Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE BUTTERFLY SCALP VEIN

Facility

$3.80

Hospital Charge Code	270649498
Hospital Revenue Code	272
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$0.57
Rate for Payer: Qualcare PPO/HMO/WC	$0.57

NEEDLE BUTTERFLY SCALP VEIN

Facility

$3.80

Hospital Charge Code	270649498
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$1.90
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$1.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.97
Rate for Payer: Cigna Commercial	$1.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.49
Rate for Payer: Oxford Commercial	$1.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.57
Rate for Payer: UnitedHealthcare Commercial	$1.90

NEEDLE BX 20GX11CM TEM ACT2011

Facility

$240.72

Hospital Charge Code	270662296R
Hospital Revenue Code	272
Min. Negotiated Rate	$36.11
Max. Negotiated Rate	$36.11
Rate for Payer: Qualcare PPO/HMO/WC	$36.11

NEEDLE BX 20GX11CM TEM ACT2011

Facility

$240.72

Hospital Charge Code	270662296R
Hospital Revenue Code	272
Min. Negotiated Rate	$31.29
Max. Negotiated Rate	$120.36
Rate for Payer: Aetna Commercial	$72.22
Rate for Payer: Aetna Medicare Advantage	$72.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.38
Rate for Payer: Cigna Commercial	$120.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.29
Rate for Payer: Oxford Commercial	$120.36
Rate for Payer: Qualcare PPO/HMO/WC	$36.11
Rate for Payer: UnitedHealthcare Commercial	$120.36

NEEDLE BX 20GX11CM TEM ACT2011

Facility

$240.72

Hospital Charge Code	270662296
Hospital Revenue Code	272
Min. Negotiated Rate	$31.29
Max. Negotiated Rate	$120.36
Rate for Payer: Aetna Commercial	$72.22
Rate for Payer: Aetna Medicare Advantage	$72.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.38
Rate for Payer: Cigna Commercial	$120.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.29
Rate for Payer: Oxford Commercial	$120.36
Rate for Payer: Qualcare PPO/HMO/WC	$36.11
Rate for Payer: UnitedHealthcare Commercial	$120.36

NEEDLE BX 20GX11CM TEM ACT2011

Facility

$240.72

Hospital Charge Code	270662296
Hospital Revenue Code	272
Min. Negotiated Rate	$36.11
Max. Negotiated Rate	$36.11
Rate for Payer: Qualcare PPO/HMO/WC	$36.11

NEEDLE BX 20GX15 TEMNO ACT2015

Facility

$268.86

Hospital Charge Code	270662294R
Hospital Revenue Code	272
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$134.43
Rate for Payer: Aetna Commercial	$80.66
Rate for Payer: Aetna Medicare Advantage	$80.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.56
Rate for Payer: Cigna Commercial	$134.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.95
Rate for Payer: Oxford Commercial	$134.43
Rate for Payer: Qualcare PPO/HMO/WC	$40.33
Rate for Payer: UnitedHealthcare Commercial	$134.43

NEEDLE BX 20GX15 TEMNO ACT2015

Facility

$268.86

Hospital Charge Code	270662294R
Hospital Revenue Code	272
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$40.33
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

NEEDLE BX 20GX15 TEMNO ACT2015

Facility

$268.86

Hospital Charge Code	270662294
Hospital Revenue Code	272
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$40.33
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

NEEDLE BX 20GX15 TEMNO ACT2015

Facility

$268.86

Hospital Charge Code	270662294
Hospital Revenue Code	272
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$134.43
Rate for Payer: Aetna Commercial	$80.66
Rate for Payer: Aetna Medicare Advantage	$80.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.56
Rate for Payer: Cigna Commercial	$134.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.95
Rate for Payer: Oxford Commercial	$134.43
Rate for Payer: Qualcare PPO/HMO/WC	$40.33
Rate for Payer: UnitedHealthcare Commercial	$134.43

