Heights University Hospital

All Charges

Charge

Type

Setting

Price

MICRONASE/5MG/TAB

Facility

$3.00

Hospital Charge Code	60633428
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MICRONASE/5MG/TAB

Facility

$3.00

Hospital Charge Code	60633427
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MICRONASE/5MG/TAB

Facility

$3.00

Hospital Charge Code	60633427
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

MICRONASE/5MG/TAB

Facility

$4.00

Hospital Charge Code	60633426
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

MICRONASE/5MG/TAB

Facility

$4.00

Hospital Charge Code	60633426
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

MICROPHONE SNORE PROTECH FEMAL

Facility

$500.00

Hospital Charge Code	270654236
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

MICROPHONE SNORE PROTECH FEMAL

Facility

$500.00

Hospital Charge Code	270654236
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

MICROPORT PER 5 1/1 7 PK11150K

Facility

$2,142.75

Hospital Charge Code	270626551
Hospital Revenue Code	272
Min. Negotiated Rate	$321.41
Max. Negotiated Rate	$321.41
Rate for Payer: Qualcare PPO/HMO/WC	$321.41

MICROPORT PER 5 1/1 7 PK11150K

Facility

$2,142.75

Hospital Charge Code	270626551
Hospital Revenue Code	272
Min. Negotiated Rate	$278.56
Max. Negotiated Rate	$1,071.38
Rate for Payer: Aetna Commercial	$642.83
Rate for Payer: Aetna Medicare Advantage	$642.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.40
Rate for Payer: Cigna Commercial	$1,071.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.56
Rate for Payer: Oxford Commercial	$1,071.38
Rate for Payer: Qualcare PPO/HMO/WC	$321.41
Rate for Payer: UnitedHealthcare Commercial	$1,071.38

MICROPUNCTURE 6FRX10CM SHEATH

Facility

$3,550.00

Hospital Charge Code	270705458
Hospital Revenue Code	279
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$532.50
Rate for Payer: Qualcare PPO/HMO/WC	$532.50

MICROPUNCTURE 6FRX10CM SHEATH

Facility

$3,550.00

Hospital Charge Code	270705458
Hospital Revenue Code	279
Min. Negotiated Rate	$461.50
Max. Negotiated Rate	$1,775.00
Rate for Payer: Aetna Commercial	$1,065.00
Rate for Payer: Aetna Medicare Advantage	$1,065.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$905.25
Rate for Payer: Cigna Commercial	$1,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.50
Rate for Payer: Oxford Commercial	$1,775.00
Rate for Payer: Qualcare PPO/HMO/WC	$532.50
Rate for Payer: UnitedHealthcare Commercial	$1,775.00

MICROPUNCTURE INTRO 5FR

Facility

$230.00

Service Code	HCPCS C2629
Hospital Charge Code	270624719
Hospital Revenue Code	278
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$55.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.66
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

MICROPUNCTURE INTRO 5FR

Facility

$230.00

Service Code	HCPCS C2629
Hospital Charge Code	270624719
Hospital Revenue Code	278
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.66
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

MICROPUNCTURE INTRO STFND 10cm

Facility

$340.00

Hospital Charge Code	270624179
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

MICROPUNCTURE INTRO STFND 10cm

Facility

$340.00

Hospital Charge Code	270624179
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

MICROPUNCTURE INTRO STFND 15cm

Facility

$345.10

Hospital Charge Code	270629630
Hospital Revenue Code	278
Min. Negotiated Rate	$51.77
Max. Negotiated Rate	$172.55
Rate for Payer: Aetna Commercial	$103.53
Rate for Payer: Aetna Medicare Advantage	$103.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.00
Rate for Payer: Cigna Commercial	$172.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.51
Rate for Payer: Qualcare PPO/HMO/WC	$51.77

MICROPUNCTURE INTRO STFND 15cm

Facility

$345.10

Hospital Charge Code	270629630
Hospital Revenue Code	278
Min. Negotiated Rate	$51.77
Max. Negotiated Rate	$83.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.51
Rate for Payer: Qualcare PPO/HMO/WC	$51.77

MICROPUNCTURE INTRO STFND 15CM

Facility

$242.80

Hospital Charge Code	270629630C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.42
Max. Negotiated Rate	$58.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.76
Rate for Payer: Qualcare PPO/HMO/WC	$36.42

MICROPUNCTURE INTRO STFND 15CM

Facility

$242.80

Hospital Charge Code	270629630C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.42
Max. Negotiated Rate	$121.40
Rate for Payer: Aetna Commercial	$72.84
Rate for Payer: Aetna Medicare Advantage	$72.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.91
Rate for Payer: Cigna Commercial	$121.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.76
Rate for Payer: Qualcare PPO/HMO/WC	$36.42

MICROPUNCTURE PEDAL 4.0 FRx7cm

Facility

$346.80

Hospital Charge Code	270680365
Hospital Revenue Code	272
Min. Negotiated Rate	$52.02
Max. Negotiated Rate	$52.02
Rate for Payer: Qualcare PPO/HMO/WC	$52.02

MICROPUNCTURE PEDAL 4.0 FRx7cm

Facility

$346.80

Hospital Charge Code	270680365
Hospital Revenue Code	272
Min. Negotiated Rate	$45.08
Max. Negotiated Rate	$173.40
Rate for Payer: Aetna Commercial	$104.04
Rate for Payer: Aetna Medicare Advantage	$104.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.43
Rate for Payer: Cigna Commercial	$173.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.08
Rate for Payer: Oxford Commercial	$173.40
Rate for Payer: Qualcare PPO/HMO/WC	$52.02
Rate for Payer: UnitedHealthcare Commercial	$173.40

MICROPUNCTURE PEDAL INTR 2.9/5

Facility

$340.00

Service Code	HCPCS C1894
Hospital Charge Code	270671135
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

MICROPUNCTURE PEDAL INTR 2.9/5

Facility

$340.00

Service Code	HCPCS C1894
Hospital Charge Code	270671135S
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

MICROPUNCTURE PEDAL INTR 2.9/5

Facility

$340.00

Service Code	HCPCS C1894
Hospital Charge Code	270671135
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

MICROPUNCTURE PEDAL INTR 2.9/5

Facility

$340.00

Service Code	HCPCS C1894
Hospital Charge Code	270671135N
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

Know your out-of-pocket cost for care.

All Charges