Heights University Hospital

All Charges

Charge

Type

Setting

Price

NECK ADJUSTMENT SLEEVE STD V40

Facility

$1,089.00

Hospital Charge Code	270669748
Hospital Revenue Code	272
Min. Negotiated Rate	$163.35
Max. Negotiated Rate	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$163.35

NECK CONTOUR 24X6.5

Facility

$57.60

Hospital Charge Code	270669948
Hospital Revenue Code	272
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$8.64
Rate for Payer: Qualcare PPO/HMO/WC	$8.64

NECK CONTOUR 24X6.5

Facility

$57.60

Hospital Charge Code	270669948
Hospital Revenue Code	272
Min. Negotiated Rate	$7.49
Max. Negotiated Rate	$28.80
Rate for Payer: Aetna Commercial	$17.28
Rate for Payer: Aetna Medicare Advantage	$17.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.69
Rate for Payer: Cigna Commercial	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.64
Rate for Payer: UnitedHealthcare Commercial	$28.80

NECK SOFT TISSUES

Facility

$5,100.00

Service Code	HCPCS 70360
Hospital Charge Code	94061021
Hospital Revenue Code	320
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Better Health Medicaid	$212.34
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216.59

NECK SOFT TISSUES

Facility

$5,100.00

Service Code	HCPCS 70360
Hospital Charge Code	94061021
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

NECK SPINE DISK SRGR DISCECTMY

Facility

$47,548.90

Service Code	HCPCS 63075
Hospital Charge Code	16001026
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NECK SPINE DISK SRGR DISCECTMY

Facility

$47,548.90

Service Code	HCPCS 63075
Hospital Charge Code	16001026
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$14,264.67
Rate for Payer: Aetna Medicare Advantage	$14,264.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,124.97
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,181.36
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

NECK SPINE DISK SRGRY DSCTMY A

Facility

$47,548.90

Service Code	HCPCS 63076
Hospital Charge Code	16001028
Hospital Revenue Code	360
Min. Negotiated Rate	$235.21
Max. Negotiated Rate	$14,264.67
Rate for Payer: Aetna Commercial	$14,264.67
Rate for Payer: Aetna Medicare Advantage	$14,264.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,124.97
Rate for Payer: Cigna Commercial	$235.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,181.36
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

NECK SPINE DISK SRGRY DSCTMY A

Facility

$47,548.90

Service Code	HCPCS 63076
Hospital Charge Code	16001028
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NECK SPINE DISK SURGERY

Facility

$47,548.90

Service Code	HCPCS 63020
Hospital Charge Code	1600000863
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$14,264.67
Rate for Payer: Aetna Medicare Advantage	$14,264.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,124.97
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,181.36
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

NECK SPINE DISK SURGERY

Facility

$47,548.90

Service Code	HCPCS 63020
Hospital Charge Code	1600000863
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NEDDLE ECHOTIP ULTRA ECHO-1-22

Facility

$1,311.00

Hospital Charge Code	270633344
Hospital Revenue Code	272
Min. Negotiated Rate	$170.43
Max. Negotiated Rate	$655.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$393.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.31
Rate for Payer: Cigna Commercial	$655.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.43
Rate for Payer: Oxford Commercial	$655.50
Rate for Payer: Qualcare PPO/HMO/WC	$196.65
Rate for Payer: UnitedHealthcare Commercial	$655.50

NEDDLE ECHOTIP ULTRA ECHO-1-22

Facility

$1,311.00

Hospital Charge Code	270633344
Hospital Revenue Code	272
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$196.65
Rate for Payer: Qualcare PPO/HMO/WC	$196.65

NEDLE PROSPERA 18G BN-102 6067

Facility

$27.00

Hospital Charge Code	270636666
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

NEDLE PROSPERA 18G BN-102 6067

Facility

$27.00

Hospital Charge Code	270636666
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$8.10
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$13.50

NEEDE DELIVERY 8G 10cm

Facility

$973.35

Hospital Charge Code	270661249
Hospital Revenue Code	272
Min. Negotiated Rate	$146.00
Max. Negotiated Rate	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.00

NEEDE DELIVERY 8G 10cm

Facility

$973.35

Hospital Charge Code	270661249
Hospital Revenue Code	272
Min. Negotiated Rate	$126.54
Max. Negotiated Rate	$486.68
Rate for Payer: Aetna Commercial	$292.00
Rate for Payer: Aetna Medicare Advantage	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.20
Rate for Payer: Cigna Commercial	$486.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.54
Rate for Payer: Oxford Commercial	$486.68
Rate for Payer: Qualcare PPO/HMO/WC	$146.00
Rate for Payer: UnitedHealthcare Commercial	$486.68

NEEDLE 10GA X 6 JAMSIDI

Facility

$104.50

Hospital Charge Code	270653770
Hospital Revenue Code	270
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$15.68

NEEDLE 10GA X 6 JAMSIDI

Facility

$104.50

Hospital Charge Code	270653770
Hospital Revenue Code	270
Min. Negotiated Rate	$13.59
Max. Negotiated Rate	$52.25
Rate for Payer: Aetna Commercial	$31.35
Rate for Payer: Aetna Medicare Advantage	$31.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.65
Rate for Payer: Cigna Commercial	$52.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.59
Rate for Payer: Oxford Commercial	$52.25
Rate for Payer: Qualcare PPO/HMO/WC	$15.68
Rate for Payer: UnitedHealthcare Commercial	$52.25

NEEDLE 11Ga KYPHON AO2A

Facility

$104.25

Hospital Charge Code	270631256
Hospital Revenue Code	272
Min. Negotiated Rate	$15.64
Max. Negotiated Rate	$15.64
Rate for Payer: Qualcare PPO/HMO/WC	$15.64

NEEDLE 11Ga KYPHON AO2A

Facility

$104.25

Hospital Charge Code	270631256
Hospital Revenue Code	272
Min. Negotiated Rate	$13.55
Max. Negotiated Rate	$52.12
Rate for Payer: Aetna Commercial	$31.27
Rate for Payer: Aetna Medicare Advantage	$31.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.58
Rate for Payer: Cigna Commercial	$52.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: Oxford Commercial	$52.12
Rate for Payer: Qualcare PPO/HMO/WC	$15.64
Rate for Payer: UnitedHealthcare Commercial	$52.12

NEEDLE 150MM

Facility

$250.00

Hospital Charge Code	270674916
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

NEEDLE 150MM

Facility

$250.00

Hospital Charge Code	270674916
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

NEEDLE 150MM W/GUIDEWIRE

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270692812
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

NEEDLE 150MM W/GUIDEWIRE

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270692812
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

Know your out-of-pocket cost for care.

All Charges