Heights University Hospital

All Charges

Charge

Type

Setting

Price

JAGWIRE 0.35

Facility

$652.63

Hospital Charge Code	270665631
Hospital Revenue Code	272
Min. Negotiated Rate	$84.84
Max. Negotiated Rate	$326.31
Rate for Payer: Aetna Commercial	$195.79
Rate for Payer: Aetna Medicare Advantage	$195.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.42
Rate for Payer: Cigna Commercial	$326.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.84
Rate for Payer: Oxford Commercial	$326.31
Rate for Payer: Qualcare PPO/HMO/WC	$97.89
Rate for Payer: UnitedHealthcare Commercial	$326.31

JAGWIRE .035 450cm STRAIGHT

Facility

$566.45

Hospital Charge Code	270619354
Hospital Revenue Code	272
Min. Negotiated Rate	$73.64
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) PPO	$144.44
Rate for Payer: Cigna Commercial	$283.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.64
Rate for Payer: Oxford Commercial	$283.23
Rate for Payer: Qualcare PPO/HMO/WC	$84.97
Rate for Payer: UnitedHealthcare Commercial	$283.23

JAGWIRE .035 450cm STRAIGHT

Facility

$566.45

Hospital Charge Code	270619354
Hospital Revenue Code	272
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$84.97
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

JAG WIRE .035 450CM STRAIGHT

Facility

$338.75

Hospital Charge Code	270654277
Hospital Revenue Code	272
Min. Negotiated Rate	$50.81
Max. Negotiated Rate	$50.81
Rate for Payer: Qualcare PPO/HMO/WC	$50.81

JAG WIRE .035 450CM STRAIGHT

Facility

$338.75

Hospital Charge Code	270654277
Hospital Revenue Code	272
Min. Negotiated Rate	$44.04
Max. Negotiated Rate	$169.38
Rate for Payer: Aetna Commercial	$101.62
Rate for Payer: Aetna Medicare Advantage	$101.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.38
Rate for Payer: Cigna Commercial	$169.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.04
Rate for Payer: Oxford Commercial	$169.38
Rate for Payer: Qualcare PPO/HMO/WC	$50.81
Rate for Payer: UnitedHealthcare Commercial	$169.38

JAGWIRE .038 260cm STRAIGHT

Facility

$504.08

Hospital Charge Code	270617891
Hospital Revenue Code	272
Min. Negotiated Rate	$75.61
Max. Negotiated Rate	$75.61
Rate for Payer: Qualcare PPO/HMO/WC	$75.61

JAGWIRE .038 260cm STRAIGHT

Facility

$504.08

Hospital Charge Code	270617891
Hospital Revenue Code	272
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$252.04
Rate for Payer: Aetna Commercial	$151.22
Rate for Payer: Aetna Medicare Advantage	$151.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.54
Rate for Payer: Cigna Commercial	$252.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.53
Rate for Payer: Oxford Commercial	$252.04
Rate for Payer: Qualcare PPO/HMO/WC	$75.61
Rate for Payer: UnitedHealthcare Commercial	$252.04

JAGWIRE .35x450CM STRAIGHT

Facility

$557.13

Hospital Charge Code	270603946
Hospital Revenue Code	272
Min. Negotiated Rate	$72.43
Max. Negotiated Rate	$278.56
Rate for Payer: Aetna Commercial	$167.14
Rate for Payer: Aetna Medicare Advantage	$167.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.07
Rate for Payer: Cigna Commercial	$278.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.43
Rate for Payer: Oxford Commercial	$278.56
Rate for Payer: Qualcare PPO/HMO/WC	$83.57
Rate for Payer: UnitedHealthcare Commercial	$278.56

JAGWIRE .35x450CM STRAIGHT

Facility

$557.13

Hospital Charge Code	270603946
Hospital Revenue Code	272
Min. Negotiated Rate	$83.57
Max. Negotiated Rate	$83.57
Rate for Payer: Qualcare PPO/HMO/WC	$83.57

JAGWIRE GUIDEWIRE ANGLED 260CM

Facility

$492.48

Service Code	HCPCS C1769
Hospital Charge Code	270660813
Hospital Revenue Code	278
Min. Negotiated Rate	$73.87
Max. Negotiated Rate	$119.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.18
Rate for Payer: Qualcare PPO/HMO/WC	$73.87

JAGWIRE GUIDEWIRE ANGLED 260CM

Facility

$492.48

Service Code	HCPCS C1769
Hospital Charge Code	270660813
Hospital Revenue Code	278
Min. Negotiated Rate	$73.87
Max. Negotiated Rate	$246.24
Rate for Payer: Aetna Commercial	$147.74
Rate for Payer: Aetna Medicare Advantage	$147.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.58
Rate for Payer: Cigna Commercial	$246.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.18
Rate for Payer: Qualcare PPO/HMO/WC	$73.87

JAGWIRE HYDRA .35X 450CM ANG

Facility

$950.00

Service Code	HCPCS C1769
Hospital Charge Code	270689959
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

JAGWIRE HYDRA .35X 450CM ANG

Facility

$950.00

Service Code	HCPCS C1769
Hospital Charge Code	270689959
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

