Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT SKINTE REGENERATE HARVEST

Facility

$28,625.00

Hospital Charge Code	270690741
Hospital Revenue Code	272
Min. Negotiated Rate	$3,721.25
Max. Negotiated Rate	$14,312.50
Rate for Payer: Aetna Commercial	$8,587.50
Rate for Payer: Aetna Medicare Advantage	$8,587.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,299.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,299.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,299.38
Rate for Payer: Cigna Commercial	$14,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,721.25
Rate for Payer: Oxford Commercial	$14,312.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,293.75
Rate for Payer: UnitedHealthcare Commercial	$14,312.50

KIT SKINTE REGENERATE HARVEST

Facility

$300.00

Service Code	HCPCS Q4200
Hospital Charge Code	270685478
Hospital Revenue Code	636
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$296.35
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

KIT SKINTE REGENERATE HARVEST

Facility

$28,625.00

Hospital Charge Code	270690741
Hospital Revenue Code	272
Min. Negotiated Rate	$4,293.75
Max. Negotiated Rate	$4,293.75
Rate for Payer: Qualcare PPO/HMO/WC	$4,293.75

KIT SLING TRIANGLE INFLUENCE

Facility

$3,752.00

Hospital Charge Code	270610604
Hospital Revenue Code	270
Min. Negotiated Rate	$487.76
Max. Negotiated Rate	$1,876.00
Rate for Payer: Aetna Commercial	$1,125.60
Rate for Payer: Aetna Medicare Advantage	$1,125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.76
Rate for Payer: Cigna Commercial	$1,876.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.76
Rate for Payer: Oxford Commercial	$1,876.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.80
Rate for Payer: UnitedHealthcare Commercial	$1,876.00

KIT SLING TRIANGLE INFLUENCE

Facility

$3,752.00

Hospital Charge Code	270610604
Hospital Revenue Code	270
Min. Negotiated Rate	$562.80
Max. Negotiated Rate	$562.80
Rate for Payer: Qualcare PPO/HMO/WC	$562.80

KIT SM FEM ART CATH UM04018

Facility

$123.25

Hospital Charge Code	270617332
Hospital Revenue Code	272
Min. Negotiated Rate	$18.49
Max. Negotiated Rate	$18.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.49

KIT SM FEM ART CATH UM04018

Facility

$123.25

Hospital Charge Code	270617332
Hospital Revenue Code	272
Min. Negotiated Rate	$16.02
Max. Negotiated Rate	$61.62
Rate for Payer: Cigna Commercial	$61.62
Rate for Payer: Aetna Commercial	$36.98
Rate for Payer: Aetna Medicare Advantage	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.02
Rate for Payer: Oxford Commercial	$61.62
Rate for Payer: Qualcare PPO/HMO/WC	$18.49
Rate for Payer: UnitedHealthcare Commercial	$61.62

KIT SMOKE EVACUATION PENCIL

Facility

$139.30

Hospital Charge Code	270677420
Hospital Revenue Code	272
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$20.89
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

KIT SMOKE EVACUATION PENCIL

Facility

$139.30

Hospital Charge Code	270677420
Hospital Revenue Code	272
Min. Negotiated Rate	$18.11
Max. Negotiated Rate	$69.65
Rate for Payer: Aetna Commercial	$41.79
Rate for Payer: Aetna Medicare Advantage	$41.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.52
Rate for Payer: Cigna Commercial	$69.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.11
Rate for Payer: Oxford Commercial	$69.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Commercial	$69.65

KIT SONIC ANCHOR 2.5x10mm

Facility

$2,544.00

Service Code	HCPCS C1713
Hospital Charge Code	270680908
Hospital Revenue Code	278
Min. Negotiated Rate	$381.60
Max. Negotiated Rate	$615.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$508.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.65
Rate for Payer: Qualcare PPO/HMO/WC	$381.60

KIT SONIC ANCHOR 2.5x10mm

Facility

$2,544.00

Service Code	HCPCS C1713
Hospital Charge Code	270680908
Hospital Revenue Code	278
Min. Negotiated Rate	$381.60
Max. Negotiated Rate	$1,272.00
Rate for Payer: Aetna Commercial	$763.20
Rate for Payer: Aetna Medicare Advantage	$763.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$648.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$648.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$508.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$648.72
Rate for Payer: Cigna Commercial	$1,272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.65
Rate for Payer: Qualcare PPO/HMO/WC	$381.60

KIT SPEED ARC IMPLANT 9BRIDGE

Facility

$7,000.00

Hospital Charge Code	270672146
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,100.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

KIT SPEED ARC IMPLANT 9BRIDGE

Facility

$7,000.00

Hospital Charge Code	270672146
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

