Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE FISTULA 15G 1-1/4

Facility

$2.10

Hospital Charge Code	270636886
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.32

NEEDLE FISTULA 15G 1 207-515

Facility

$4.00

Hospital Charge Code	270614917
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

NEEDLE FISTULA 15G 1 207-515

Facility

$4.00

Hospital Charge Code	270614917
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEEDLE FISTULA 15G 1.5 207515

Facility

$4.00

Hospital Charge Code	270615572
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

NEEDLE FISTULA 15G 1.5 207515

Facility

$4.00

Hospital Charge Code	270615572
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEEDLE FISTULA 15G 1 FN-7515B

Facility

$9.65

Hospital Charge Code	270604637
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

NEEDLE FISTULA 15G 1 FN-7515B

Facility

$4.00

Hospital Charge Code	270605456
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEEDLE FISTULA 15G 1 FN-7515B

Facility

$9.65

Hospital Charge Code	270604637
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

NEEDLE FISTULA 15G 1 FN-7515B

Facility

$4.00

Hospital Charge Code	270605456
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

NEEDLE FISTULA 15G SINGLE

Facility

$2.32

Hospital Charge Code	270634586
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$1.16
Rate for Payer: Aetna Commercial	$0.70
Rate for Payer: Aetna Medicare Advantage	$0.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.59
Rate for Payer: Cigna Commercial	$1.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$1.16

NEEDLE FISTULA 15G SINGLE

Facility

$2.32

Hospital Charge Code	270634586
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.35

NEEDLE FISTULA 15G TWINPAK

Facility

$3.81

Hospital Charge Code	270634585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$0.57
Rate for Payer: Qualcare PPO/HMO/WC	$0.57

NEEDLE FISTULA 15G TWINPAK

Facility

$3.81

Hospital Charge Code	270634585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$1.91
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	$1.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.50
Rate for Payer: Oxford Commercial	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$0.57
Rate for Payer: UnitedHealthcare Commercial	$1.91

NEEDLE FISTULA 16G 820-6013-3

Facility

$2.45

Hospital Charge Code	270647844
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.74
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.32
Rate for Payer: Oxford Commercial	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$1.23

NEEDLE FISTULA 16G 820-6013-3

Facility

$2.45

Hospital Charge Code	270647844
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

NEEDLE FISTULA 16G SINGLE

Facility

$2.10

Hospital Charge Code	27062615
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.32

NEEDLE FISTULA 16G SINGLE

Facility

$2.10

Hospital Charge Code	27062615
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$1.05
Rate for Payer: Aetna Commercial	$0.63
Rate for Payer: Aetna Medicare Advantage	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.54
Rate for Payer: Cigna Commercial	$1.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.27
Rate for Payer: Oxford Commercial	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.32
Rate for Payer: UnitedHealthcare Commercial	$1.05

NEEDLE FISTULA 17G 1 FN-7517B

Facility

$5.65

Hospital Charge Code	270606762
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

NEEDLE FISTULA 17G 1 FN-7517B

Facility

$5.65

Hospital Charge Code	270606762
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

NEEDLE FISTULA 17G SINGLE

Facility

$2.25

Hospital Charge Code	270635195
Hospital Revenue Code	272
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.34
Rate for Payer: Qualcare PPO/HMO/WC	$0.34

NEEDLE FISTULA 17G SINGLE

Facility

$2.25

Hospital Charge Code	270635195
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$1.12
Rate for Payer: Aetna Commercial	$0.68
Rate for Payer: Aetna Medicare Advantage	$0.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.57
Rate for Payer: Cigna Commercial	$1.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.29
Rate for Payer: Oxford Commercial	$1.12
Rate for Payer: Qualcare PPO/HMO/WC	$0.34
Rate for Payer: UnitedHealthcare Commercial	$1.12

NEEDLE FREE LARGE

Facility

$1,650.00

Hospital Charge Code	270681386
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

NEEDLE FREE LARGE

Facility

$1,650.00

Hospital Charge Code	270681386
Hospital Revenue Code	272
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$495.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Oxford Commercial	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$825.00

NEEDLE GIPPER PLUS 20G 1-1/4

Facility

$18.91

Hospital Charge Code	270647457
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$2.84
Rate for Payer: Qualcare PPO/HMO/WC	$2.84

NEEDLE GIPPER PLUS 20G 1-1/4

Facility

$18.91

Hospital Charge Code	270647457
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$9.46
Rate for Payer: Aetna Commercial	$5.67
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.82
Rate for Payer: Cigna Commercial	$9.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.46
Rate for Payer: Oxford Commercial	$9.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.84
Rate for Payer: UnitedHealthcare Commercial	$9.46

Know your out-of-pocket cost for care.

All Charges