Heights University Hospital

All Charges

Charge

Type

Setting

Price

HUNTER ACTIVE TENDON IMPLANT P

Facility

$7,150.00

Service Code	HCPCS C1762
Hospital Charge Code	270679623
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.50
Max. Negotiated Rate	$1,730.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50

HUNTER ACTIVE TENDON IMPLANT P

Facility

$7,150.00

Service Code	HCPCS C1762
Hospital Charge Code	270679623
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.50
Max. Negotiated Rate	$3,575.00
Rate for Payer: Aetna Commercial	$2,145.00
Rate for Payer: Aetna Medicare Advantage	$2,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,823.25
Rate for Payer: Cigna Commercial	$3,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50

HUNTER ROD 4x24.5CM

Facility

$7,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270671369
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.50
Max. Negotiated Rate	$3,575.00
Rate for Payer: Aetna Commercial	$2,145.00
Rate for Payer: Aetna Medicare Advantage	$2,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,823.25
Rate for Payer: Cigna Commercial	$3,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50

HUNTER ROD 4x24.5CM

Facility

$7,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270671369
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.50
Max. Negotiated Rate	$1,730.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50

HUNTINGTON DISEASE MUTATI

Facility

$2,375.00

Service Code	HCPCS 81401
Hospital Charge Code	39900026
Hospital Revenue Code	310
Min. Negotiated Rate	$68.50
Max. Negotiated Rate	$501.97
Rate for Payer: Aetna Commercial	$443.88
Rate for Payer: Aetna Medicare Advantage	$137.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$137.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.97
Rate for Payer: Cigna Commercial	$137.00
Rate for Payer: Cigna Medicare Advantage	$68.50
Rate for Payer: Clover Medicare Advantage	$130.15
Rate for Payer: EmblemHealth Commercial	$411.00
Rate for Payer: Humana Medicare Advantage	$141.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$137.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$145.22
Rate for Payer: Wellcare Medicare Advantage	$137.00

HUNTINGTON DISEASE MUTATI

Facility

$2,375.00

Service Code	HCPCS 81401
Hospital Charge Code	39900026
Hospital Revenue Code	310
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

HURRICANE ONE SPRAY 0.5ML

Facility

$92.66

Service Code	NDC 283061026
Hospital Charge Code	60635735
Hospital Revenue Code	250
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$13.90
Rate for Payer: Qualcare PPO/HMO/WC	$13.90

HURRICANE ONE SPRAY 0.5ML

Facility

$92.66

Service Code	NDC 283061026
Hospital Charge Code	60635735
Hospital Revenue Code	250
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$46.33
Rate for Payer: Aetna Commercial	$27.80
Rate for Payer: Aetna Medicare Advantage	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.63
Rate for Payer: Cigna Commercial	$46.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.05
Rate for Payer: Oxford Commercial	$46.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.90
Rate for Payer: UnitedHealthcare Commercial	$46.33

HURRICANE SPRAY 20%

Facility

$39.00

Hospital Charge Code	60635349
Hospital Revenue Code	250
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$5.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

HURRICANE SPRAY 20%

Facility

$39.00

Hospital Charge Code	60635349
Hospital Revenue Code	250
Min. Negotiated Rate	$5.07
Max. Negotiated Rate	$19.50
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.95
Rate for Payer: Cigna Commercial	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.07
Rate for Payer: Oxford Commercial	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.85
Rate for Payer: UnitedHealthcare Commercial	$19.50

HX DRIV N-FORCE 4.0

Facility

$520.00

Hospital Charge Code	270687090
Hospital Revenue Code	272
Min. Negotiated Rate	$67.60
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$156.00
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.60
Rate for Payer: Oxford Commercial	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Commercial	$260.00

HX DRIV N-FORCE 4.0

Facility

$520.00

Hospital Charge Code	270687090
Hospital Revenue Code	272
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

