Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE HAWKINS III 20Gx7.5CM

Facility

$175.50

Service Code	HCPCS A4648
Hospital Charge Code	270677884
Hospital Revenue Code	278
Min. Negotiated Rate	$26.32
Max. Negotiated Rate	$87.75
Rate for Payer: Aetna Commercial	$52.65
Rate for Payer: Aetna Medicare Advantage	$52.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.75
Rate for Payer: Cigna Commercial	$87.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.47
Rate for Payer: Qualcare PPO/HMO/WC	$26.32

NEEDLE HAWKINS III 3CM 20GX3CM

Facility

$140.00

Service Code	HCPCS A4648
Hospital Charge Code	270669312
Hospital Revenue Code	278
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$70.00
Rate for Payer: Aetna Commercial	$42.00
Rate for Payer: Aetna Medicare Advantage	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.70
Rate for Payer: Cigna Commercial	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.88
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

NEEDLE HAWKINS III 3CM 20GX3CM

Facility

$140.00

Service Code	HCPCS A4648
Hospital Charge Code	270669312
Hospital Revenue Code	278
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$33.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.88
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

NEEDLE HIP SCORPION

Facility

$4,875.00

Hospital Charge Code	270680582
Hospital Revenue Code	272
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$731.25
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

NEEDLE HIP SCORPION

Facility

$4,875.00

Hospital Charge Code	270680582
Hospital Revenue Code	272
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$2,437.50
Rate for Payer: Aetna Commercial	$1,462.50
Rate for Payer: Aetna Medicare Advantage	$1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,243.12
Rate for Payer: Cigna Commercial	$2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$633.75
Rate for Payer: Oxford Commercial	$2,437.50
Rate for Payer: Qualcare PPO/HMO/WC	$731.25
Rate for Payer: UnitedHealthcare Commercial	$2,437.50

NEEDLE HOLDER FINE 7MM

Facility

$1,872.00

Hospital Charge Code	270683685
Hospital Revenue Code	272
Min. Negotiated Rate	$280.80
Max. Negotiated Rate	$280.80
Rate for Payer: Qualcare PPO/HMO/WC	$280.80

NEEDLE HOLDER FINE 7MM

Facility

$1,872.00

Hospital Charge Code	270683685
Hospital Revenue Code	272
Min. Negotiated Rate	$243.36
Max. Negotiated Rate	$936.00
Rate for Payer: Aetna Commercial	$561.60
Rate for Payer: Aetna Medicare Advantage	$561.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$477.36
Rate for Payer: Cigna Commercial	$936.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.36
Rate for Payer: Oxford Commercial	$936.00
Rate for Payer: Qualcare PPO/HMO/WC	$280.80
Rate for Payer: UnitedHealthcare Commercial	$936.00

NEEDLE HOMER MAMOLOK 20G 5.0CM

Facility

$145.00

Service Code	HCPCS A4648
Hospital Charge Code	270607250
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 HOMER MAMOLOK 20G 5.0CM

Facility

$145.00

Service Code	HCPCS A4648
Hospital Charge Code	270607250
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 HOMER MAMOLOK 20G 7.5CM

Facility

$145.00

Service Code	HCPCS A4648
Hospital Charge Code	270607251
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 HOMER MAMOLOK 20G 7.5CM

Facility

$145.00

Service Code	HCPCS A4648
Hospital Charge Code	270607251
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 HUBER 19G 1 WINGED

Facility

$20.41

Hospital Charge Code	270302846
Hospital Revenue Code	272
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$6.12
Rate for Payer: Aetna Medicare Advantage	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.20
Rate for Payer: Cigna Commercial	$10.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.65
Rate for Payer: Oxford Commercial	$10.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.06
Rate for Payer: UnitedHealthcare Commercial	$10.21

NEEDLE HUBER 19G 1 WINGED

Facility

$20.41

Hospital Charge Code	270302846
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

NEEDLE HUBER 20G 1

Facility

$66.75

Hospital Charge Code	270649978
Hospital Revenue Code	272
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$10.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.01

NEEDLE HUBER 20G 1

Facility

$66.75

Hospital Charge Code	270649978
Hospital Revenue Code	272
Min. Negotiated Rate	$8.68
Max. Negotiated Rate	$33.38
Rate for Payer: Aetna Commercial	$20.02
Rate for Payer: Aetna Medicare Advantage	$20.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.02
Rate for Payer: Cigna Commercial	$33.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.68
Rate for Payer: Oxford Commercial	$33.38
Rate for Payer: Qualcare PPO/HMO/WC	$10.01
Rate for Payer: UnitedHealthcare Commercial	$33.38

NEEDLE HUBER 22G 1 WINGED

Facility

$29.65

Hospital Charge Code	270302847
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$14.82

NEEDLE HUBER 22G 1 WINGED

Facility

$29.65

Hospital Charge Code	270302847
Hospital Revenue Code	272
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

NEEDLE HUBER 90mm RHUB90

Facility

$28.00

Hospital Charge Code	270644593
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

NEEDLE HUBER 90mm RHUB90

Facility

$28.00

Hospital Charge Code	270644593
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

NEEDLE HYPO 27G 1/2 REG

Facility

$0.15

Hospital Charge Code	270650256
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.02

NEEDLE HYPO 27G 1/2 REG

Facility

$0.15

Hospital Charge Code	270650256
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.08
Rate for Payer: Aetna Commercial	$0.05
Rate for Payer: Aetna Medicare Advantage	$0.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.04
Rate for Payer: Cigna Commercial	$0.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.02
Rate for Payer: Oxford Commercial	$0.08
Rate for Payer: Qualcare PPO/HMO/WC	$0.02
Rate for Payer: UnitedHealthcare Commercial	$0.08

NEEDLE HYPODERMIC 19G 1-1/2

Facility

$656.50

Hospital Charge Code	270649424
Hospital Revenue Code	272
Min. Negotiated Rate	$98.47
Max. Negotiated Rate	$98.47
Rate for Payer: Qualcare PPO/HMO/WC	$98.47

NEEDLE HYPODERMIC 19G 1-1/2

Facility

$656.50

Hospital Charge Code	270649424
Hospital Revenue Code	272
Min. Negotiated Rate	$85.34
Max. Negotiated Rate	$328.25
Rate for Payer: Aetna Commercial	$196.95
Rate for Payer: Aetna Medicare Advantage	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.41
Rate for Payer: Cigna Commercial	$328.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.34
Rate for Payer: Oxford Commercial	$328.25
Rate for Payer: Qualcare PPO/HMO/WC	$98.47
Rate for Payer: UnitedHealthcare Commercial	$328.25

NEEDLE HYPODERMIC 20G 1

Facility

$0.66

Hospital Charge Code	270649638
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.20
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.09
Rate for Payer: Oxford Commercial	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.33

NEEDLE HYPODERMIC 20G 1

Facility

$0.66

Hospital Charge Code	270649638
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

Know your out-of-pocket cost for care.

All Charges