Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT DRAINAGE PLEURAL COMPLETE

Facility

$10,000.00

Hospital Charge Code	270661649
Hospital Revenue Code	272
Min. Negotiated Rate	$1,300.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,000.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.00
Rate for Payer: Oxford Commercial	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00
Rate for Payer: UnitedHealthcare Commercial	$5,000.00

KIT DRAINAGE PLEURAL COMPLETE

Facility

$7,000.00

Hospital Charge Code	270661649O
Hospital Revenue Code	272
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

KIT DRAINAGE SYST EXT 82-1700

Facility

$1,505.65

Hospital Charge Code	270600730
Hospital Revenue Code	272
Min. Negotiated Rate	$225.85
Max. Negotiated Rate	$225.85
Rate for Payer: Qualcare PPO/HMO/WC	$225.85

KIT DRAINAGE SYST EXT 82-1700

Facility

$1,505.65

Hospital Charge Code	270600730
Hospital Revenue Code	272
Min. Negotiated Rate	$195.73
Max. Negotiated Rate	$752.83
Rate for Payer: Aetna Commercial	$451.69
Rate for Payer: Aetna Medicare Advantage	$451.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.94
Rate for Payer: Cigna Commercial	$752.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.73
Rate for Payer: Oxford Commercial	$752.83
Rate for Payer: Qualcare PPO/HMO/WC	$225.85
Rate for Payer: UnitedHealthcare Commercial	$752.83

KIT DRILL BIT F/CONTIN. COMPR.

Facility

$2,200.00

Hospital Charge Code	270669835
Hospital Revenue Code	272
Min. Negotiated Rate	$286.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.00
Rate for Payer: Oxford Commercial	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$1,100.00

KIT DRILL BIT F/CONTIN. COMPR.

Facility

$2,200.00

Hospital Charge Code	270669835
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

KIT DRILL STER.

Facility

$2,002.00

Hospital Charge Code	270679101
Hospital Revenue Code	272
Min. Negotiated Rate	$300.30
Max. Negotiated Rate	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$300.30

KIT DRILL STER.

Facility

$2,002.00

Hospital Charge Code	270679101
Hospital Revenue Code	272
Min. Negotiated Rate	$260.26
Max. Negotiated Rate	$1,001.00
Rate for Payer: Aetna Commercial	$600.60
Rate for Payer: Aetna Medicare Advantage	$600.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.51
Rate for Payer: Cigna Commercial	$1,001.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.26
Rate for Payer: Oxford Commercial	$1,001.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.30
Rate for Payer: UnitedHealthcare Commercial	$1,001.00

KIT DRSG CHG W/BIOPATCH

Facility

$56.29

Hospital Charge Code	270302224
Hospital Revenue Code	272
Min. Negotiated Rate	$7.32
Max. Negotiated Rate	$28.14
Rate for Payer: Aetna Commercial	$16.89
Rate for Payer: Aetna Medicare Advantage	$16.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.35
Rate for Payer: Cigna Commercial	$28.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.32
Rate for Payer: Oxford Commercial	$28.14
Rate for Payer: Qualcare PPO/HMO/WC	$8.44
Rate for Payer: UnitedHealthcare Commercial	$28.14

KIT DRSG CHG W/BIOPATCH

Facility

$56.29

Hospital Charge Code	270302224
Hospital Revenue Code	272
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$8.44
Rate for Payer: Qualcare PPO/HMO/WC	$8.44

KIT DUAL TIGHTROPE XP IM SYST

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693651
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

KIT DUAL TIGHTROPE XP IM SYST

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693651
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

KIT DUO-TRACH

Facility

$17.95

Hospital Charge Code	6014047
Hospital Revenue Code	250
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.69

KIT DUO-TRACH

Facility

$174.75

Hospital Charge Code	6006837
Hospital Revenue Code	250
Min. Negotiated Rate	$26.21
Max. Negotiated Rate	$26.21
Rate for Payer: Qualcare PPO/HMO/WC	$26.21

KIT DUO-TRACH

Facility

$17.95

Hospital Charge Code	6014047
Hospital Revenue Code	250
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$8.97
Rate for Payer: Aetna Commercial	$5.38
Rate for Payer: Aetna Medicare Advantage	$5.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.58
Rate for Payer: Cigna Commercial	$8.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$8.97
Rate for Payer: Qualcare PPO/HMO/WC	$2.69
Rate for Payer: UnitedHealthcare Commercial	$8.97

KIT DUO-TRACH

Facility

$174.75

Hospital Charge Code	6006837
Hospital Revenue Code	250
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$87.38
Rate for Payer: Aetna Commercial	$52.42
Rate for Payer: Aetna Medicare Advantage	$52.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.56
Rate for Payer: Cigna Commercial	$87.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.72
Rate for Payer: Oxford Commercial	$87.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.21
Rate for Payer: UnitedHealthcare Commercial	$87.38

KIT, EC10 ML ACCESSORY

Facility

$2,265.90

Hospital Charge Code	270658603
Hospital Revenue Code	272
Min. Negotiated Rate	$294.57
Max. Negotiated Rate	$1,132.95
Rate for Payer: Aetna Commercial	$679.77
Rate for Payer: Aetna Medicare Advantage	$679.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$577.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$577.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$577.80
Rate for Payer: Cigna Commercial	$1,132.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$294.57
Rate for Payer: Oxford Commercial	$1,132.95
Rate for Payer: Qualcare PPO/HMO/WC	$339.88
Rate for Payer: UnitedHealthcare Commercial	$1,132.95

KIT, EC10 ML ACCESSORY

Facility

$2,265.90

Hospital Charge Code	270658603
Hospital Revenue Code	272
Min. Negotiated Rate	$339.88
Max. Negotiated Rate	$339.88
Rate for Payer: Qualcare PPO/HMO/WC	$339.88

KIT ENDO CTR DISPOS 4MM BASIC

Facility

$3,750.00

Hospital Charge Code	270693667
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.50
Rate for Payer: Oxford Commercial	$1,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Commercial	$1,875.00

KIT ENDO CTR DISPOS 4MM BASIC

Facility

$3,750.00

Hospital Charge Code	270693667
Hospital Revenue Code	272
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

KIT ENDOGATOR IRRIG TUBING

Facility

$120.00

Hospital Charge Code	270677282
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$36.00
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$60.00

KIT ENDOGATOR IRRIG TUBING

Facility

$120.00

Hospital Charge Code	270677282
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

KIT ENDOSCOPY BEDSIDE

Facility

$16.90

Hospital Charge Code	270676645
Hospital Revenue Code	272
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$8.45
Rate for Payer: Aetna Commercial	$5.07
Rate for Payer: Aetna Medicare Advantage	$5.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.31
Rate for Payer: Cigna Commercial	$8.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.20
Rate for Payer: Oxford Commercial	$8.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.54
Rate for Payer: UnitedHealthcare Commercial	$8.45

KIT ENDOSCOPY BEDSIDE

Facility

$16.90

Hospital Charge Code	270676645
Hospital Revenue Code	272
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$2.54
Rate for Payer: Qualcare PPO/HMO/WC	$2.54

KIT ENDOSCOPY KIT BASIC

Facility

$250.00

Hospital Charge Code	270700164
Hospital Revenue Code	273
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

Know your out-of-pocket cost for care.

All Charges