Heights University Hospital

All Charges

Charge

Type

Setting

Price

KREU LOCK SCREW 2.7X18MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270704674
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$760.15
Rate for Payer: Aetna Commercial	$456.09
Rate for Payer: Aetna Medicare Advantage	$456.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.68
Rate for Payer: Cigna Commercial	$760.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

KREU LOCK SCREW 2.7X18MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270704674
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$367.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

KREULOCK SCREW 3X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270705868
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK SCREW 3X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270705868
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KRYSTEXXA SF 8 MG/ML VIAL

Facility

$36,026.00

Hospital Charge Code	606390586
Hospital Revenue Code	259
Min. Negotiated Rate	$4,683.38
Max. Negotiated Rate	$18,013.00
Rate for Payer: Aetna Commercial	$10,807.80
Rate for Payer: Aetna Medicare Advantage	$10,807.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,186.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,186.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,186.63
Rate for Payer: Cigna Commercial	$18,013.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,683.38
Rate for Payer: Oxford Commercial	$18,013.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,403.90
Rate for Payer: UnitedHealthcare Commercial	$18,013.00

KRYSTEXXA SF 8 MG/ML VIAL

Facility

$36,026.00

Hospital Charge Code	606390586
Hospital Revenue Code	259
Min. Negotiated Rate	$5,403.90
Max. Negotiated Rate	$5,403.90
Rate for Payer: Qualcare PPO/HMO/WC	$5,403.90

KTI ANCHOR INJEX BI WING

Facility

$1,450.00

Hospital Charge Code	270696984
Hospital Revenue Code	272
Min. Negotiated Rate	$188.50
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$435.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.50
Rate for Payer: Oxford Commercial	$725.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$725.00

KTI ANCHOR INJEX BI WING

Facility

$1,450.00

Hospital Charge Code	270696984
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

KUGEL HERNIA PATCH 5.5X7

Facility

$4,120.00

Hospital Charge Code	270657654
Hospital Revenue Code	278
Min. Negotiated Rate	$618.00
Max. Negotiated Rate	$997.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.04
Rate for Payer: Qualcare PPO/HMO/WC	$618.00

KUGEL HERNIA PATCH 5.5X7

Facility

$4,120.00

Hospital Charge Code	270657654
Hospital Revenue Code	278
Min. Negotiated Rate	$618.00
Max. Negotiated Rate	$2,060.00
Rate for Payer: Aetna Commercial	$1,236.00
Rate for Payer: Aetna Medicare Advantage	$1,236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,050.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,050.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$824.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,050.60
Rate for Payer: Cigna Commercial	$2,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.04
Rate for Payer: Qualcare PPO/HMO/WC	$618.00

KUGEL HERNIA PATCH 5.5 X 7IN

Facility

$4,120.00

Hospital Charge Code	270658609
Hospital Revenue Code	278
Min. Negotiated Rate	$618.00
Max. Negotiated Rate	$2,060.00
Rate for Payer: Aetna Commercial	$1,236.00
Rate for Payer: Aetna Medicare Advantage	$1,236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,050.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,050.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$824.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,050.60
Rate for Payer: Cigna Commercial	$2,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.04
Rate for Payer: Qualcare PPO/HMO/WC	$618.00

KUGEL HERNIA PATCH 5.5 X 7IN

Facility

$4,120.00

Hospital Charge Code	270658609
Hospital Revenue Code	278
Min. Negotiated Rate	$618.00
Max. Negotiated Rate	$997.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.04
Rate for Payer: Qualcare PPO/HMO/WC	$618.00

KUGEL HERNIA PATCH 8.7 X 10.7

Facility

$9,230.00

Hospital Charge Code	270657655
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.50
Max. Negotiated Rate	$4,615.00
Rate for Payer: Aetna Commercial	$2,769.00
Rate for Payer: Aetna Medicare Advantage	$2,769.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,353.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,353.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,353.65
Rate for Payer: Cigna Commercial	$4,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,233.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.50

KUGEL HERNIA PATCH 8.7 X 10.7

Facility

$9,230.00

Hospital Charge Code	270657655
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.50
Max. Negotiated Rate	$2,233.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,233.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.50

K,URINE RANDOM

Facility

$119.00

Service Code	HCPCS 84133
Hospital Charge Code	38479035
Hospital Revenue Code	301
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

K,URINE RANDOM

Facility

$119.00

Service Code	HCPCS 84133
Hospital Charge Code	38479035
Hospital Revenue Code	301
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.33
Rate for Payer: Aetna Medicare Advantage	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.33
Rate for Payer: Cigna Commercial	$4.73
Rate for Payer: Cigna Medicare Advantage	$2.37
Rate for Payer: Clover Medicare Advantage	$4.49
Rate for Payer: EmblemHealth Commercial	$14.19
Rate for Payer: Humana Medicare Advantage	$4.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.01
Rate for Payer: Wellcare Medicare Advantage	$4.73

KUZYME/CAP

Facility

$3.00

Hospital Charge Code	60633253
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

KUZYME/CAP

Facility

$3.00

Hospital Charge Code	60633253
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

KWIRE

Facility

$100.00

Hospital Charge Code	270656512
Hospital Revenue Code	271
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

KWIRE

Facility

$100.00

Hospital Charge Code	270656512
Hospital Revenue Code	271
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$50.00

K WIRE

Facility

$250.00

Hospital Charge Code	270705833
Hospital Revenue Code	279
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

K WIRE

Facility

$1,043.85

Hospital Charge Code	270704847
Hospital Revenue Code	279
Min. Negotiated Rate	$135.70
Max. Negotiated Rate	$521.92
Rate for Payer: Aetna Commercial	$313.15
Rate for Payer: Aetna Medicare Advantage	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.18
Rate for Payer: Cigna Commercial	$521.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.70
Rate for Payer: Oxford Commercial	$521.92
Rate for Payer: Qualcare PPO/HMO/WC	$156.58
Rate for Payer: UnitedHealthcare Commercial	$521.92

K WIRE

Facility

$1,043.85

Hospital Charge Code	270704847
Hospital Revenue Code	279
Min. Negotiated Rate	$156.58
Max. Negotiated Rate	$156.58
Rate for Payer: Qualcare PPO/HMO/WC	$156.58

K WIRE

Facility

$81.95

Service Code	HCPCS C1713
Hospital Charge Code	270687143
Hospital Revenue Code	278
Min. Negotiated Rate	$12.29
Max. Negotiated Rate	$40.98
Rate for Payer: Aetna Commercial	$24.59
Rate for Payer: Aetna Medicare Advantage	$24.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.90
Rate for Payer: Cigna Commercial	$40.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.83
Rate for Payer: Qualcare PPO/HMO/WC	$12.29

K WIRE

Facility

$81.95

Service Code	HCPCS C1713
Hospital Charge Code	270687143
Hospital Revenue Code	278
Min. Negotiated Rate	$12.29
Max. Negotiated Rate	$19.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.83
Rate for Payer: Qualcare PPO/HMO/WC	$12.29

Know your out-of-pocket cost for care.

All Charges