Heights University Hospital

All Charges

Charge

Type

Setting

Price

ARTICULARY CLAMP

Facility

$1,650.00

Hospital Charge Code	270656644
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

ARTICULATING STAPLER 55MM

Facility

$350.00

Hospital Charge Code	270335693
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

ARTICULATING STAPLER 55MM

Facility

$350.00

Hospital Charge Code	270335693
Hospital Revenue Code	272
Min. Negotiated Rate	$45.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$175.00

ARTICUL/EZE FEMORAL HEAD

Facility

$2,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270649216
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

ARTICUL/EZE FEMORAL HEAD

Facility

$2,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270649216
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

ARTRL BLOOD GAS W/ SHOCK PANEL

Facility

$1,255.57

Service Code	HCPCS 82803
Hospital Charge Code	397360011
Hospital Revenue Code	300
Min. Negotiated Rate	$188.34
Max. Negotiated Rate	$188.34
Rate for Payer: Qualcare PPO/HMO/WC	$188.34

ARTRL BLOOD GAS W/ SHOCK PANEL

Facility

$1,255.57

Service Code	HCPCS 82803
Hospital Charge Code	397360011
Hospital Revenue Code	300
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$188.34
Rate for Payer: Aetna Commercial	$84.47
Rate for Payer: Aetna Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.52
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: Cigna Medicare Advantage	$13.04
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$188.34
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.63
Rate for Payer: Wellcare Medicare Advantage	$26.07

ARTS & CRAFTS THERAPY GROUP

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246105
Hospital Revenue Code	915
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$240.24
Rate for Payer: Aetna Medicare Advantage	$240.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.20
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48

ARTS & CRAFTS THERAPY GROUP

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246105
Hospital Revenue Code	915
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

ARTS & CRAFTS THERAPY INDIVIDU

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246110
Hospital Revenue Code	915
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

ARTS & CRAFTS THERAPY INDIVIDU

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246110
Hospital Revenue Code	915
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$240.24
Rate for Payer: Aetna Medicare Advantage	$240.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.20
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48

ART SURFACE

Facility

$5,862.00

Hospital Charge Code	270656956
Hospital Revenue Code	278
Min. Negotiated Rate	$879.30
Max. Negotiated Rate	$2,931.00
Rate for Payer: Aetna Commercial	$1,758.60
Rate for Payer: Aetna Medicare Advantage	$1,758.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.81
Rate for Payer: Cigna Commercial	$2,931.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.60
Rate for Payer: Qualcare PPO/HMO/WC	$879.30

ART SURFACE

Facility

$5,862.00

Hospital Charge Code	270656956
Hospital Revenue Code	278
Min. Negotiated Rate	$879.30
Max. Negotiated Rate	$1,418.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.60
Rate for Payer: Qualcare PPO/HMO/WC	$879.30

ART SURFACE 12MM

Facility

$5,862.10

Hospital Charge Code	270656959
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

ART SURFACE 12MM

Facility

$5,862.10

Hospital Charge Code	270656959
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$1,758.63
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

ART SURFACE D414

Facility

$5,862.10

Hospital Charge Code	270656960
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$1,758.63
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

ART SURFACE D414

Facility

$5,862.10

Hospital Charge Code	270656960
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

ART SURF LCCK CD 3-4 20MM YELL

Facility

$9,271.00

Hospital Charge Code	270669763
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.65
Max. Negotiated Rate	$4,635.50
Rate for Payer: Aetna Commercial	$2,781.30
Rate for Payer: Aetna Medicare Advantage	$2,781.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,364.11
Rate for Payer: Cigna Commercial	$4,635.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65

ART SURF LCCK CD 3-4 20MM YELL

Facility

$9,271.00

Hospital Charge Code	270669763
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.65
Max. Negotiated Rate	$2,243.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65

ART SURF LCCK EF 3-4 17MM YEL

Facility

$9,271.00

Hospital Charge Code	270671567
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.65
Max. Negotiated Rate	$4,635.50
Rate for Payer: Aetna Commercial	$2,781.30
Rate for Payer: Aetna Medicare Advantage	$2,781.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,364.11
Rate for Payer: Cigna Commercial	$4,635.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65

ART SURF LCCK EF 3-4 17MM YEL

Facility

$9,271.00

Hospital Charge Code	270671567
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.65
Max. Negotiated Rate	$2,243.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65

ART SURF LCCK EF 3-4 17MM YEL

Facility

$9,271.00

Hospital Charge Code	270660877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.65
Max. Negotiated Rate	$2,243.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65

ART SURF LCCK EF 3-4 17MM YEL

Facility

$9,271.00

Hospital Charge Code	270660877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.65
Max. Negotiated Rate	$4,635.50
Rate for Payer: Aetna Commercial	$2,781.30
Rate for Payer: Aetna Medicare Advantage	$2,781.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,364.11
Rate for Payer: Cigna Commercial	$4,635.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65

ART SURF LPS-FLEX EF 3-4 14MM

Facility

$5,862.10

Hospital Charge Code	270663523
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

ART SURF LPS-FLEX EF 3-4 14MM

Facility

$5,862.10

Hospital Charge Code	270663523
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$1,758.63
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

Know your out-of-pocket cost for care.

All Charges