Heights University Hospital

All Charges

Charge

Type

Setting

Price

APPLIER CLIP VCS MED 132905

Facility

$1,293.65

Hospital Charge Code	270600135
Hospital Revenue Code	272
Min. Negotiated Rate	$168.17
Max. Negotiated Rate	$646.83
Rate for Payer: Aetna Commercial	$388.10
Rate for Payer: Aetna Medicare Advantage	$388.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.88
Rate for Payer: Cigna Commercial	$646.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.17
Rate for Payer: Oxford Commercial	$646.83
Rate for Payer: Qualcare PPO/HMO/WC	$194.05
Rate for Payer: UnitedHealthcare Commercial	$646.83

APPLIER CLIP VCS MED 132905

Facility

$1,293.65

Hospital Charge Code	270600135
Hospital Revenue Code	272
Min. Negotiated Rate	$194.05
Max. Negotiated Rate	$194.05
Rate for Payer: Qualcare PPO/HMO/WC	$194.05

APPLIER CLIP VCS SM/MED/L*****

Facility

$337.00

Hospital Charge Code	1607126
Hospital Revenue Code	272
Min. Negotiated Rate	$50.55
Max. Negotiated Rate	$50.55
Rate for Payer: Qualcare PPO/HMO/WC	$50.55

APPLIER CLIP VCS SM/MED/L*****

Facility

$337.00

Hospital Charge Code	1607126
Hospital Revenue Code	272
Min. Negotiated Rate	$43.81
Max. Negotiated Rate	$168.50
Rate for Payer: Aetna Commercial	$101.10
Rate for Payer: Aetna Medicare Advantage	$101.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.94
Rate for Payer: Cigna Commercial	$168.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.81
Rate for Payer: Oxford Commercial	$168.50
Rate for Payer: Qualcare PPO/HMO/WC	$50.55
Rate for Payer: UnitedHealthcare Commercial	$168.50

APPLIER CLIP VCS XLG 132908

Facility

$1,724.85

Hospital Charge Code	270600137
Hospital Revenue Code	272
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$258.73
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

APPLIER CLIP VCS XLG 132908

Facility

$1,724.85

Hospital Charge Code	270600137
Hospital Revenue Code	272
Min. Negotiated Rate	$224.23
Max. Negotiated Rate	$862.42
Rate for Payer: Aetna Commercial	$517.46
Rate for Payer: Aetna Medicare Advantage	$517.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.84
Rate for Payer: Cigna Commercial	$862.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.23
Rate for Payer: Oxford Commercial	$862.42
Rate for Payer: Qualcare PPO/HMO/WC	$258.73
Rate for Payer: UnitedHealthcare Commercial	$862.42

APPLIER ENDO CLIPS 10mm 544995

Facility

$7,689.95

Hospital Charge Code	270640219
Hospital Revenue Code	272
Min. Negotiated Rate	$1,153.49
Max. Negotiated Rate	$1,153.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.49

APPLIER ENDO CLIPS 10mm 544995

Facility

$7,689.95

Hospital Charge Code	270640219
Hospital Revenue Code	272
Min. Negotiated Rate	$999.69
Max. Negotiated Rate	$3,844.97
Rate for Payer: Aetna Commercial	$2,306.99
Rate for Payer: Aetna Medicare Advantage	$2,306.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.94
Rate for Payer: Cigna Commercial	$3,844.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$999.69
Rate for Payer: Oxford Commercial	$3,844.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.49
Rate for Payer: UnitedHealthcare Commercial	$3,844.97

APPLIER ENDO CLIPS 5mm 544965

Facility

$7,691.25

Hospital Charge Code	270640218
Hospital Revenue Code	272
Min. Negotiated Rate	$999.86
Max. Negotiated Rate	$3,845.62
Rate for Payer: Aetna Commercial	$2,307.38
Rate for Payer: Aetna Medicare Advantage	$2,307.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,961.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,961.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,961.27
Rate for Payer: Cigna Commercial	$3,845.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$999.86
Rate for Payer: Oxford Commercial	$3,845.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.69
Rate for Payer: UnitedHealthcare Commercial	$3,845.62

APPLIER ENDO CLIPS 5mm 544965

Facility

$7,691.25

Hospital Charge Code	270640218
Hospital Revenue Code	272
Min. Negotiated Rate	$1,153.69
Max. Negotiated Rate	$1,153.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.69

APPLIER LARGE CLIP

Facility

$7,000.00

Hospital Charge Code	270664216
Hospital Revenue Code	270
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

APPLIER LARGE CLIP

Facility

$7,000.00

Hospital Charge Code	270664216
Hospital Revenue Code	270
Min. Negotiated Rate	$910.00
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,100.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.00
Rate for Payer: Oxford Commercial	$3,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00
Rate for Payer: UnitedHealthcare Commercial	$3,500.00

