Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637N
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

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

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

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

KIT JOINT PREP ORTHOLOC 2

Facility

$2,520.00

Hospital Charge Code	270697011
Hospital Revenue Code	272
Min. Negotiated Rate	$327.60
Max. Negotiated Rate	$1,260.00
Rate for Payer: Aetna Commercial	$756.00
Rate for Payer: Aetna Medicare Advantage	$756.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.60
Rate for Payer: Cigna Commercial	$1,260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.60
Rate for Payer: Oxford Commercial	$1,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00
Rate for Payer: UnitedHealthcare Commercial	$1,260.00

KIT JOINT PREP ORTHOLOC 2

Facility

$2,520.00

Hospital Charge Code	270697011
Hospital Revenue Code	272
Min. Negotiated Rate	$378.00
Max. Negotiated Rate	$378.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00

KIT JUGULAR PUNCTURE ARROW****

Facility

$90.00

Hospital Charge Code	7000615
Hospital Revenue Code	279
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

KIT JUGULAR PUNCTURE ARROW****

Facility

$90.00

Hospital Charge Code	7000615
Hospital Revenue Code	279
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

KIT KCL DONUT

Facility

$151.00

Hospital Charge Code	270331415
Hospital Revenue Code	272
Min. Negotiated Rate	$22.65
Max. Negotiated Rate	$22.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.65

KIT KCL DONUT

Facility

$151.00

Hospital Charge Code	270331415
Hospital Revenue Code	272
Min. Negotiated Rate	$19.63
Max. Negotiated Rate	$75.50
Rate for Payer: Aetna Commercial	$45.30
Rate for Payer: Aetna Medicare Advantage	$45.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.51
Rate for Payer: Cigna Commercial	$75.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.63
Rate for Payer: Oxford Commercial	$75.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.65
Rate for Payer: UnitedHealthcare Commercial	$75.50

KIT KNOTLESS HIP

Facility

$2,750.00

Hospital Charge Code	270687983
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

KIT KNOTLESS HIP

Facility

$2,750.00

Hospital Charge Code	270687983
Hospital Revenue Code	272
Min. Negotiated Rate	$357.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

KIT KPN XPANDER 15/3 KP1510

Facility

$18,128.00

Hospital Charge Code	270629339
Hospital Revenue Code	272
Min. Negotiated Rate	$2,356.64
Max. Negotiated Rate	$9,064.00
Rate for Payer: Aetna Commercial	$5,438.40
Rate for Payer: Aetna Medicare Advantage	$5,438.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,622.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,622.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,622.64
Rate for Payer: Cigna Commercial	$9,064.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,356.64
Rate for Payer: Oxford Commercial	$9,064.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,719.20
Rate for Payer: UnitedHealthcare Commercial	$9,064.00

KIT KPN XPANDER 15/3 KP1510

Facility

$18,128.00

Hospital Charge Code	270629339
Hospital Revenue Code	272
Min. Negotiated Rate	$2,719.20
Max. Negotiated Rate	$2,719.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,719.20

KIT KYPHOPLASTY FIRST FRACT

Facility

$21,600.00

Hospital Charge Code	270647891
Hospital Revenue Code	272
Min. Negotiated Rate	$3,240.00
Max. Negotiated Rate	$3,240.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00

KIT KYPHOPLASTY FIRST FRACT

Facility

$21,600.00

Hospital Charge Code	270647891
Hospital Revenue Code	272
Min. Negotiated Rate	$2,808.00
Max. Negotiated Rate	$10,800.00
Rate for Payer: Aetna Commercial	$6,480.00
Rate for Payer: Aetna Medicare Advantage	$6,480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,508.00
Rate for Payer: Cigna Commercial	$10,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,808.00
Rate for Payer: Oxford Commercial	$10,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00
Rate for Payer: UnitedHealthcare Commercial	$10,800.00

KIT KYPHOPLASTY FIRST FRACTURE

Facility

$14,968.80

Service Code	HCPCS C1713
Hospital Charge Code	270679165
Hospital Revenue Code	278
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$3,622.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,993.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,622.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

KIT KYPHOPLASTY FIRST FRACTURE

Facility

$14,968.80

Service Code	HCPCS C1713
Hospital Charge Code	270679165
Hospital Revenue Code	278
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$7,484.40
Rate for Payer: Aetna Commercial	$4,490.64
Rate for Payer: Aetna Medicare Advantage	$4,490.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,993.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,817.04
Rate for Payer: Cigna Commercial	$7,484.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,622.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

KIT KYPHOPLASTY KPX153

Facility

$14,968.80

Hospital Charge Code	270647891C
Hospital Revenue Code	272
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$2,245.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

KIT KYPHOPLASTY KPX153

Facility

$14,968.80

Hospital Charge Code	270647891C
Hospital Revenue Code	272
Min. Negotiated Rate	$1,945.94
Max. Negotiated Rate	$7,484.40
Rate for Payer: Aetna Commercial	$4,490.64
Rate for Payer: Aetna Medicare Advantage	$4,490.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,817.04
Rate for Payer: Cigna Commercial	$7,484.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,945.94
Rate for Payer: Oxford Commercial	$7,484.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32
Rate for Payer: UnitedHealthcare Commercial	$7,484.40

KIT LAPAROSC CHOLE CUSTOM****

Facility

$2,174.00

Hospital Charge Code	1606060
Hospital Revenue Code	272
Min. Negotiated Rate	$282.62
Max. Negotiated Rate	$1,087.00
Rate for Payer: Aetna Commercial	$652.20
Rate for Payer: Aetna Medicare Advantage	$652.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.37
Rate for Payer: Cigna Commercial	$1,087.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.62
Rate for Payer: Oxford Commercial	$1,087.00
Rate for Payer: Qualcare PPO/HMO/WC	$326.10
Rate for Payer: UnitedHealthcare Commercial	$1,087.00

KIT LAPAROSC CHOLE CUSTOM****

Facility

$2,174.00

Hospital Charge Code	1606060
Hospital Revenue Code	272
Min. Negotiated Rate	$326.10
Max. Negotiated Rate	$326.10
Rate for Payer: Qualcare PPO/HMO/WC	$326.10

KIT LAPAROSC HERNIA CUSTOM****

Facility

$4,236.00

Hospital Charge Code	1606052
Hospital Revenue Code	272
Min. Negotiated Rate	$635.40
Max. Negotiated Rate	$635.40
Rate for Payer: Qualcare PPO/HMO/WC	$635.40

KIT LAPAROSC HERNIA CUSTOM****

Facility

$4,236.00

Hospital Charge Code	1606052
Hospital Revenue Code	272
Min. Negotiated Rate	$550.68
Max. Negotiated Rate	$2,118.00
Rate for Payer: Aetna Commercial	$1,270.80
Rate for Payer: Aetna Medicare Advantage	$1,270.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,080.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,080.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,080.18
Rate for Payer: Cigna Commercial	$2,118.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.68
Rate for Payer: Oxford Commercial	$2,118.00
Rate for Payer: Qualcare PPO/HMO/WC	$635.40
Rate for Payer: UnitedHealthcare Commercial	$2,118.00

KIT LAP CHOLE CUSTOM 6/ST

Facility

$1,712.05

Hospital Charge Code	270658611
Hospital Revenue Code	272
Min. Negotiated Rate	$256.81
Max. Negotiated Rate	$256.81
Rate for Payer: Qualcare PPO/HMO/WC	$256.81

Know your out-of-pocket cost for care.

All Charges