Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT PLEURX PLEURAL CATH 507000

Facility

$763.25

Hospital Charge Code	27062972V
Hospital Revenue Code	278
Min. Negotiated Rate	$114.49
Max. Negotiated Rate	$381.62
Rate for Payer: Aetna Commercial	$228.97
Rate for Payer: Aetna Medicare Advantage	$228.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.63
Rate for Payer: Cigna Commercial	$381.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.71
Rate for Payer: Qualcare PPO/HMO/WC	$114.49

KIT PLEURX PLEURAL CATH 507000

Facility

$763.25

Hospital Charge Code	27062972V
Hospital Revenue Code	278
Min. Negotiated Rate	$114.49
Max. Negotiated Rate	$184.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.71
Rate for Payer: Qualcare PPO/HMO/WC	$114.49

KIT PONSKY PULL PEG 000302

Facility

$436.85

Hospital Charge Code	270600922
Hospital Revenue Code	270
Min. Negotiated Rate	$56.79
Max. Negotiated Rate	$218.43
Rate for Payer: Aetna Commercial	$131.06
Rate for Payer: Aetna Medicare Advantage	$131.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.40
Rate for Payer: Cigna Commercial	$218.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.79
Rate for Payer: Oxford Commercial	$218.43
Rate for Payer: Qualcare PPO/HMO/WC	$65.53
Rate for Payer: UnitedHealthcare Commercial	$218.43

KIT PONSKY PULL PEG 000302

Facility

$436.85

Hospital Charge Code	270600922
Hospital Revenue Code	270
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$65.53
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

KIT PORTAL ENTRY

Facility

$1,627.55

Hospital Charge Code	270673921
Hospital Revenue Code	272
Min. Negotiated Rate	$244.13
Max. Negotiated Rate	$244.13
Rate for Payer: Qualcare PPO/HMO/WC	$244.13

KIT PORTAL ENTRY

Facility

$1,627.55

Hospital Charge Code	270673921
Hospital Revenue Code	272
Min. Negotiated Rate	$211.58
Max. Negotiated Rate	$813.77
Rate for Payer: Aetna Commercial	$488.26
Rate for Payer: Aetna Medicare Advantage	$488.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$415.03
Rate for Payer: Cigna Commercial	$813.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.58
Rate for Payer: Oxford Commercial	$813.77
Rate for Payer: Qualcare PPO/HMO/WC	$244.13
Rate for Payer: UnitedHealthcare Commercial	$813.77

KIT POST OP NATURA ST 2 PIECE

Facility

$97.27

Hospital Charge Code	270648475
Hospital Revenue Code	271
Min. Negotiated Rate	$14.59
Max. Negotiated Rate	$14.59
Rate for Payer: Qualcare PPO/HMO/WC	$14.59

KIT POST OP NATURA ST 2 PIECE

Facility

$97.27

Hospital Charge Code	270648475
Hospital Revenue Code	271
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$48.63
Rate for Payer: Aetna Commercial	$29.18
Rate for Payer: Aetna Medicare Advantage	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.80
Rate for Payer: Cigna Commercial	$48.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.65
Rate for Payer: Oxford Commercial	$48.63
Rate for Payer: Qualcare PPO/HMO/WC	$14.59
Rate for Payer: UnitedHealthcare Commercial	$48.63

KIT POWER PULSE Y CONNECTOR

Facility

$170.00

Hospital Charge Code	270645569S
Hospital Revenue Code	272
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

KIT POWER PULSE Y CONNECTOR

Facility

$170.00

Hospital Charge Code	270645569S
Hospital Revenue Code	272
Min. Negotiated Rate	$22.10
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$85.00

KIT POWER PULSE Y CONNECTOR

Facility

$535.00

Hospital Charge Code	270645569N
Hospital Revenue Code	272
Min. Negotiated Rate	$69.55
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$160.50
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.55
Rate for Payer: Oxford Commercial	$267.50
Rate for Payer: Qualcare PPO/HMO/WC	$80.25
Rate for Payer: UnitedHealthcare Commercial	$267.50

KIT POWER PULSE Y CONNECTOR

Facility

$170.00

Hospital Charge Code	270645569
Hospital Revenue Code	272
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

