Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT BONE MARROW MSC ASPIRATION

Facility

$9,750.00

Hospital Charge Code	270698050
Hospital Revenue Code	272
Min. Negotiated Rate	$1,267.50
Max. Negotiated Rate	$4,875.00
Rate for Payer: Aetna Commercial	$2,925.00
Rate for Payer: Aetna Medicare Advantage	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,486.25
Rate for Payer: Cigna Commercial	$4,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,267.50
Rate for Payer: Oxford Commercial	$4,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50
Rate for Payer: UnitedHealthcare Commercial	$4,875.00

KIT BONE MARROW MSC ASPIRATION

Facility

$9,750.00

Hospital Charge Code	270698050
Hospital Revenue Code	272
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$1,462.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

KIT BONE PLAST FILLER BP020

Facility

$3,350.00

Hospital Charge Code	270632402
Hospital Revenue Code	272
Min. Negotiated Rate	$502.50
Max. Negotiated Rate	$502.50
Rate for Payer: Qualcare PPO/HMO/WC	$502.50

KIT BONE PLAST FILLER BP020

Facility

$3,350.00

Hospital Charge Code	270632402
Hospital Revenue Code	272
Min. Negotiated Rate	$435.50
Max. Negotiated Rate	$1,675.00
Rate for Payer: Aetna Commercial	$1,005.00
Rate for Payer: Aetna Medicare Advantage	$1,005.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$854.25
Rate for Payer: Cigna Commercial	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.50
Rate for Payer: Oxford Commercial	$1,675.00
Rate for Payer: Qualcare PPO/HMO/WC	$502.50
Rate for Payer: UnitedHealthcare Commercial	$1,675.00

KIT BONE SCREW W/SLING 7835220

Facility

$4,865.65

Hospital Charge Code	270619684
Hospital Revenue Code	272
Min. Negotiated Rate	$729.85
Max. Negotiated Rate	$729.85
Rate for Payer: Qualcare PPO/HMO/WC	$729.85

KIT BONE SCREW W/SLING 7835220

Facility

$4,865.65

Hospital Charge Code	270619684
Hospital Revenue Code	272
Min. Negotiated Rate	$632.53
Max. Negotiated Rate	$2,432.82
Rate for Payer: Aetna Commercial	$1,459.69
Rate for Payer: Aetna Medicare Advantage	$1,459.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,240.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,240.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,240.74
Rate for Payer: Cigna Commercial	$2,432.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.53
Rate for Payer: Oxford Commercial	$2,432.82
Rate for Payer: Qualcare PPO/HMO/WC	$729.85
Rate for Payer: UnitedHealthcare Commercial	$2,432.82

KIT BONE TAMP

Facility

$14,275.00

Hospital Charge Code	270660326
Hospital Revenue Code	278
Min. Negotiated Rate	$2,141.25
Max. Negotiated Rate	$3,454.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,454.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,141.25

KIT BONE TAMP

Facility

$14,275.00

Hospital Charge Code	270660326
Hospital Revenue Code	278
Min. Negotiated Rate	$2,141.25
Max. Negotiated Rate	$7,137.50
Rate for Payer: Aetna Commercial	$4,282.50
Rate for Payer: Aetna Medicare Advantage	$4,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,640.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,640.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,640.12
Rate for Payer: Cigna Commercial	$7,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,454.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,141.25

KIT BONE TAMP KPX203PB FFX2

Facility

$19,625.00

Hospital Charge Code	270672072
Hospital Revenue Code	278
Min. Negotiated Rate	$2,943.75
Max. Negotiated Rate	$4,749.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,749.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,943.75

KIT BONE TAMP KPX203PB FFX2

Facility

$19,625.00

Hospital Charge Code	270672072
Hospital Revenue Code	278
Min. Negotiated Rate	$2,943.75
Max. Negotiated Rate	$9,812.50
Rate for Payer: Aetna Commercial	$5,887.50
Rate for Payer: Aetna Medicare Advantage	$5,887.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,004.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,004.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,004.38
Rate for Payer: Cigna Commercial	$9,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,749.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,943.75

KIT BONE TENDON ACL DIS 909822

Facility

$1,656.70

Hospital Charge Code	270630825
Hospital Revenue Code	272
Min. Negotiated Rate	$215.37
Max. Negotiated Rate	$828.35
Rate for Payer: Aetna Commercial	$497.01
Rate for Payer: Aetna Medicare Advantage	$497.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.46
Rate for Payer: Cigna Commercial	$828.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.37
Rate for Payer: Oxford Commercial	$828.35
Rate for Payer: Qualcare PPO/HMO/WC	$248.50
Rate for Payer: UnitedHealthcare Commercial	$828.35

KIT BONE TENDON ACL DIS 909822

Facility

$1,656.70

Hospital Charge Code	270630825
Hospital Revenue Code	272
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$248.50
Rate for Payer: Qualcare PPO/HMO/WC	$248.50

