Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT GOOSE NECK SNARE 10 GN1000

Facility

$1,494.50

Hospital Charge Code	270632044
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GOOSE NECK SNARE 10 GN1000

Facility

$1,494.50

Hospital Charge Code	270632044
Hospital Revenue Code	272
Min. Negotiated Rate	$194.28
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$448.35
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.28
Rate for Payer: Oxford Commercial	$747.25
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$747.25

KIT GOOSE NECK SNARE 15 GN1500

Facility

$1,705.00

Hospital Charge Code	270632252
Hospital Revenue Code	272
Min. Negotiated Rate	$221.65
Max. Negotiated Rate	$852.50
Rate for Payer: Aetna Commercial	$511.50
Rate for Payer: Aetna Medicare Advantage	$511.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$434.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$434.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$434.77
Rate for Payer: Cigna Commercial	$852.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.65
Rate for Payer: Oxford Commercial	$852.50
Rate for Payer: Qualcare PPO/HMO/WC	$255.75
Rate for Payer: UnitedHealthcare Commercial	$852.50

KIT GOOSE NECK SNARE 15 GN1500

Facility

$1,705.00

Hospital Charge Code	270632252
Hospital Revenue Code	272
Min. Negotiated Rate	$255.75
Max. Negotiated Rate	$255.75
Rate for Payer: Qualcare PPO/HMO/WC	$255.75

KIT GOOSE NECK SNARE 25 GN2500

Facility

$1,494.50

Hospital Charge Code	270632045
Hospital Revenue Code	272
Min. Negotiated Rate	$194.28
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$448.35
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.28
Rate for Payer: Oxford Commercial	$747.25
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$747.25

KIT GOOSE NECK SNARE 25 GN2500

Facility

$1,494.50

Hospital Charge Code	270632045
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GOOSE NECK SNARE 5 GN500

Facility

$1,494.50

Hospital Charge Code	270632043
Hospital Revenue Code	272
Min. Negotiated Rate	$194.28
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$448.35
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.28
Rate for Payer: Oxford Commercial	$747.25
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$747.25

KIT GOOSE NECK SNARE 5 GN500

Facility

$1,494.50

Hospital Charge Code	270632043
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GPS KNEE USER

Facility

$4,500.00

Hospital Charge Code	270668735
Hospital Revenue Code	272
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

KIT GPS KNEE USER

Facility

$4,500.00

Hospital Charge Code	270668735
Hospital Revenue Code	272
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$2,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Commercial	$2,250.00

KIT GRAFT TRANSFER

Facility

$3,050.00

Hospital Charge Code	270680503
Hospital Revenue Code	272
Min. Negotiated Rate	$396.50
Max. Negotiated Rate	$1,525.00
Rate for Payer: Aetna Commercial	$915.00
Rate for Payer: Aetna Medicare Advantage	$915.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$777.75
Rate for Payer: Cigna Commercial	$1,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.50
Rate for Payer: Oxford Commercial	$1,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$457.50
Rate for Payer: UnitedHealthcare Commercial	$1,525.00

KIT GRAFT TRANSFER

Facility

$3,050.00

Hospital Charge Code	270680503
Hospital Revenue Code	272
Min. Negotiated Rate	$457.50
Max. Negotiated Rate	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$457.50

KIT GUIDEWIRE GASTROST 20 6821

Facility

$766.45

Hospital Charge Code	270603906
Hospital Revenue Code	278
Min. Negotiated Rate	$114.97
Max. Negotiated Rate	$383.23
Rate for Payer: Aetna Commercial	$229.94
Rate for Payer: Aetna Medicare Advantage	$229.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.44
Rate for Payer: Cigna Commercial	$383.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.48
Rate for Payer: Qualcare PPO/HMO/WC	$114.97

KIT GUIDEWIRE GASTROST 20 6821

Facility

$766.45

Hospital Charge Code	270603906
Hospital Revenue Code	278
Min. Negotiated Rate	$114.97
Max. Negotiated Rate	$185.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.48
Rate for Payer: Qualcare PPO/HMO/WC	$114.97

KIT HAND AND WRIST INTERNAL BR

Facility

$7,475.00

Hospital Charge Code	270682062
Hospital Revenue Code	272
Min. Negotiated Rate	$971.75
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$971.75
Rate for Payer: Oxford Commercial	$3,737.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Commercial	$3,737.50

KIT HAND AND WRIST INTERNAL BR

Facility

$7,475.00

Hospital Charge Code	270682062
Hospital Revenue Code	272
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

KIT HCG TEST 25/KT POLY STAT

Facility

$4.39

Hospital Charge Code	270658829
Hospital Revenue Code	270
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$2.19
Rate for Payer: Aetna Commercial	$1.32
Rate for Payer: Aetna Medicare Advantage	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.12
Rate for Payer: Cigna Commercial	$2.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.57
Rate for Payer: Oxford Commercial	$2.19
Rate for Payer: Qualcare PPO/HMO/WC	$0.66
Rate for Payer: UnitedHealthcare Commercial	$2.19

KIT HCG TEST 25/KT POLY STAT

Facility

$4.39

Hospital Charge Code	270658829
Hospital Revenue Code	270
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$0.66
Rate for Payer: Qualcare PPO/HMO/WC	$0.66

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338
Hospital Revenue Code	271
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338S
Hospital Revenue Code	271
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338
Hospital Revenue Code	271
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338N
Hospital Revenue Code	271
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338S
Hospital Revenue Code	271
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338N
Hospital Revenue Code	271
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

KIT HEMOVAC 400CC 1/8 2500-000

Facility

$108.00

Hospital Charge Code	270607623
Hospital Revenue Code	272
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$32.40
Rate for Payer: Aetna Medicare Advantage	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.54
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$54.00

Know your out-of-pocket cost for care.

All Charges