Heights University Hospital

All Charges

Charge

Type

Setting

Price

LIGATION MAJOR ARTERY; EXTREMI

Facility

$7,452.59

Service Code	HCPCS 37618
Hospital Charge Code	16000955
Hospital Revenue Code	360
Min. Negotiated Rate	$405.11
Max. Negotiated Rate	$6,873.00
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	$1,864.00
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: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.89
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

LIGATION MAJOR ARTERY NECK

Facility

$17,869.95

Service Code	HCPCS 37615
Hospital Charge Code	323037615
Hospital Revenue Code	450
Min. Negotiated Rate	$235.75
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$5,360.98
Rate for Payer: Aetna Medicare Advantage	$5,360.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,556.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,556.84
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	$4,556.84
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,323.09
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49

LIGATION MAJOR ARTERY NECK

Facility

$17,869.95

Service Code	HCPCS 37615
Hospital Charge Code	323037615
Hospital Revenue Code	450
Min. Negotiated Rate	$2,680.49
Max. Negotiated Rate	$2,680.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49

LIGATION OF HEMORRHOID(S)

Facility

$5,616.30

Service Code	HCPCS 46221
Hospital Charge Code	1600000281
Hospital Revenue Code	360
Min. Negotiated Rate	$730.12
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,684.89
Rate for Payer: Aetna Medicare Advantage	$1,684.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,432.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,432.16
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	$1,432.16
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.12
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$842.45
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

LIGATION OF HEMORRHOID(S)

Facility

$5,616.30

Service Code	HCPCS 46221
Hospital Charge Code	1600000281
Hospital Revenue Code	360
Min. Negotiated Rate	$842.45
Max. Negotiated Rate	$842.45
Rate for Payer: Qualcare PPO/HMO/WC	$842.45

LIGATOR BAND SUPERVIEW SUPE

Facility

$731.39

Hospital Charge Code	270631111
Hospital Revenue Code	272
Min. Negotiated Rate	$109.71
Max. Negotiated Rate	$109.71
Rate for Payer: Qualcare PPO/HMO/WC	$109.71

LIGATOR BAND SUPERVIEW SUPE

Facility

$731.39

Hospital Charge Code	270631111
Hospital Revenue Code	272
Min. Negotiated Rate	$95.08
Max. Negotiated Rate	$365.69
Rate for Payer: Aetna Commercial	$219.42
Rate for Payer: Aetna Medicare Advantage	$219.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.50
Rate for Payer: Cigna Commercial	$365.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.08
Rate for Payer: Oxford Commercial	$365.69
Rate for Payer: Qualcare PPO/HMO/WC	$109.71
Rate for Payer: UnitedHealthcare Commercial	$365.69

LIGATOR BAND SUPERVIW 7 422540

Facility

$731.39

Hospital Charge Code	270633712
Hospital Revenue Code	272
Min. Negotiated Rate	$109.71
Max. Negotiated Rate	$109.71
Rate for Payer: Qualcare PPO/HMO/WC	$109.71

LIGATOR BAND SUPERVIW 7 422540

Facility

$731.39

Hospital Charge Code	270633712
Hospital Revenue Code	272
Min. Negotiated Rate	$95.08
Max. Negotiated Rate	$365.69
Rate for Payer: Aetna Commercial	$219.42
Rate for Payer: Aetna Medicare Advantage	$219.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.50
Rate for Payer: Cigna Commercial	$365.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.08
Rate for Payer: Oxford Commercial	$365.69
Rate for Payer: Qualcare PPO/HMO/WC	$109.71
Rate for Payer: UnitedHealthcare Commercial	$365.69

LIGATOR MCV SPEEDBAND 4225

Facility

$2,222.45

Hospital Charge Code	270611764
Hospital Revenue Code	272
Min. Negotiated Rate	$333.37
Max. Negotiated Rate	$333.37
Rate for Payer: Qualcare PPO/HMO/WC	$333.37

LIGATOR MCV SPEEDBAND 4225

Facility

$2,222.45

Hospital Charge Code	270611764
Hospital Revenue Code	272
Min. Negotiated Rate	$288.92
Max. Negotiated Rate	$1,111.22
Rate for Payer: Aetna Commercial	$666.74
Rate for Payer: Aetna Medicare Advantage	$666.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$566.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$566.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$566.72
Rate for Payer: Cigna Commercial	$1,111.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.92
Rate for Payer: Oxford Commercial	$1,111.22
Rate for Payer: Qualcare PPO/HMO/WC	$333.37
Rate for Payer: UnitedHealthcare Commercial	$1,111.22

LIGATOR WV MULTIBAND MBL-6-0V

Facility

$693.65

Hospital Charge Code	270623620
Hospital Revenue Code	272
Min. Negotiated Rate	$104.05
Max. Negotiated Rate	$104.05
Rate for Payer: Qualcare PPO/HMO/WC	$104.05