KIT BOWL 125ML

Facility

$356.25

Hospital Charge Code	270663105
Hospital Revenue Code	272
Min. Negotiated Rate	$46.31
Max. Negotiated Rate	$178.12
Rate for Payer: Aetna Commercial	$106.88
Rate for Payer: Aetna Medicare Advantage	$106.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.84
Rate for Payer: Cigna Commercial	$178.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.31
Rate for Payer: Oxford Commercial	$178.12
Rate for Payer: Qualcare PPO/HMO/WC	$53.44
Rate for Payer: UnitedHealthcare Commercial	$178.12

KIT BOWL 125ML

Facility

$356.25

Hospital Charge Code	270663105
Hospital Revenue Code	272
Min. Negotiated Rate	$53.44
Max. Negotiated Rate	$53.44
Rate for Payer: Qualcare PPO/HMO/WC	$53.44

KIT BPH

Facility

$18,750.00

Hospital Charge Code	270703594
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$4,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

KIT BPH

Facility

$18,750.00

Hospital Charge Code	270703594
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$9,375.00
Rate for Payer: Aetna Commercial	$5,625.00
Rate for Payer: Aetna Medicare Advantage	$5,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,781.25
Rate for Payer: Cigna Commercial	$9,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

KIT BRONCHIAL CHALLENGE

Facility

$127.25

Hospital Charge Code	270600614
Hospital Revenue Code	272
Min. Negotiated Rate	$19.09
Max. Negotiated Rate	$19.09
Rate for Payer: Qualcare PPO/HMO/WC	$19.09

KIT BRONCHIAL CHALLENGE

Facility

$127.25

Hospital Charge Code	270600614
Hospital Revenue Code	272
Min. Negotiated Rate	$16.54
Max. Negotiated Rate	$63.62
Rate for Payer: Aetna Commercial	$38.17
Rate for Payer: Aetna Medicare Advantage	$38.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.45
Rate for Payer: Cigna Commercial	$63.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.54
Rate for Payer: Oxford Commercial	$63.62
Rate for Payer: Qualcare PPO/HMO/WC	$19.09
Rate for Payer: UnitedHealthcare Commercial	$63.62

KIT CANNULA IN OUT FLOW

Facility

$2,042.75

Hospital Charge Code	270688259
Hospital Revenue Code	272
Min. Negotiated Rate	$265.56
Max. Negotiated Rate	$1,021.38
Rate for Payer: Aetna Commercial	$612.83
Rate for Payer: Aetna Medicare Advantage	$612.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$520.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$520.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$520.90
Rate for Payer: Cigna Commercial	$1,021.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.56
Rate for Payer: Oxford Commercial	$1,021.38
Rate for Payer: Qualcare PPO/HMO/WC	$306.41
Rate for Payer: UnitedHealthcare Commercial	$1,021.38

KIT CANNULA IN OUT FLOW

Facility

$2,042.75

Hospital Charge Code	270688259
Hospital Revenue Code	272
Min. Negotiated Rate	$306.41
Max. Negotiated Rate	$306.41
Rate for Payer: Qualcare PPO/HMO/WC	$306.41

KIT CANNULA UNIVERSAL

Facility

$800.00

Hospital Charge Code	270657831
Hospital Revenue Code	272
Min. Negotiated Rate	$104.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$400.00

KIT CANNULA UNIVERSAL

Facility

$800.00

Hospital Charge Code	270657831
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

KIT CATARACT EYE CUSTOM AS9476

Facility

$1,214.45

Hospital Charge Code	270061148
Hospital Revenue Code	276
Min. Negotiated Rate	$182.17
Max. Negotiated Rate	$607.23
Rate for Payer: Aetna Commercial	$364.33
Rate for Payer: Aetna Medicare Advantage	$364.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.68
Rate for Payer: Cigna Commercial	$607.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.90
Rate for Payer: Qualcare PPO/HMO/WC	$182.17

KIT CATARACT EYE CUSTOM AS9476

Facility

$1,214.45

Hospital Charge Code	270061148
Hospital Revenue Code	276
Min. Negotiated Rate	$182.17
Max. Negotiated Rate	$293.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.90
Rate for Payer: Qualcare PPO/HMO/WC	$182.17

KIT CATATACT EYE CUSTOM

Facility

$490.24

Hospital Charge Code	270604865
Hospital Revenue Code	272
Min. Negotiated Rate	$63.73
Max. Negotiated Rate	$245.12
Rate for Payer: Aetna Commercial	$147.07
Rate for Payer: Aetna Medicare Advantage	$147.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.01
Rate for Payer: Cigna Commercial	$245.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.73
Rate for Payer: Oxford Commercial	$245.12
Rate for Payer: Qualcare PPO/HMO/WC	$73.54
Rate for Payer: UnitedHealthcare Commercial	$245.12

Know your out-of-pocket cost for care.

All Charges