Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE JAMSHIDI 8 G X 15CM

Facility

$300.00

Hospital Charge Code	270692303
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$150.00

NEEDLE JAMSHIDI 8 G X 15CM

Facility

$300.00

Hospital Charge Code	270692303
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

NEEDLE JAMSHIDIE FR

Facility

$750.00

Hospital Charge Code	270691514
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

NEEDLE JAMSHIDIE FR

Facility

$750.00

Hospital Charge Code	270691514
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

NEEDLE JMS FISTULA

Facility

$3.90

Hospital Charge Code	270658653
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$1.95
Rate for Payer: Aetna Commercial	$1.17
Rate for Payer: Aetna Medicare Advantage	$1.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.99
Rate for Payer: Cigna Commercial	$1.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.51
Rate for Payer: Oxford Commercial	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$1.95

NEEDLE JMS FISTULA

Facility

$3.90

Hospital Charge Code	270658653
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

NEEDLE JMS FISTULA WING

Facility

$3.90

Hospital Charge Code	270658654
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

NEEDLE JMS FISTULA WING

Facility

$3.90

Hospital Charge Code	270658654
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$1.95
Rate for Payer: Aetna Commercial	$1.17
Rate for Payer: Aetna Medicare Advantage	$1.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.99
Rate for Payer: Cigna Commercial	$1.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.51
Rate for Payer: Oxford Commercial	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$1.95

NEEDLE KEITH STRAIGHT 213404

Facility

$13.65

Hospital Charge Code	270620426
Hospital Revenue Code	279
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

NEEDLE KEITH STRAIGHT 213404

Facility

$13.65

Hospital Charge Code	270620426
Hospital Revenue Code	279
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

NEEDLE KNIFE XL 4584

Facility

$939.05

Hospital Charge Code	270627937
Hospital Revenue Code	272
Min. Negotiated Rate	$140.86
Max. Negotiated Rate	$140.86
Rate for Payer: Qualcare PPO/HMO/WC	$140.86

NEEDLE KNIFE XL 4584

Facility

$939.05

Hospital Charge Code	270627937
Hospital Revenue Code	272
Min. Negotiated Rate	$122.08
Max. Negotiated Rate	$469.52
Rate for Payer: Aetna Commercial	$281.71
Rate for Payer: Aetna Medicare Advantage	$281.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.46
Rate for Payer: Cigna Commercial	$469.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.08
Rate for Payer: Oxford Commercial	$469.52
Rate for Payer: Qualcare PPO/HMO/WC	$140.86
Rate for Payer: UnitedHealthcare Commercial	$469.52

NEEDLE LIFEGUARD 20G 1 1/2

Facility

$32.50

Hospital Charge Code	270674984
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$16.25
Rate for Payer: Aetna Commercial	$9.75
Rate for Payer: Aetna Medicare Advantage	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.29
Rate for Payer: Cigna Commercial	$16.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.22
Rate for Payer: Oxford Commercial	$16.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.88
Rate for Payer: UnitedHealthcare Commercial	$16.25

NEEDLE LIFEGUARD 20G 1 1/2

Facility

$32.50

Hospital Charge Code	270674984
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.88

NEEDLELOC MAMMO GD ADD LES BIL

Facility

$828.90

Service Code	HCPCS 1928250
Hospital Charge Code	94064011
Hospital Revenue Code	361
Min. Negotiated Rate	$107.76
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$248.67
Rate for Payer: Aetna Medicare Advantage	$248.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.37
Rate for Payer: Cigna Commercial	$414.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

NEEDLELOC MAMMO GD ADD LES BIL

Facility

$828.90

Service Code	HCPCS 1928250
Hospital Charge Code	94064011
Hospital Revenue Code	361
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$124.33
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

NEEDLELOC MAMMO GDE 1ST LES BI

Facility

$1,992.50

Service Code	HCPCS 1928150
Hospital Charge Code	94064009
Hospital Revenue Code	361
Min. Negotiated Rate	$298.88
Max. Negotiated Rate	$298.88
Rate for Payer: Qualcare PPO/HMO/WC	$298.88

NEEDLELOC MAMMO GDE 1ST LES BI

Facility

$1,992.50

Service Code	HCPCS 1928150
Hospital Charge Code	94064009
Hospital Revenue Code	361
Min. Negotiated Rate	$259.02
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$597.75
Rate for Payer: Aetna Medicare Advantage	$597.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.09
Rate for Payer: Cigna Commercial	$996.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.02
Rate for Payer: Qualcare PPO/HMO/WC	$298.88

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281RT
Hospital Charge Code	94064009R
Hospital Revenue Code	361
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$149.44
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281LT
Hospital Charge Code	94064009L
Hospital Revenue Code	361
Min. Negotiated Rate	$129.51
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$298.88
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.51
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281RT
Hospital Charge Code	94064009R
Hospital Revenue Code	361
Min. Negotiated Rate	$129.51
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$298.88
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.51
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281LT
Hospital Charge Code	94064009L
Hospital Revenue Code	361
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$149.44
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

NEEDLELOC MAMMO GUIDE ADD LES

Facility

$414.45

Service Code	HCPCS 19282LT
Hospital Charge Code	94064011L
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

NEEDLELOC MAMMO GUIDE ADD LES

Facility

$414.45

Service Code	HCPCS 19282LT
Hospital Charge Code	94064011L
Hospital Revenue Code	361
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

NEEDLELOC MAMMO GUIDE ADD LES

Facility

$414.45

Service Code	HCPCS 19282RT
Hospital Charge Code	94064011R
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

Know your out-of-pocket cost for care.

All Charges