Heights University Hospital

All Charges

Charge

Type

Setting

Price

LOOP CUT TUR 24F 27050G-6

Facility

$561.75

Hospital Charge Code	270601253
Hospital Revenue Code	272
Min. Negotiated Rate	$73.03
Max. Negotiated Rate	$280.88
Rate for Payer: Aetna Commercial	$168.53
Rate for Payer: Aetna Medicare Advantage	$168.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.25
Rate for Payer: Cigna Commercial	$280.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.03
Rate for Payer: Oxford Commercial	$280.88
Rate for Payer: Qualcare PPO/HMO/WC	$84.26
Rate for Payer: UnitedHealthcare Commercial	$280.88

LOOP CUT TUR BRN 28F 27050-KF

Facility

$729.65

Hospital Charge Code	270605535
Hospital Revenue Code	272
Min. Negotiated Rate	$94.85
Max. Negotiated Rate	$364.82
Rate for Payer: Aetna Commercial	$218.90
Rate for Payer: Aetna Medicare Advantage	$218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.06
Rate for Payer: Cigna Commercial	$364.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.85
Rate for Payer: Oxford Commercial	$364.82
Rate for Payer: Qualcare PPO/HMO/WC	$109.45
Rate for Payer: UnitedHealthcare Commercial	$364.82

LOOP CUT TUR BRN 28F 27050-KF

Facility

$729.65

Hospital Charge Code	270605535
Hospital Revenue Code	272
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

LOOP CUT TUR YEL 24F 27050-KG

Facility

$766.45

Hospital Charge Code	270601251
Hospital Revenue Code	272
Min. Negotiated Rate	$114.97
Max. Negotiated Rate	$114.97
Rate for Payer: Qualcare PPO/HMO/WC	$114.97

LOOP CUT TUR YEL 24F 27050-KG

Facility

$766.45

Hospital Charge Code	270601251
Hospital Revenue Code	272
Min. Negotiated Rate	$99.64
Max. Negotiated Rate	$383.23
Rate for Payer: Aetna Commercial	$229.94
Rate for Payer: Aetna Medicare Advantage	$229.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.44
Rate for Payer: Cigna Commercial	$383.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.64
Rate for Payer: Oxford Commercial	$383.23
Rate for Payer: Qualcare PPO/HMO/WC	$114.97
Rate for Payer: UnitedHealthcare Commercial	$383.23

LOOP ELECTRODE

Facility

$389.00

Hospital Charge Code	270335247
Hospital Revenue Code	272
Min. Negotiated Rate	$50.57
Max. Negotiated Rate	$194.50
Rate for Payer: Aetna Commercial	$116.70
Rate for Payer: Aetna Medicare Advantage	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.19
Rate for Payer: Cigna Commercial	$194.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.57
Rate for Payer: Oxford Commercial	$194.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.35
Rate for Payer: UnitedHealthcare Commercial	$194.50

LOOP ELECTRODE

Facility

$389.00

Hospital Charge Code	270335247
Hospital Revenue Code	272
Min. Negotiated Rate	$58.35
Max. Negotiated Rate	$58.35
Rate for Payer: Qualcare PPO/HMO/WC	$58.35

LOOP ELECTRODE HF RESECT 24

Facility

$502.92

Hospital Charge Code	270658615
Hospital Revenue Code	272
Min. Negotiated Rate	$75.44
Max. Negotiated Rate	$75.44
Rate for Payer: Qualcare PPO/HMO/WC	$75.44

LOOP ELECTRODE HF RESECT 24

Facility

$502.92

Hospital Charge Code	270658615
Hospital Revenue Code	272
Min. Negotiated Rate	$65.38
Max. Negotiated Rate	$251.46
Rate for Payer: Aetna Commercial	$150.88
Rate for Payer: Aetna Medicare Advantage	$150.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.24
Rate for Payer: Cigna Commercial	$251.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.38
Rate for Payer: Oxford Commercial	$251.46
Rate for Payer: Qualcare PPO/HMO/WC	$75.44
Rate for Payer: UnitedHealthcare Commercial	$251.46

LOOP ELECTRODE HF RESECT 26FR

Facility

$7,777.00

Hospital Charge Code	270665953
Hospital Revenue Code	270
Min. Negotiated Rate	$1,166.55
Max. Negotiated Rate	$1,166.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.55

