Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT LONG NAIL R1,TI, LEFT

Facility

$7.55

Hospital Charge Code	270663904
Hospital Revenue Code	278
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

KIT LONG NAIL R1,TI, LEFT

Facility

$15,065.00

Hospital Charge Code	270663905
Hospital Revenue Code	278
Min. Negotiated Rate	$2,259.75
Max. Negotiated Rate	$7,532.50
Rate for Payer: Aetna Commercial	$4,519.50
Rate for Payer: Aetna Medicare Advantage	$4,519.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,841.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,841.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,013.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,841.57
Rate for Payer: Cigna Commercial	$7,532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,645.73
Rate for Payer: Qualcare PPO/HMO/WC	$2,259.75

KIT MAHURKAR *******

Facility

$265.00

Hospital Charge Code	8002958
Hospital Revenue Code	279
Min. Negotiated Rate	$34.45
Max. Negotiated Rate	$132.50
Rate for Payer: Aetna Commercial	$79.50
Rate for Payer: Aetna Medicare Advantage	$79.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.58
Rate for Payer: Cigna Commercial	$132.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.45
Rate for Payer: Oxford Commercial	$132.50
Rate for Payer: Qualcare PPO/HMO/WC	$39.75
Rate for Payer: UnitedHealthcare Commercial	$132.50

KIT MAHURKAR *******

Facility

$265.00

Hospital Charge Code	8002958
Hospital Revenue Code	279
Min. Negotiated Rate	$39.75
Max. Negotiated Rate	$39.75
Rate for Payer: Qualcare PPO/HMO/WC	$39.75

KIT MANIFOLD CUSTOM MERIT

Facility

$88.00

Hospital Charge Code	270612917
Hospital Revenue Code	272
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

KIT MANIFOLD CUSTOM MERIT

Facility

$88.00

Hospital Charge Code	270612917
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

KIT MANIFOLD MERIT

Facility

$413.70

Hospital Charge Code	270690129S
Hospital Revenue Code	272
Min. Negotiated Rate	$53.78
Max. Negotiated Rate	$206.85
Rate for Payer: Aetna Commercial	$124.11
Rate for Payer: Aetna Medicare Advantage	$124.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.49
Rate for Payer: Cigna Commercial	$206.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.78
Rate for Payer: Oxford Commercial	$206.85
Rate for Payer: Qualcare PPO/HMO/WC	$62.05
Rate for Payer: UnitedHealthcare Commercial	$206.85

KIT MANIFOLD MERIT

Facility

$413.70

Hospital Charge Code	270690129S
Hospital Revenue Code	272
Min. Negotiated Rate	$62.05
Max. Negotiated Rate	$62.05
Rate for Payer: Qualcare PPO/HMO/WC	$62.05

KIT MAXCESS4

Facility

$11,750.00

Hospital Charge Code	270657308
Hospital Revenue Code	278
Min. Negotiated Rate	$1,762.50
Max. Negotiated Rate	$2,843.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,843.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,762.50

KIT MAXCESS4

Facility

$11,750.00

Hospital Charge Code	270657308
Hospital Revenue Code	278
Min. Negotiated Rate	$1,762.50
Max. Negotiated Rate	$5,875.00
Rate for Payer: Aetna Commercial	$3,525.00
Rate for Payer: Aetna Medicare Advantage	$3,525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,996.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,996.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,996.25
Rate for Payer: Cigna Commercial	$5,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,843.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,762.50

KIT MAXCESS TLIF 2 RETRACTION

Facility

$13,750.00

Hospital Charge Code	270697096
Hospital Revenue Code	272
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$2,062.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

KIT MAXCESS TLIF 2 RETRACTION

Facility

$13,750.00

Hospital Charge Code	270697096
Hospital Revenue Code	272
Min. Negotiated Rate	$1,787.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$4,125.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,787.50
Rate for Payer: Oxford Commercial	$6,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Commercial	$6,875.00

KIT MAXFRAME FOOT PLATE SUPP

Facility

$4,505.05

Hospital Charge Code	270693741
Hospital Revenue Code	272
Min. Negotiated Rate	$585.66
Max. Negotiated Rate	$2,252.53
Rate for Payer: Aetna Commercial	$1,351.52
Rate for Payer: Aetna Medicare Advantage	$1,351.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,148.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,148.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,148.79
Rate for Payer: Cigna Commercial	$2,252.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.66
Rate for Payer: Oxford Commercial	$2,252.53
Rate for Payer: Qualcare PPO/HMO/WC	$675.76
Rate for Payer: UnitedHealthcare Commercial	$2,252.53

