Heights University Hospital

All Charges

Charge

Type

Setting

Price

JACKET MASTER COLOR CODED

Facility

$476.10

Hospital Charge Code	270652497
Hospital Revenue Code	272
Min. Negotiated Rate	$71.42
Max. Negotiated Rate	$71.42
Rate for Payer: Qualcare PPO/HMO/WC	$71.42

JACKET MASTER COLOR CODED

Facility

$476.10

Hospital Charge Code	270652497
Hospital Revenue Code	272
Min. Negotiated Rate	$61.89
Max. Negotiated Rate	$238.05
Rate for Payer: Aetna Commercial	$142.83
Rate for Payer: Aetna Medicare Advantage	$142.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.41
Rate for Payer: Cigna Commercial	$238.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.89
Rate for Payer: Oxford Commercial	$238.05
Rate for Payer: Qualcare PPO/HMO/WC	$71.42
Rate for Payer: UnitedHealthcare Commercial	$238.05

JACKSON-PRATT T-TUBE DRAIN

Facility

$124.00

Hospital Charge Code	270330872
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

JACKSON-PRATT T-TUBE DRAIN

Facility

$124.00

Hospital Charge Code	270330872
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

JACKSON SPINAL TOP PATIENT KIT

Facility

$160.55

Hospital Charge Code	270339537
Hospital Revenue Code	272
Min. Negotiated Rate	$20.87
Max. Negotiated Rate	$80.28
Rate for Payer: Aetna Commercial	$48.16
Rate for Payer: Aetna Medicare Advantage	$48.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.94
Rate for Payer: Cigna Commercial	$80.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.87
Rate for Payer: Oxford Commercial	$80.28
Rate for Payer: Qualcare PPO/HMO/WC	$24.08
Rate for Payer: UnitedHealthcare Commercial	$80.28

JACKSON SPINAL TOP PATIENT KIT

Facility

$160.55

Hospital Charge Code	270339537
Hospital Revenue Code	272
Min. Negotiated Rate	$24.08
Max. Negotiated Rate	$24.08
Rate for Payer: Qualcare PPO/HMO/WC	$24.08

JAG REVOLUTION WIRE 260 CM

Facility

$1,719.95

Service Code	HCPCS C1769
Hospital Charge Code	270690162
Hospital Revenue Code	278
Min. Negotiated Rate	$257.99
Max. Negotiated Rate	$859.98
Rate for Payer: Aetna Commercial	$515.99
Rate for Payer: Aetna Medicare Advantage	$515.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$438.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$438.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$343.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$438.59
Rate for Payer: Cigna Commercial	$859.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.23
Rate for Payer: Qualcare PPO/HMO/WC	$257.99

JAG REVOLUTION WIRE 260 CM

Facility

$1,719.95

Service Code	HCPCS C1769
Hospital Charge Code	270690162
Hospital Revenue Code	278
Min. Negotiated Rate	$257.99
Max. Negotiated Rate	$416.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$343.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.23
Rate for Payer: Qualcare PPO/HMO/WC	$257.99

JAGTOME RX

Facility

$1,510.95

Hospital Charge Code	270680466
Hospital Revenue Code	272
Min. Negotiated Rate	$196.42
Max. Negotiated Rate	$755.48
Rate for Payer: Aetna Commercial	$453.29
Rate for Payer: Aetna Medicare Advantage	$453.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.29
Rate for Payer: Cigna Commercial	$755.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.42
Rate for Payer: Oxford Commercial	$755.48
Rate for Payer: Qualcare PPO/HMO/WC	$226.64
Rate for Payer: UnitedHealthcare Commercial	$755.48

JAGTOME RX

Facility

$1,510.95

Hospital Charge Code	270680466
Hospital Revenue Code	272
Min. Negotiated Rate	$226.64
Max. Negotiated Rate	$226.64
Rate for Payer: Qualcare PPO/HMO/WC	$226.64

JAGTOME RX 49

Facility

$1,515.00

Hospital Charge Code	270660081
Hospital Revenue Code	272
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$227.25
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

JAGTOME RX 49

Facility

$1,515.00

Hospital Charge Code	270660081
Hospital Revenue Code	272
Min. Negotiated Rate	$196.95
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$454.50
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.95
Rate for Payer: Oxford Commercial	$757.50
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Commercial	$757.50

JAGTOME RX SHINECTEROTOME .035

Facility

$1,562.25

Hospital Charge Code	270655970
Hospital Revenue Code	272
Min. Negotiated Rate	$203.09
Max. Negotiated Rate	$781.12
Rate for Payer: Aetna Commercial	$468.68
Rate for Payer: Aetna Medicare Advantage	$468.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$398.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$398.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$398.37
Rate for Payer: Cigna Commercial	$781.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.09
Rate for Payer: Oxford Commercial	$781.12
Rate for Payer: Qualcare PPO/HMO/WC	$234.34
Rate for Payer: UnitedHealthcare Commercial	$781.12

