Heights University Hospital

All Charges

Charge

Type

Setting

Price

MINERCA CO2 CANNISTER

Facility

$55.00

Hospital Charge Code	270704554
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

MINERCA CO2 CANNISTER

Facility

$55.00

Hospital Charge Code	270704554
Hospital Revenue Code	272
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$27.50

MINERVA ARGON CANNISTER

Facility

$85.00

Hospital Charge Code	270704553
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$42.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$42.50

MINERVA ARGON CANNISTER

Facility

$85.00

Hospital Charge Code	270704553
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

MINERVA HANDPIECE

Facility

$5,000.00

Hospital Charge Code	270704552
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

MINERVA HANDPIECE

Facility

$5,000.00

Hospital Charge Code	270704552
Hospital Revenue Code	272
Min. Negotiated Rate	$650.00
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) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$2,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Commercial	$2,500.00

MINIAR PIECISE

Facility

$8,615.00

Hospital Charge Code	270669794
Hospital Revenue Code	272
Min. Negotiated Rate	$1,292.25
Max. Negotiated Rate	$1,292.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,292.25

MINIAR PIECISE

Facility

$8,615.00

Hospital Charge Code	270669794
Hospital Revenue Code	272
Min. Negotiated Rate	$1,119.95
Max. Negotiated Rate	$4,307.50
Rate for Payer: Aetna Commercial	$2,584.50
Rate for Payer: Aetna Medicare Advantage	$2,584.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,196.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,196.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,196.82
Rate for Payer: Cigna Commercial	$4,307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,119.95
Rate for Payer: Oxford Commercial	$4,307.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,292.25
Rate for Payer: UnitedHealthcare Commercial	$4,307.50

MINI BIO ANCHOR

Facility

$437.00

Hospital Charge Code	270335686
Hospital Revenue Code	278
Min. Negotiated Rate	$65.55
Max. Negotiated Rate	$105.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.75
Rate for Payer: Qualcare PPO/HMO/WC	$65.55

MINI BIO ANCHOR

Facility

$437.00

Hospital Charge Code	270335686
Hospital Revenue Code	278
Min. Negotiated Rate	$65.55
Max. Negotiated Rate	$218.50
Rate for Payer: Aetna Commercial	$131.10
Rate for Payer: Aetna Medicare Advantage	$131.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.44
Rate for Payer: Cigna Commercial	$218.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.75
Rate for Payer: Qualcare PPO/HMO/WC	$65.55

MINI BLADE #63

Facility

$677.00

Hospital Charge Code	270330756
Hospital Revenue Code	272
Min. Negotiated Rate	$88.01
Max. Negotiated Rate	$338.50
Rate for Payer: Aetna Commercial	$203.10
Rate for Payer: Aetna Medicare Advantage	$203.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.63
Rate for Payer: Cigna Commercial	$338.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.01
Rate for Payer: Oxford Commercial	$338.50
Rate for Payer: Qualcare PPO/HMO/WC	$101.55
Rate for Payer: UnitedHealthcare Commercial	$338.50

MINI BLADE #63

Facility

$677.00

Hospital Charge Code	270330756
Hospital Revenue Code	272
Min. Negotiated Rate	$101.55
Max. Negotiated Rate	$101.55
Rate for Payer: Qualcare PPO/HMO/WC	$101.55

MINI BUN 2.7X14MM NONLOCK SCR

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690788
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

MINI BUN 2.7X14MM NONLOCK SCR

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690788
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

MINI BUN 3.0X18MM LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270690789
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

MINI BUN 3.0X18MM LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270690789
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

MINIBUNION 2.7X18 SCREWNON LK

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693367
Hospital Revenue Code	278
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$369.00
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

MINIBUNION 2.7X18 SCREWNON LK

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693367
Hospital Revenue Code	278
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$297.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

MINI BUNION 3.0X22MM SCREW LK

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693368
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

MINI BUNION 3.0X22MM SCREW LK

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693368
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

MINI BUNION INSTRUMENT KIT

Facility

$1,475.00

Hospital Charge Code	270693366
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

MINI BUNION INSTRUMENT KIT

Facility

$1,475.00

Hospital Charge Code	270693366
Hospital Revenue Code	272
Min. Negotiated Rate	$191.75
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.75
Rate for Payer: Oxford Commercial	$737.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$737.50

MINI BUN NAIL 3.5MM OFFS SHORT

Facility

$9,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690787
Hospital Revenue Code	278
Min. Negotiated Rate	$1,421.25
Max. Negotiated Rate	$2,292.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,292.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.25

MINI BUN NAIL 3.5MM OFFS SHORT

Facility

$9,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690787
Hospital Revenue Code	278
Min. Negotiated Rate	$1,421.25
Max. Negotiated Rate	$4,737.50
Rate for Payer: Aetna Commercial	$2,842.50
Rate for Payer: Aetna Medicare Advantage	$2,842.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,416.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,416.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,416.12
Rate for Payer: Cigna Commercial	$4,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,292.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.25

MINI C-ARM

Facility

$38.00

Hospital Charge Code	270339107
Hospital Revenue Code	272
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

Know your out-of-pocket cost for care.

All Charges