Heights University Hospital

All Charges

Charge

Type

Setting

Price

HOOK SUTURE MINI

Facility

$700.00

Hospital Charge Code	270691002
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

HOOK WIDE BLADE 12

Facility

$4,000.00

Hospital Charge Code	270659816
Hospital Revenue Code	272
Min. Negotiated Rate	$520.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$2,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Commercial	$2,000.00

HOOK WIDE BLADE 12

Facility

$4,000.00

Hospital Charge Code	270659816
Hospital Revenue Code	272
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK WIDE BLADE 6.5

Facility

$4,000.00

Hospital Charge Code	270675213
Hospital Revenue Code	272
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK WIDE BLADE 6.5

Facility

$4,000.00

Hospital Charge Code	270675213
Hospital Revenue Code	272
Min. Negotiated Rate	$520.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$2,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Commercial	$2,000.00

HOOK WIDE BLADE EXT 6.5X55MM

Facility

$4,132.50

Service Code	HCPCS C1713
Hospital Charge Code	270695969
Hospital Revenue Code	278
Min. Negotiated Rate	$619.88
Max. Negotiated Rate	$1,000.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$826.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,000.07
Rate for Payer: Qualcare PPO/HMO/WC	$619.88

HOOK WIDE BLADE EXT 6.5X55MM

Facility

$4,132.50

Service Code	HCPCS C1713
Hospital Charge Code	270695969
Hospital Revenue Code	278
Min. Negotiated Rate	$619.88
Max. Negotiated Rate	$2,066.25
Rate for Payer: Aetna Commercial	$1,239.75
Rate for Payer: Aetna Medicare Advantage	$1,239.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,053.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,053.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$826.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,053.79
Rate for Payer: Cigna Commercial	$2,066.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,000.07
Rate for Payer: Qualcare PPO/HMO/WC	$619.88

HOOP SHIMS

Facility

$5,250.00

Hospital Charge Code	270657300
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

HOOP SHIMS

Facility

$5,515.00

Hospital Charge Code	270657303
Hospital Revenue Code	270
Min. Negotiated Rate	$827.25
Max. Negotiated Rate	$827.25
Rate for Payer: Qualcare PPO/HMO/WC	$827.25

HOOP SHIMS

Facility

$5,250.00

Hospital Charge Code	270657300
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

HOOP SHIMS

Facility

$5,515.00

Hospital Charge Code	270657303
Hospital Revenue Code	270
Min. Negotiated Rate	$716.95
Max. Negotiated Rate	$2,757.50
Rate for Payer: Aetna Commercial	$1,654.50
Rate for Payer: Aetna Medicare Advantage	$1,654.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,406.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,406.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,406.33
Rate for Payer: Cigna Commercial	$2,757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.95
Rate for Payer: Oxford Commercial	$2,757.50
Rate for Payer: Qualcare PPO/HMO/WC	$827.25
Rate for Payer: UnitedHealthcare Commercial	$2,757.50

HOSE NIBP

Facility

$202.55

Hospital Charge Code	270665800
Hospital Revenue Code	270
Min. Negotiated Rate	$30.38
Max. Negotiated Rate	$30.38
Rate for Payer: Qualcare PPO/HMO/WC	$30.38

HOSE NIBP

Facility

$202.55

Hospital Charge Code	270665800
Hospital Revenue Code	270
Min. Negotiated Rate	$26.33
Max. Negotiated Rate	$101.28
Rate for Payer: Aetna Commercial	$60.77
Rate for Payer: Aetna Medicare Advantage	$60.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.65
Rate for Payer: Cigna Commercial	$101.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.33
Rate for Payer: Oxford Commercial	$101.28
Rate for Payer: Qualcare PPO/HMO/WC	$30.38
Rate for Payer: UnitedHealthcare Commercial	$101.28

HOSE VAC 7/8X10 WAND VTWT624

Facility

$42.50

Hospital Charge Code	270638323
Hospital Revenue Code	272
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$21.25
Rate for Payer: Aetna Commercial	$12.75
Rate for Payer: Aetna Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.84
Rate for Payer: Cigna Commercial	$21.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.53
Rate for Payer: Oxford Commercial	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.38
Rate for Payer: UnitedHealthcare Commercial	$21.25

HOSE VAC 7/8X10 WAND VTWT624

Facility

$42.50

Hospital Charge Code	270638323
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

HOSPICE ROOM AND BOARD PRIVATE

Facility

$18,000.00

Hospital Charge Code	93920001
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

HOSPICE ROOM AND BOARD SEMIPRI

Facility

$18,000.00

Service Code	HCPCS Q5005
Hospital Charge Code	93920005
Hospital Revenue Code	121
Min. Negotiated Rate	$2,086.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,086.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

HOT AND COLD PACKS

Facility

$93.71

Service Code	HCPCS 97010
Hospital Charge Code	409297010
Hospital Revenue Code	420
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$14.06
Rate for Payer: Qualcare PPO/HMO/WC	$14.06

HOT AND COLD PACKS

Facility

$93.71

Service Code	HCPCS 97010
Hospital Charge Code	409297010
Hospital Revenue Code	420
Min. Negotiated Rate	$12.18
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$28.11
Rate for Payer: Aetna Medicare Advantage	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.90
Rate for Payer: Cigna Commercial	$46.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.18
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.06
Rate for Payer: UnitedHealthcare Commercial	$686.00

HOT TEMP

Facility

$81.00

Hospital Charge Code	270335110
Hospital Revenue Code	272
Min. Negotiated Rate	$10.53
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$24.30
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.53
Rate for Payer: Oxford Commercial	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$40.50

HOT TEMP

Facility

$81.00

Hospital Charge Code	270335110
Hospital Revenue Code	272
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

HOT TEMP DISP STR WARMNG SET

Facility

$58.49

Hospital Charge Code	270650477
Hospital Revenue Code	272
Min. Negotiated Rate	$8.77
Max. Negotiated Rate	$8.77
Rate for Payer: Qualcare PPO/HMO/WC	$8.77

HOT TEMP DISP STR WARMNG SET

Facility

$58.49

Hospital Charge Code	270650477
Hospital Revenue Code	272
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$29.25
Rate for Payer: Aetna Commercial	$17.55
Rate for Payer: Aetna Medicare Advantage	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.91
Rate for Payer: Cigna Commercial	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.60
Rate for Payer: Oxford Commercial	$29.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.77
Rate for Payer: UnitedHealthcare Commercial	$29.25

HOUSE APPROVED WIRE LOOP SS

Facility

$277.00

Hospital Charge Code	270330532
Hospital Revenue Code	272
Min. Negotiated Rate	$41.55
Max. Negotiated Rate	$41.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.55

HOUSE APPROVED WIRE LOOP SS

Facility

$277.00

Hospital Charge Code	270330532
Hospital Revenue Code	272
Min. Negotiated Rate	$36.01
Max. Negotiated Rate	$138.50
Rate for Payer: Aetna Commercial	$83.10
Rate for Payer: Aetna Medicare Advantage	$83.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.64
Rate for Payer: Cigna Commercial	$138.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.01
Rate for Payer: Oxford Commercial	$138.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.55
Rate for Payer: UnitedHealthcare Commercial	$138.50

Know your out-of-pocket cost for care.

All Charges