Heights University Hospital

All Charges

Charge

Type

Setting

Price

HANDLE SCREWDRIVER RATCHETING

Facility

$2,365.00

Hospital Charge Code	270684772
Hospital Revenue Code	272
Min. Negotiated Rate	$354.75
Max. Negotiated Rate	$354.75
Rate for Payer: Qualcare PPO/HMO/WC	$354.75

HANDLE T W/QUICK COUPLING

Facility

$1,257.65

Hospital Charge Code	270614764
Hospital Revenue Code	272
Min. Negotiated Rate	$163.49
Max. Negotiated Rate	$628.83
Rate for Payer: Aetna Commercial	$377.30
Rate for Payer: Aetna Medicare Advantage	$377.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.70
Rate for Payer: Cigna Commercial	$628.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.49
Rate for Payer: Oxford Commercial	$628.83
Rate for Payer: Qualcare PPO/HMO/WC	$188.65
Rate for Payer: UnitedHealthcare Commercial	$628.83

HANDLE T W/QUICK COUPLING

Facility

$1,257.65

Hospital Charge Code	270614764
Hospital Revenue Code	272
Min. Negotiated Rate	$188.65
Max. Negotiated Rate	$188.65
Rate for Payer: Qualcare PPO/HMO/WC	$188.65

HANDLE T W/QUICK COUPLING SM

Facility

$1,425.85

Hospital Charge Code	270682612
Hospital Revenue Code	272
Min. Negotiated Rate	$185.36
Max. Negotiated Rate	$712.92
Rate for Payer: Aetna Commercial	$427.75
Rate for Payer: Aetna Medicare Advantage	$427.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.59
Rate for Payer: Cigna Commercial	$712.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.36
Rate for Payer: Oxford Commercial	$712.92
Rate for Payer: Qualcare PPO/HMO/WC	$213.88
Rate for Payer: UnitedHealthcare Commercial	$712.92

HANDLE T W/QUICK COUPLING SM

Facility

$1,425.85

Hospital Charge Code	270682612
Hospital Revenue Code	272
Min. Negotiated Rate	$213.88
Max. Negotiated Rate	$213.88
Rate for Payer: Qualcare PPO/HMO/WC	$213.88

HANDLE W/QK COUPLNG ROTATG CAP

Facility

$1,959.05

Hospital Charge Code	270677604
Hospital Revenue Code	272
Min. Negotiated Rate	$254.68
Max. Negotiated Rate	$979.52
Rate for Payer: Aetna Commercial	$587.72
Rate for Payer: Aetna Medicare Advantage	$587.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$499.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$499.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$499.56
Rate for Payer: Cigna Commercial	$979.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.68
Rate for Payer: Oxford Commercial	$979.52
Rate for Payer: Qualcare PPO/HMO/WC	$293.86
Rate for Payer: UnitedHealthcare Commercial	$979.52

HANDLE W/QK COUPLNG ROTATG CAP

Facility

$1,959.05

Hospital Charge Code	270677604
Hospital Revenue Code	272
Min. Negotiated Rate	$293.86
Max. Negotiated Rate	$293.86
Rate for Payer: Qualcare PPO/HMO/WC	$293.86

HAND&LOWER FREARM GAUNTLT

Facility

$288.00

Service Code	HCPCS 29085
Hospital Charge Code	94186030
Hospital Revenue Code	361
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.20

HAND&LOWER FREARM GAUNTLT

Facility

$288.00

Service Code	HCPCS 29085
Hospital Charge Code	94186030
Hospital Revenue Code	361
Min. Negotiated Rate	$37.44
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$86.40
Rate for Payer: Aetna Medicare Advantage	$86.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.44
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.20
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

HAND NEB COMPRESSOR******

Facility

$39.60

Hospital Charge Code	9500265
Hospital Revenue Code	419
Min. Negotiated Rate	$5.15
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$11.88
Rate for Payer: Aetna Medicare Advantage	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.10
Rate for Payer: Cigna Commercial	$19.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.15
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.94
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

HAND NEB COMPRESSOR******

Facility

$39.60

Hospital Charge Code	9500265
Hospital Revenue Code	419
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$5.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.94

HAND NEB TRMT INI W/COMPRSSR**

Facility

$79.00

Service Code	HCPCS 94640
Hospital Charge Code	9500308
Hospital Revenue Code	419
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