HYALURONAN FOR IA INJ

Facility

$1,026.64

Service Code	HCPCS J7323
Hospital Charge Code	412317323
Hospital Revenue Code	636
Min. Negotiated Rate	$154.00
Max. Negotiated Rate	$307.99
Rate for Payer: Aetna Commercial	$307.99
Rate for Payer: Aetna Medicare Advantage	$307.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.45
Rate for Payer: Qualcare PPO/HMO/WC	$154.00

HYALURONAN FOR IA INJ

Facility

$1,026.64

Service Code	HCPCS J7323
Hospital Charge Code	412317323
Hospital Revenue Code	636
Min. Negotiated Rate	$154.00
Max. Negotiated Rate	$248.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.45
Rate for Payer: Qualcare PPO/HMO/WC	$154.00

HYALURONIDASE 200 U/ML VIAL

Facility

$446.15

Service Code	HCPCS J3470
Hospital Charge Code	60630065
Hospital Revenue Code	636
Min. Negotiated Rate	$31.55
Max. Negotiated Rate	$133.84
Rate for Payer: Aetna Commercial	$133.84
Rate for Payer: Aetna Medicare Advantage	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.77
Rate for Payer: Cigna Commercial	$31.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.97
Rate for Payer: Qualcare PPO/HMO/WC	$66.92

HYALURONIDASE 200 U/ML VIAL

Facility

$446.15

Service Code	HCPCS J3470
Hospital Charge Code	60630065
Hospital Revenue Code	636
Min. Negotiated Rate	$66.92
Max. Negotiated Rate	$107.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.97
Rate for Payer: Qualcare PPO/HMO/WC	$66.92

HYALURONIDASE INJ 150U/1ML****

Facility

$79.00

Service Code	HCPCS J3470
Hospital Charge Code	60627983
Hospital Revenue Code	636
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$31.55
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) PPO	$20.14
Rate for Payer: Cigna Commercial	$31.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

HYALURONIDASE INJ 150U/1ML****

Facility

$79.00

Service Code	HCPCS J3470
Hospital Charge Code	60627983
Hospital Revenue Code	636
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$19.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

HYALURONIDASE INJ 150U/ML 10ML

Facility

$152.00

Hospital Charge Code	6002802
Hospital Revenue Code	250
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$76.00

HYALURONIDASE INJ 150U/ML 10ML

Facility

$152.00

Hospital Charge Code	6002802
Hospital Revenue Code	250
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

HYALURONIDASE VIAL 150 UNIT

Facility

$75.00

Hospital Charge Code	6015002
Hospital Revenue Code	250
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

HYALURONIDASE VIAL 150 UNIT

Facility

$75.00

Hospital Charge Code	6015002
Hospital Revenue Code	250
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

HYBRID KNEE FIBER TAK

Facility

$2,703.75

Service Code	HCPCS C1713
Hospital Charge Code	270703168
Hospital Revenue Code	278
Min. Negotiated Rate	$405.56
Max. Negotiated Rate	$1,351.88
Rate for Payer: Aetna Commercial	$811.12
Rate for Payer: Aetna Medicare Advantage	$811.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$689.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$689.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$689.46
Rate for Payer: Cigna Commercial	$1,351.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.31
Rate for Payer: Qualcare PPO/HMO/WC	$405.56

HYBRID KNEE FIBER TAK

Facility

$2,703.75

Service Code	HCPCS C1713
Hospital Charge Code	270703168
Hospital Revenue Code	278
Min. Negotiated Rate	$405.56
Max. Negotiated Rate	$654.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.31
Rate for Payer: Qualcare PPO/HMO/WC	$405.56

HYBRID VASCULAR GRAFT 5 X 8 MM

Facility

$12,555.00

Service Code	HCPCS C1768
Hospital Charge Code	270659424
Hospital Revenue Code	278
Min. Negotiated Rate	$1,883.25
Max. Negotiated Rate	$6,277.50
Rate for Payer: Aetna Commercial	$3,766.50
Rate for Payer: Aetna Medicare Advantage	$3,766.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,201.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,201.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,511.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,201.53
Rate for Payer: Cigna Commercial	$6,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,038.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,883.25

Know your out-of-pocket cost for care.

All Charges