Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE ANTI CORG 19gx1 LPS4191

Facility

$803.60

Hospital Charge Code	270630883
Hospital Revenue Code	272
Min. Negotiated Rate	$120.54
Max. Negotiated Rate	$120.54
Rate for Payer: Qualcare PPO/HMO/WC	$120.54

NEEDLE ANTI CORG 19gx1 LPS4191

Facility

$803.60

Hospital Charge Code	270630883
Hospital Revenue Code	272
Min. Negotiated Rate	$104.47
Max. Negotiated Rate	$401.80
Rate for Payer: Aetna Commercial	$241.08
Rate for Payer: Aetna Medicare Advantage	$241.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.92
Rate for Payer: Cigna Commercial	$401.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.47
Rate for Payer: Oxford Commercial	$401.80
Rate for Payer: Qualcare PPO/HMO/WC	$120.54
Rate for Payer: UnitedHealthcare Commercial	$401.80

NEEDLE ARTERAL ENTRY 19G 44160

Facility

$28.85

Hospital Charge Code	270634524
Hospital Revenue Code	272
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$4.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.33

NEEDLE ARTERAL ENTRY 19G 44160

Facility

$28.85

Hospital Charge Code	270634524
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$14.43
Rate for Payer: Aetna Commercial	$8.65
Rate for Payer: Aetna Medicare Advantage	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.36
Rate for Payer: Cigna Commercial	$14.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.75
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$4.33
Rate for Payer: UnitedHealthcare Commercial	$14.43

NEEDLE ARTERIAL ENTRY 18G

Facility

$23.50

Hospital Charge Code	270601193
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$11.75
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.99
Rate for Payer: Cigna Commercial	$11.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.06
Rate for Payer: Oxford Commercial	$11.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.52
Rate for Payer: UnitedHealthcare Commercial	$11.75

NEEDLE ARTERIAL ENTRY 18G

Facility

$23.50

Hospital Charge Code	270601193
Hospital Revenue Code	272
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$3.52

NEEDLE ASPIRATION 20 GA 130 CM

Facility

$415.00

Hospital Charge Code	270689114
Hospital Revenue Code	272
Min. Negotiated Rate	$53.95
Max. Negotiated Rate	$207.50
Rate for Payer: Aetna Commercial	$124.50
Rate for Payer: Aetna Medicare Advantage	$124.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.83
Rate for Payer: Cigna Commercial	$207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.95
Rate for Payer: Oxford Commercial	$207.50
Rate for Payer: Qualcare PPO/HMO/WC	$62.25
Rate for Payer: UnitedHealthcare Commercial	$207.50

NEEDLE ASPIRATION 20 GA 130 CM

Facility

$415.00

Hospital Charge Code	270689114
Hospital Revenue Code	272
Min. Negotiated Rate	$62.25
Max. Negotiated Rate	$62.25
Rate for Payer: Qualcare PPO/HMO/WC	$62.25

NEEDLE ASPIRATION 21 GA 130 CM

Facility

$415.95

Hospital Charge Code	270689115
Hospital Revenue Code	272
Min. Negotiated Rate	$54.07
Max. Negotiated Rate	$207.97
Rate for Payer: Aetna Commercial	$124.78
Rate for Payer: Aetna Medicare Advantage	$124.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.07
Rate for Payer: Cigna Commercial	$207.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.07
Rate for Payer: Oxford Commercial	$207.97
Rate for Payer: Qualcare PPO/HMO/WC	$62.39
Rate for Payer: UnitedHealthcare Commercial	$207.97

NEEDLE ASPIRATION 21 GA 130 CM

Facility

$415.95

Hospital Charge Code	270689115
Hospital Revenue Code	272
Min. Negotiated Rate	$62.39
Max. Negotiated Rate	$62.39
Rate for Payer: Qualcare PPO/HMO/WC	$62.39

NEEDLE ASPIRATION EUS 19G FLEX

Facility

$2,164.27

Hospital Charge Code	270675828
Hospital Revenue Code	272
Min. Negotiated Rate	$281.36
Max. Negotiated Rate	$1,082.13
Rate for Payer: Aetna Commercial	$649.28
Rate for Payer: Aetna Medicare Advantage	$649.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$551.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$551.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$551.89
Rate for Payer: Cigna Commercial	$1,082.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.36
Rate for Payer: Oxford Commercial	$1,082.13
Rate for Payer: Qualcare PPO/HMO/WC	$324.64
Rate for Payer: UnitedHealthcare Commercial	$1,082.13

NEEDLE ASPIRATION EUS 19G FLEX

Facility

$2,164.27

Hospital Charge Code	270675828
Hospital Revenue Code	272
Min. Negotiated Rate	$324.64
Max. Negotiated Rate	$324.64
Rate for Payer: Qualcare PPO/HMO/WC	$324.64

NEEDLE ASPIRATION EUS 25G-5002

Facility

$5,575.00

Hospital Charge Code	27066199
Hospital Revenue Code	272
Min. Negotiated Rate	$724.75
Max. Negotiated Rate	$2,787.50
Rate for Payer: Aetna Commercial	$1,672.50
Rate for Payer: Aetna Medicare Advantage	$1,672.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,421.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,421.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,421.62
Rate for Payer: Cigna Commercial	$2,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.75
Rate for Payer: Oxford Commercial	$2,787.50
Rate for Payer: Qualcare PPO/HMO/WC	$836.25
Rate for Payer: UnitedHealthcare Commercial	$2,787.50

