Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE SPINAL 22gaX5 SH 183172

Facility

$23.90

Hospital Charge Code	270632099
Hospital Revenue Code	272
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$3.58
Rate for Payer: Qualcare PPO/HMO/WC	$3.58

NEEDLE SPINAL 22G X 3.5

Facility

$45.50

Hospital Charge Code	270670976
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$13.65
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.92
Rate for Payer: Oxford Commercial	$22.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Commercial	$22.75

NEEDLE SPINAL 22G X 3.5

Facility

$45.50

Hospital Charge Code	270670976
Hospital Revenue Code	272
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

NEEDLE SPINAL 22G X 3 DISP

Facility

$15.00

Hospital Charge Code	270331253
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

NEEDLE SPINAL 22G X 3 DISP

Facility

$15.00

Hospital Charge Code	270331253
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

NEEDLE SPINAL 22G X 8

Facility

$107.89

Hospital Charge Code	270670981
Hospital Revenue Code	272
Min. Negotiated Rate	$14.03
Max. Negotiated Rate	$53.95
Rate for Payer: Aetna Commercial	$32.37
Rate for Payer: Aetna Medicare Advantage	$32.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.51
Rate for Payer: Cigna Commercial	$53.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.03
Rate for Payer: Oxford Commercial	$53.95
Rate for Payer: Qualcare PPO/HMO/WC	$16.18
Rate for Payer: UnitedHealthcare Commercial	$53.95

NEEDLE SPINAL 22G X 8

Facility

$107.89

Hospital Charge Code	270670981
Hospital Revenue Code	272
Min. Negotiated Rate	$16.18
Max. Negotiated Rate	$16.18
Rate for Payer: Qualcare PPO/HMO/WC	$16.18

NEEDLE SPINAL 22x3.5 SH 183106

Facility

$21.70

Hospital Charge Code	270632100
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$3.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.25

NEEDLE SPINAL 22x3.5 SH 183106

Facility

$21.70

Hospital Charge Code	270632100
Hospital Revenue Code	272
Min. Negotiated Rate	$2.82
Max. Negotiated Rate	$10.85
Rate for Payer: Aetna Commercial	$6.51
Rate for Payer: Aetna Medicare Advantage	$6.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.53
Rate for Payer: Cigna Commercial	$10.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.82
Rate for Payer: Oxford Commercial	$10.85
Rate for Payer: Qualcare PPO/HMO/WC	$3.25
Rate for Payer: UnitedHealthcare Commercial	$10.85

NEEDLE SPINAL 25G 3

Facility

$16.00

Hospital Charge Code	270332065
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$4.80
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.08
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$8.00

NEEDLE SPINAL 25G 3

Facility

$16.00

Hospital Charge Code	270332065
Hospital Revenue Code	272
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

NEEDLE SPINAL 25G/3 1/2

Facility

$44.85

Hospital Charge Code	270020060
Hospital Revenue Code	272
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$22.43
Rate for Payer: Aetna Commercial	$13.46
Rate for Payer: Aetna Medicare Advantage	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.44
Rate for Payer: Cigna Commercial	$22.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Oxford Commercial	$22.43
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$22.43

NEEDLE SPINAL 25G/3 1/2

Facility

$44.85

Hospital Charge Code	270020060
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

NEEDLE SPINAL 25G 3.5 405180

Facility

$7.44

Hospital Charge Code	270624546
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$3.72
Rate for Payer: Aetna Commercial	$2.23
Rate for Payer: Aetna Medicare Advantage	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.90
Rate for Payer: Cigna Commercial	$3.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.97
Rate for Payer: Oxford Commercial	$3.72
Rate for Payer: Qualcare PPO/HMO/WC	$1.12
Rate for Payer: UnitedHealthcare Commercial	$3.72

NEEDLE SPINAL 25G 3.5 405180

Facility

$7.44

Hospital Charge Code	270624546
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$1.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.12

NEEDLE SPINAL 26G/3 1/2

Facility

$11.25

Hospital Charge Code	270020064
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

NEEDLE SPINAL 26G/3 1/2

Facility

$11.25

Hospital Charge Code	270020064
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

NEEDLE SPINAL BIOPSY 22GAX20CM

Facility

$800.00

Hospital Charge Code	2709006544
Hospital Revenue Code	272
Min. Negotiated Rate	$104.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$400.00

NEEDLE SPINAL BIOPSY 22GAX20CM

Facility

$800.00

Hospital Charge Code	2709006544
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

NEEDLE SPINAL CHB 22x3.5 18369

Facility

$26.00

Hospital Charge Code	270632101
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.90

NEEDLE SPINAL CHB 22x3.5 18369

Facility

$26.00

Hospital Charge Code	270632101
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$13.00
Rate for Payer: Aetna Commercial	$7.80
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$13.00

NEEDLE SPINAL CHIBA 22G 6

Facility

$52.76

Hospital Charge Code	270658291
Hospital Revenue Code	272
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$26.38
Rate for Payer: Aetna Commercial	$15.83
Rate for Payer: Aetna Medicare Advantage	$15.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.45
Rate for Payer: Cigna Commercial	$26.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.86
Rate for Payer: Oxford Commercial	$26.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.91
Rate for Payer: UnitedHealthcare Commercial	$26.38

NEEDLE SPINAL CHIBA 22G 6

Facility

$52.76

Hospital Charge Code	270658291
Hospital Revenue Code	272
Min. Negotiated Rate	$7.91
Max. Negotiated Rate	$7.91
Rate for Payer: Qualcare PPO/HMO/WC	$7.91

NEEDLE SPINAL DISP 22G X 3 1/2

Facility

$16.00

Hospital Charge Code	270331171
Hospital Revenue Code	272
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

NEEDLE SPINAL DISP 22G X 3 1/2

Facility

$16.00

Hospital Charge Code	270331171
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$4.80
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.08
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$8.00

Know your out-of-pocket cost for care.

All Charges