LOOP ELECTRODE HF RESECT 26FR

Facility

$7,777.00

Hospital Charge Code	270665953
Hospital Revenue Code	270
Min. Negotiated Rate	$1,011.01
Max. Negotiated Rate	$3,888.50
Rate for Payer: Aetna Commercial	$2,333.10
Rate for Payer: Aetna Medicare Advantage	$2,333.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,983.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,983.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,983.13
Rate for Payer: Cigna Commercial	$3,888.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,011.01
Rate for Payer: Oxford Commercial	$3,888.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.55
Rate for Payer: UnitedHealthcare Commercial	$3,888.50

LOOP GLOBE URINE STERILE 1UL

Facility

$325.00

Hospital Charge Code	270653915
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

LOOP GLOBE URINE STERILE 1UL

Facility

$325.00

Hospital Charge Code	270653915
Hospital Revenue Code	272
Min. Negotiated Rate	$42.25
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$97.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$162.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$162.50

LOOP INOCULATION DK BLUE 10UL

Facility

$25.46

Hospital Charge Code	270652330
Hospital Revenue Code	270
Min. Negotiated Rate	$3.82
Max. Negotiated Rate	$3.82
Rate for Payer: Qualcare PPO/HMO/WC	$3.82

LOOP INOCULATION DK BLUE 10UL

Facility

$25.46

Hospital Charge Code	270652330
Hospital Revenue Code	270
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$12.73
Rate for Payer: Aetna Commercial	$7.64
Rate for Payer: Aetna Medicare Advantage	$7.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.49
Rate for Payer: Cigna Commercial	$12.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.31
Rate for Payer: Oxford Commercial	$12.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.82
Rate for Payer: UnitedHealthcare Commercial	$12.73

LOOP MONOPOLAR ANG .35MM YELLO

Facility

$3,370.50

Hospital Charge Code	270682726
Hospital Revenue Code	272
Min. Negotiated Rate	$438.17
Max. Negotiated Rate	$1,685.25
Rate for Payer: Aetna Commercial	$1,011.15
Rate for Payer: Aetna Medicare Advantage	$1,011.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$859.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$859.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$859.48
Rate for Payer: Cigna Commercial	$1,685.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.17
Rate for Payer: Oxford Commercial	$1,685.25
Rate for Payer: Qualcare PPO/HMO/WC	$505.57
Rate for Payer: UnitedHealthcare Commercial	$1,685.25

LOOP MONOPOLAR ANG .35MM YELLO

Facility

$3,370.50

Hospital Charge Code	270682726
Hospital Revenue Code	272
Min. Negotiated Rate	$505.57
Max. Negotiated Rate	$505.57
Rate for Payer: Qualcare PPO/HMO/WC	$505.57

LOOP OSTOMY SYS 2-3/4020933**

Facility

$84.00

Hospital Charge Code	1605922
Hospital Revenue Code	272
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.92
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$42.00

LOOP OSTOMY SYS 2-3/4020933**

Facility

$84.00

Hospital Charge Code	1605922
Hospital Revenue Code	272
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

LOOP OSTOMY SYSTEM 40209-34**

Facility

$93.00

Hospital Charge Code	1605930
Hospital Revenue Code	272
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$46.50
Rate for Payer: Aetna Commercial	$27.90
Rate for Payer: Aetna Medicare Advantage	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.09
Rate for Payer: Oxford Commercial	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$46.50

LOOP OSTOMY SYSTEM 40209-34**

Facility

$93.00

Hospital Charge Code	1605930
Hospital Revenue Code	272
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

LOOP, RD 20MMW X 12MMD

Facility

$75.00

Hospital Charge Code	270650788
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

LOOP, RD 20MMW X 12MMD

Facility

$75.00

Hospital Charge Code	270650788
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

LOOP RECORD CONFIRM

Facility

$21,850.00

Hospital Charge Code	2709007371
Hospital Revenue Code	272
Min. Negotiated Rate	$2,840.50
Max. Negotiated Rate	$10,925.00
Rate for Payer: Aetna Commercial	$6,555.00
Rate for Payer: Aetna Medicare Advantage	$6,555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,571.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,571.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,571.75
Rate for Payer: Cigna Commercial	$10,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,840.50
Rate for Payer: Oxford Commercial	$10,925.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50
Rate for Payer: UnitedHealthcare Commercial	$10,925.00

LOOP RECORD CONFIRM

Facility

$21,850.00

Hospital Charge Code	2709007371
Hospital Revenue Code	272
Min. Negotiated Rate	$3,277.50
Max. Negotiated Rate	$3,277.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50

Know your out-of-pocket cost for care.

All Charges