Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT PRO-NOX LARGE

Facility

$76.45

Hospital Charge Code	270679180
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$38.23
Rate for Payer: Aetna Commercial	$22.93
Rate for Payer: Aetna Medicare Advantage	$22.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$38.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.94
Rate for Payer: Oxford Commercial	$38.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Commercial	$38.23

KIT PRO-NOX MEDIUM

Facility

$76.45

Hospital Charge Code	270679179
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$38.23
Rate for Payer: Aetna Commercial	$22.93
Rate for Payer: Aetna Medicare Advantage	$22.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$38.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.94
Rate for Payer: Oxford Commercial	$38.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Commercial	$38.23

KIT PRO-NOX MEDIUM

Facility

$76.45

Hospital Charge Code	270679179
Hospital Revenue Code	272
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$11.47
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

KIT PRO-NOX SMALL

Facility

$76.45

Hospital Charge Code	270679181
Hospital Revenue Code	272
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$11.47
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

KIT PRO-NOX SMALL

Facility

$76.45

Hospital Charge Code	270679181
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$38.23
Rate for Payer: Aetna Commercial	$22.93
Rate for Payer: Aetna Medicare Advantage	$22.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$38.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.94
Rate for Payer: Oxford Commercial	$38.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.47
Rate for Payer: UnitedHealthcare Commercial	$38.23

KIT PTCA ADD ON 60023024

Facility

$168.00

Hospital Charge Code	270637058
Hospital Revenue Code	272
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$50.40
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$84.00

KIT PTCA ADD ON 60023024

Facility

$168.00

Hospital Charge Code	270637058
Hospital Revenue Code	272
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

KIT PTD 5FR 65CM

Facility

$4,293.35

Hospital Charge Code	270664876
Hospital Revenue Code	272
Min. Negotiated Rate	$558.14
Max. Negotiated Rate	$2,146.68
Rate for Payer: Aetna Commercial	$1,288.01
Rate for Payer: Aetna Medicare Advantage	$1,288.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,094.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,094.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,094.80
Rate for Payer: Cigna Commercial	$2,146.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.14
Rate for Payer: Oxford Commercial	$2,146.68
Rate for Payer: Qualcare PPO/HMO/WC	$644.00
Rate for Payer: UnitedHealthcare Commercial	$2,146.68

KIT PTD 5FR 65CM

Facility

$4,293.35

Hospital Charge Code	270664876
Hospital Revenue Code	272
Min. Negotiated Rate	$644.00
Max. Negotiated Rate	$644.00
Rate for Payer: Qualcare PPO/HMO/WC	$644.00

KIT PT POSITIONER SCHLEIN

Facility

$379.25

Hospital Charge Code	270601200
Hospital Revenue Code	272
Min. Negotiated Rate	$56.89
Max. Negotiated Rate	$56.89
Rate for Payer: Qualcare PPO/HMO/WC	$56.89

KIT PT POSITIONER SCHLEIN

Facility

$379.25

Hospital Charge Code	270601200
Hospital Revenue Code	272
Min. Negotiated Rate	$49.30
Max. Negotiated Rate	$189.62
Rate for Payer: Aetna Commercial	$113.78
Rate for Payer: Aetna Medicare Advantage	$113.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.71
Rate for Payer: Cigna Commercial	$189.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.30
Rate for Payer: Oxford Commercial	$189.62
Rate for Payer: Qualcare PPO/HMO/WC	$56.89
Rate for Payer: UnitedHealthcare Commercial	$189.62

KIT PT POSIT W/CHIN STRAP 5345

Facility

$167.45

Hospital Charge Code	270635030
Hospital Revenue Code	270
Min. Negotiated Rate	$21.77
Max. Negotiated Rate	$83.72
Rate for Payer: Aetna Commercial	$50.23
Rate for Payer: Aetna Medicare Advantage	$50.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.70
Rate for Payer: Cigna Commercial	$83.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.77
Rate for Payer: Oxford Commercial	$83.72
Rate for Payer: Qualcare PPO/HMO/WC	$25.12
Rate for Payer: UnitedHealthcare Commercial	$83.72

KIT PT POSIT W/CHIN STRAP 5345

Facility

$167.45

Hospital Charge Code	270635030
Hospital Revenue Code	270
Min. Negotiated Rate	$25.12
Max. Negotiated Rate	$25.12
Rate for Payer: Qualcare PPO/HMO/WC	$25.12

KIT PUSHLOK 3.5MM

Facility

$875.00

Hospital Charge Code	270663912
Hospital Revenue Code	272
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

KIT PUSHLOK 3.5MM

Facility

$875.00

Hospital Charge Code	270663912
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

KIT Q-IX SHOULDER 1.8MM

Facility

$2,500.00

Hospital Charge Code	270681092
Hospital Revenue Code	272
Min. Negotiated Rate	$325.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$1,250.00

KIT Q-IX SHOULDER 1.8MM

Facility

$2,500.00

Hospital Charge Code	270681092
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

KIT RAD ANGIO FLUSH 600230231

Facility

$75.00

Hospital Charge Code	270632555V
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

KIT RAD ANGIO FLUSH 600230231

Facility

$74.45

Hospital Charge Code	270632555
Hospital Revenue Code	272
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$37.23
Rate for Payer: Aetna Commercial	$22.34
Rate for Payer: Aetna Medicare Advantage	$22.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$37.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Oxford Commercial	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.17
Rate for Payer: UnitedHealthcare Commercial	$37.23

KIT RAD ANGIO FLUSH 600230231

Facility

$75.00

Hospital Charge Code	270632555V
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

KIT RAD ANGIO FLUSH 600230231

Facility

$74.45

Hospital Charge Code	270632555
Hospital Revenue Code	272
Min. Negotiated Rate	$11.17
Max. Negotiated Rate	$11.17
Rate for Payer: Qualcare PPO/HMO/WC	$11.17

KIT RADIAL HEAD REPLACEMENT

Facility

$1,770.30

Hospital Charge Code	270695504
Hospital Revenue Code	272
Min. Negotiated Rate	$265.55
Max. Negotiated Rate	$265.55
Rate for Payer: Qualcare PPO/HMO/WC	$265.55

KIT RADIAL HEAD REPLACEMENT

Facility

$1,770.30

Hospital Charge Code	270695504
Hospital Revenue Code	272
Min. Negotiated Rate	$230.14
Max. Negotiated Rate	$885.15
Rate for Payer: Aetna Commercial	$531.09
Rate for Payer: Aetna Medicare Advantage	$531.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$451.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$451.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$451.43
Rate for Payer: Cigna Commercial	$885.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.14
Rate for Payer: Oxford Commercial	$885.15
Rate for Payer: Qualcare PPO/HMO/WC	$265.55
Rate for Payer: UnitedHealthcare Commercial	$885.15

KIT RAPR-ROUND LARGE 46-56

Facility

$680.00

Hospital Charge Code	270660605
Hospital Revenue Code	272
Min. Negotiated Rate	$88.40
Max. Negotiated Rate	$340.00
Rate for Payer: Aetna Commercial	$204.00
Rate for Payer: Aetna Medicare Advantage	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.40
Rate for Payer: Cigna Commercial	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.40
Rate for Payer: Oxford Commercial	$340.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00
Rate for Payer: UnitedHealthcare Commercial	$340.00

KIT RAPR-ROUND LARGE 46-56

Facility

$680.00

Hospital Charge Code	270660605
Hospital Revenue Code	272
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$102.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00

Know your out-of-pocket cost for care.

All Charges