Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT FOR WILSON FRAME 5326

Facility

$143.50

Hospital Charge Code	270629122
Hospital Revenue Code	272
Min. Negotiated Rate	$21.52
Max. Negotiated Rate	$21.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.52

KIT FRACTURE IVAS 11G

Facility

$13,705.00

Hospital Charge Code	270692056
Hospital Revenue Code	272
Min. Negotiated Rate	$1,781.65
Max. Negotiated Rate	$6,852.50
Rate for Payer: Aetna Commercial	$4,111.50
Rate for Payer: Aetna Medicare Advantage	$4,111.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,494.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,494.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,494.78
Rate for Payer: Cigna Commercial	$6,852.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,781.65
Rate for Payer: Oxford Commercial	$6,852.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,055.75
Rate for Payer: UnitedHealthcare Commercial	$6,852.50

KIT FRACTURE IVAS 11G

Facility

$13,705.00

Hospital Charge Code	270692056
Hospital Revenue Code	272
Min. Negotiated Rate	$2,055.75
Max. Negotiated Rate	$2,055.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,055.75

KIT FRACTURE STABILIT LONG

Facility

$16,125.00

Hospital Charge Code	270670687
Hospital Revenue Code	272
Min. Negotiated Rate	$2,418.75
Max. Negotiated Rate	$2,418.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75

KIT FRACTURE STABILIT LONG

Facility

$16,125.00

Hospital Charge Code	270670687
Hospital Revenue Code	272
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$8,062.50
Rate for Payer: Aetna Commercial	$4,837.50
Rate for Payer: Aetna Medicare Advantage	$4,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,111.88
Rate for Payer: Cigna Commercial	$8,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,096.25
Rate for Payer: Oxford Commercial	$8,062.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75
Rate for Payer: UnitedHealthcare Commercial	$8,062.50

KIT FRACTURE STABILIT SHORT

Facility

$16,125.00

Hospital Charge Code	270670686
Hospital Revenue Code	272
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$8,062.50
Rate for Payer: Aetna Commercial	$4,837.50
Rate for Payer: Aetna Medicare Advantage	$4,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,111.88
Rate for Payer: Cigna Commercial	$8,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,096.25
Rate for Payer: Oxford Commercial	$8,062.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75
Rate for Payer: UnitedHealthcare Commercial	$8,062.50

KIT FRACTURE STABILIT SHORT

Facility

$16,125.00

Hospital Charge Code	270670686
Hospital Revenue Code	272
Min. Negotiated Rate	$2,418.75
Max. Negotiated Rate	$2,418.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75

KIT GAST PEG SAFEPULL 20F 6672

Facility

$562.50

Hospital Charge Code	270632927
Hospital Revenue Code	272
Min. Negotiated Rate	$73.12
Max. Negotiated Rate	$281.25
Rate for Payer: Aetna Commercial	$168.75
Rate for Payer: Aetna Medicare Advantage	$168.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.44
Rate for Payer: Cigna Commercial	$281.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.12
Rate for Payer: Oxford Commercial	$281.25
Rate for Payer: Qualcare PPO/HMO/WC	$84.38
Rate for Payer: UnitedHealthcare Commercial	$281.25

KIT GAST PEG SAFEPULL 20F 6672

Facility

$562.50

Hospital Charge Code	270632927
Hospital Revenue Code	272
Min. Negotiated Rate	$84.38
Max. Negotiated Rate	$84.38
Rate for Payer: Qualcare PPO/HMO/WC	$84.38

KIT GAST PEG SAFEPUSH 20F 6673

Facility

$585.00

Hospital Charge Code	270632928
Hospital Revenue Code	272
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$87.75
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

KIT GAST PEG SAFEPUSH 20F 6673

Facility

$585.00

Hospital Charge Code	270632928
Hospital Revenue Code	272
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$175.50
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.05
Rate for Payer: Oxford Commercial	$292.50
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Commercial	$292.50

KIT GASTRIC LAVAGE 34F

Facility

$272.54

Hospital Charge Code	270607144
Hospital Revenue Code	272
Min. Negotiated Rate	$40.88
Max. Negotiated Rate	$40.88
Rate for Payer: Qualcare PPO/HMO/WC	$40.88

KIT GASTRIC LAVAGE 34F

Facility

$272.54

Hospital Charge Code	270607144
Hospital Revenue Code	272
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$136.27
Rate for Payer: Aetna Commercial	$81.76
Rate for Payer: Aetna Medicare Advantage	$81.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.50
Rate for Payer: Cigna Commercial	$136.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.43
Rate for Payer: Oxford Commercial	$136.27
Rate for Payer: Qualcare PPO/HMO/WC	$40.88
Rate for Payer: UnitedHealthcare Commercial	$136.27

