Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT AUTOSUTURE CUSTOM #3310***

Facility

$3,553.00

Hospital Charge Code	1603208
Hospital Revenue Code	272
Min. Negotiated Rate	$532.95
Max. Negotiated Rate	$532.95
Rate for Payer: Qualcare PPO/HMO/WC	$532.95

KIT AUTOSUTURE CUSTOM #3310***

Facility

$3,553.00

Hospital Charge Code	1603208
Hospital Revenue Code	272
Min. Negotiated Rate	$461.89
Max. Negotiated Rate	$1,776.50
Rate for Payer: Aetna Commercial	$1,065.90
Rate for Payer: Aetna Medicare Advantage	$1,065.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$906.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$906.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$906.01
Rate for Payer: Cigna Commercial	$1,776.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.89
Rate for Payer: Oxford Commercial	$1,776.50
Rate for Payer: Qualcare PPO/HMO/WC	$532.95
Rate for Payer: UnitedHealthcare Commercial	$1,776.50

KIT AUTOSUTURE CUSTOM #3311***

Facility

$2,073.00

Hospital Charge Code	1603216
Hospital Revenue Code	272
Min. Negotiated Rate	$310.95
Max. Negotiated Rate	$310.95
Rate for Payer: Qualcare PPO/HMO/WC	$310.95

KIT AUTOSUTURE CUSTOM #3311***

Facility

$2,073.00

Hospital Charge Code	1603216
Hospital Revenue Code	272
Min. Negotiated Rate	$269.49
Max. Negotiated Rate	$1,036.50
Rate for Payer: Aetna Commercial	$621.90
Rate for Payer: Aetna Medicare Advantage	$621.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$528.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$528.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$528.62
Rate for Payer: Cigna Commercial	$1,036.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.49
Rate for Payer: Oxford Commercial	$1,036.50
Rate for Payer: Qualcare PPO/HMO/WC	$310.95
Rate for Payer: UnitedHealthcare Commercial	$1,036.50

KIT BAG POST MORTEM

Facility

$28.43

Hospital Charge Code	270649535
Hospital Revenue Code	272
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$4.26
Rate for Payer: Qualcare PPO/HMO/WC	$4.26

KIT BAG POST MORTEM

Facility

$28.43

Hospital Charge Code	270649535
Hospital Revenue Code	272
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$14.21
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.25
Rate for Payer: Cigna Commercial	$14.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.70
Rate for Payer: Oxford Commercial	$14.21
Rate for Payer: Qualcare PPO/HMO/WC	$4.26
Rate for Payer: UnitedHealthcare Commercial	$14.21

KIT BALECTRODE PAC 5FR

Facility

$1,066.45

Hospital Charge Code	270110095
Hospital Revenue Code	270
Min. Negotiated Rate	$159.97
Max. Negotiated Rate	$159.97
Rate for Payer: Qualcare PPO/HMO/WC	$159.97

KIT BALECTRODE PAC 5FR

Facility

$1,066.45

Hospital Charge Code	270110095
Hospital Revenue Code	270
Min. Negotiated Rate	$138.64
Max. Negotiated Rate	$533.23
Rate for Payer: Aetna Commercial	$319.94
Rate for Payer: Aetna Medicare Advantage	$319.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.94
Rate for Payer: Cigna Commercial	$533.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.64
Rate for Payer: Oxford Commercial	$533.23
Rate for Payer: Qualcare PPO/HMO/WC	$159.97
Rate for Payer: UnitedHealthcare Commercial	$533.23

KIT BALECTRODE PACING 5FR*****

Facility

$208.00

Hospital Charge Code	8003196
Hospital Revenue Code	279
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$31.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.20

KIT BALECTRODE PACING 5FR*****

Facility

$208.00

Hospital Charge Code	8003196
Hospital Revenue Code	279
Min. Negotiated Rate	$27.04
Max. Negotiated Rate	$104.00
Rate for Payer: Aetna Commercial	$62.40
Rate for Payer: Aetna Medicare Advantage	$62.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.04
Rate for Payer: Cigna Commercial	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.04
Rate for Payer: Oxford Commercial	$104.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.20
Rate for Payer: UnitedHealthcare Commercial	$104.00

