Heights University Hospital

All Charges

Charge

Type

Setting

Price

LPS-FLEX GSF OPTION FEMORAL, S

Facility

$12,166.15

Hospital Charge Code	270662344
Hospital Revenue Code	272
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$1,824.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

LPS-FLEX GSF OPTION FEMORAL, S

Facility

$12,166.15

Hospital Charge Code	270657034
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$6,083.07
Rate for Payer: Aetna Commercial	$3,649.84
Rate for Payer: Aetna Medicare Advantage	$3,649.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.37
Rate for Payer: Cigna Commercial	$6,083.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

LPS POR FEM SIZE GRT5992-17-92

Facility

$15,134.75

Hospital Charge Code	270635684
Hospital Revenue Code	278
Min. Negotiated Rate	$2,270.21
Max. Negotiated Rate	$7,567.38
Rate for Payer: Aetna Commercial	$4,540.43
Rate for Payer: Aetna Medicare Advantage	$4,540.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,859.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,859.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,026.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,859.36
Rate for Payer: Cigna Commercial	$7,567.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,662.61
Rate for Payer: Qualcare PPO/HMO/WC	$2,270.21

LPS POR FEM SIZE GRT5992-17-92

Facility

$15,134.75

Hospital Charge Code	270635684
Hospital Revenue Code	278
Min. Negotiated Rate	$2,270.21
Max. Negotiated Rate	$3,662.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,026.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,662.61
Rate for Payer: Qualcare PPO/HMO/WC	$2,270.21

LPV STD HI PRES NL850-4430

Facility

$3,028.00

Hospital Charge Code	270600293
Hospital Revenue Code	272
Min. Negotiated Rate	$454.20
Max. Negotiated Rate	$454.20
Rate for Payer: Qualcare PPO/HMO/WC	$454.20

LPV STD HI PRES NL850-4430

Facility

$3,028.00

Hospital Charge Code	270600293
Hospital Revenue Code	272
Min. Negotiated Rate	$393.64
Max. Negotiated Rate	$1,514.00
Rate for Payer: Aetna Commercial	$908.40
Rate for Payer: Aetna Medicare Advantage	$908.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$772.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$772.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$772.14
Rate for Payer: Cigna Commercial	$1,514.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.64
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$454.20
Rate for Payer: UnitedHealthcare Commercial	$1,514.00

LPV STD HI PRES NL850-4431

Facility

$3,807.25

Hospital Charge Code	270600296
Hospital Revenue Code	278
Min. Negotiated Rate	$571.09
Max. Negotiated Rate	$921.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$761.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$921.35
Rate for Payer: Qualcare PPO/HMO/WC	$571.09

LPV STD HI PRES NL850-4431

Facility

$3,807.25

Hospital Charge Code	270600296
Hospital Revenue Code	278
Min. Negotiated Rate	$571.09
Max. Negotiated Rate	$1,903.62
Rate for Payer: Aetna Commercial	$1,142.17
Rate for Payer: Aetna Medicare Advantage	$1,142.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$970.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$970.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$761.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$970.85
Rate for Payer: Cigna Commercial	$1,903.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$921.35
Rate for Payer: Qualcare PPO/HMO/WC	$571.09

LPV STD LO PRES NL850-4410

Facility

$3,026.45

Hospital Charge Code	270600287
Hospital Revenue Code	272
Min. Negotiated Rate	$393.44
Max. Negotiated Rate	$1,513.22
Rate for Payer: Aetna Commercial	$907.93
Rate for Payer: Aetna Medicare Advantage	$907.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.74
Rate for Payer: Cigna Commercial	$1,513.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.44
Rate for Payer: Oxford Commercial	$1,513.22
Rate for Payer: Qualcare PPO/HMO/WC	$453.97
Rate for Payer: UnitedHealthcare Commercial	$1,513.22

LPV STD LO PRES NL850-4410

Facility

$3,026.45

Hospital Charge Code	270600287
Hospital Revenue Code	272
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$453.97
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

LPV STD LO PRES NL850-4411

Facility

$3,801.65

Hospital Charge Code	270600294
Hospital Revenue Code	272
Min. Negotiated Rate	$494.21
Max. Negotiated Rate	$1,900.83
Rate for Payer: Aetna Commercial	$1,140.49
Rate for Payer: Aetna Medicare Advantage	$1,140.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$969.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$969.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$969.42
Rate for Payer: Cigna Commercial	$1,900.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.21
Rate for Payer: Oxford Commercial	$1,900.83
Rate for Payer: Qualcare PPO/HMO/WC	$570.25
Rate for Payer: UnitedHealthcare Commercial	$1,900.83