KIT SPINE MAZOR X DISP

Facility

$7,500.00

Hospital Charge Code	270698617
Hospital Revenue Code	272
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.00
Rate for Payer: Oxford Commercial	$3,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$3,750.00

KIT SPINE MAZOR X DISP

Facility

$7,500.00

Hospital Charge Code	270698617
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

KIT SPRAY ACCESSORY 934500

Facility

$208.00

Hospital Charge Code	270635992
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$31.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.20

KIT SPRAY ACCESSORY 934500

Facility

$208.00

Hospital Charge Code	270635992
Hospital Revenue Code	272
Min. Negotiated Rate	$27.04
Max. Negotiated Rate	$104.00
Rate for Payer: Aetna Commercial	$62.40
Rate for Payer: Aetna Medicare Advantage	$62.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.04
Rate for Payer: Cigna Commercial	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.04
Rate for Payer: Oxford Commercial	$104.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.20
Rate for Payer: UnitedHealthcare Commercial	$104.00

KIT STAPLE FUSEFORSE 15X15MM

Facility

$6,425.00

Hospital Charge Code	270678362
Hospital Revenue Code	272
Min. Negotiated Rate	$963.75
Max. Negotiated Rate	$963.75
Rate for Payer: Qualcare PPO/HMO/WC	$963.75

KIT STAPLE FUSEFORSE 15X15MM

Facility

$6,425.00

Hospital Charge Code	270678362
Hospital Revenue Code	272
Min. Negotiated Rate	$835.25
Max. Negotiated Rate	$3,212.50
Rate for Payer: Aetna Commercial	$1,927.50
Rate for Payer: Aetna Medicare Advantage	$1,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,638.38
Rate for Payer: Cigna Commercial	$3,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$835.25
Rate for Payer: Oxford Commercial	$3,212.50
Rate for Payer: Qualcare PPO/HMO/WC	$963.75
Rate for Payer: UnitedHealthcare Commercial	$3,212.50

KIT STAPLE FUSEFORSE 20X20MM

Facility

$6,425.00

Hospital Charge Code	270678360
Hospital Revenue Code	272
Min. Negotiated Rate	$963.75
Max. Negotiated Rate	$963.75
Rate for Payer: Qualcare PPO/HMO/WC	$963.75

KIT STAPLE FUSEFORSE 20X20MM

Facility

$6,425.00

Hospital Charge Code	270678360
Hospital Revenue Code	272
Min. Negotiated Rate	$835.25
Max. Negotiated Rate	$3,212.50
Rate for Payer: Aetna Commercial	$1,927.50
Rate for Payer: Aetna Medicare Advantage	$1,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,638.38
Rate for Payer: Cigna Commercial	$3,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$835.25
Rate for Payer: Oxford Commercial	$3,212.50
Rate for Payer: Qualcare PPO/HMO/WC	$963.75
Rate for Payer: UnitedHealthcare Commercial	$3,212.50

KIT STAPLE FUSEFORSE 25X22MM

Facility

$6,425.00

Hospital Charge Code	270678358
Hospital Revenue Code	272
Min. Negotiated Rate	$963.75
Max. Negotiated Rate	$963.75
Rate for Payer: Qualcare PPO/HMO/WC	$963.75

KIT STAPLE FUSEFORSE 25X22MM

Facility

$6,425.00

Hospital Charge Code	270678358
Hospital Revenue Code	272
Min. Negotiated Rate	$835.25
Max. Negotiated Rate	$3,212.50
Rate for Payer: Aetna Commercial	$1,927.50
Rate for Payer: Aetna Medicare Advantage	$1,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,638.38
Rate for Payer: Cigna Commercial	$3,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$835.25
Rate for Payer: Oxford Commercial	$3,212.50
Rate for Payer: Qualcare PPO/HMO/WC	$963.75
Rate for Payer: UnitedHealthcare Commercial	$3,212.50

KIT STAPLER HEMORRHOID PPH03

Facility

$1,987.65

Hospital Charge Code	270632860
Hospital Revenue Code	272
Min. Negotiated Rate	$258.39
Max. Negotiated Rate	$993.83
Rate for Payer: Aetna Commercial	$596.29
Rate for Payer: Aetna Medicare Advantage	$596.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$506.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$506.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$506.85
Rate for Payer: Cigna Commercial	$993.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.39
Rate for Payer: Oxford Commercial	$993.83
Rate for Payer: Qualcare PPO/HMO/WC	$298.15
Rate for Payer: UnitedHealthcare Commercial	$993.83

KIT STAPLER HEMORRHOID PPH03

Facility

$1,987.65

Hospital Charge Code	270632860
Hospital Revenue Code	272
Min. Negotiated Rate	$298.15
Max. Negotiated Rate	$298.15
Rate for Payer: Qualcare PPO/HMO/WC	$298.15

Know your out-of-pocket cost for care.

All Charges