charge Code	270617435
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

GUIDEWIRE CRD .025 ST 502-549

Facility

$37.75

Service Code	HCPCS C1769
Hospital Charge Code	270617435
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$18.88
Rate for Payer: Aetna Commercial	$11.32
Rate for Payer: Aetna Medicare Advantage	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.63
Rate for Payer: Cigna Commercial	$18.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

GUIDEWIRE CRD .025 ST 502-549

Facility

$63.25

Hospital Charge Code	270617435C
Hospital Revenue Code	278
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$15.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

GUIDEWIRE CRD .025 ST 502-549

Facility

$63.25

Hospital Charge Code	270617435C
Hospital Revenue Code	278
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$18.98
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

GUIDEWIRE CRD .035 150 502-521

Facility

$37.75

Service Code	HCPCS C1769
Hospital Charge Code	270622619
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$18.88
Rate for Payer: Aetna Commercial	$11.32
Rate for Payer: Aetna Medicare Advantage	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.63
Rate for Payer: Cigna Commercial	$18.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

GUIDEWIRE CRD .035 150 502-521

Facility

$37.75

Service Code	HCPCS C1769
Hospital Charge Code	270622619
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

GUIDEWIRE CRD .038 502-525H

Facility

$67.25

Hospital Charge Code	270608951C
Hospital Revenue Code	272
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$10.09
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

GUIDEWIRE CRD .038 502-525H

Facility

$67.25

Hospital Charge Code	270608951C
Hospital Revenue Code	272
Min. Negotiated Rate	$8.74
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.74
Rate for Payer: Oxford Commercial	$33.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Commercial	$33.62

GUIDEWIRE CRD .038 502-525H

Facility

$67.25

Hospital Charge Code	270608951
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

GUIDEWIRE CRD .038 502-525H

Facility

$67.25

Hospital Charge Code	270608951
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

GUIDEWIRE CRD .038 503-453E

Facility

$66.45

Hospital Charge Code	270616019C
Hospital Revenue Code	278
Min. Negotiated Rate	$9.97
Max. Negotiated Rate	$33.23
Rate for Payer: Aetna Commercial	$19.93
Rate for Payer: Aetna Medicare Advantage	$19.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.94
Rate for Payer: Cigna Commercial	$33.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.08
Rate for Payer: Qualcare PPO/HMO/WC	$9.97

GUIDEWIRE CRD .038 503-453E

Facility

$66.45

Hospital Charge Code	270616019C
Hospital Revenue Code	278
Min. Negotiated Rate	$9.97
Max. Negotiated Rate	$16.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.08
Rate for Payer: Qualcare PPO/HMO/WC	$9.97

GUIDEWIRE CRD EMR .035 401823M

Facility

$89.65

Hospital Charge Code	270623510
Hospital Revenue Code	272
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$13.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.45

GUIDEWIRE CRD EMR .035 401823M

Facility

$89.65

Hospital Charge Code	270623510
Hospital Revenue Code	272
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$44.83
Rate for Payer: Aetna Commercial	$26.89
Rate for Payer: Aetna Medicare Advantage	$26.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.86
Rate for Payer: Cigna Commercial	$44.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$44.83
Rate for Payer: Qualcare PPO/HMO/WC	$13.45
Rate for Payer: UnitedHealthcare Commercial	$44.83

GUIDEWIRE DOC 145cm

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270651827
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
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) NJ Health	$75.00
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	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDEWIRE DOC 145cm

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270651827
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDE WIRE DOC 145CM

Facility

$375.00

Hospital Charge Code	2709001145
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDE WIRE DOC 145CM

Facility

$375.00

Hospital Charge Code	2709001145
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

GUIDE WIRE DRILL TIP 2.5x200MM

Facility

$284.85

Hospital Charge Code	270628187
Hospital Revenue Code	272
Min. Negotiated Rate	$37.03
Max. Negotiated Rate	$142.43
Rate for Payer: Aetna Commercial	$85.45
Rate for Payer: Aetna Medicare Advantage	$85.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.64
Rate for Payer: Cigna Commercial	$142.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.03
Rate for Payer: Oxford Commercial	$142.43
Rate for Payer: Qualcare PPO/HMO/WC	$42.73
Rate for Payer: UnitedHealthcare Commercial	$142.43

GUIDE WIRE DRILL TIP 2.5x200MM

Facility

$284.85

Hospital Charge Code	270628187
Hospital Revenue Code	272
Min. Negotiated Rate	$42.73
Max. Negotiated Rate	$42.73
Rate for Payer: Qualcare PPO/HMO/WC	$42.73

GUIDE WIRE DRILL TIP 2.5x300mm

Facility

$290.45

Hospital Charge Code	270649702
Hospital Revenue Code	272
Min. Negotiated Rate	$37.76
Max. Negotiated Rate	$145.22
Rate for Payer: Aetna Commercial	$87.14
Rate for Payer: Aetna Medicare Advantage	$87.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.06
Rate for Payer: Cigna Commercial	$145.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.76
Rate for Payer: Oxford Commercial	$145.22
Rate for Payer: Qualcare PPO/HMO/WC	$43.57
Rate for Payer: UnitedHealthcare Commercial	$145.22

GUIDE WIRE DRILL TIP 2.5x300mm

Facility

$290.45

Hospital Charge Code	270649702
Hospital Revenue Code	272
Min. Negotiated Rate	$43.57
Max. Negotiated Rate	$43.57
Rate for Payer: Qualcare PPO/HMO/WC	$43.57

Know your out-of-pocket cost for care.

All Charges