Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT ACL CROSSPIN DISP 909820

Facility

$2,301.50

Hospital Charge Code	270630823
Hospital Revenue Code	272
Min. Negotiated Rate	$345.23
Max. Negotiated Rate	$345.23
Rate for Payer: Qualcare PPO/HMO/WC	$345.23

KIT ACL DISPOSABLE

Facility

$662.65

Hospital Charge Code	270680781
Hospital Revenue Code	272
Min. Negotiated Rate	$86.14
Max. Negotiated Rate	$331.32
Rate for Payer: Aetna Commercial	$198.79
Rate for Payer: Aetna Medicare Advantage	$198.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.98
Rate for Payer: Cigna Commercial	$331.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.14
Rate for Payer: Oxford Commercial	$331.32
Rate for Payer: Qualcare PPO/HMO/WC	$99.40
Rate for Payer: UnitedHealthcare Commercial	$331.32

KIT ACL DISPOSABLE

Facility

$662.65

Hospital Charge Code	270680781
Hospital Revenue Code	272
Min. Negotiated Rate	$99.40
Max. Negotiated Rate	$99.40
Rate for Payer: Qualcare PPO/HMO/WC	$99.40

KIT ACL/PCL FIXATION KIT

Facility

$3,000.00

Hospital Charge Code	270686861
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Commercial	$1,500.00

KIT ACL/PCL FIXATION KIT

Facility

$3,000.00

Hospital Charge Code	270686861
Hospital Revenue Code	272
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

KIT ACP SERIES

Facility

$875.00

Hospital Charge Code	270663948
Hospital Revenue Code	270
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

KIT ACP SERIES

Facility

$875.00

Hospital Charge Code	270663948
Hospital Revenue Code	270
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

KIT ACP SERIES II

Facility

$1,250.00

Hospital Charge Code	270676127
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

KIT ACP SERIES II

Facility

$1,250.00

Hospital Charge Code	270676127
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

KIT ACTRIL RENAL 78270

Facility

$200.85

Hospital Charge Code	270605606
Hospital Revenue Code	272
Min. Negotiated Rate	$26.11
Max. Negotiated Rate	$100.42
Rate for Payer: Aetna Commercial	$60.26
Rate for Payer: Aetna Medicare Advantage	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.22
Rate for Payer: Cigna Commercial	$100.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.11
Rate for Payer: Oxford Commercial	$100.42
Rate for Payer: Qualcare PPO/HMO/WC	$30.13
Rate for Payer: UnitedHealthcare Commercial	$100.42

KIT ACTRIL RENAL 78270

Facility

$200.85

Hospital Charge Code	270605606
Hospital Revenue Code	272
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$30.13
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

KIT ACUFEX UNIV CANN 5/76MM***

Facility

$52.00

Hospital Charge Code	1606631
Hospital Revenue Code	272
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$26.00

KIT ACUFEX UNIV CANN 5/76MM***

Facility

$52.00

Hospital Charge Code	1606631
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

KIT ACUFEX UNIV CANN 7/76MM***

Facility

$56.00

Hospital Charge Code	1606649
Hospital Revenue Code	272
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

KIT ACUFEX UNIV CANN 7/76MM***

Facility

$56.00

Hospital Charge Code	1606649
Hospital Revenue Code	272
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$28.00
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$28.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$28.00

KIT ADCON-L ADHESION CONTROL

Facility

$3,796.00

Hospital Charge Code	270610203
Hospital Revenue Code	272
Min. Negotiated Rate	$569.40
Max. Negotiated Rate	$569.40
Rate for Payer: Qualcare PPO/HMO/WC	$569.40

KIT ADCON-L ADHESION CONTROL

Facility

$3,796.00

Hospital Charge Code	270610203
Hospital Revenue Code	272
Min. Negotiated Rate	$493.48
Max. Negotiated Rate	$1,898.00
Rate for Payer: Aetna Commercial	$1,138.80
Rate for Payer: Aetna Medicare Advantage	$1,138.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.98
Rate for Payer: Cigna Commercial	$1,898.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.48
Rate for Payer: Oxford Commercial	$1,898.00
Rate for Payer: Qualcare PPO/HMO/WC	$569.40
Rate for Payer: UnitedHealthcare Commercial	$1,898.00

KIT ADD'L FRACTURE LNG

Facility

$8,750.00

Hospital Charge Code	270670665
Hospital Revenue Code	272
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$1,312.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

KIT ADD'L FRACTURE LNG

Facility

$8,750.00

Hospital Charge Code	270670665
Hospital Revenue Code	272
Min. Negotiated Rate	$1,137.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.50
Rate for Payer: Oxford Commercial	$4,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Commercial	$4,375.00

KIT AIR/WATER, SUCTION, BIOPSY

Facility

$31.25

Hospital Charge Code	270659906
Hospital Revenue Code	272
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$15.62
Rate for Payer: Aetna Commercial	$9.38
Rate for Payer: Aetna Medicare Advantage	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.97
Rate for Payer: Cigna Commercial	$15.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.06
Rate for Payer: Oxford Commercial	$15.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.69
Rate for Payer: UnitedHealthcare Commercial	$15.62

KIT AIR/WATER, SUCTION, BIOPSY

Facility

$31.25

Hospital Charge Code	270659906
Hospital Revenue Code	272
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$4.69

KIT ALVEOSAMPLER QT00858-P

Facility

$57.65

Hospital Charge Code	270615591
Hospital Revenue Code	272
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

KIT ALVEOSAMPLER QT00858-P

Facility

$57.65

Hospital Charge Code	270615591
Hospital Revenue Code	272
Min. Negotiated Rate	$7.49
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$28.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.65
Rate for Payer: UnitedHealthcare Commercial	$28.82

KIT AMS INFAST ULTRA 72440360

Facility

$3,316.85

Hospital Charge Code	270626150
Hospital Revenue Code	272
Min. Negotiated Rate	$431.19
Max. Negotiated Rate	$1,658.42
Rate for Payer: Aetna Commercial	$995.05
Rate for Payer: Aetna Medicare Advantage	$995.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$845.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$845.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$845.80
Rate for Payer: Cigna Commercial	$1,658.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.19
Rate for Payer: Oxford Commercial	$1,658.42
Rate for Payer: Qualcare PPO/HMO/WC	$497.53
Rate for Payer: UnitedHealthcare Commercial	$1,658.42

KIT AMS INFAST ULTRA 72440360

Facility

$3,316.85

Hospital Charge Code	270626150
Hospital Revenue Code	272
Min. Negotiated Rate	$497.53
Max. Negotiated Rate	$497.53
Rate for Payer: Qualcare PPO/HMO/WC	$497.53

Know your out-of-pocket cost for care.

All Charges