Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT WRISTFIX

Facility

$7,655.00

Hospital Charge Code	270649253
Hospital Revenue Code	271
Min. Negotiated Rate	$1,148.25
Max. Negotiated Rate	$1,148.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,148.25

KIT WRISTFIX

Facility

$7,655.00

Hospital Charge Code	270649253
Hospital Revenue Code	271
Min. Negotiated Rate	$995.15
Max. Negotiated Rate	$3,827.50
Rate for Payer: Aetna Commercial	$2,296.50
Rate for Payer: Aetna Medicare Advantage	$2,296.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,952.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,952.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,952.03
Rate for Payer: Cigna Commercial	$3,827.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$995.15
Rate for Payer: Oxford Commercial	$3,827.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,148.25
Rate for Payer: UnitedHealthcare Commercial	$3,827.50

KIT WRIST LARGE TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688363
Hospital Revenue Code	272
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$181.15
Rate for Payer: Aetna Commercial	$108.69
Rate for Payer: Aetna Medicare Advantage	$108.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.39
Rate for Payer: Cigna Commercial	$181.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.10
Rate for Payer: Oxford Commercial	$181.15
Rate for Payer: Qualcare PPO/HMO/WC	$54.34
Rate for Payer: UnitedHealthcare Commercial	$181.15

KIT WRIST LARGE TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688363
Hospital Revenue Code	272
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$54.34
Rate for Payer: Qualcare PPO/HMO/WC	$54.34

KIT WRIST MEDIUM TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688364
Hospital Revenue Code	272
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$181.15
Rate for Payer: Aetna Commercial	$108.69
Rate for Payer: Aetna Medicare Advantage	$108.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.39
Rate for Payer: Cigna Commercial	$181.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.10
Rate for Payer: Oxford Commercial	$181.15
Rate for Payer: Qualcare PPO/HMO/WC	$54.34
Rate for Payer: UnitedHealthcare Commercial	$181.15

KIT WRIST MEDIUM TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688364
Hospital Revenue Code	272
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$54.34
Rate for Payer: Qualcare PPO/HMO/WC	$54.34

KIT WRIST SMALL TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688365
Hospital Revenue Code	272
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$181.15
Rate for Payer: Aetna Commercial	$108.69
Rate for Payer: Aetna Medicare Advantage	$108.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.39
Rate for Payer: Cigna Commercial	$181.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.10
Rate for Payer: Oxford Commercial	$181.15
Rate for Payer: Qualcare PPO/HMO/WC	$54.34
Rate for Payer: UnitedHealthcare Commercial	$181.15

KIT WRIST SMALL TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688365
Hospital Revenue Code	272
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$54.34
Rate for Payer: Qualcare PPO/HMO/WC	$54.34

KIT ZIM BONE CEMENT 5049-21-01

Facility

$891.90

Hospital Charge Code	270622630
Hospital Revenue Code	272
Min. Negotiated Rate	$133.78
Max. Negotiated Rate	$133.78
Rate for Payer: Qualcare PPO/HMO/WC	$133.78

KIT ZIM BONE CEMENT 5049-21-01

Facility

$891.90

Hospital Charge Code	270622630
Hospital Revenue Code	272
Min. Negotiated Rate	$115.95
Max. Negotiated Rate	$445.95
Rate for Payer: Aetna Commercial	$267.57
Rate for Payer: Aetna Medicare Advantage	$267.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.43
Rate for Payer: Cigna Commercial	$445.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.95
Rate for Payer: Oxford Commercial	$445.95
Rate for Payer: Qualcare PPO/HMO/WC	$133.78
Rate for Payer: UnitedHealthcare Commercial	$445.95

KIT ZIM PULSEVAC FAN 5150-475

Facility

$650.00

Hospital Charge Code	270626178
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

KIT ZIM PULSEVAC FAN 5150-475

Facility

$650.00

Hospital Charge Code	270626178
Hospital Revenue Code	272
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

KIT ZIM VAR-A-PULSE 5150-775

Facility

$272.85

Hospital Charge Code	270615303
Hospital Revenue Code	272
Min. Negotiated Rate	$35.47
Max. Negotiated Rate	$136.43
Rate for Payer: Aetna Commercial	$81.86
Rate for Payer: Aetna Medicare Advantage	$81.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.58
Rate for Payer: Cigna Commercial	$136.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.47
Rate for Payer: Oxford Commercial	$136.43
Rate for Payer: Qualcare PPO/HMO/WC	$40.93
Rate for Payer: UnitedHealthcare Commercial	$136.43

KIT ZIM VAR-A-PULSE 5150-775

Facility

$272.85

Hospital Charge Code	270615303
Hospital Revenue Code	272
Min. Negotiated Rate	$40.93
Max. Negotiated Rate	$40.93
Rate for Payer: Qualcare PPO/HMO/WC	$40.93

KLEIHAUER-BETKE STAIN

Facility

$226.10

Service Code	HCPCS 85460
Hospital Charge Code	397043304
Hospital Revenue Code	305
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.05
Rate for Payer: Aetna Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.32
Rate for Payer: Cigna Commercial	$7.73
Rate for Payer: Cigna Medicare Advantage	$3.87
Rate for Payer: Clover Medicare Advantage	$7.34
Rate for Payer: EmblemHealth Commercial	$23.19
Rate for Payer: Humana Medicare Advantage	$7.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.91
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.19
Rate for Payer: Wellcare Medicare Advantage	$7.73

KLEIHAUER-BETKE STAIN

Facility

$226.10

Service Code	HCPCS 85460
Hospital Charge Code	397043304
Hospital Revenue Code	305
Min. Negotiated Rate	$33.91
Max. Negotiated Rate	$33.91
Rate for Payer: Qualcare PPO/HMO/WC	$33.91

K LESS T ROPE DVR SYN REPR TI

Facility

$2,200.00

Hospital Charge Code	270703702
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

K LESS T ROPE DVR SYN REPR TI

Facility

$2,200.00

Hospital Charge Code	270703702
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

KLING 1

Facility

$9.65

Hospital Charge Code	270350010
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

KLING 1

Facility

$9.65

Hospital Charge Code	270350010
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

KLING 2

Facility

$5.65

Hospital Charge Code	270350040
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

KLING 2

Facility

$5.65

Hospital Charge Code	270350040
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

KLING 3

Facility

$5.00

Hospital Charge Code	270350025
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

KLING 3

Facility

$5.00

Hospital Charge Code	270350025
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

KLING 4

Facility

$5.00

Hospital Charge Code	270350030
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

Know your out-of-pocket cost for care.

All Charges