Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT ARROW MULTI-LUMEN CVC ****

Facility

$160.00

Hospital Charge Code	8002594
Hospital Revenue Code	279
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

KIT ARR TRER OTW 7FR PT65709WC

Facility

$2,961.05

Hospital Charge Code	270640064
Hospital Revenue Code	278
Min. Negotiated Rate	$444.16
Max. Negotiated Rate	$1,480.53
Rate for Payer: Aetna Commercial	$888.32
Rate for Payer: Aetna Medicare Advantage	$888.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$755.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$755.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$755.07
Rate for Payer: Cigna Commercial	$1,480.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.57
Rate for Payer: Qualcare PPO/HMO/WC	$444.16

KIT ARR TRER OTW 7FR PT65709WC

Facility

$2,961.05

Hospital Charge Code	270640064
Hospital Revenue Code	278
Min. Negotiated Rate	$444.16
Max. Negotiated Rate	$716.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.57
Rate for Payer: Qualcare PPO/HMO/WC	$444.16

KIT ARTERIAL 70036160

Facility

$109.68

Hospital Charge Code	270632529
Hospital Revenue Code	272
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$16.45
Rate for Payer: Qualcare PPO/HMO/WC	$16.45

KIT ARTERIAL 70036160

Facility

$109.68

Hospital Charge Code	270632529
Hospital Revenue Code	272
Min. Negotiated Rate	$14.26
Max. Negotiated Rate	$54.84
Rate for Payer: Aetna Commercial	$32.90
Rate for Payer: Aetna Medicare Advantage	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.97
Rate for Payer: Cigna Commercial	$54.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.26
Rate for Payer: Oxford Commercial	$54.84
Rate for Payer: Qualcare PPO/HMO/WC	$16.45
Rate for Payer: UnitedHealthcare Commercial	$54.84

KIT ARTHROBROSTROM

Facility

$10,360.00

Hospital Charge Code	270667769
Hospital Revenue Code	272
Min. Negotiated Rate	$1,554.00
Max. Negotiated Rate	$1,554.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,554.00

KIT ARTHROBROSTROM

Facility

$10,360.00

Hospital Charge Code	270667769
Hospital Revenue Code	272
Min. Negotiated Rate	$1,346.80
Max. Negotiated Rate	$5,180.00
Rate for Payer: Aetna Commercial	$3,108.00
Rate for Payer: Aetna Medicare Advantage	$3,108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,641.80
Rate for Payer: Cigna Commercial	$5,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.80
Rate for Payer: Oxford Commercial	$5,180.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,554.00
Rate for Payer: UnitedHealthcare Commercial	$5,180.00

KIT ARTHROSCOPY CUSTOM ******

Facility

$162.00

Hospital Charge Code	1607100
Hospital Revenue Code	251
Min. Negotiated Rate	$21.06
Max. Negotiated Rate	$81.00
Rate for Payer: Aetna Commercial	$48.60
Rate for Payer: Aetna Medicare Advantage	$48.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.31
Rate for Payer: Cigna Commercial	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.06
Rate for Payer: Oxford Commercial	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.30
Rate for Payer: UnitedHealthcare Commercial	$81.00

KIT ARTHROSCOPY CUSTOM ******

Facility

$162.00

Hospital Charge Code	1607100
Hospital Revenue Code	251
Min. Negotiated Rate	$24.30
Max. Negotiated Rate	$24.30
Rate for Payer: Qualcare PPO/HMO/WC	$24.30

KIT ASPIRATING 3 HOLE 6 NDLE

Facility

$1,425.00

Hospital Charge Code	270667357
Hospital Revenue Code	272
Min. Negotiated Rate	$185.25
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.25
Rate for Payer: Oxford Commercial	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$712.50

KIT ASPIRATING 3 HOLE 6 NDLE

Facility

$1,425.00

Hospital Charge Code	270667357
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

KIT ASPIRATION 3-HOLE

Facility

$1,085.00

Hospital Charge Code	270657931
Hospital Revenue Code	272
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$162.75
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

KIT ASPIRATION 3-HOLE

Facility

$1,085.00

Hospital Charge Code	270657931
Hospital Revenue Code	272
Min. Negotiated Rate	$141.05
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$325.50
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.05
Rate for Payer: Oxford Commercial	$542.50
Rate for Payer: Qualcare PPO/HMO/WC	$162.75
Rate for Payer: UnitedHealthcare Commercial	$542.50