APPLIER LIGACLIP MCA MED LONG

Facility

$588.25

Hospital Charge Code	270671547
Hospital Revenue Code	272
Min. Negotiated Rate	$76.47
Max. Negotiated Rate	$294.12
Rate for Payer: Aetna Commercial	$176.47
Rate for Payer: Aetna Medicare Advantage	$176.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.00
Rate for Payer: Cigna Commercial	$294.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.47
Rate for Payer: Oxford Commercial	$294.12
Rate for Payer: Qualcare PPO/HMO/WC	$88.24
Rate for Payer: UnitedHealthcare Commercial	$294.12

APPLIER LIGACLIP MCA MED LONG

Facility

$588.25

Hospital Charge Code	270671547
Hospital Revenue Code	272
Min. Negotiated Rate	$88.24
Max. Negotiated Rate	$88.24
Rate for Payer: Qualcare PPO/HMO/WC	$88.24

APPLIER LIGACLIP MCA MED SHORT

Facility

$507.15

Hospital Charge Code	270671548
Hospital Revenue Code	272
Min. Negotiated Rate	$76.07
Max. Negotiated Rate	$76.07
Rate for Payer: Qualcare PPO/HMO/WC	$76.07

APPLIER LIGACLIP MCA MED SHORT

Facility

$507.15

Hospital Charge Code	270671548
Hospital Revenue Code	272
Min. Negotiated Rate	$65.93
Max. Negotiated Rate	$253.57
Rate for Payer: Aetna Commercial	$152.15
Rate for Payer: Aetna Medicare Advantage	$152.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.32
Rate for Payer: Cigna Commercial	$253.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.93
Rate for Payer: Oxford Commercial	$253.57
Rate for Payer: Qualcare PPO/HMO/WC	$76.07
Rate for Payer: UnitedHealthcare Commercial	$253.57

APPLIER LIGACLIP MED 20 MCM20

Facility

$258.58

Hospital Charge Code	270608750
Hospital Revenue Code	272
Min. Negotiated Rate	$38.79
Max. Negotiated Rate	$38.79
Rate for Payer: Qualcare PPO/HMO/WC	$38.79

APPLIER LIGACLIP MED 20 MCM20

Facility

$258.58

Hospital Charge Code	270608750
Hospital Revenue Code	272
Min. Negotiated Rate	$33.62
Max. Negotiated Rate	$129.29
Rate for Payer: Aetna Commercial	$77.57
Rate for Payer: Aetna Medicare Advantage	$77.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.94
Rate for Payer: Cigna Commercial	$129.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.62
Rate for Payer: Oxford Commercial	$129.29
Rate for Payer: Qualcare PPO/HMO/WC	$38.79
Rate for Payer: UnitedHealthcare Commercial	$129.29

APPLIER MENISCAL

Facility

$625.00

Hospital Charge Code	270637279
Hospital Revenue Code	270
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

APPLIER MENISCAL

Facility

$625.00

Hospital Charge Code	270637279
Hospital Revenue Code	270
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

APPL MULTLAY COMPRS ARM/HAND

Facility

$331.68

Service Code	HCPCS 29584
Hospital Charge Code	9808330
Hospital Revenue Code	510
Min. Negotiated Rate	$35.56
Max. Negotiated Rate	$386.97
Rate for Payer: Aetna Commercial	$99.50
Rate for Payer: Aetna Medicare Advantage	$99.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.58
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.12
Rate for Payer: Qualcare PPO/HMO/WC	$49.75

APPL MULTLAY COMPRS ARM/HAND

Facility

$331.68

Service Code	HCPCS 29584
Hospital Charge Code	9808330
Hospital Revenue Code	510
Min. Negotiated Rate	$49.75
Max. Negotiated Rate	$49.75
Rate for Payer: Qualcare PPO/HMO/WC	$49.75

APPLY FINGER SPLINT STATIC

Facility

$348.85

Service Code	HCPCS 29130
Hospital Charge Code	2500373
Hospital Revenue Code	761
Min. Negotiated Rate	$52.33
Max. Negotiated Rate	$52.33
Rate for Payer: Qualcare PPO/HMO/WC	$52.33

APPLY FINGER SPLINT STATIC

Facility

$348.85

Service Code	HCPCS 29130
Hospital Charge Code	2500373
Hospital Revenue Code	761
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$104.66
Rate for Payer: Aetna Medicare Advantage	$104.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.96
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.35
Rate for Payer: Oxford Commercial	$174.43
Rate for Payer: Qualcare PPO/HMO/WC	$52.33
Rate for Payer: UnitedHealthcare Commercial	$174.43

APPLY FINGER SPLINT STATIC

Facility

$322.82

Service Code	HCPCS 29130
Hospital Charge Code	412329130
Hospital Revenue Code	361
Min. Negotiated Rate	$41.97
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$96.85
Rate for Payer: Aetna Medicare Advantage	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.32
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.97
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.42
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

Know your out-of-pocket cost for care.

All Charges