LIGATOR WV MULTIBAND MBL-6-0V

Facility

$693.65

Hospital Charge Code	270623620
Hospital Revenue Code	272
Min. Negotiated Rate	$90.17
Max. Negotiated Rate	$346.82
Rate for Payer: Aetna Commercial	$208.09
Rate for Payer: Aetna Medicare Advantage	$208.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.88
Rate for Payer: Cigna Commercial	$346.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.17
Rate for Payer: Oxford Commercial	$346.82
Rate for Payer: Qualcare PPO/HMO/WC	$104.05
Rate for Payer: UnitedHealthcare Commercial	$346.82

LIGHT CLIP STERILE

Facility

$1,550.00

Hospital Charge Code	270656685
Hospital Revenue Code	272
Min. Negotiated Rate	$201.50
Max. Negotiated Rate	$775.00
Rate for Payer: Aetna Commercial	$465.00
Rate for Payer: Aetna Medicare Advantage	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.25
Rate for Payer: Cigna Commercial	$775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$775.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.50
Rate for Payer: UnitedHealthcare Commercial	$775.00

LIGHT CLIP STERILE

Facility

$1,550.00

Hospital Charge Code	270656685
Hospital Revenue Code	272
Min. Negotiated Rate	$232.50
Max. Negotiated Rate	$232.50
Rate for Payer: Qualcare PPO/HMO/WC	$232.50

LIGHT CORD.

Facility

$1,861.40

Hospital Charge Code	270656371
Hospital Revenue Code	272
Min. Negotiated Rate	$279.21
Max. Negotiated Rate	$279.21
Rate for Payer: Qualcare PPO/HMO/WC	$279.21

LIGHT CORD.

Facility

$1,861.40

Hospital Charge Code	270656371
Hospital Revenue Code	272
Min. Negotiated Rate	$241.98
Max. Negotiated Rate	$930.70
Rate for Payer: Aetna Commercial	$558.42
Rate for Payer: Aetna Medicare Advantage	$558.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.66
Rate for Payer: Cigna Commercial	$930.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.98
Rate for Payer: Oxford Commercial	$930.70
Rate for Payer: Qualcare PPO/HMO/WC	$279.21
Rate for Payer: UnitedHealthcare Commercial	$930.70

LIGHTENING BOLT 6XTX ASP CATH

Facility

$38,600.00

Hospital Charge Code	270703465
Hospital Revenue Code	272
Min. Negotiated Rate	$5,018.00
Max. Negotiated Rate	$19,300.00
Rate for Payer: Aetna Commercial	$11,580.00
Rate for Payer: Aetna Medicare Advantage	$11,580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,843.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,843.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,843.00
Rate for Payer: Cigna Commercial	$19,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,018.00
Rate for Payer: Oxford Commercial	$19,300.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,790.00
Rate for Payer: UnitedHealthcare Commercial	$19,300.00

LIGHTENING BOLT 6XTX ASP CATH

Facility

$38,600.00

Hospital Charge Code	270703465
Hospital Revenue Code	272
Min. Negotiated Rate	$5,790.00
Max. Negotiated Rate	$5,790.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,790.00

LIGHT FIBER LOW PROFILE 7MM

Facility

$7,945.00

Hospital Charge Code	270665840
Hospital Revenue Code	270
Min. Negotiated Rate	$1,032.85
Max. Negotiated Rate	$3,972.50
Rate for Payer: Aetna Commercial	$2,383.50
Rate for Payer: Aetna Medicare Advantage	$2,383.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,025.97
Rate for Payer: Cigna Commercial	$3,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,032.85
Rate for Payer: Oxford Commercial	$3,972.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75
Rate for Payer: UnitedHealthcare Commercial	$3,972.50

LIGHT FIBER LOW PROFILE 7MM

Facility

$7,945.00

Hospital Charge Code	270665840
Hospital Revenue Code	270
Min. Negotiated Rate	$1,191.75
Max. Negotiated Rate	$1,191.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75

LIGHT SOURCE STAND AND HEADLIG

Facility

$7,500.00

Hospital Charge Code	270666076
Hospital Revenue Code	270
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

LIGHT SOURCE STAND AND HEADLIG

Facility

$7,500.00

Hospital Charge Code	270666076
Hospital Revenue Code	270
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

LIGHT STRIP STERILE

Facility

$2,900.00

Hospital Charge Code	270656686
Hospital Revenue Code	272
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

LIGHT STRIP STERILE

Facility

$2,900.00

Hospital Charge Code	270656686
Hospital Revenue Code	272
Min. Negotiated Rate	$377.00
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$870.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.00
Rate for Payer: Oxford Commercial	$1,450.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Commercial	$1,450.00

Know your out-of-pocket cost for care.

All Charges