Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE CLUST #18 W/BR 2098282

Facility

$248.00

Hospital Charge Code	270633684
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

NEEDLE CLUST #18 W/BR 2098282

Facility

$248.00

Hospital Charge Code	270633684
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

NEEDLE CLUST #18 W/UMR 2098292

Facility

$248.00

Hospital Charge Code	270633685
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

NEEDLE CLUST #18 W/UMR 2098292

Facility

$248.00

Hospital Charge Code	270633685
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

NEEDLE CLUSTER 18 STERL 250400

Facility

$198.45

Hospital Charge Code	270632834
Hospital Revenue Code	272
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$99.22
Rate for Payer: Aetna Commercial	$59.53
Rate for Payer: Aetna Medicare Advantage	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.60
Rate for Payer: Cigna Commercial	$99.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.80
Rate for Payer: Oxford Commercial	$99.22
Rate for Payer: Qualcare PPO/HMO/WC	$29.77
Rate for Payer: UnitedHealthcare Commercial	$99.22

NEEDLE CLUSTER 18 STERL 250400

Facility

$198.45

Hospital Charge Code	270632834
Hospital Revenue Code	272
Min. Negotiated Rate	$29.77
Max. Negotiated Rate	$29.77
Rate for Payer: Qualcare PPO/HMO/WC	$29.77

NEEDLE COAXIAL ACHIVE 14G 11CM

Facility

$264.86

Hospital Charge Code	270645826
Hospital Revenue Code	272
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

NEEDLE COAXIAL ACHIVE 14G 11CM

Facility

$264.86

Hospital Charge Code	270645826R
Hospital Revenue Code	272
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

NEEDLE COAXIAL ACHIVE 14G 11CM

Facility

$264.86

Hospital Charge Code	270645826
Hospital Revenue Code	272
Min. Negotiated Rate	$34.43
Max. Negotiated Rate	$132.43
Rate for Payer: Aetna Commercial	$79.46
Rate for Payer: Aetna Medicare Advantage	$79.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.54
Rate for Payer: Cigna Commercial	$132.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.43
Rate for Payer: Oxford Commercial	$132.43
Rate for Payer: Qualcare PPO/HMO/WC	$39.73
Rate for Payer: UnitedHealthcare Commercial	$132.43

NEEDLE COAXIAL ACHIVE 14G 11CM

Facility

$264.86

Hospital Charge Code	270645826R
Hospital Revenue Code	272
Min. Negotiated Rate	$34.43
Max. Negotiated Rate	$132.43
Rate for Payer: Aetna Commercial	$79.46
Rate for Payer: Aetna Medicare Advantage	$79.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.54
Rate for Payer: Cigna Commercial	$132.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.43
Rate for Payer: Oxford Commercial	$132.43
Rate for Payer: Qualcare PPO/HMO/WC	$39.73
Rate for Payer: UnitedHealthcare Commercial	$132.43

NEEDLE COAXIAL INT 17GX16 8CM

Facility

$65.00

Hospital Charge Code	270668511
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

NEEDLE COAXIAL INT 17GX16 8CM

Facility

$65.00

Hospital Charge Code	270668511
Hospital Revenue Code	272
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$19.50
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$32.50

NEEDLE COAXIAL INTR 15GX11.8CM

Facility

$77.50

Hospital Charge Code	270670785
Hospital Revenue Code	272
Min. Negotiated Rate	$10.07
Max. Negotiated Rate	$38.75
Rate for Payer: Aetna Commercial	$23.25
Rate for Payer: Aetna Medicare Advantage	$23.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.76
Rate for Payer: Cigna Commercial	$38.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.07
Rate for Payer: Oxford Commercial	$38.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.62
Rate for Payer: UnitedHealthcare Commercial	$38.75

NEEDLE COAXIAL INTR 15GX11.8CM

Facility

$77.50

Hospital Charge Code	270670785
Hospital Revenue Code	272
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$11.62

NEEDLE COAXIAL INTRO 17GX11 8C

Facility

$90.00

Hospital Charge Code	270658288R
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

NEEDLE COAXIAL INTRO 17GX11 8C

Facility

$90.00

Hospital Charge Code	270658288
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

NEEDLE COAXIAL INTRO 17GX11 8C

Facility

$90.00

Hospital Charge Code	270658288R
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

NEEDLE COAXIAL INTRO 17GX11 8C

Facility

$90.00

Hospital Charge Code	270658288
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270R
Hospital Revenue Code	272
Min. Negotiated Rate	$9.59
Max. Negotiated Rate	$36.88
Rate for Payer: Aetna Commercial	$22.12
Rate for Payer: Aetna Medicare Advantage	$22.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.81
Rate for Payer: Cigna Commercial	$36.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.59
Rate for Payer: Oxford Commercial	$36.88
Rate for Payer: Qualcare PPO/HMO/WC	$11.06
Rate for Payer: UnitedHealthcare Commercial	$36.88

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270
Hospital Revenue Code	272
Min. Negotiated Rate	$9.59
Max. Negotiated Rate	$36.88
Rate for Payer: Aetna Commercial	$22.12
Rate for Payer: Aetna Medicare Advantage	$22.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.81
Rate for Payer: Cigna Commercial	$36.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.59
Rate for Payer: Oxford Commercial	$36.88
Rate for Payer: Qualcare PPO/HMO/WC	$11.06
Rate for Payer: UnitedHealthcare Commercial	$36.88

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270
Hospital Revenue Code	272
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$11.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.06

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270R
Hospital Revenue Code	272
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$11.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.06

NEEDLE COAXIAL INTRO 18GX10CM

Facility

$75.50

Hospital Charge Code	270669591
Hospital Revenue Code	272
Min. Negotiated Rate	$9.81
Max. Negotiated Rate	$37.75
Rate for Payer: Aetna Commercial	$22.65
Rate for Payer: Aetna Medicare Advantage	$22.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.25
Rate for Payer: Cigna Commercial	$37.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.81
Rate for Payer: Oxford Commercial	$37.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.32
Rate for Payer: UnitedHealthcare Commercial	$37.75

NEEDLE COAXIAL INTRO 18GX10CM

Facility

$75.50

Hospital Charge Code	270669591
Hospital Revenue Code	272
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$11.32
Rate for Payer: Qualcare PPO/HMO/WC	$11.32

NEEDLE CONCEPT SUTURE PASSER

Facility

$1,311.00

Hospital Charge Code	270676307
Hospital Revenue Code	272
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$196.65
Rate for Payer: Qualcare PPO/HMO/WC	$196.65

Know your out-of-pocket cost for care.

All Charges