Heights University Hospital

All Charges

Charge

Type

Setting

Price

LIGASURE EXACT

Facility

$3,025.00

Hospital Charge Code	270689841
Hospital Revenue Code	272
Min. Negotiated Rate	$393.25
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$907.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Oxford Commercial	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Commercial	$1,512.50

LIGASURE EXACT

Facility

$3,025.00

Hospital Charge Code	270689841
Hospital Revenue Code	272
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

LIGASURE IMPACT OPEN DEVICE

Facility

$2,467.50

Hospital Charge Code	270643235
Hospital Revenue Code	272
Min. Negotiated Rate	$370.12
Max. Negotiated Rate	$370.12
Rate for Payer: Qualcare PPO/HMO/WC	$370.12

LIGASURE IMPACT OPEN DEVICE

Facility

$2,467.50

Hospital Charge Code	270643235
Hospital Revenue Code	272
Min. Negotiated Rate	$320.77
Max. Negotiated Rate	$1,233.75
Rate for Payer: Aetna Commercial	$740.25
Rate for Payer: Aetna Medicare Advantage	$740.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$629.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$629.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$629.21
Rate for Payer: Cigna Commercial	$1,233.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.77
Rate for Payer: Oxford Commercial	$1,233.75
Rate for Payer: Qualcare PPO/HMO/WC	$370.12
Rate for Payer: UnitedHealthcare Commercial	$1,233.75

LIGASURE MARYLAND JAW 5MM

Facility

$2,829.75

Hospital Charge Code	270685434
Hospital Revenue Code	272
Min. Negotiated Rate	$367.87
Max. Negotiated Rate	$1,414.88
Rate for Payer: Aetna Commercial	$848.92
Rate for Payer: Aetna Medicare Advantage	$848.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$721.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$721.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$721.59
Rate for Payer: Cigna Commercial	$1,414.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.87
Rate for Payer: Oxford Commercial	$1,414.88
Rate for Payer: Qualcare PPO/HMO/WC	$424.46
Rate for Payer: UnitedHealthcare Commercial	$1,414.88

LIGASURE MARYLAND JAW 5MM

Facility

$2,829.75

Hospital Charge Code	270685434
Hospital Revenue Code	272
Min. Negotiated Rate	$424.46
Max. Negotiated Rate	$424.46
Rate for Payer: Qualcare PPO/HMO/WC	$424.46

LIGASURE MARYLAND SEALER/ DIVI

Facility

$3,276.30

Hospital Charge Code	270667974
Hospital Revenue Code	272
Min. Negotiated Rate	$491.44
Max. Negotiated Rate	$491.44
Rate for Payer: Qualcare PPO/HMO/WC	$491.44

LIGASURE MARYLAND SEALER/ DIVI

Facility

$3,276.30

Hospital Charge Code	270667974
Hospital Revenue Code	272
Min. Negotiated Rate	$425.92
Max. Negotiated Rate	$1,638.15
Rate for Payer: Aetna Commercial	$982.89
Rate for Payer: Aetna Medicare Advantage	$982.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$835.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$835.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$835.46
Rate for Payer: Cigna Commercial	$1,638.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.92
Rate for Payer: Oxford Commercial	$1,638.15
Rate for Payer: Qualcare PPO/HMO/WC	$491.44
Rate for Payer: UnitedHealthcare Commercial	$1,638.15

LIGASURE MAX VESSEL SEALNG ELC

Facility

$550.00

Hospital Charge Code	270335488
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

LIGASURE MAX VESSEL SEALNG ELC

Facility

$550.00

Hospital Charge Code	270335488
Hospital Revenue Code	272
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

LIGASURE RETRACTOR L HOOK

Facility

$3,355.13

Hospital Charge Code	270690924
Hospital Revenue Code	272
Min. Negotiated Rate	$436.17
Max. Negotiated Rate	$1,677.57
Rate for Payer: Aetna Commercial	$1,006.54
Rate for Payer: Aetna Medicare Advantage	$1,006.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$855.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$855.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$855.56
Rate for Payer: Cigna Commercial	$1,677.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.17
Rate for Payer: Oxford Commercial	$1,677.57
Rate for Payer: Qualcare PPO/HMO/WC	$503.27
Rate for Payer: UnitedHealthcare Commercial	$1,677.57

