Heights University Hospital

All Charges

Charge

Type

Setting

Price

LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$126,887.91

Service Code	MSDRG 956
Min. Negotiated Rate	$38,331.26
Max. Negotiated Rate	$126,887.91
Rate for Payer: Aetna Commercial	$126,887.91
Rate for Payer: Aetna Medicare Advantage	$41,064.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106,959.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106,959.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40,348.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106,959.96
Rate for Payer: Cigna Commercial	$80,983.52
Rate for Payer: Cigna Medicare Advantage	$40,348.69
Rate for Payer: Clover Medicare Advantage	$38,331.26
Rate for Payer: EmblemHealth Commercial	$121,046.07
Rate for Payer: Humana Medicare Advantage	$41,559.15
Rate for Payer: Oxford Commercial	$50,612.35
Rate for Payer: UnitedHealthcare Commercial	$57,449.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$40,348.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$42,769.61
Rate for Payer: Wellcare Medicare Advantage	$40,348.69

LIMITOOR VOL LTG CSF DRAIN SYS

Facility

$450.00

Hospital Charge Code	270697035
Hospital Revenue Code	271
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

LIMITOOR VOL LTG CSF DRAIN SYS

Facility

$450.00

Hospital Charge Code	270697035
Hospital Revenue Code	271
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

LINDANE 1%/60ML

Facility

$15.00

Hospital Charge Code	60633306
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

LINDANE 1%/60ML

Facility

$15.00

Hospital Charge Code	60633306
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

LINDANE 1%/60ML

Facility

$15.00

Hospital Charge Code	60633307
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

LINDANE 1%/60ML

Facility

$15.00

Hospital Charge Code	60633307
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

LINDANE 1% LOTION 60 ML

Facility

$14.81

Service Code	NDC 61748040102
Hospital Charge Code	6003321
Hospital Revenue Code	250
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$7.41
Rate for Payer: Aetna Commercial	$4.44
Rate for Payer: Aetna Medicare Advantage	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.78
Rate for Payer: Cigna Commercial	$7.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.93
Rate for Payer: Oxford Commercial	$7.41
Rate for Payer: Qualcare PPO/HMO/WC	$2.22
Rate for Payer: UnitedHealthcare Commercial	$7.41

LINDANE 1% LOTION 60 ML

Facility

$14.81

Service Code	NDC 61748040102
Hospital Charge Code	6003321
Hospital Revenue Code	250
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.22

LINDON STONE ABTRACT***

Facility

$740.00

Hospital Charge Code	2300598
Hospital Revenue Code	279
Min. Negotiated Rate	$96.20
Max. Negotiated Rate	$370.00
Rate for Payer: Aetna Commercial	$222.00
Rate for Payer: Aetna Medicare Advantage	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.70
Rate for Payer: Cigna Commercial	$370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.20
Rate for Payer: Oxford Commercial	$370.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00
Rate for Payer: UnitedHealthcare Commercial	$370.00

LINDON STONE ABTRACT***

Facility

$740.00

Hospital Charge Code	2300598
Hospital Revenue Code	279
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$111.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00

LINEAR CUTTER 75MM

Facility

$267.00

Hospital Charge Code	270338707
Hospital Revenue Code	272
Min. Negotiated Rate	$34.71
Max. Negotiated Rate	$133.50
Rate for Payer: Aetna Commercial	$80.10
Rate for Payer: Aetna Medicare Advantage	$80.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.08
Rate for Payer: Cigna Commercial	$133.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.71
Rate for Payer: Oxford Commercial	$133.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.05
Rate for Payer: UnitedHealthcare Commercial	$133.50

LINEAR CUTTER 75MM

Facility

$267.00

Hospital Charge Code	270338707
Hospital Revenue Code	272
Min. Negotiated Rate	$40.05
Max. Negotiated Rate	$40.05
Rate for Payer: Qualcare PPO/HMO/WC	$40.05

