Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

KIT MCV VESIC SLING ST 820-131

Facility

$5,711.25

Hospital Charge Code	270601224
Hospital Revenue Code	278
Min. Negotiated Rate	$856.69
Max. Negotiated Rate	$2,855.62
Rate for Payer: Aetna Commercial	$1,713.38
Rate for Payer: Aetna Medicare Advantage	$1,713.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,456.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,456.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,142.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,456.37
Rate for Payer: Cigna Commercial	$2,855.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,382.12
Rate for Payer: Qualcare PPO/HMO/WC	$856.69

KIT MCV VESIC SLING ST 820-131

Facility

$5,711.25

Hospital Charge Code	270601224
Hospital Revenue Code	278
Min. Negotiated Rate	$856.69
Max. Negotiated Rate	$1,382.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,142.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,382.12
Rate for Payer: Qualcare PPO/HMO/WC	$856.69

KIT MEDT EXTENSION 7495-51

Facility

$3,796.00

Hospital Charge Code	270605171
Hospital Revenue Code	272
Min. Negotiated Rate	$493.48
Max. Negotiated Rate	$1,898.00
Rate for Payer: Aetna Commercial	$1,138.80
Rate for Payer: Aetna Medicare Advantage	$1,138.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.98
Rate for Payer: Cigna Commercial	$1,898.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.48
Rate for Payer: Oxford Commercial	$1,898.00
Rate for Payer: Qualcare PPO/HMO/WC	$569.40
Rate for Payer: UnitedHealthcare Commercial	$1,898.00

KIT MEDT EXTENSION 7495-51

Facility

$3,796.00

Hospital Charge Code	270605171
Hospital Revenue Code	272
Min. Negotiated Rate	$569.40
Max. Negotiated Rate	$569.40
Rate for Payer: Qualcare PPO/HMO/WC	$569.40

KIT MEDT LEAD SPECIFY 3998

Facility

$13,400.00

Hospital Charge Code	270611254
Hospital Revenue Code	278
Min. Negotiated Rate	$2,010.00
Max. Negotiated Rate	$3,242.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00

KIT MEDT LEAD SPECIFY 3998

Facility

$13,400.00

Hospital Charge Code	270611254
Hospital Revenue Code	278
Min. Negotiated Rate	$2,010.00
Max. Negotiated Rate	$6,700.00
Rate for Payer: Aetna Commercial	$4,020.00
Rate for Payer: Aetna Medicare Advantage	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,417.00
Rate for Payer: Cigna Commercial	$6,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00

KIT MEDT RESUME LEAD 3587-A

Facility

$5,405.65

Hospital Charge Code	270605170
Hospital Revenue Code	272
Min. Negotiated Rate	$810.85
Max. Negotiated Rate	$810.85
Rate for Payer: Qualcare PPO/HMO/WC	$810.85

KIT MEDT RESUME LEAD 3587-A

Facility

$5,405.65

Hospital Charge Code	270605170
Hospital Revenue Code	272
Min. Negotiated Rate	$702.73
Max. Negotiated Rate	$2,702.82
Rate for Payer: Aetna Commercial	$1,621.69
Rate for Payer: Aetna Medicare Advantage	$1,621.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,378.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,378.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,378.44
Rate for Payer: Cigna Commercial	$2,702.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.73
Rate for Payer: Oxford Commercial	$2,702.82
Rate for Payer: Qualcare PPO/HMO/WC	$810.85
Rate for Payer: UnitedHealthcare Commercial	$2,702.82

KIT MEDT SERVICE 5873C

Facility

$556.00

Hospital Charge Code	270606343
Hospital Revenue Code	272
Min. Negotiated Rate	$72.28
Max. Negotiated Rate	$278.00
Rate for Payer: Aetna Commercial	$166.80
Rate for Payer: Aetna Medicare Advantage	$166.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.78
Rate for Payer: Cigna Commercial	$278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.28
Rate for Payer: Oxford Commercial	$278.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.40
Rate for Payer: UnitedHealthcare Commercial	$278.00

KIT MEDT SERVICE 5873C

Facility

$556.00

Hospital Charge Code	270606343
Hospital Revenue Code	272
Min. Negotiated Rate	$83.40
Max. Negotiated Rate	$83.40
Rate for Payer: Qualcare PPO/HMO/WC	$83.40

KIT MEDT WRENCH 5873W

Facility

$500.00

Hospital Charge Code	270604618
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

KIT MEDT WRENCH 5873W

Facility

$500.00

Hospital Charge Code	270604618
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

KIT MEROCEL NON LINTING WIPE

Facility

$16.00

Hospital Charge Code	270660016
Hospital Revenue Code	270
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$4.80
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.08
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$8.00