JAGWIRE--STRAIGHT TIP 0.038 in

Facility

$492.48

Service Code	HCPCS C1769
Hospital Charge Code	270680059
Hospital Revenue Code	278
Min. Negotiated Rate	$73.87
Max. Negotiated Rate	$246.24
Rate for Payer: Aetna Commercial	$147.74
Rate for Payer: Aetna Medicare Advantage	$147.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.58
Rate for Payer: Cigna Commercial	$246.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.18
Rate for Payer: Qualcare PPO/HMO/WC	$73.87

JAGWIRE--STRAIGHT TIP 0.038 in

Facility

$492.48

Service Code	HCPCS C1769
Hospital Charge Code	270680059
Hospital Revenue Code	278
Min. Negotiated Rate	$73.87
Max. Negotiated Rate	$119.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.18
Rate for Payer: Qualcare PPO/HMO/WC	$73.87

JAK2 EXON 12 MUTATION ANALYSIS

Facility

$400.00

Service Code	HCPCS 81403
Hospital Charge Code	401381403
Hospital Revenue Code	310
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$678.57
Rate for Payer: Aetna Commercial	$600.05
Rate for Payer: Aetna Medicare Advantage	$185.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$678.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$678.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$185.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$678.57
Rate for Payer: Cigna Commercial	$185.20
Rate for Payer: Cigna Medicare Advantage	$92.60
Rate for Payer: Clover Medicare Advantage	$175.94
Rate for Payer: EmblemHealth Commercial	$555.60
Rate for Payer: Humana Medicare Advantage	$190.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$185.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$196.31
Rate for Payer: Wellcare Medicare Advantage	$185.20

JAK2 EXON 12 MUTATION ANALYSIS

Facility

$400.00

Service Code	HCPCS 81403
Hospital Charge Code	401381403
Hospital Revenue Code	310
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

JAK2MUTA PANEL

Facility

$417.55

Service Code	HCPCS 81270
Hospital Charge Code	3036025EX
Hospital Revenue Code	310
Min. Negotiated Rate	$45.83
Max. Negotiated Rate	$335.84
Rate for Payer: Aetna Commercial	$296.98
Rate for Payer: Aetna Medicare Advantage	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.84
Rate for Payer: Cigna Commercial	$91.66
Rate for Payer: Cigna Medicare Advantage	$45.83
Rate for Payer: Clover Medicare Advantage	$87.08
Rate for Payer: EmblemHealth Commercial	$274.98
Rate for Payer: Humana Medicare Advantage	$94.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.63
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$91.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$97.16
Rate for Payer: Wellcare Medicare Advantage	$91.66

JAK2MUTA PANEL

Facility

$417.55

Service Code	HCPCS 81270
Hospital Charge Code	3036025EX
Hospital Revenue Code	310
Min. Negotiated Rate	$62.63
Max. Negotiated Rate	$62.63
Rate for Payer: Qualcare PPO/HMO/WC	$62.63

JAK2 MUTATION,QN,PLAS,LEU

Facility

$1,566.65

Service Code	HCPCS 81270
Hospital Charge Code	39900020
Hospital Revenue Code	310
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.00

JAK2 MUTATION,QN,PLAS,LEU

Facility

$1,566.65

Service Code	HCPCS 81270
Hospital Charge Code	39900020
Hospital Revenue Code	310
Min. Negotiated Rate	$45.83
Max. Negotiated Rate	$335.84
Rate for Payer: Aetna Commercial	$296.98
Rate for Payer: Aetna Medicare Advantage	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.84
Rate for Payer: Cigna Commercial	$91.66
Rate for Payer: Cigna Medicare Advantage	$45.83
Rate for Payer: Clover Medicare Advantage	$87.08
Rate for Payer: EmblemHealth Commercial	$274.98
Rate for Payer: Humana Medicare Advantage	$94.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$91.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$97.16
Rate for Payer: Wellcare Medicare Advantage	$91.66

JAK2 V617F MUTATION, QL

Facility

$1,566.65

Service Code	HCPCS 81270
Hospital Charge Code	39900021
Hospital Revenue Code	310
Min. Negotiated Rate	$45.83
Max. Negotiated Rate	$335.84
Rate for Payer: Aetna Commercial	$296.98
Rate for Payer: Aetna Medicare Advantage	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.84
Rate for Payer: Cigna Commercial	$91.66
Rate for Payer: Cigna Medicare Advantage	$45.83
Rate for Payer: Clover Medicare Advantage	$87.08
Rate for Payer: EmblemHealth Commercial	$274.98
Rate for Payer: Humana Medicare Advantage	$94.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$91.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$97.16
Rate for Payer: Wellcare Medicare Advantage	$91.66

JAK2 V617F MUTATION, QL

Facility

$1,566.65

Service Code	HCPCS 81270
Hospital Charge Code	39900021
Hospital Revenue Code	310
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.00

JAMSHEDI NEEDLE

Facility

$750.00

Hospital Charge Code	270703309
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

JAMSHEDI NEEDLE

Facility

$750.00

Hospital Charge Code	270703309
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges