Heights University Hospital

All Charges

Charge

Type

Setting

Price

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044S
Hospital Revenue Code	272
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$105.60
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.76
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$176.00

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044N
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044O
Hospital Revenue Code	272
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$105.60
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.76
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$176.00

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044O
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044S
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044
Hospital Revenue Code	272
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$105.60
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.76
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$176.00

MIXEVAC STRY 205-12

Facility

$394.45

Hospital Charge Code	270600354
Hospital Revenue Code	272
Min. Negotiated Rate	$51.28
Max. Negotiated Rate	$197.22
Rate for Payer: Aetna Commercial	$118.33
Rate for Payer: Aetna Medicare Advantage	$118.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.58
Rate for Payer: Cigna Commercial	$197.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.28
Rate for Payer: Oxford Commercial	$197.22
Rate for Payer: Qualcare PPO/HMO/WC	$59.17
Rate for Payer: UnitedHealthcare Commercial	$197.22

MIXEVAC STRY 205-12

Facility

$394.45

Hospital Charge Code	270600354
Hospital Revenue Code	272
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$59.17
Rate for Payer: Qualcare PPO/HMO/WC	$59.17

MIXING AND DELIVERY SYSTEM

Facility

$1,155.00

Hospital Charge Code	270687084
Hospital Revenue Code	272
Min. Negotiated Rate	$150.15
Max. Negotiated Rate	$577.50
Rate for Payer: Aetna Commercial	$346.50
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.15
Rate for Payer: Oxford Commercial	$577.50
Rate for Payer: Qualcare PPO/HMO/WC	$173.25
Rate for Payer: UnitedHealthcare Commercial	$577.50

MIXING AND DELIVERY SYSTEM

Facility

$1,155.00

Hospital Charge Code	270687084
Hospital Revenue Code	272
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$173.25
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

MIXING AND DELIVERY SYSTEM 3CC

Facility

$945.00

Hospital Charge Code	270659667
Hospital Revenue Code	272
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$283.50
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.85
Rate for Payer: Oxford Commercial	$472.50
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Commercial	$472.50

MIXING AND DELIVERY SYSTEM 3CC

Facility

$945.00

Hospital Charge Code	270659667
Hospital Revenue Code	272
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$141.75
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

MIXING BOWL OPTITUIS

Facility

$695.00

Hospital Charge Code	270680360
Hospital Revenue Code	272
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

MIXING BOWL OPTITUIS

Facility

$695.00

Hospital Charge Code	270680360
Hospital Revenue Code	272
Min. Negotiated Rate	$90.35
Max. Negotiated Rate	$347.50
Rate for Payer: Aetna Commercial	$208.50
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.35
Rate for Payer: Oxford Commercial	$347.50
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Commercial	$347.50

MIXING BOWL W/PADDLE DISPOSBLE

Facility

$75.00

Hospital Charge Code	270332060
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

MIXING BOWL W/PADDLE DISPOSBLE

Facility

$75.00

Hospital Charge Code	270332060
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

MIXING SYSTEM BIOCART LARGE

Facility

$1,225.00

Hospital Charge Code	270681419
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

MIXING SYSTEM BIOCART LARGE

Facility

$1,225.00

Hospital Charge Code	270681419
Hospital Revenue Code	272
Min. Negotiated Rate	$159.25
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$367.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.25
Rate for Payer: Oxford Commercial	$612.50
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$612.50

M/L TAPER 9 STD

Facility

$15,359.40

Hospital Charge Code	270665070
Hospital Revenue Code	270
Min. Negotiated Rate	$1,996.72
Max. Negotiated Rate	$7,679.70
Rate for Payer: Aetna Commercial	$4,607.82
Rate for Payer: Aetna Medicare Advantage	$4,607.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,916.65
Rate for Payer: Cigna Commercial	$7,679.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.72
Rate for Payer: Oxford Commercial	$7,679.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91
Rate for Payer: UnitedHealthcare Commercial	$7,679.70

M/L TAPER 9 STD

Facility

$15,359.40

Hospital Charge Code	270665070
Hospital Revenue Code	270
Min. Negotiated Rate	$2,303.91
Max. Negotiated Rate	$2,303.91
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91

M/L TAPR12.5STD RDCD NECK LGTH

Facility

$15,359.40

Hospital Charge Code	270663138
Hospital Revenue Code	278
Min. Negotiated Rate	$2,303.91
Max. Negotiated Rate	$3,716.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,071.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,716.97
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91

M/L TAPR12.5STD RDCD NECK LGTH

Facility

$15,359.40

Hospital Charge Code	270663138
Hospital Revenue Code	278
Min. Negotiated Rate	$2,303.91
Max. Negotiated Rate	$7,679.70
Rate for Payer: Aetna Commercial	$4,607.82
Rate for Payer: Aetna Medicare Advantage	$4,607.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,916.65
Rate for Payer: Cigna Commercial	$7,679.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,716.97
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91

MLTPLE ELIXIR 50ML-INFANT DRPS

Facility

$94.45

Hospital Charge Code	60628977
Hospital Revenue Code	250
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

MLTPLE ELIXIR 50ML-INFANT DRPS

Facility

$94.45

Hospital Charge Code	60628977
Hospital Revenue Code	250
Min. Negotiated Rate	$12.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$28.34
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.28
Rate for Payer: Oxford Commercial	$47.23
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$47.23

Know your out-of-pocket cost for care.

All Charges