KIT BALLOON W/O RING OF-A38/42

Facility

$80.00

Hospital Charge Code	270619417
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

KIT BALLOON W/O RING OF-A38/42

Facility

$80.00

Hospital Charge Code	270619417
Hospital Revenue Code	272
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.40
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$40.00

KIT BD DECOMPR JEJUNAL 000319

Facility

$422.45

Hospital Charge Code	270618519
Hospital Revenue Code	272
Min. Negotiated Rate	$54.92
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$126.73
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.92
Rate for Payer: Oxford Commercial	$211.22
Rate for Payer: Qualcare PPO/HMO/WC	$63.37
Rate for Payer: UnitedHealthcare Commercial	$211.22

KIT BD DECOMPR JEJUNAL 000319

Facility

$422.45

Hospital Charge Code	270618519
Hospital Revenue Code	272
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$63.37
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

KIT BIOINDUCTIVE IMPLANT ARTH

Facility

$14,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270688654
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$4,200.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

KIT BIOINDUCTIVE IMPLANT ARTH

Facility

$14,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270688654
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

KIT BIOPSY CARTILAGE

Facility

$2,730.00

Hospital Charge Code	270633802
Hospital Revenue Code	272
Min. Negotiated Rate	$354.90
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$819.00
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.90
Rate for Payer: Oxford Commercial	$1,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$409.50
Rate for Payer: UnitedHealthcare Commercial	$1,365.00

KIT BIOPSY CARTILAGE

Facility

$2,730.00

Hospital Charge Code	270633802
Hospital Revenue Code	272
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$409.50
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

KIT BIOPSY CARTILAGE 80001

Facility

$2,455.25

Hospital Charge Code	270633801
Hospital Revenue Code	272
Min. Negotiated Rate	$368.29
Max. Negotiated Rate	$368.29
Rate for Payer: Qualcare PPO/HMO/WC	$368.29

KIT BIOPSY CARTILAGE 80001

Facility

$2,455.25

Hospital Charge Code	270633801
Hospital Revenue Code	272
Min. Negotiated Rate	$319.18
Max. Negotiated Rate	$1,227.62
Rate for Payer: Aetna Commercial	$736.58
Rate for Payer: Aetna Medicare Advantage	$736.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$626.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$626.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$626.09
Rate for Payer: Cigna Commercial	$1,227.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.18
Rate for Payer: Oxford Commercial	$1,227.62
Rate for Payer: Qualcare PPO/HMO/WC	$368.29
Rate for Payer: UnitedHealthcare Commercial	$1,227.62

KIT BIO TENODESIS AR1675DS

Facility

$892.85

Hospital Charge Code	270633795
Hospital Revenue Code	272
Min. Negotiated Rate	$116.07
Max. Negotiated Rate	$446.43
Rate for Payer: Aetna Commercial	$267.86
Rate for Payer: Aetna Medicare Advantage	$267.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.68
Rate for Payer: Cigna Commercial	$446.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.07
Rate for Payer: Oxford Commercial	$446.43
Rate for Payer: Qualcare PPO/HMO/WC	$133.93
Rate for Payer: UnitedHealthcare Commercial	$446.43

KIT BIO TENODESIS AR1675DS

Facility

$892.85

Hospital Charge Code	270633795
Hospital Revenue Code	272
Min. Negotiated Rate	$133.93
Max. Negotiated Rate	$133.93
Rate for Payer: Qualcare PPO/HMO/WC	$133.93

KIT BLAKE DRAIN *********

Facility

$132.00

Hospital Charge Code	1606557
Hospital Revenue Code	279
Min. Negotiated Rate	$17.16
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$66.00

KIT BLAKE DRAIN *********

Facility

$132.00

Hospital Charge Code	1606557
Hospital Revenue Code	279
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

KIT BLOOD ACCES ANGL ANGBAK250

Facility

$365.00

Hospital Charge Code	270639729
Hospital Revenue Code	272
Min. Negotiated Rate	$47.45
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$109.50
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.45
Rate for Payer: Oxford Commercial	$182.50
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$182.50

Know your out-of-pocket cost for care.

All Charges