Heights University Hospital

All Charges

Charge

Type

Setting

Price

HANDPIECE 33 CM PRECIS JPLASMA

Facility

$2,407.50

Hospital Charge Code	270681928
Hospital Revenue Code	272
Min. Negotiated Rate	$312.98
Max. Negotiated Rate	$1,203.75
Rate for Payer: Aetna Commercial	$722.25
Rate for Payer: Aetna Medicare Advantage	$722.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$613.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$613.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$613.91
Rate for Payer: Cigna Commercial	$1,203.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.98
Rate for Payer: Oxford Commercial	$1,203.75
Rate for Payer: Qualcare PPO/HMO/WC	$361.12
Rate for Payer: UnitedHealthcare Commercial	$1,203.75

HANDPIECE 33 CM PRECIS JPLASMA

Facility

$2,407.50

Hospital Charge Code	270681928
Hospital Revenue Code	272
Min. Negotiated Rate	$361.12
Max. Negotiated Rate	$361.12
Rate for Payer: Qualcare PPO/HMO/WC	$361.12

HANDPIECE 9G X 14CM, 12MM

Facility

$8,550.00

Hospital Charge Code	270664836
Hospital Revenue Code	270
Min. Negotiated Rate	$1,282.50
Max. Negotiated Rate	$1,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50

HANDPIECE 9G X 14CM, 12MM

Facility

$8,550.00

Hospital Charge Code	270664836
Hospital Revenue Code	270
Min. Negotiated Rate	$1,111.50
Max. Negotiated Rate	$4,275.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,180.25
Rate for Payer: Cigna Commercial	$4,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,111.50
Rate for Payer: Oxford Commercial	$4,275.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50
Rate for Payer: UnitedHealthcare Commercial	$4,275.00

HANDPIECE 9G X 14CM, 20CM

Facility

$8,550.00

Hospital Charge Code	270664835
Hospital Revenue Code	270
Min. Negotiated Rate	$1,111.50
Max. Negotiated Rate	$4,275.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,180.25
Rate for Payer: Cigna Commercial	$4,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,111.50
Rate for Payer: Oxford Commercial	$4,275.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50
Rate for Payer: UnitedHealthcare Commercial	$4,275.00

HANDPIECE 9G X 14CM, 20CM

Facility

$8,550.00

Hospital Charge Code	270664835
Hospital Revenue Code	270
Min. Negotiated Rate	$1,282.50
Max. Negotiated Rate	$1,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50

HANDPIECE HANDCONTROLE

Facility

$275.09

Hospital Charge Code	270664982
Hospital Revenue Code	270
Min. Negotiated Rate	$41.26
Max. Negotiated Rate	$41.26
Rate for Payer: Qualcare PPO/HMO/WC	$41.26

HANDPIECE HANDCONTROLE

Facility

$275.09

Hospital Charge Code	270664982
Hospital Revenue Code	270
Min. Negotiated Rate	$35.76
Max. Negotiated Rate	$137.54
Rate for Payer: Aetna Commercial	$82.53
Rate for Payer: Aetna Medicare Advantage	$82.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.15
Rate for Payer: Cigna Commercial	$137.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.76
Rate for Payer: Oxford Commercial	$137.54
Rate for Payer: Qualcare PPO/HMO/WC	$41.26
Rate for Payer: UnitedHealthcare Commercial	$137.54

HANDPIECE INTERPULSE W/BONE

Facility

$247.92

Hospital Charge Code	270656162
Hospital Revenue Code	271
Min. Negotiated Rate	$32.23
Max. Negotiated Rate	$123.96
Rate for Payer: Aetna Commercial	$74.38
Rate for Payer: Aetna Medicare Advantage	$74.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.22
Rate for Payer: Cigna Commercial	$123.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.23
Rate for Payer: Oxford Commercial	$123.96
Rate for Payer: Qualcare PPO/HMO/WC	$37.19
Rate for Payer: UnitedHealthcare Commercial	$123.96

HANDPIECE INTERPULSE W/BONE

Facility

$247.92

Hospital Charge Code	270656162
Hospital Revenue Code	271
Min. Negotiated Rate	$37.19
Max. Negotiated Rate	$37.19
Rate for Payer: Qualcare PPO/HMO/WC	$37.19

HAND PIECE LAP 33CM J

Facility

$1,947.40

Hospital Charge Code	270681927
Hospital Revenue Code	272
Min. Negotiated Rate	$253.16
Max. Negotiated Rate	$973.70
Rate for Payer: Aetna Commercial	$584.22
Rate for Payer: Aetna Medicare Advantage	$584.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$496.59
Rate for Payer: Cigna Commercial	$973.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.16
Rate for Payer: Oxford Commercial	$973.70
Rate for Payer: Qualcare PPO/HMO/WC	$292.11
Rate for Payer: UnitedHealthcare Commercial	$973.70