KIT MEROCEL NON LINTING WIPE

Facility

$16.00

Hospital Charge Code	270660016
Hospital Revenue Code	270
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

KIT MESH PROLENE 4 HERNIA PHSE

Facility

$1,663.70

Hospital Charge Code	270633481
Hospital Revenue Code	272
Min. Negotiated Rate	$216.28
Max. Negotiated Rate	$831.85
Rate for Payer: Aetna Commercial	$499.11
Rate for Payer: Aetna Medicare Advantage	$499.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.24
Rate for Payer: Cigna Commercial	$831.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.28
Rate for Payer: Oxford Commercial	$831.85
Rate for Payer: Qualcare PPO/HMO/WC	$249.56
Rate for Payer: UnitedHealthcare Commercial	$831.85

KIT MESH PROLENE 4 HERNIA PHSE

Facility

$1,663.70

Hospital Charge Code	270633481
Hospital Revenue Code	272
Min. Negotiated Rate	$249.56
Max. Negotiated Rate	$249.56
Rate for Payer: Qualcare PPO/HMO/WC	$249.56

KIT METRA-BT PS PRCDRE MT-009R

Facility

$3,943.25

Hospital Charge Code	270629304
Hospital Revenue Code	272
Min. Negotiated Rate	$512.62
Max. Negotiated Rate	$1,971.62
Rate for Payer: Aetna Commercial	$1,182.97
Rate for Payer: Aetna Medicare Advantage	$1,182.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,005.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,005.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,005.53
Rate for Payer: Cigna Commercial	$1,971.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$512.62
Rate for Payer: Oxford Commercial	$1,971.62
Rate for Payer: Qualcare PPO/HMO/WC	$591.49
Rate for Payer: UnitedHealthcare Commercial	$1,971.62

KIT METRA-BT PS PRCDRE MT-009R

Facility

$3,943.25

Hospital Charge Code	270629304
Hospital Revenue Code	272
Min. Negotiated Rate	$591.49
Max. Negotiated Rate	$591.49
Rate for Payer: Qualcare PPO/HMO/WC	$591.49

KIT METRA PS UTER SUSPEN MT009

Facility

$3,936.00

Hospital Charge Code	270624803
Hospital Revenue Code	272
Min. Negotiated Rate	$590.40
Max. Negotiated Rate	$590.40
Rate for Payer: Qualcare PPO/HMO/WC	$590.40

KIT METRA PS UTER SUSPEN MT009

Facility

$3,936.00

Hospital Charge Code	270624803
Hospital Revenue Code	272
Min. Negotiated Rate	$511.68
Max. Negotiated Rate	$1,968.00
Rate for Payer: Aetna Commercial	$1,180.80
Rate for Payer: Aetna Medicare Advantage	$1,180.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,003.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,003.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,003.68
Rate for Payer: Cigna Commercial	$1,968.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.68
Rate for Payer: Oxford Commercial	$1,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$590.40
Rate for Payer: UnitedHealthcare Commercial	$1,968.00

KIT MICKEY GASTRO TUBE 16F 2.3

Facility

$729.65

Hospital Charge Code	270621393
Hospital Revenue Code	272
Min. Negotiated Rate	$94.85
Max. Negotiated Rate	$364.82
Rate for Payer: Aetna Commercial	$218.90
Rate for Payer: Aetna Medicare Advantage	$218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.06
Rate for Payer: Cigna Commercial	$364.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.85
Rate for Payer: Oxford Commercial	$364.82
Rate for Payer: Qualcare PPO/HMO/WC	$109.45
Rate for Payer: UnitedHealthcare Commercial	$364.82

KIT MICKEY GASTRO TUBE 16F 2.3

Facility

$729.65

Hospital Charge Code	270621393
Hospital Revenue Code	272
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

KIT MICKEY GASTRO TUBE 20F 2

Facility

$533.15

Hospital Charge Code	270609428
Hospital Revenue Code	272
Min. Negotiated Rate	$79.97
Max. Negotiated Rate	$79.97
Rate for Payer: Qualcare PPO/HMO/WC	$79.97

KIT MICKEY GASTRO TUBE 20F 2

Facility

$533.15

Hospital Charge Code	270609428
Hospital Revenue Code	272
Min. Negotiated Rate	$69.31
Max. Negotiated Rate	$266.57
Rate for Payer: Aetna Commercial	$159.94
Rate for Payer: Aetna Medicare Advantage	$159.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.95
Rate for Payer: Cigna Commercial	$266.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.31
Rate for Payer: Oxford Commercial	$266.57
Rate for Payer: Qualcare PPO/HMO/WC	$79.97
Rate for Payer: UnitedHealthcare Commercial	$266.57

Know your out-of-pocket cost for care.

All Charges