KIT POWER PULSE Y CONNECTOR

Facility

$170.00

Hospital Charge Code	270645569
Hospital Revenue Code	272
Min. Negotiated Rate	$22.10
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$85.00

KIT POWER PULSE Y CONNECTOR

Facility

$535.00

Hospital Charge Code	270645569N
Hospital Revenue Code	272
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$80.25
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

KIT PRECISION CHARGING SYSTEM

Facility

$14,000.00

Service Code	HCPCS C1778
Hospital Charge Code	270701896
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

KIT PRECISION CHARGING SYSTEM

Facility

$14,000.00

Service Code	HCPCS C1778
Hospital Charge Code	270701896
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$4,200.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

KIT PREP SMALL DYND70288

Facility

$30.49

Hospital Charge Code	270632443
Hospital Revenue Code	270
Min. Negotiated Rate	$4.57
Max. Negotiated Rate	$4.57
Rate for Payer: Qualcare PPO/HMO/WC	$4.57

KIT PREP SMALL DYND70288

Facility

$30.49

Hospital Charge Code	270632443
Hospital Revenue Code	270
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$15.24
Rate for Payer: Aetna Commercial	$9.15
Rate for Payer: Aetna Medicare Advantage	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.77
Rate for Payer: Cigna Commercial	$15.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.96
Rate for Payer: Oxford Commercial	$15.24
Rate for Payer: Qualcare PPO/HMO/WC	$4.57
Rate for Payer: UnitedHealthcare Commercial	$15.24

KIT PROBE ABLATION OSTEOCOOL

Facility

$21,075.00

Hospital Charge Code	270689767
Hospital Revenue Code	272
Min. Negotiated Rate	$2,739.75
Max. Negotiated Rate	$10,537.50
Rate for Payer: Aetna Commercial	$6,322.50
Rate for Payer: Aetna Medicare Advantage	$6,322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,374.12
Rate for Payer: Cigna Commercial	$10,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,739.75
Rate for Payer: Oxford Commercial	$10,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25
Rate for Payer: UnitedHealthcare Commercial	$10,537.50

KIT PROBE ABLATION OSTEOCOOL

Facility

$21,075.00

Hospital Charge Code	270689767
Hospital Revenue Code	272
Min. Negotiated Rate	$3,161.25
Max. Negotiated Rate	$3,161.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25

KIT PROCEDURE PLEURIX

Facility

$295.00

Hospital Charge Code	270665608
Hospital Revenue Code	272
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$44.25
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

KIT PROCEDURE PLEURIX

Facility

$295.00

Hospital Charge Code	270665608
Hospital Revenue Code	272
Min. Negotiated Rate	$38.35
Max. Negotiated Rate	$147.50
Rate for Payer: Aetna Commercial	$88.50
Rate for Payer: Aetna Medicare Advantage	$88.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.22
Rate for Payer: Cigna Commercial	$147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.35
Rate for Payer: Oxford Commercial	$147.50
Rate for Payer: Qualcare PPO/HMO/WC	$44.25
Rate for Payer: UnitedHealthcare Commercial	$147.50

KIT PROGEL PLEURAL LEAK SEALNT

Facility

$4,625.00

Service Code	HCPCS C2615
Hospital Charge Code	270662136
Hospital Revenue Code	278
Min. Negotiated Rate	$693.75
Max. Negotiated Rate	$2,312.50
Rate for Payer: Aetna Commercial	$1,387.50
Rate for Payer: Aetna Medicare Advantage	$1,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,179.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,179.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,179.38
Rate for Payer: Cigna Commercial	$2,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,119.25
Rate for Payer: Qualcare PPO/HMO/WC	$693.75

KIT PROGEL PLEURAL LEAK SEALNT

Facility

$4,625.00

Service Code	HCPCS C2615
Hospital Charge Code	270662136
Hospital Revenue Code	278
Min. Negotiated Rate	$693.75
Max. Negotiated Rate	$1,119.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,119.25
Rate for Payer: Qualcare PPO/HMO/WC	$693.75

KIT PRO-NOX LARGE

Facility

$76.45

Hospital Charge Code	270679180
Hospital Revenue Code	272
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$11.47
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

Know your out-of-pocket cost for care.

All Charges