LPV STD LO PRES NL850-4411

Facility

$3,801.65

Hospital Charge Code	270600294
Hospital Revenue Code	272
Min. Negotiated Rate	$570.25
Max. Negotiated Rate	$570.25
Rate for Payer: Qualcare PPO/HMO/WC	$570.25

LPV STD MED PRES NL850-4420

Facility

$3,026.45

Hospital Charge Code	270600290
Hospital Revenue Code	272
Min. Negotiated Rate	$393.44
Max. Negotiated Rate	$1,513.22
Rate for Payer: Aetna Commercial	$907.93
Rate for Payer: Aetna Medicare Advantage	$907.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.74
Rate for Payer: Cigna Commercial	$1,513.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.44
Rate for Payer: Oxford Commercial	$1,513.22
Rate for Payer: Qualcare PPO/HMO/WC	$453.97
Rate for Payer: UnitedHealthcare Commercial	$1,513.22

LPV STD MED PRES NL850-4420

Facility

$3,026.45

Hospital Charge Code	270600290
Hospital Revenue Code	272
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$453.97
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

LPV STD MED PRES NL850-4421

Facility

$4,568.00

Hospital Charge Code	270600295
Hospital Revenue Code	272
Min. Negotiated Rate	$685.20
Max. Negotiated Rate	$685.20
Rate for Payer: Qualcare PPO/HMO/WC	$685.20

LPV STD MED PRES NL850-4421

Facility

$4,568.00

Hospital Charge Code	270600295
Hospital Revenue Code	272
Min. Negotiated Rate	$593.84
Max. Negotiated Rate	$2,284.00
Rate for Payer: Aetna Commercial	$1,370.40
Rate for Payer: Aetna Medicare Advantage	$1,370.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,164.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,164.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,164.84
Rate for Payer: Cigna Commercial	$2,284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$593.84
Rate for Payer: Oxford Commercial	$2,284.00
Rate for Payer: Qualcare PPO/HMO/WC	$685.20
Rate for Payer: UnitedHealthcare Commercial	$2,284.00

LRG BNE OSCLLTNG BLD 63.0X42MM

Facility

$35.00

Hospital Charge Code	270662588
Hospital Revenue Code	272
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

LRG BNE OSCLLTNG BLD 63.0X42MM

Facility

$35.00

Hospital Charge Code	270662588
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

LRG BNE OSCLLTNG BLD 63.0X49MM

Facility

$35.00

Hospital Charge Code	270662589
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

LRG BNE OSCLLTNG BLD 63.0X49MM

Facility

$35.00

Hospital Charge Code	270662589
Hospital Revenue Code	272
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

LRG ROCKER SHOE - LNG

Facility

$8,167.40

Hospital Charge Code	270702829
Hospital Revenue Code	278
Min. Negotiated Rate	$1,225.11
Max. Negotiated Rate	$4,083.70
Rate for Payer: Aetna Commercial	$2,450.22
Rate for Payer: Aetna Medicare Advantage	$2,450.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,082.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,082.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,633.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,082.69
Rate for Payer: Cigna Commercial	$4,083.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,976.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,225.11

LRG ROCKER SHOE - LNG

Facility

$8,167.40

Hospital Charge Code	270702829
Hospital Revenue Code	278
Min. Negotiated Rate	$1,225.11
Max. Negotiated Rate	$1,976.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,633.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,976.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,225.11

LR IRRIGANT 3000CC 2B7487

Facility

$29.78

Hospital Charge Code	270645428
Hospital Revenue Code	272
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$14.89
Rate for Payer: Aetna Commercial	$8.93
Rate for Payer: Aetna Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.59
Rate for Payer: Cigna Commercial	$14.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.87
Rate for Payer: Oxford Commercial	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$4.47
Rate for Payer: UnitedHealthcare Commercial	$14.89

LR IRRIGANT 3000CC 2B7487

Facility

$29.78

Hospital Charge Code	270645428
Hospital Revenue Code	272
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$4.47
Rate for Payer: Qualcare PPO/HMO/WC	$4.47

LSFMC DI RY 2ND & 3RD TMT PT

Facility

$8,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270701595
Hospital Revenue Code	278
Min. Negotiated Rate	$1,254.00
Max. Negotiated Rate	$2,023.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,672.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,023.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,254.00

Know your out-of-pocket cost for care.

All Charges