Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

NEEDLE CATHETER 5.0FR 19G 10CM

Facility

$114.05

Service Code	HCPCS C1729
Hospital Charge Code	270658315
Hospital Revenue Code	278
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$17.11

NEEDLE CATHETER 5.0FR 19G 10CM

Facility

$114.05

Hospital Charge Code	270658315R
Hospital Revenue Code	272
Min. Negotiated Rate	$14.83
Max. Negotiated Rate	$57.02
Rate for Payer: Aetna Commercial	$34.22
Rate for Payer: Aetna Medicare Advantage	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.08
Rate for Payer: Cigna Commercial	$57.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.83
Rate for Payer: Oxford Commercial	$57.02
Rate for Payer: Qualcare PPO/HMO/WC	$17.11
Rate for Payer: UnitedHealthcare Commercial	$57.02

NEEDLE CATHETER 5.0FR 19G 15CM

Facility

$114.05

Hospital Charge Code	270661448
Hospital Revenue Code	272
Min. Negotiated Rate	$14.83
Max. Negotiated Rate	$57.02
Rate for Payer: Aetna Commercial	$34.22
Rate for Payer: Aetna Medicare Advantage	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.08
Rate for Payer: Cigna Commercial	$57.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.83
Rate for Payer: Oxford Commercial	$57.02
Rate for Payer: Qualcare PPO/HMO/WC	$17.11
Rate for Payer: UnitedHealthcare Commercial	$57.02

NEEDLE CATHETER 5.0FR 19G 15CM

Facility

$114.05

Hospital Charge Code	270661448R
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$17.11

NEEDLE CATHETER 5.0FR 19G 15CM

Facility

$114.05

Hospital Charge Code	270661448R
Hospital Revenue Code	272
Min. Negotiated Rate	$14.83
Max. Negotiated Rate	$57.02
Rate for Payer: Aetna Commercial	$34.22
Rate for Payer: Aetna Medicare Advantage	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.08
Rate for Payer: Cigna Commercial	$57.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.83
Rate for Payer: Oxford Commercial	$57.02
Rate for Payer: Qualcare PPO/HMO/WC	$17.11
Rate for Payer: UnitedHealthcare Commercial	$57.02

NEEDLE CATHETER 5.0FR 19G 15CM

Facility

$114.05

Hospital Charge Code	270661448
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$17.11

NEEDLE CHIBA 18GX15CM ECHO TIP

Facility

$57.50

Hospital Charge Code	270669582
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

NEEDLE CHIBA 18GX15CM ECHO TIP

Facility

$59.50

Hospital Charge Code	270669582N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLE CHIBA 18GX15CM ECHO TIP

Facility

$59.50

Hospital Charge Code	270669582N
Hospital Revenue Code	272
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$17.85
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.74
Rate for Payer: Oxford Commercial	$29.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$29.75

NEEDLE CHIBA 18GX15CM ECHO TIP

Facility

$57.50

Hospital Charge Code	270669582
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

NEEDLE CHIBA 18GX20CM ECHO TIP

Facility

$59.50

Hospital Charge Code	270669581
Hospital Revenue Code	272
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$17.85
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.74
Rate for Payer: Oxford Commercial	$29.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$29.75

NEEDLE CHIBA 18GX20CM ECHO TIP

Facility

$59.50

Hospital Charge Code	270669581
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLE CHIBA BIOPSY DISPOSABLE

Facility

$64.00

Hospital Charge Code	270331250
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

NEEDLE CHIBA BIOPSY DISPOSABLE

Facility

$64.00

Hospital Charge Code	270331250
Hospital Revenue Code	272
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$19.20
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$32.00

NEEDLE CK AMNIO ECHO TIP****

Facility

$54.00

Hospital Charge Code	1800234
Hospital Revenue Code	279
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$27.00

NEEDLE CK AMNIO ECHO TIP****

Facility

$54.00

Hospital Charge Code	1800234
Hospital Revenue Code	279
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

NEEDLE CK FRANSEEN DFBN-2020

Facility

$131.25

Hospital Charge Code	270611963
Hospital Revenue Code	272
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

NEEDLE CK FRANSEEN DFBN-2020

Facility

$131.25

Hospital Charge Code	270611963
Hospital Revenue Code	272
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$39.38
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Oxford Commercial	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$65.62

NEEDLE CLEAR 23G 4MM 240CM

Facility

$195.00

Hospital Charge Code	270640582
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$29.25
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

NEEDLE CLEAR 23G 4MM 240CM

Facility

$195.00

Hospital Charge Code	270640582
Hospital Revenue Code	272
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$58.50
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.35
Rate for Payer: Oxford Commercial	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$29.25
Rate for Payer: UnitedHealthcare Commercial	$97.50

NEEDLE CLEAR 25G 4mm 240cm

Facility

$153.00

Hospital Charge Code	270638513
Hospital Revenue Code	272
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

NEEDLE CLEAR 25G 4mm 240cm

Facility

$153.00

Hospital Charge Code	270638513
Hospital Revenue Code	272
Min. Negotiated Rate	$19.89
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$45.90
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.89
Rate for Payer: Oxford Commercial	$76.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$76.50

NEEDLE CLUS 18 W6 FLESH 298152

Facility

$248.00

Hospital Charge Code	270632780
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

NEEDLE CLUS 18 W6 FLESH 298152

Facility

$248.00

Hospital Charge Code	270632780
Hospital Revenue Code	272
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.40
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$124.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$124.00

Know your out-of-pocket cost for care.

All Charges