NEEDLE BX HOMER BLN 20G 3CM

Facility

$160.00

Service Code	HCPCS A4648
Hospital Charge Code	270631351R
Hospital Revenue Code	278
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$38.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

NEEDLE BX HOMER BLN 20G 3CM

Facility

$160.00

Service Code	HCPCS A4648
Hospital Charge Code	270631351R
Hospital Revenue Code	278
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

NEEDLE BX HOMER BLN 20G 5.0CM

Facility

$145.00

Service Code	HCPCS A4648
Hospital Charge Code	270607250R
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

NEEDLE BX HOMER BLN 20G 5.0CM

Facility

$145.00

Service Code	HCPCS A4648
Hospital Charge Code	270607250R
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$43.50
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

NEEDLE BX HOMER BLN 20G 7.5CM

Facility

$145.00

Service Code	HCPCS A4648
Hospital Charge Code	270607251R
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$43.50
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

NEEDLE BX HOMER BLN 20G 7.5CM

Facility

$145.00

Service Code	HCPCS A4648
Hospital Charge Code	270607251R
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

NEEDLE BX LIVER, PERCUTANEOUS

Facility

$4,202.30

Service Code	HCPCS 47000
Hospital Charge Code	1600000587
Hospital Revenue Code	360
Min. Negotiated Rate	$630.35
Max. Negotiated Rate	$630.35
Rate for Payer: Qualcare PPO/HMO/WC	$630.35

NEEDLE BX LIVER, PERCUTANEOUS

Facility

$4,202.30

Service Code	HCPCS 47000
Hospital Charge Code	1600000587
Hospital Revenue Code	360
Min. Negotiated Rate	$546.30
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,260.69
Rate for Payer: Aetna Medicare Advantage	$1,260.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,071.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,071.59
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	$1,071.59
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.30
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$630.35
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

NEEDLE CANNULA STERILE 150MM

Facility

$250.00

Hospital Charge Code	270670842
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

NEEDLE CANNULA STERILE 150MM

Facility

$250.00

Hospital Charge Code	270670842
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 CAR LOCK INJEC 00711813

Facility

$290.00

Hospital Charge Code	270644361
Hospital Revenue Code	272
Min. Negotiated Rate	$43.50
Max. Negotiated Rate	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.50

NEEDLE CAR LOCK INJEC 00711813

Facility

$290.00

Hospital Charge Code	270644361
Hospital Revenue Code	272
Min. Negotiated Rate	$37.70
Max. Negotiated Rate	$145.00
Rate for Payer: Aetna Commercial	$87.00
Rate for Payer: Aetna Medicare Advantage	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.95
Rate for Payer: Cigna Commercial	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.70
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.50
Rate for Payer: UnitedHealthcare Commercial	$145.00

NEEDLE CASSETTE FOR SPD-STITCH

Facility

$515.00

Hospital Charge Code	270668392
Hospital Revenue Code	272
Min. Negotiated Rate	$66.95
Max. Negotiated Rate	$257.50
Rate for Payer: Aetna Commercial	$154.50
Rate for Payer: Aetna Medicare Advantage	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.32
Rate for Payer: Cigna Commercial	$257.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.95
Rate for Payer: Oxford Commercial	$257.50
Rate for Payer: Qualcare PPO/HMO/WC	$77.25
Rate for Payer: UnitedHealthcare Commercial	$257.50

NEEDLE CASSETTE FOR SPD-STITCH

Facility

$515.00

Hospital Charge Code	270668392
Hospital Revenue Code	272
Min. Negotiated Rate	$77.25
Max. Negotiated Rate	$77.25
Rate for Payer: Qualcare PPO/HMO/WC	$77.25

NEEDLE CATHETER 5.0FR 19G 10CM

Facility

$114.05

Hospital Charge Code	270658315R
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$17.11

Know your out-of-pocket cost for care.

All Charges