Heights University Hospital

All Charges

Charge

Type

Setting

Price

LINEAR STAPLER 90MM

Facility

$180.00

Hospital Charge Code	270338705
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

LINEAR STAPLER 90MM

Facility

$180.00

Hospital Charge Code	270338705
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

LINEARTY SET IMMUNOSSAY

Facility

$1,590.00

Hospital Charge Code	270665489
Hospital Revenue Code	270
Min. Negotiated Rate	$206.70
Max. Negotiated Rate	$795.00
Rate for Payer: Aetna Commercial	$477.00
Rate for Payer: Aetna Medicare Advantage	$477.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$405.45
Rate for Payer: Cigna Commercial	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.70
Rate for Payer: Oxford Commercial	$795.00
Rate for Payer: Qualcare PPO/HMO/WC	$238.50
Rate for Payer: UnitedHealthcare Commercial	$795.00

LINEARTY SET IMMUNOSSAY

Facility

$1,590.00

Hospital Charge Code	270665489
Hospital Revenue Code	270
Min. Negotiated Rate	$238.50
Max. Negotiated Rate	$238.50
Rate for Payer: Qualcare PPO/HMO/WC	$238.50

LINE BLOOD C3 RENAL 3-410-510

Facility

$57.65

Hospital Charge Code	270604506
Hospital Revenue Code	272
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

LINE BLOOD C3 RENAL 3-410-510

Facility

$57.65

Hospital Charge Code	270604506
Hospital Revenue Code	272
Min. Negotiated Rate	$7.49
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$28.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.65
Rate for Payer: UnitedHealthcare Commercial	$28.82

LINE BLOOD REDY 2000

Facility

$63.25

Hospital Charge Code	270606195
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

LINE BLOOD REDY 2000

Facility

$63.25

Hospital Charge Code	270606195
Hospital Revenue Code	272
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$18.98
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$31.62
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$31.62

LINE NMC INJ HP 91011302

Facility

$124.00

Hospital Charge Code	270600712
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

LINE NMC INJ HP 91011302

Facility

$124.00

Hospital Charge Code	270600712
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

LINER

Facility

$6,221.15

Hospital Charge Code	270657033
Hospital Revenue Code	278
Min. Negotiated Rate	$933.17
Max. Negotiated Rate	$1,505.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,244.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,505.52
Rate for Payer: Qualcare PPO/HMO/WC	$933.17

LINER

Facility

$6,221.15

Hospital Charge Code	270657033
Hospital Revenue Code	278
Min. Negotiated Rate	$933.17
Max. Negotiated Rate	$3,110.57
Rate for Payer: Aetna Commercial	$1,866.35
Rate for Payer: Aetna Medicare Advantage	$1,866.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,586.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,586.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,244.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,586.39
Rate for Payer: Cigna Commercial	$3,110.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,505.52
Rate for Payer: Qualcare PPO/HMO/WC	$933.17

LINER 10 DEGREE POLYETHYLENE

Facility

$6,220.00

Hospital Charge Code	270658843
Hospital Revenue Code	278
Min. Negotiated Rate	$933.00
Max. Negotiated Rate	$1,505.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,505.24
Rate for Payer: Qualcare PPO/HMO/WC	$933.00

LINER 10 DEGREE POLYETHYLENE

Facility

$6,220.00

Hospital Charge Code	270658843
Hospital Revenue Code	278
Min. Negotiated Rate	$933.00
Max. Negotiated Rate	$3,110.00
Rate for Payer: Aetna Commercial	$1,866.00
Rate for Payer: Aetna Medicare Advantage	$1,866.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,586.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,586.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,586.10
Rate for Payer: Cigna Commercial	$3,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,505.24
Rate for Payer: Qualcare PPO/HMO/WC	$933.00

LINER 36 ACETEBR SZ26 XL105916

Facility

$6,060.00

Service Code	HCPCS C1776
Hospital Charge Code	270641540
Hospital Revenue Code	278
Min. Negotiated Rate	$909.00
Max. Negotiated Rate	$3,030.00
Rate for Payer: Aetna Commercial	$1,818.00
Rate for Payer: Aetna Medicare Advantage	$1,818.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,545.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,545.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,545.30
Rate for Payer: Cigna Commercial	$3,030.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,466.52
Rate for Payer: Qualcare PPO/HMO/WC	$909.00

LINER 36 ACETEBR SZ26 XL105916

Facility

$6,060.00

Service Code	HCPCS C1776
Hospital Charge Code	270641540
Hospital Revenue Code	278
Min. Negotiated Rate	$909.00
Max. Negotiated Rate	$1,466.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,466.52
Rate for Payer: Qualcare PPO/HMO/WC	$909.00

LINER +3 HI WALL 40mm SZ 26

Facility

$9,265.00

Hospital Charge Code	270645623
Hospital Revenue Code	278
Min. Negotiated Rate	$1,389.75
Max. Negotiated Rate	$4,632.50
Rate for Payer: Aetna Commercial	$2,779.50
Rate for Payer: Aetna Medicare Advantage	$2,779.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,362.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,362.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,853.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,362.57
Rate for Payer: Cigna Commercial	$4,632.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,242.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,389.75

LINER +3 HI WALL 40mm SZ 26

Facility

$9,265.00

Hospital Charge Code	270645623
Hospital Revenue Code	278
Min. Negotiated Rate	$1,389.75
Max. Negotiated Rate	$2,242.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,853.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,242.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,389.75

LINER 42MM DUAL MOBILITY

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690602
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

LINER 42MM DUAL MOBILITY

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690602
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

LINER 67/63MM X 18 MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270688247
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

LINER 67/63MM X 18 MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270688247
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

LINER ACET 36MM

Facility

$7,875.00

Service Code	HCPCS C1776
Hospital Charge Code	270692211
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,362.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

LINER ACET 36MM

Facility

$7,875.00

Service Code	HCPCS C1776
Hospital Charge Code	270692211
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,905.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

LINER ACETAB 40SZ 25 EP108525

Facility

$9,265.00

Hospital Charge Code	270644875
Hospital Revenue Code	278
Min. Negotiated Rate	$1,389.75
Max. Negotiated Rate	$2,242.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,853.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,242.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,389.75

Know your out-of-pocket cost for care.

All Charges