KIT ASSEMBLY 9480SC

Facility

$1,760.85

Hospital Charge Code	270633679
Hospital Revenue Code	272
Min. Negotiated Rate	$228.91
Max. Negotiated Rate	$880.42
Rate for Payer: Aetna Commercial	$528.25
Rate for Payer: Aetna Medicare Advantage	$528.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$449.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$449.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$449.02
Rate for Payer: Cigna Commercial	$880.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.91
Rate for Payer: Oxford Commercial	$880.42
Rate for Payer: Qualcare PPO/HMO/WC	$264.13
Rate for Payer: UnitedHealthcare Commercial	$880.42

KIT ASSEMBLY 9480SC

Facility

$1,760.85

Hospital Charge Code	270633679
Hospital Revenue Code	272
Min. Negotiated Rate	$264.13
Max. Negotiated Rate	$264.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.13

KIT ATHX ACL DISP AR18985

Facility

$1,331.25

Hospital Charge Code	270610587
Hospital Revenue Code	272
Min. Negotiated Rate	$199.69
Max. Negotiated Rate	$199.69
Rate for Payer: Qualcare PPO/HMO/WC	$199.69

KIT ATHX ACL DISP AR18985

Facility

$1,331.25

Hospital Charge Code	270610587
Hospital Revenue Code	272
Min. Negotiated Rate	$173.06
Max. Negotiated Rate	$665.62
Rate for Payer: Aetna Commercial	$399.38
Rate for Payer: Aetna Medicare Advantage	$399.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.47
Rate for Payer: Cigna Commercial	$665.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.06
Rate for Payer: Oxford Commercial	$665.62
Rate for Payer: Qualcare PPO/HMO/WC	$199.69
Rate for Payer: UnitedHealthcare Commercial	$665.62

KIT ATHX ACL & SAW BLD AR1897S

Facility

$1,125.00

Hospital Charge Code	270601361
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.25
Rate for Payer: Oxford Commercial	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$562.50

KIT ATHX ACL & SAW BLD AR1897S

Facility

$1,125.00

Hospital Charge Code	270601361
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

KIT ATK ACL ORTHO 999999

Facility

$2,046.45

Hospital Charge Code	270609653
Hospital Revenue Code	272
Min. Negotiated Rate	$266.04
Max. Negotiated Rate	$1,023.23
Rate for Payer: Aetna Commercial	$613.93
Rate for Payer: Aetna Medicare Advantage	$613.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$521.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$521.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$521.84
Rate for Payer: Cigna Commercial	$1,023.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.04
Rate for Payer: Oxford Commercial	$1,023.23
Rate for Payer: Qualcare PPO/HMO/WC	$306.97
Rate for Payer: UnitedHealthcare Commercial	$1,023.23

KIT ATK ACL ORTHO 999999

Facility

$2,046.45

Hospital Charge Code	270609653
Hospital Revenue Code	272
Min. Negotiated Rate	$306.97
Max. Negotiated Rate	$306.97
Rate for Payer: Qualcare PPO/HMO/WC	$306.97

KIT ATK SCREW 909826

Facility

$2,559.25

Hospital Charge Code	270620355
Hospital Revenue Code	272
Min. Negotiated Rate	$383.89
Max. Negotiated Rate	$383.89
Rate for Payer: Qualcare PPO/HMO/WC	$383.89

KIT ATK SCREW 909826

Facility

$2,559.25

Hospital Charge Code	270620355
Hospital Revenue Code	272
Min. Negotiated Rate	$332.70
Max. Negotiated Rate	$1,279.62
Rate for Payer: Aetna Commercial	$767.77
Rate for Payer: Aetna Medicare Advantage	$767.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$652.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$652.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$652.61
Rate for Payer: Cigna Commercial	$1,279.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.70
Rate for Payer: Oxford Commercial	$1,279.62
Rate for Payer: Qualcare PPO/HMO/WC	$383.89
Rate for Payer: UnitedHealthcare Commercial	$1,279.62

KIT ATK SCREW BONE MULCH909825

Facility

$3,064.85

Hospital Charge Code	270620205
Hospital Revenue Code	272
Min. Negotiated Rate	$459.73
Max. Negotiated Rate	$459.73
Rate for Payer: Qualcare PPO/HMO/WC	$459.73

KIT ATK SCREW BONE MULCH909825

Facility

$3,064.85

Hospital Charge Code	270620205
Hospital Revenue Code	272
Min. Negotiated Rate	$398.43
Max. Negotiated Rate	$1,532.42
Rate for Payer: Aetna Commercial	$919.46
Rate for Payer: Aetna Medicare Advantage	$919.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$781.54
Rate for Payer: Cigna Commercial	$1,532.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.43
Rate for Payer: Oxford Commercial	$1,532.42
Rate for Payer: Qualcare PPO/HMO/WC	$459.73
Rate for Payer: UnitedHealthcare Commercial	$1,532.42

Know your out-of-pocket cost for care.

All Charges