Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLES AND SYRINGES*****

Facility

$0.50

Service Code	HCPCS A4655
Hospital Charge Code	270000000
Hospital Revenue Code	270
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$0.25
Rate for Payer: Aetna Commercial	$0.15
Rate for Payer: Aetna Medicare Advantage	$0.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.13
Rate for Payer: Cigna Commercial	$0.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.07
Rate for Payer: Oxford Commercial	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.08
Rate for Payer: UnitedHealthcare Commercial	$0.25

NEEDLES AND SYRINGES*****

Facility

$0.50

Service Code	HCPCS A4655
Hospital Charge Code	270000000
Hospital Revenue Code	270
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.08
Rate for Payer: Qualcare PPO/HMO/WC	$0.08

NEEDLE SCLEROTHERAPY

Facility

$63.25

Hospital Charge Code	270600918
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

NEEDLE SCLEROTHERAPY

Facility

$63.25

Hospital Charge Code	270600918
Hospital Revenue Code	272
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$18.98
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$31.62
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$31.62

NEEDLE SCLEROTHERAPY***

Facility

$183.00

Hospital Charge Code	2300507
Hospital Revenue Code	279
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

NEEDLE SCLEROTHERAPY***

Facility

$183.00

Hospital Charge Code	2300507
Hospital Revenue Code	279
Min. Negotiated Rate	$23.79
Max. Negotiated Rate	$91.50
Rate for Payer: Aetna Commercial	$54.90
Rate for Payer: Aetna Medicare Advantage	$54.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.66
Rate for Payer: Cigna Commercial	$91.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.79
Rate for Payer: Oxford Commercial	$91.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Commercial	$91.50

NEEDLE SCLEROTHERAPY COLON

Facility

$208.00

Hospital Charge Code	27604690
Hospital Revenue Code	272
Min. Negotiated Rate	$27.04
Max. Negotiated Rate	$104.00
Rate for Payer: Aetna Commercial	$62.40
Rate for Payer: Aetna Medicare Advantage	$62.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.04
Rate for Payer: Cigna Commercial	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.04
Rate for Payer: Oxford Commercial	$104.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.20
Rate for Payer: UnitedHealthcare Commercial	$104.00

NEEDLE SCLEROTHERAPY COLON

Facility

$208.00

Hospital Charge Code	27604690
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$31.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.20

NEEDLE SCORPIO CAPSULE CLCOSE

Facility

$245.00

Hospital Charge Code	270687985
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

NEEDLE SCORPIO CAPSULE CLCOSE

Facility

$245.00

Hospital Charge Code	270687985
Hospital Revenue Code	272
Min. Negotiated Rate	$31.85
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.85
Rate for Payer: Oxford Commercial	$122.50
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$122.50

NEEDLE SCORPION AR13990N

Facility

$1,190.45

Hospital Charge Code	270635104
Hospital Revenue Code	272
Min. Negotiated Rate	$154.76
Max. Negotiated Rate	$595.23
Rate for Payer: Aetna Commercial	$357.13
Rate for Payer: Aetna Medicare Advantage	$357.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.56
Rate for Payer: Cigna Commercial	$595.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.76
Rate for Payer: Oxford Commercial	$595.23
Rate for Payer: Qualcare PPO/HMO/WC	$178.57
Rate for Payer: UnitedHealthcare Commercial	$595.23

NEEDLE SCORPION AR13990N

Facility

$1,190.45

Hospital Charge Code	270635104
Hospital Revenue Code	272
Min. Negotiated Rate	$178.57
Max. Negotiated Rate	$178.57
Rate for Payer: Qualcare PPO/HMO/WC	$178.57

NEEDLE SEED IMPLNT 18G BT1820M

Facility

$74.45

Hospital Charge Code	270609069
Hospital Revenue Code	272
Min. Negotiated Rate	$11.17
Max. Negotiated Rate	$11.17
Rate for Payer: Qualcare PPO/HMO/WC	$11.17

NEEDLE SEED IMPLNT 18G BT1820M

Facility

$74.45

Hospital Charge Code	270609069
Hospital Revenue Code	272
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$37.23
Rate for Payer: Aetna Commercial	$22.34
Rate for Payer: Aetna Medicare Advantage	$22.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$37.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Oxford Commercial	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.17
Rate for Payer: UnitedHealthcare Commercial	$37.23

NEEDLE SELDINGER

Facility

$26.45

Hospital Charge Code	270601306
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$7.93
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.22

NEEDLE SELDINGER

Facility

$26.45

Hospital Charge Code	270601306
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

NEEDLE SGLE SHOT 24X2.0 18367

Facility

$37.15

Hospital Charge Code	270634759
Hospital Revenue Code	272
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$18.57
Rate for Payer: Aetna Commercial	$11.14
Rate for Payer: Aetna Medicare Advantage	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.47
Rate for Payer: Cigna Commercial	$18.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.83
Rate for Payer: Oxford Commercial	$18.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57
Rate for Payer: UnitedHealthcare Commercial	$18.57

NEEDLE SGLE SHOT 24X2.0 18367

Facility

$37.15

Hospital Charge Code	270634759
Hospital Revenue Code	272
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$5.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57

NEEDLE SHORT VERSASTEP 14 GA

Facility

$204.00

Hospital Charge Code	270690400
Hospital Revenue Code	272
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

NEEDLE SHORT VERSASTEP 14 GA

Facility

$204.00

Hospital Charge Code	270690400
Hospital Revenue Code	272
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$102.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$102.00

NEEDLE SIDEKICK RIGID

Facility

$225.00

Hospital Charge Code	270662271
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

NEEDLE SIDEKICK RIGID

Facility

$225.00

Hospital Charge Code	270662271
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

NEEDLE SILVERMAN

Facility

$729.65

Hospital Charge Code	2708001463
Hospital Revenue Code	272
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

NEEDLE SILVERMAN

Facility

$729.65

Hospital Charge Code	2708001463
Hospital Revenue Code	272
Min. Negotiated Rate	$94.85
Max. Negotiated Rate	$364.82
Rate for Payer: Aetna Commercial	$218.90
Rate for Payer: Aetna Medicare Advantage	$218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.06
Rate for Payer: Cigna Commercial	$364.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.85
Rate for Payer: Oxford Commercial	$364.82
Rate for Payer: Qualcare PPO/HMO/WC	$109.45
Rate for Payer: UnitedHealthcare Commercial	$364.82

NEEDLE SLIMLINE 19 GA

Facility

$2,164.27

Hospital Charge Code	270677060
Hospital Revenue Code	272
Min. Negotiated Rate	$281.36
Max. Negotiated Rate	$1,082.13
Rate for Payer: Aetna Commercial	$649.28
Rate for Payer: Aetna Medicare Advantage	$649.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$551.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$551.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$551.89
Rate for Payer: Cigna Commercial	$1,082.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.36
Rate for Payer: Oxford Commercial	$1,082.13
Rate for Payer: Qualcare PPO/HMO/WC	$324.64
Rate for Payer: UnitedHealthcare Commercial	$1,082.13

Know your out-of-pocket cost for care.

All Charges