Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE HYPODERMIC 23G 1

Facility

$0.66

Hospital Charge Code	270649641
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

NEEDLE HYPODERMIC 23G 1

Facility

$0.66

Hospital Charge Code	270649641
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 25G 1-1/2

Facility

$0.66

Hospital Charge Code	270649639
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 25G 1-1/2

Facility

$0.66

Hospital Charge Code	270649639
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

NEEDLE HYPODERMIC 25G 5/8

Facility

$0.66

Hospital Charge Code	270649631
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

NEEDLE HYPODERMIC 25G 5/8

Facility

$0.66

Hospital Charge Code	270649631
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 HYPO PRO EDGE 21GX1.5

Facility

$0.76

Hospital Charge Code	270660096
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.38
Rate for Payer: Aetna Commercial	$0.23
Rate for Payer: Aetna Medicare Advantage	$0.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.19
Rate for Payer: Cigna Commercial	$0.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.10
Rate for Payer: Oxford Commercial	$0.38
Rate for Payer: Qualcare PPO/HMO/WC	$0.11
Rate for Payer: UnitedHealthcare Commercial	$0.38

NEEDLE HYPO PRO EDGE 21GX1.5

Facility

$0.76

Hospital Charge Code	270660096
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.11
Rate for Payer: Qualcare PPO/HMO/WC	$0.11

NEEDLE IMBIBE MARROW 8G 6INL

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698866
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

NEEDLE IMBIBE MARROW 8G 6INL

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698866
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

NEEDLE INSERTION 17cm

Facility

$1,075.00

Hospital Charge Code	270679699
Hospital Revenue Code	272
Min. Negotiated Rate	$139.75
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.75
Rate for Payer: Oxford Commercial	$537.50
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$537.50

NEEDLE INSERTION 17cm

Facility

$1,075.00

Hospital Charge Code	270679699
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

NEEDLE INSERTION 4

Facility

$1,075.00

Hospital Charge Code	270673087
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

NEEDLE INSERTION 4

Facility

$1,075.00

Hospital Charge Code	270673087
Hospital Revenue Code	272
Min. Negotiated Rate	$139.75
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.75
Rate for Payer: Oxford Commercial	$537.50
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$537.50

NEEDLE IN SPG-WIRE GUIDE 04318

Facility

$10.35

Hospital Charge Code	270629904
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$5.17
Rate for Payer: Aetna Commercial	$3.10
Rate for Payer: Aetna Medicare Advantage	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.64
Rate for Payer: Cigna Commercial	$5.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.35
Rate for Payer: Oxford Commercial	$5.17
Rate for Payer: Qualcare PPO/HMO/WC	$1.55
Rate for Payer: UnitedHealthcare Commercial	$5.17

NEEDLE IN SPG-WIRE GUIDE 04318

Facility

$10.35

Hospital Charge Code	270629904
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.55

NEEDLE INSUFATION 14G 150MM

Facility

$186.73

Hospital Charge Code	270671312
Hospital Revenue Code	272
Min. Negotiated Rate	$28.01
Max. Negotiated Rate	$28.01
Rate for Payer: Qualcare PPO/HMO/WC	$28.01

NEEDLE INSUFATION 14G 150MM

Facility

$186.73

Hospital Charge Code	270671312
Hospital Revenue Code	272
Min. Negotiated Rate	$24.27
Max. Negotiated Rate	$93.36
Rate for Payer: Aetna Commercial	$56.02
Rate for Payer: Aetna Medicare Advantage	$56.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.62
Rate for Payer: Cigna Commercial	$93.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.27
Rate for Payer: Oxford Commercial	$93.36
Rate for Payer: Qualcare PPO/HMO/WC	$28.01
Rate for Payer: UnitedHealthcare Commercial	$93.36

NEEDLE INSUFFLAT 14G 120 C2201

Facility

$60.50

Hospital Charge Code	270642080
Hospital Revenue Code	272
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$9.07
Rate for Payer: Qualcare PPO/HMO/WC	$9.07

NEEDLE INSUFFLAT 14G 120 C2201

Facility

$60.50

Hospital Charge Code	270642080
Hospital Revenue Code	272
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$30.25
Rate for Payer: Aetna Commercial	$18.15
Rate for Payer: Aetna Medicare Advantage	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.43
Rate for Payer: Cigna Commercial	$30.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.87
Rate for Payer: Oxford Commercial	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.07
Rate for Payer: UnitedHealthcare Commercial	$30.25

NEEDLE INSUFFLATIN 14G 120MM

Facility

$171.65

Hospital Charge Code	270671308
Hospital Revenue Code	272
Min. Negotiated Rate	$25.75
Max. Negotiated Rate	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$25.75

NEEDLE INSUFFLATIN 14G 120MM

Facility

$171.65

Hospital Charge Code	270671308
Hospital Revenue Code	272
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$85.83
Rate for Payer: Aetna Commercial	$51.49
Rate for Payer: Aetna Medicare Advantage	$51.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.77
Rate for Payer: Cigna Commercial	$85.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.31
Rate for Payer: Oxford Commercial	$85.83
Rate for Payer: Qualcare PPO/HMO/WC	$25.75
Rate for Payer: UnitedHealthcare Commercial	$85.83

NEEDLE INSUFLATION 120MM

Facility

$330.00

Hospital Charge Code	270651398
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

NEEDLE INSUFLATION 120MM

Facility

$330.00

Hospital Charge Code	270651398
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

NEEDLE INSUFLATION 120MM

Facility

$59.66

Hospital Charge Code	27065600
Hospital Revenue Code	272
Min. Negotiated Rate	$8.95
Max. Negotiated Rate	$8.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.95

Know your out-of-pocket cost for care.

All Charges