HAND NEB TRMT INI W/COMPRSSR**

Facility

$79.00

Service Code	HCPCS 94640
Hospital Charge Code	9500308
Hospital Revenue Code	419
Min. Negotiated Rate	$10.27
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$23.70
Rate for Payer: Aetna Medicare Advantage	$23.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.14
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.27
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.85
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

HAND NEBULIZER - LATEX FREE

Facility

$9.65

Hospital Charge Code	270200165
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

HAND NEBULIZER - LATEX FREE

Facility

$9.65

Hospital Charge Code	270200165
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

HAND NEBULIZER PIPE - #600634

Facility

$11.25

Hospital Charge Code	270600634
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

HAND NEBULIZER PIPE - #600634

Facility

$11.25

Hospital Charge Code	270600634
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

HAND NEBULIZER SUBSEQ TREATMNT

Facility

$467.85

Service Code	HCPCS 9464076
Hospital Charge Code	9500325
Hospital Revenue Code	410
Min. Negotiated Rate	$60.82
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$140.35
Rate for Payer: Aetna Medicare Advantage	$140.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.30
Rate for Payer: Cigna Commercial	$233.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.82
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.18
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

HAND NEBULIZER SUBSEQ TREATMNT

Facility

$467.85

Service Code	HCPCS 9464076
Hospital Charge Code	9500325
Hospital Revenue Code	410
Min. Negotiated Rate	$70.18
Max. Negotiated Rate	$70.18
Rate for Payer: Qualcare PPO/HMO/WC	$70.18

HAND NEBULIZER TREATMENT

Facility

$467.85

Service Code	HCPCS 94640
Hospital Charge Code	9500306
Hospital Revenue Code	410
Min. Negotiated Rate	$70.18
Max. Negotiated Rate	$70.18
Rate for Payer: Qualcare PPO/HMO/WC	$70.18

HAND NEBULIZER TREATMENT

Facility

$467.85

Service Code	HCPCS 94640
Hospital Charge Code	9500306
Hospital Revenue Code	410
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$140.35
Rate for Payer: Aetna Medicare Advantage	$140.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.30
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.82
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.18
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

HAND NEBULIZER TRMT SUBSEQ****

Facility

$46.00

Service Code	HCPCS 94640
Hospital Charge Code	9500309
Hospital Revenue Code	419
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$13.80
Rate for Payer: Aetna Medicare Advantage	$13.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.73
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.90
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

HAND NEBULIZER TRMT SUBSEQ****

Facility

$46.00

Service Code	HCPCS 94640
Hospital Charge Code	9500309
Hospital Revenue Code	419
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.90

HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC

Facility

$57,517.44

Service Code	MSDRG 513
Min. Negotiated Rate	$17,179.68
Max. Negotiated Rate	$57,517.44
Rate for Payer: Aetna Commercial	$53,085.21
Rate for Payer: Aetna Medicare Advantage	$17,179.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,658.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,658.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,172.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,658.54
Rate for Payer: Cigna Commercial	$33,880.51
Rate for Payer: Cigna Medicare Advantage	$19,172.48
Rate for Payer: Clover Medicare Advantage	$18,213.86
Rate for Payer: EmblemHealth Commercial	$57,517.44
Rate for Payer: Humana Medicare Advantage	$19,747.65
Rate for Payer: Oxford Commercial	$21,174.33
Rate for Payer: UnitedHealthcare Commercial	$24,034.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,172.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,322.83
Rate for Payer: Wellcare Medicare Advantage	$19,172.48

HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC

Facility

$41,495.22

Service Code	MSDRG 514
Min. Negotiated Rate	$11,155.93
Max. Negotiated Rate	$41,495.22
Rate for Payer: Aetna Commercial	$34,471.82
Rate for Payer: Aetna Medicare Advantage	$11,155.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,669.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,669.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,831.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,669.68
Rate for Payer: Cigna Commercial	$22,000.92
Rate for Payer: Cigna Medicare Advantage	$13,831.74
Rate for Payer: Clover Medicare Advantage	$13,140.15
Rate for Payer: EmblemHealth Commercial	$41,495.22
Rate for Payer: Humana Medicare Advantage	$14,246.69
Rate for Payer: Oxford Commercial	$13,749.93
Rate for Payer: UnitedHealthcare Commercial	$15,607.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,831.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,661.64
Rate for Payer: Wellcare Medicare Advantage	$13,831.74

Know your out-of-pocket cost for care.

All Charges