Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT INTRODUCER 9FR 405116

Facility

$307.25

Hospital Charge Code	270616185
Hospital Revenue Code	272
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$46.09
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

KIT INTRODUCER GASTRO MIC G-18

Facility

$997.45

Hospital Charge Code	270671877N
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

KIT INTRODUCER GASTRO MIC G-18

Facility

$997.45

Hospital Charge Code	270671877N
Hospital Revenue Code	272
Min. Negotiated Rate	$129.67
Max. Negotiated Rate	$498.73
Rate for Payer: Aetna Commercial	$299.24
Rate for Payer: Aetna Medicare Advantage	$299.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.35
Rate for Payer: Cigna Commercial	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.67
Rate for Payer: Oxford Commercial	$498.73
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$498.73

KIT INTRODUCER GASTRO MIC G-18

Facility

$997.45

Hospital Charge Code	270671877
Hospital Revenue Code	272
Min. Negotiated Rate	$129.67
Max. Negotiated Rate	$498.73
Rate for Payer: Aetna Commercial	$299.24
Rate for Payer: Aetna Medicare Advantage	$299.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.35
Rate for Payer: Cigna Commercial	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.67
Rate for Payer: Oxford Commercial	$498.73
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$498.73

KIT INTRODUCER GASTRO MIC G-18

Facility

$997.45

Hospital Charge Code	270671877
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

KIT INTRODUCER MIC G16 98422

Facility

$997.45

Hospital Charge Code	270672031
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

KIT INTRODUCER MIC G16 98422

Facility

$995.00

Hospital Charge Code	270672031N
Hospital Revenue Code	272
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$149.25
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

KIT INTRODUCER MIC G16 98422

Facility

$995.00

Hospital Charge Code	270672031N
Hospital Revenue Code	272
Min. Negotiated Rate	$129.35
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$298.50
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.35
Rate for Payer: Oxford Commercial	$497.50
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Commercial	$497.50

KIT INTRODUCER MIC G16 98422

Facility

$997.45

Hospital Charge Code	270672031S
Hospital Revenue Code	272
Min. Negotiated Rate	$129.67
Max. Negotiated Rate	$498.73
Rate for Payer: Aetna Commercial	$299.24
Rate for Payer: Aetna Medicare Advantage	$299.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.35
Rate for Payer: Cigna Commercial	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.67
Rate for Payer: Oxford Commercial	$498.73
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$498.73

KIT INTRODUCER MIC G16 98422

Facility

$997.45

Hospital Charge Code	270672031S
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

KIT INTRODUCER MIC G16 98422

Facility

$997.45

Hospital Charge Code	270672031
Hospital Revenue Code	272
Min. Negotiated Rate	$129.67
Max. Negotiated Rate	$498.73
Rate for Payer: Aetna Commercial	$299.24
Rate for Payer: Aetna Medicare Advantage	$299.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.35
Rate for Payer: Cigna Commercial	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.67
Rate for Payer: Oxford Commercial	$498.73
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$498.73

KIT INTRODUCER MINI ACCESS

Facility

$330.00

Hospital Charge Code	270659650S
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

KIT INTRODUCER MINI ACCESS

Facility

$325.00

Hospital Charge Code	270659650N
Hospital Revenue Code	272
Min. Negotiated Rate	$42.25
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$97.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$162.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$162.50

KIT INTRODUCER MINI ACCESS

Facility

$330.00

Hospital Charge Code	270659650S
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

KIT INTRODUCER MINI ACCESS

Facility

$330.00

Hospital Charge Code	270659650
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

KIT INTRODUCER MINI ACCESS

Facility

$330.00

Hospital Charge Code	270659650
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

KIT INTRODUCER MINI ACCESS

Facility

$325.00

Hospital Charge Code	270659650N
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

KIT -IN;VISION PROGR 8840PAK1

Facility

$7,440.00

Hospital Charge Code	270632267
Hospital Revenue Code	272
Min. Negotiated Rate	$967.20
Max. Negotiated Rate	$3,720.00
Rate for Payer: Aetna Commercial	$2,232.00
Rate for Payer: Aetna Medicare Advantage	$2,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,897.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,897.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,897.20
Rate for Payer: Cigna Commercial	$3,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$967.20
Rate for Payer: Oxford Commercial	$3,720.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,116.00
Rate for Payer: UnitedHealthcare Commercial	$3,720.00

KIT -IN;VISION PROGR 8840PAK1

Facility

$7,440.00

Hospital Charge Code	270632267
Hospital Revenue Code	272
Min. Negotiated Rate	$1,116.00
Max. Negotiated Rate	$1,116.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,116.00

KIT ISOMED REFILL CMPLTE 8553

Facility

$123.75

Hospital Charge Code	270638585
Hospital Revenue Code	272
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$18.56
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

KIT ISOMED REFILL CMPLTE 8553

Facility

$123.75

Hospital Charge Code	270638585
Hospital Revenue Code	272
Min. Negotiated Rate	$16.09
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.09
Rate for Payer: Oxford Commercial	$61.88
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Commercial	$61.88

KIT ITREL SYSTEM 7425-EZ

Facility

$39,975.00

Hospital Charge Code	270605172
Hospital Revenue Code	278
Min. Negotiated Rate	$5,996.25
Max. Negotiated Rate	$19,987.50
Rate for Payer: Aetna Commercial	$11,992.50
Rate for Payer: Aetna Medicare Advantage	$11,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,193.62
Rate for Payer: Cigna Commercial	$19,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25

KIT ITREL SYSTEM 7425-EZ

Facility

$39,975.00

Hospital Charge Code	270605172
Hospital Revenue Code	278
Min. Negotiated Rate	$5,996.25
Max. Negotiated Rate	$9,673.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637
Hospital Revenue Code	270
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

Know your out-of-pocket cost for care.

All Charges