HAND PIECE LAP 33CM J

Facility

$1,947.40

Hospital Charge Code	270681927
Hospital Revenue Code	272
Min. Negotiated Rate	$292.11
Max. Negotiated Rate	$292.11
Rate for Payer: Qualcare PPO/HMO/WC	$292.11

HANDPIECE LASER

Facility

$156.85

Hospital Charge Code	270060946
Hospital Revenue Code	272
Min. Negotiated Rate	$23.53
Max. Negotiated Rate	$23.53
Rate for Payer: Qualcare PPO/HMO/WC	$23.53

HANDPIECE LASER

Facility

$156.85

Hospital Charge Code	270060946
Hospital Revenue Code	272
Min. Negotiated Rate	$20.39
Max. Negotiated Rate	$78.42
Rate for Payer: Aetna Commercial	$47.05
Rate for Payer: Aetna Medicare Advantage	$47.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.00
Rate for Payer: Cigna Commercial	$78.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.39
Rate for Payer: Oxford Commercial	$78.42
Rate for Payer: Qualcare PPO/HMO/WC	$23.53
Rate for Payer: UnitedHealthcare Commercial	$78.42

HANDPIECE STERNUM SAW 5059005

Facility

$141.65

Hospital Charge Code	270634801
Hospital Revenue Code	272
Min. Negotiated Rate	$18.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.41
Rate for Payer: Oxford Commercial	$70.83
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$70.83

HANDPIECE STERNUM SAW 5059005

Facility

$141.65

Hospital Charge Code	270634801
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

HANDPIECE SURGILAV PLUS W/TIP

Facility

$1,636.80

Hospital Charge Code	270658058
Hospital Revenue Code	272
Min. Negotiated Rate	$245.52
Max. Negotiated Rate	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$245.52

HANDPIECE SURGILAV PLUS W/TIP

Facility

$1,636.80

Hospital Charge Code	270658058
Hospital Revenue Code	272
Min. Negotiated Rate	$212.78
Max. Negotiated Rate	$818.40
Rate for Payer: Aetna Commercial	$491.04
Rate for Payer: Aetna Medicare Advantage	$491.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$417.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$417.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$417.38
Rate for Payer: Cigna Commercial	$818.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.78
Rate for Payer: Oxford Commercial	$818.40
Rate for Payer: Qualcare PPO/HMO/WC	$245.52
Rate for Payer: UnitedHealthcare Commercial	$818.40

HANDPIECE VARI-CARE

Facility

$360.85

Hospital Charge Code	270609362
Hospital Revenue Code	272
Min. Negotiated Rate	$54.13
Max. Negotiated Rate	$54.13
Rate for Payer: Qualcare PPO/HMO/WC	$54.13

HANDPIECE VARI-CARE

Facility

$360.85

Hospital Charge Code	270609362
Hospital Revenue Code	272
Min. Negotiated Rate	$46.91
Max. Negotiated Rate	$180.43
Rate for Payer: Aetna Commercial	$108.25
Rate for Payer: Aetna Medicare Advantage	$108.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.02
Rate for Payer: Cigna Commercial	$180.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.91
Rate for Payer: Oxford Commercial	$180.43
Rate for Payer: Qualcare PPO/HMO/WC	$54.13
Rate for Payer: UnitedHealthcare Commercial	$180.43

HANDPIECE VEJET 45DEG 14 50636

Facility

$3,375.00

Hospital Charge Code	270634304
Hospital Revenue Code	272
Min. Negotiated Rate	$438.75
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,012.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.75
Rate for Payer: Oxford Commercial	$1,687.50
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$1,687.50

HANDPIECE VEJET 45DEG 14 50636

Facility

$3,375.00

Hospital Charge Code	270634304
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

HANDPIECE VER 15DEG 14MM 50635

Facility

$3,375.00

Hospital Charge Code	270634330
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

HANDPIECE VER 15DEG 14MM 50635

Facility

$3,375.00

Hospital Charge Code	270634330
Hospital Revenue Code	272
Min. Negotiated Rate	$438.75
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,012.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.75
Rate for Payer: Oxford Commercial	$1,687.50
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$1,687.50

HANDPIECE VERSAJET 14MM 45D

Facility

$2,975.00

Hospital Charge Code	270682396
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

Know your out-of-pocket cost for care.

All Charges