LIGASURE RETRACTOR L HOOK

Facility

$3,355.13

Hospital Charge Code	270690924
Hospital Revenue Code	272
Min. Negotiated Rate	$503.27
Max. Negotiated Rate	$503.27
Rate for Payer: Qualcare PPO/HMO/WC	$503.27

LIGASURE SEALER/DIVIDER 5MM

Facility

$1,715.00

Hospital Charge Code	270660184
Hospital Revenue Code	270
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

LIGASURE SEALER/DIVIDER 5MM

Facility

$1,715.00

Hospital Charge Code	270660184
Hospital Revenue Code	270
Min. Negotiated Rate	$222.95
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$514.50
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.95
Rate for Payer: Oxford Commercial	$857.50
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$857.50

LIGATE/STP LONG LEG VEIN LT

Facility

$25,406.80

Service Code	HCPCS 37722
Hospital Charge Code	16000738
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,622.04
Rate for Payer: Aetna Commercial	$7,622.04
Rate for Payer: Aetna Medicare Advantage	$7,622.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,478.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,478.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,478.73
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,302.88
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,811.02
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

LIGATE/STP LONG LEG VEIN LT

Facility

$25,406.80

Service Code	HCPCS 37722
Hospital Charge Code	16000738
Hospital Revenue Code	360
Min. Negotiated Rate	$3,811.02
Max. Negotiated Rate	$3,811.02
Rate for Payer: Qualcare PPO/HMO/WC	$3,811.02

LIGATING DEVICE HX400U30

Facility

$475.00

Hospital Charge Code	270635551
Hospital Revenue Code	272
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.75
Rate for Payer: Oxford Commercial	$237.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$237.50

LIGATING DEVICE HX400U30

Facility

$475.00

Hospital Charge Code	270635551
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

LIGATION ARTIERIES AND VEIN

Facility

$19,137.00

Service Code	HCPCS 37600
Hospital Charge Code	160003431
Hospital Revenue Code	450
Min. Negotiated Rate	$285.26
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$5,741.10
Rate for Payer: Aetna Medicare Advantage	$5,741.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,879.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,879.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,879.94
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,487.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,870.55

LIGATION ARTIERIES AND VEIN

Facility

$19,137.00

Service Code	HCPCS 37600
Hospital Charge Code	160003431
Hospital Revenue Code	450
Min. Negotiated Rate	$2,870.55
Max. Negotiated Rate	$2,870.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,870.55

LIGATION / BIOPSY TEMPORAL ART

Facility

$16,853.95

Service Code	HCPCS 37609
Hospital Charge Code	16000343
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,056.19
Rate for Payer: Aetna Commercial	$5,056.19
Rate for Payer: Aetna Medicare Advantage	$5,056.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,297.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,297.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,297.76
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,191.01
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,528.09
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

LIGATION / BIOPSY TEMPORAL ART

Facility

$16,853.95

Service Code	HCPCS 37609
Hospital Charge Code	16000343
Hospital Revenue Code	360
Min. Negotiated Rate	$2,528.09
Max. Negotiated Rate	$2,528.09
Rate for Payer: Qualcare PPO/HMO/WC	$2,528.09

LIGATION MAJOR ARTERY; EXTREMI

Facility

$7,452.59

Service Code	HCPCS 37618
Hospital Charge Code	16000955
Hospital Revenue Code	360
Min. Negotiated Rate	$1,117.89
Max. Negotiated Rate	$1,117.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.89

LIGATION MAJOR ARTERY; EXTREMI

Facility

$7,452.59

Service Code	HCPCS 37618
Hospital Charge Code	5792298
Hospital Revenue Code	450
Min. Negotiated Rate	$235.75
Max. Negotiated Rate	$2,235.78
Rate for Payer: Aetna Commercial	$2,235.78
Rate for Payer: Aetna Medicare Advantage	$2,235.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,900.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,900.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,900.41
Rate for Payer: Cigna Commercial	$405.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.89

LIGATION MAJOR ARTERY; EXTREMI

Facility

$7,452.59

Service Code	HCPCS 37618
Hospital Charge Code	5792298
Hospital Revenue Code	450
Min. Negotiated Rate	$1,117.89
Max. Negotiated Rate	$1,117.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.89

Know your out-of-pocket cost for care.

All Charges