JAGTOME RX SHINECTEROTOME .035

Facility

$1,562.25

Hospital Charge Code	270655970
Hospital Revenue Code	272
Min. Negotiated Rate	$234.34
Max. Negotiated Rate	$234.34
Rate for Payer: Qualcare PPO/HMO/WC	$234.34

JAGTOME SHORTWIRE 0.25

Facility

$2,029.75

Service Code	HCPCS C1769
Hospital Charge Code	270696133
Hospital Revenue Code	272
Min. Negotiated Rate	$263.87
Max. Negotiated Rate	$1,014.88
Rate for Payer: Aetna Commercial	$608.92
Rate for Payer: Aetna Medicare Advantage	$608.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.59
Rate for Payer: Cigna Commercial	$1,014.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.87
Rate for Payer: Oxford Commercial	$1,014.88
Rate for Payer: Qualcare PPO/HMO/WC	$304.46
Rate for Payer: UnitedHealthcare Commercial	$1,014.88

JAGTOME SHORTWIRE 0.25

Facility

$2,029.75

Service Code	HCPCS C1769
Hospital Charge Code	270696133
Hospital Revenue Code	272
Min. Negotiated Rate	$304.46
Max. Negotiated Rate	$304.46
Rate for Payer: Qualcare PPO/HMO/WC	$304.46

JAGWIRE 0.035X260

Facility

$649.98

Hospital Charge Code	270627941
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

JAGWIRE 0.035X260

Facility

$649.98

Hospital Charge Code	270627941
Hospital Revenue Code	272
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$324.99
Rate for Payer: Aetna Commercial	$194.99
Rate for Payer: Aetna Medicare Advantage	$194.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.74
Rate for Payer: Cigna Commercial	$324.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$324.99
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$324.99

JAGWIRE .025 450 ANG BX

Facility

$1,130.05

Hospital Charge Code	270680469
Hospital Revenue Code	272
Min. Negotiated Rate	$169.51
Max. Negotiated Rate	$169.51
Rate for Payer: Qualcare PPO/HMO/WC	$169.51

JAGWIRE .025 450 ANG BX

Facility

$1,130.05

Hospital Charge Code	270680469
Hospital Revenue Code	272
Min. Negotiated Rate	$146.91
Max. Negotiated Rate	$565.02
Rate for Payer: Aetna Commercial	$339.01
Rate for Payer: Aetna Medicare Advantage	$339.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.16
Rate for Payer: Cigna Commercial	$565.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.91
Rate for Payer: Oxford Commercial	$565.02
Rate for Payer: Qualcare PPO/HMO/WC	$169.51
Rate for Payer: UnitedHealthcare Commercial	$565.02

JAGWIRE .025 450 ANG ST

Facility

$1,130.05

Hospital Charge Code	270680470
Hospital Revenue Code	272
Min. Negotiated Rate	$169.51
Max. Negotiated Rate	$169.51
Rate for Payer: Qualcare PPO/HMO/WC	$169.51

JAGWIRE .025 450 ANG ST

Facility

$1,130.05

Hospital Charge Code	270680470
Hospital Revenue Code	272
Min. Negotiated Rate	$146.91
Max. Negotiated Rate	$565.02
Rate for Payer: Aetna Commercial	$339.01
Rate for Payer: Aetna Medicare Advantage	$339.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.16
Rate for Payer: Cigna Commercial	$565.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.91
Rate for Payer: Oxford Commercial	$565.02
Rate for Payer: Qualcare PPO/HMO/WC	$169.51
Rate for Payer: UnitedHealthcare Commercial	$565.02

JAGWIRE 0.25x450cm STRAIGHT

Facility

$566.45

Service Code	HCPCS C1769
Hospital Charge Code	270683528
Hospital Revenue Code	278
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$137.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.08
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

JAGWIRE 0.25x450cm STRAIGHT

Facility

$566.45

Service Code	HCPCS C1769
Hospital Charge Code	270683528
Hospital Revenue Code	278
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$283.23
Rate for Payer: Aetna Commercial	$169.94
Rate for Payer: Aetna Medicare Advantage	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.44
Rate for Payer: Cigna Commercial	$283.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.08
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

JAGWIRE 0.35

Facility

$652.63

Hospital Charge Code	270665631
Hospital Revenue Code	272
Min. Negotiated Rate	$97.89
Max. Negotiated Rate	$97.89
Rate for Payer: Qualcare PPO/HMO/WC	$97.89

Know your out-of-pocket cost for care.

All Charges