NEEDLE ASPIRATION EUS 25G-5002

Facility

$5,575.00

Hospital Charge Code	270661999
Hospital Revenue Code	272
Min. Negotiated Rate	$724.75
Max. Negotiated Rate	$2,787.50
Rate for Payer: Aetna Commercial	$1,672.50
Rate for Payer: Aetna Medicare Advantage	$1,672.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,421.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,421.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,421.62
Rate for Payer: Cigna Commercial	$2,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.75
Rate for Payer: Oxford Commercial	$2,787.50
Rate for Payer: Qualcare PPO/HMO/WC	$836.25
Rate for Payer: UnitedHealthcare Commercial	$2,787.50

NEEDLE ASPIRATION EUS 25G-5002

Facility

$5,575.00

Hospital Charge Code	27066199
Hospital Revenue Code	272
Min. Negotiated Rate	$836.25
Max. Negotiated Rate	$836.25
Rate for Payer: Qualcare PPO/HMO/WC	$836.25

NEEDLE ASPIRATION EUS 25G-5002

Facility

$5,575.00

Hospital Charge Code	270661999
Hospital Revenue Code	272
Min. Negotiated Rate	$836.25
Max. Negotiated Rate	$836.25
Rate for Payer: Qualcare PPO/HMO/WC	$836.25

NEEDLE ASPIRATION SLIMLINE 19G

Facility

$2,169.70

Hospital Charge Code	270677719
Hospital Revenue Code	272
Min. Negotiated Rate	$325.45
Max. Negotiated Rate	$325.45
Rate for Payer: Qualcare PPO/HMO/WC	$325.45

NEEDLE ASPIRATION SLIMLINE 19G

Facility

$2,169.70

Hospital Charge Code	270677719
Hospital Revenue Code	272
Min. Negotiated Rate	$282.06
Max. Negotiated Rate	$1,084.85
Rate for Payer: Aetna Commercial	$650.91
Rate for Payer: Aetna Medicare Advantage	$650.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$553.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$553.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$553.27
Rate for Payer: Cigna Commercial	$1,084.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.06
Rate for Payer: Oxford Commercial	$1,084.85
Rate for Payer: Qualcare PPO/HMO/WC	$325.45
Rate for Payer: UnitedHealthcare Commercial	$1,084.85

NEEDLE ASPIR SLIMLINE 22 GA

Facility

$1,087.70

Hospital Charge Code	270679459
Hospital Revenue Code	272
Min. Negotiated Rate	$163.16
Max. Negotiated Rate	$163.16
Rate for Payer: Qualcare PPO/HMO/WC	$163.16

NEEDLE ASPIR SLIMLINE 22 GA

Facility

$1,087.70

Hospital Charge Code	270679459
Hospital Revenue Code	272
Min. Negotiated Rate	$141.40
Max. Negotiated Rate	$543.85
Rate for Payer: Aetna Commercial	$326.31
Rate for Payer: Aetna Medicare Advantage	$326.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.36
Rate for Payer: Cigna Commercial	$543.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.40
Rate for Payer: Oxford Commercial	$543.85
Rate for Payer: Qualcare PPO/HMO/WC	$163.16
Rate for Payer: UnitedHealthcare Commercial	$543.85

NEEDLE ASPIR SLIMLINE 25 GA

Facility

$1,087.70

Hospital Charge Code	270679460
Hospital Revenue Code	272
Min. Negotiated Rate	$163.16
Max. Negotiated Rate	$163.16
Rate for Payer: Qualcare PPO/HMO/WC	$163.16

NEEDLE ASPIR SLIMLINE 25 GA

Facility

$1,087.70

Hospital Charge Code	270679460
Hospital Revenue Code	272
Min. Negotiated Rate	$141.40
Max. Negotiated Rate	$543.85
Rate for Payer: Cigna Commercial	$543.85
Rate for Payer: Aetna Commercial	$326.31
Rate for Payer: Aetna Medicare Advantage	$326.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.40
Rate for Payer: Oxford Commercial	$543.85
Rate for Payer: Qualcare PPO/HMO/WC	$163.16
Rate for Payer: UnitedHealthcare Commercial	$543.85

NEEDLE ATK KESSLER 12 999996A

Facility

$338.45

Hospital Charge Code	270629643
Hospital Revenue Code	272
Min. Negotiated Rate	$50.77
Max. Negotiated Rate	$50.77
Rate for Payer: Qualcare PPO/HMO/WC	$50.77

NEEDLE ATK KESSLER 12 999996A

Facility

$338.45

Hospital Charge Code	270629643
Hospital Revenue Code	272
Min. Negotiated Rate	$44.00
Max. Negotiated Rate	$169.22
Rate for Payer: Aetna Commercial	$101.53
Rate for Payer: Aetna Medicare Advantage	$101.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.30
Rate for Payer: Cigna Commercial	$169.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.00
Rate for Payer: Oxford Commercial	$169.22
Rate for Payer: Qualcare PPO/HMO/WC	$50.77
Rate for Payer: UnitedHealthcare Commercial	$169.22

NEEDLE ATK ROT CUF 35MM 902964

Facility

$170.45

Hospital Charge Code	270616222
Hospital Revenue Code	272
Min. Negotiated Rate	$22.16
Max. Negotiated Rate	$85.22
Rate for Payer: Aetna Commercial	$51.13
Rate for Payer: Aetna Medicare Advantage	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$85.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.16
Rate for Payer: Oxford Commercial	$85.22
Rate for Payer: Qualcare PPO/HMO/WC	$25.57
Rate for Payer: UnitedHealthcare Commercial	$85.22

Know your out-of-pocket cost for care.

All Charges