Heights University Hospital

All Charges

Charge

Type

Setting

Price

HOLDER LIMB DISPOSABLE

Facility

$13.98

Hospital Charge Code	270649967
Hospital Revenue Code	270
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$6.99
Rate for Payer: Aetna Commercial	$4.19
Rate for Payer: Aetna Medicare Advantage	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.56
Rate for Payer: Cigna Commercial	$6.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.82
Rate for Payer: Oxford Commercial	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$6.99

HOLDER LIMB DISPOSABLE

Facility

$13.98

Hospital Charge Code	270649967
Hospital Revenue Code	270
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

HOLDER NASAL DRESSING

Facility

$23.80

Hospital Charge Code	270600308
Hospital Revenue Code	272
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.57

HOLDER NASAL DRESSING

Facility

$23.80

Hospital Charge Code	270600308
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$11.90
Rate for Payer: Aetna Commercial	$7.14
Rate for Payer: Aetna Medicare Advantage	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.07
Rate for Payer: Cigna Commercial	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.09
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.57
Rate for Payer: UnitedHealthcare Commercial	$11.90

HOLDER PIN

Facility

$1,475.00

Hospital Charge Code	270677967
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

HOLDER PIN

Facility

$1,475.00

Hospital Charge Code	270677967
Hospital Revenue Code	272
Min. Negotiated Rate	$191.75
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.75
Rate for Payer: Oxford Commercial	$737.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$737.50

HOLDER TRACH TUBE

Facility

$4.46

Hospital Charge Code	270649129
Hospital Revenue Code	270
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Qualcare PPO/HMO/WC	$0.67

HOLDER TRACH TUBE

Facility

$162.43

Hospital Charge Code	270655464
Hospital Revenue Code	270
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$81.22
Rate for Payer: Aetna Commercial	$48.73
Rate for Payer: Aetna Medicare Advantage	$48.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.42
Rate for Payer: Cigna Commercial	$81.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.12
Rate for Payer: Oxford Commercial	$81.22
Rate for Payer: Qualcare PPO/HMO/WC	$24.36
Rate for Payer: UnitedHealthcare Commercial	$81.22

HOLDER TRACH TUBE

Facility

$162.43

Hospital Charge Code	270655464
Hospital Revenue Code	270
Min. Negotiated Rate	$24.36
Max. Negotiated Rate	$24.36
Rate for Payer: Qualcare PPO/HMO/WC	$24.36

HOLDER TRACH TUBE

Facility

$4.46

Hospital Charge Code	270649129
Hospital Revenue Code	270
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$2.23
Rate for Payer: Aetna Commercial	$1.34
Rate for Payer: Aetna Medicare Advantage	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.14
Rate for Payer: Cigna Commercial	$2.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.58
Rate for Payer: Oxford Commercial	$2.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.67
Rate for Payer: UnitedHealthcare Commercial	$2.23

HOLDER TRACH TUBE 1

Facility

$14.44

Hospital Charge Code	270302216
Hospital Revenue Code	270
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$2.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.17

HOLDER TRACH TUBE 1

Facility

$14.44

Hospital Charge Code	270302216
Hospital Revenue Code	270
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$7.22
Rate for Payer: Aetna Commercial	$4.33
Rate for Payer: Aetna Medicare Advantage	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.68
Rate for Payer: Cigna Commercial	$7.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.88
Rate for Payer: Oxford Commercial	$7.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.17
Rate for Payer: UnitedHealthcare Commercial	$7.22

HOLDER TRACH TUBE ADHESIVE 270

Facility

$35.15

Hospital Charge Code	270642091
Hospital Revenue Code	419
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.27

HOLDER TRACH TUBE ADHESIVE 270

Facility

$35.15

Hospital Charge Code	270642091
Hospital Revenue Code	419
Min. Negotiated Rate	$4.57
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$10.54
Rate for Payer: Aetna Medicare Advantage	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.96
Rate for Payer: Cigna Commercial	$17.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.57
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.27
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

HOLDER TRUCLIP 8X2.7X2.5 IN

Facility

$600.00

Hospital Charge Code	270683526
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

HOLDER TRUCLIP 8X2.7X2.5 IN

Facility

$600.00

Hospital Charge Code	270683526
Hospital Revenue Code	272
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$300.00

HOLDING PINS MINI HEAD 3.2mm

Facility

$1,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270674366
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$405.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

HOLDING PINS MINI HEAD 3.2mm

Facility

$1,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270674366
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$502.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

HOLDING SLEEVE

Facility

$1,590.00

Hospital Charge Code	270654605
Hospital Revenue Code	272
Min. Negotiated Rate	$206.70
Max. Negotiated Rate	$795.00
Rate for Payer: Aetna Commercial	$477.00
Rate for Payer: Aetna Medicare Advantage	$477.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$405.45
Rate for Payer: Cigna Commercial	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.70
Rate for Payer: Oxford Commercial	$795.00
Rate for Payer: Qualcare PPO/HMO/WC	$238.50
Rate for Payer: UnitedHealthcare Commercial	$795.00

HOLDING SLEEVE

Facility

$1,590.00

Hospital Charge Code	270654605
Hospital Revenue Code	272
Min. Negotiated Rate	$238.50
Max. Negotiated Rate	$238.50
Rate for Payer: Qualcare PPO/HMO/WC	$238.50

HOLDING SLEEVE FOR STARDRIVE

Facility

$3,344.05

Hospital Charge Code	270688592
Hospital Revenue Code	272
Min. Negotiated Rate	$501.61
Max. Negotiated Rate	$501.61
Rate for Payer: Qualcare PPO/HMO/WC	$501.61

HOLDING SLEEVE FOR STARDRIVE

Facility

$3,344.05

Hospital Charge Code	270688592
Hospital Revenue Code	272
Min. Negotiated Rate	$434.73
Max. Negotiated Rate	$1,672.03
Rate for Payer: Aetna Commercial	$1,003.22
Rate for Payer: Aetna Medicare Advantage	$1,003.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$852.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$852.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$852.73
Rate for Payer: Cigna Commercial	$1,672.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$434.73
Rate for Payer: Oxford Commercial	$1,672.03
Rate for Payer: Qualcare PPO/HMO/WC	$501.61
Rate for Payer: UnitedHealthcare Commercial	$1,672.03

HOLISTER/PLASTIBILL 1.2****

Facility

$11.00

Hospital Charge Code	1800036
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

HOLISTER/PLASTIBILL 1.2****

Facility

$11.00

Hospital Charge Code	1800036
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$3.30
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.50

HOLISTER/PLASTIBILL 1.5***

Facility

$8.00

Hospital Charge Code	1800044
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

Know your out-of-pocket cost for care.

All Charges