LINEAR CUTTER ECH FLEX 60MM 28

Facility

$1,887.30

Hospital Charge Code	270671549
Hospital Revenue Code	272
Min. Negotiated Rate	$245.35
Max. Negotiated Rate	$943.65
Rate for Payer: Aetna Commercial	$566.19
Rate for Payer: Aetna Medicare Advantage	$566.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.26
Rate for Payer: Cigna Commercial	$943.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.35
Rate for Payer: Oxford Commercial	$943.65
Rate for Payer: Qualcare PPO/HMO/WC	$283.10
Rate for Payer: UnitedHealthcare Commercial	$943.65

LINEAR CUTTER ECH FLEX 60MM 28

Facility

$1,887.30

Hospital Charge Code	270671549
Hospital Revenue Code	272
Min. Negotiated Rate	$283.10
Max. Negotiated Rate	$283.10
Rate for Payer: Qualcare PPO/HMO/WC	$283.10

LINEAR CUTTER STAPLER 55MM

Facility

$178.00

Hospital Charge Code	270335692
Hospital Revenue Code	272
Min. Negotiated Rate	$23.14
Max. Negotiated Rate	$89.00
Rate for Payer: Aetna Commercial	$53.40
Rate for Payer: Aetna Medicare Advantage	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.39
Rate for Payer: Cigna Commercial	$89.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.14
Rate for Payer: Oxford Commercial	$89.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.70
Rate for Payer: UnitedHealthcare Commercial	$89.00

LINEAR CUTTER STAPLER 55MM

Facility

$178.00

Hospital Charge Code	270335692
Hospital Revenue Code	272
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$26.70
Rate for Payer: Qualcare PPO/HMO/WC	$26.70

LINEAR INTRALUMINAL STAPLER

Facility

$511.00

Hospital Charge Code	270338714
Hospital Revenue Code	272
Min. Negotiated Rate	$76.65
Max. Negotiated Rate	$76.65
Rate for Payer: Qualcare PPO/HMO/WC	$76.65

LINEAR INTRALUMINAL STAPLER

Facility

$511.00

Hospital Charge Code	270338714
Hospital Revenue Code	272
Min. Negotiated Rate	$66.43
Max. Negotiated Rate	$255.50
Rate for Payer: Aetna Commercial	$153.30
Rate for Payer: Aetna Medicare Advantage	$153.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.31
Rate for Payer: Cigna Commercial	$255.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.43
Rate for Payer: Oxford Commercial	$255.50
Rate for Payer: Qualcare PPO/HMO/WC	$76.65
Rate for Payer: UnitedHealthcare Commercial	$255.50

LINEAR RING LOC 36x24 12105994

Facility

$3,734.95

Hospital Charge Code	270632965
Hospital Revenue Code	278
Min. Negotiated Rate	$560.24
Max. Negotiated Rate	$1,867.47
Rate for Payer: Aetna Commercial	$1,120.48
Rate for Payer: Aetna Medicare Advantage	$1,120.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$952.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$952.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$746.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$952.41
Rate for Payer: Cigna Commercial	$1,867.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$903.86
Rate for Payer: Qualcare PPO/HMO/WC	$560.24

LINEAR RING LOC 36x24 12105994

Facility

$3,734.95

Hospital Charge Code	270632965
Hospital Revenue Code	278
Min. Negotiated Rate	$560.24
Max. Negotiated Rate	$903.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$746.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$903.86
Rate for Payer: Qualcare PPO/HMO/WC	$560.24

LINEAR STAPLER 30MM

Facility

$170.00

Hospital Charge Code	270338697
Hospital Revenue Code	272
Min. Negotiated Rate	$22.10
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$85.00

LINEAR STAPLER 30MM

Facility

$170.00

Hospital Charge Code	270338697
Hospital Revenue Code	272
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

LINEAR STAPLER 60MM

Facility

$174.00

Hospital Charge Code	270338699
Hospital Revenue Code	272
Min. Negotiated Rate	$22.62
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$52.20
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.62
Rate for Payer: Oxford Commercial	$87.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.10
Rate for Payer: UnitedHealthcare Commercial	$87.00

LINEAR STAPLER 60MM

Facility

$174.00

Hospital Charge Code	270338699
Hospital Revenue Code	272
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$26.10
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

Know your out-of-pocket cost for care.

All Charges