KIT MAXFRAME FOOT PLATE SUPP

Facility

$4,505.05

Hospital Charge Code	270693741
Hospital Revenue Code	272
Min. Negotiated Rate	$675.76
Max. Negotiated Rate	$675.76
Rate for Payer: Qualcare PPO/HMO/WC	$675.76

KIT MCN SNARE GOOSENECK GN1500

Facility

$1,494.50

Hospital Charge Code	270623252
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT MCN SNARE GOOSENECK GN1500

Facility

$1,494.50

Hospital Charge Code	270623252
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 MCV PEJ 20F 6520

Facility

$992.00

Hospital Charge Code	270627949
Hospital Revenue Code	272
Min. Negotiated Rate	$128.96
Max. Negotiated Rate	$496.00
Rate for Payer: Aetna Commercial	$297.60
Rate for Payer: Aetna Medicare Advantage	$297.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.96
Rate for Payer: Cigna Commercial	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.96
Rate for Payer: Oxford Commercial	$496.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.80
Rate for Payer: UnitedHealthcare Commercial	$496.00

KIT MCV PEJ 20F 6520

Facility

$992.00

Hospital Charge Code	270627949
Hospital Revenue Code	272
Min. Negotiated Rate	$148.80
Max. Negotiated Rate	$148.80
Rate for Payer: Qualcare PPO/HMO/WC	$148.80

KIT MCV PULL GASTROST 20F 6820

Facility

$383.25

Hospital Charge Code	270603142
Hospital Revenue Code	272
Min. Negotiated Rate	$49.82
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.82
Rate for Payer: Oxford Commercial	$191.62
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Commercial	$191.62

KIT MCV PULL GASTROST 20F 6820

Facility

$383.25

Hospital Charge Code	270603142
Hospital Revenue Code	272
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$57.49
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

KIT MCV VESIC SLING LG 820-112

Facility

$3,006.45

Hospital Charge Code	270601225
Hospital Revenue Code	278
Min. Negotiated Rate	$450.97
Max. Negotiated Rate	$727.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$601.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$727.56
Rate for Payer: Qualcare PPO/HMO/WC	$450.97

KIT MCV VESIC SLING LG 820-112

Facility

$3,006.45

Hospital Charge Code	270601225
Hospital Revenue Code	278
Min. Negotiated Rate	$450.97
Max. Negotiated Rate	$1,503.22
Rate for Payer: Aetna Commercial	$901.93
Rate for Payer: Aetna Medicare Advantage	$901.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$766.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$766.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$601.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$766.64
Rate for Payer: Cigna Commercial	$1,503.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$727.56
Rate for Payer: Qualcare PPO/HMO/WC	$450.97

KIT MCV VESIC SLING LG 820-130

Facility

$4,562.45

Hospital Charge Code	270613183
Hospital Revenue Code	278
Min. Negotiated Rate	$684.37
Max. Negotiated Rate	$1,104.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.11
Rate for Payer: Qualcare PPO/HMO/WC	$684.37

KIT MCV VESIC SLING LG 820-130

Facility

$4,562.45

Hospital Charge Code	270613183
Hospital Revenue Code	278
Min. Negotiated Rate	$684.37
Max. Negotiated Rate	$2,281.22
Rate for Payer: Aetna Commercial	$1,368.73
Rate for Payer: Aetna Medicare Advantage	$1,368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,163.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,163.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,163.42
Rate for Payer: Cigna Commercial	$2,281.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.11
Rate for Payer: Qualcare PPO/HMO/WC	$684.37

KIT MCV VESIC SLING ST 820-111

Facility

$4,061.65

Hospital Charge Code	270609180
Hospital Revenue Code	278
Min. Negotiated Rate	$609.25
Max. Negotiated Rate	$2,030.83
Rate for Payer: Aetna Commercial	$1,218.49
Rate for Payer: Aetna Medicare Advantage	$1,218.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,035.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,035.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$812.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,035.72
Rate for Payer: Cigna Commercial	$2,030.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$982.92
Rate for Payer: Qualcare PPO/HMO/WC	$609.25

Know your out-of-pocket cost for care.

All Charges