KIT GASTRO BALLN 18FR 087418

Facility

$274.45

Hospital Charge Code	270600966
Hospital Revenue Code	272
Min. Negotiated Rate	$35.68
Max. Negotiated Rate	$137.22
Rate for Payer: Aetna Commercial	$82.33
Rate for Payer: Aetna Medicare Advantage	$82.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.98
Rate for Payer: Cigna Commercial	$137.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.68
Rate for Payer: Oxford Commercial	$137.22
Rate for Payer: Qualcare PPO/HMO/WC	$41.17
Rate for Payer: UnitedHealthcare Commercial	$137.22

KIT GASTRO BALLN 18FR 087418

Facility

$274.45

Hospital Charge Code	270600966
Hospital Revenue Code	272
Min. Negotiated Rate	$41.17
Max. Negotiated Rate	$41.17
Rate for Payer: Qualcare PPO/HMO/WC	$41.17

KIT GASTROSTOMY***

Facility

$494.00

Hospital Charge Code	2300515
Hospital Revenue Code	279
Min. Negotiated Rate	$74.10
Max. Negotiated Rate	$74.10
Rate for Payer: Qualcare PPO/HMO/WC	$74.10

KIT GASTROSTOMY***

Facility

$494.00

Hospital Charge Code	2300515
Hospital Revenue Code	279
Min. Negotiated Rate	$64.22
Max. Negotiated Rate	$247.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$148.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.97
Rate for Payer: Cigna Commercial	$247.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.22
Rate for Payer: Oxford Commercial	$247.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.10
Rate for Payer: UnitedHealthcare Commercial	$247.00

KIT GASTROSTOMY 18F 2.5 CM

Facility

$527.55

Hospital Charge Code	270696646
Hospital Revenue Code	272
Min. Negotiated Rate	$68.58
Max. Negotiated Rate	$263.77
Rate for Payer: Aetna Commercial	$158.26
Rate for Payer: Aetna Medicare Advantage	$158.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.53
Rate for Payer: Cigna Commercial	$263.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.58
Rate for Payer: Oxford Commercial	$263.77
Rate for Payer: Qualcare PPO/HMO/WC	$79.13
Rate for Payer: UnitedHealthcare Commercial	$263.77

KIT GASTROSTOMY 18F 2.5 CM

Facility

$527.55

Hospital Charge Code	270696646
Hospital Revenue Code	272
Min. Negotiated Rate	$79.13
Max. Negotiated Rate	$79.13
Rate for Payer: Qualcare PPO/HMO/WC	$79.13

KIT GEN SURG LTX FREE PG90MALF

Facility

$1,816.85

Hospital Charge Code	270617833
Hospital Revenue Code	272
Min. Negotiated Rate	$272.53
Max. Negotiated Rate	$272.53
Rate for Payer: Qualcare PPO/HMO/WC	$272.53

KIT GEN SURG LTX FREE PG90MALF

Facility

$1,816.85

Hospital Charge Code	270617833
Hospital Revenue Code	272
Min. Negotiated Rate	$236.19
Max. Negotiated Rate	$908.42
Rate for Payer: Aetna Commercial	$545.05
Rate for Payer: Aetna Medicare Advantage	$545.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$463.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$463.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$463.30
Rate for Payer: Cigna Commercial	$908.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$236.19
Rate for Payer: Oxford Commercial	$908.42
Rate for Payer: Qualcare PPO/HMO/WC	$272.53
Rate for Payer: UnitedHealthcare Commercial	$908.42

KIT GENZYME ESSENTIALS 82004

Facility

$750.00

Hospital Charge Code	270634128
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

KIT GENZYME ESSENTIALS 82004

Facility

$750.00

Hospital Charge Code	270634128
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

KIT GLOVE/CATH SUCT RUB 14-16F

Facility

$7.16

Hospital Charge Code	270649342
Hospital Revenue Code	270
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$3.58
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.93
Rate for Payer: Oxford Commercial	$3.58
Rate for Payer: Qualcare PPO/HMO/WC	$1.07
Rate for Payer: UnitedHealthcare Commercial	$3.58

KIT GLOVE/CATH SUCT RUB 14-16F

Facility

$7.16

Hospital Charge Code	270649342
Hospital Revenue Code	270
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.07

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All Charges