Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE VERESS 12MM

Facility

$224.83

Hospital Charge Code	270658414
Hospital Revenue Code	272
Min. Negotiated Rate	$33.72
Max. Negotiated Rate	$33.72
Rate for Payer: Qualcare PPO/HMO/WC	$33.72

NEEDLE VERESS 12MM

Facility

$224.83

Hospital Charge Code	270658414
Hospital Revenue Code	272
Min. Negotiated Rate	$29.23
Max. Negotiated Rate	$112.42
Rate for Payer: Aetna Commercial	$67.45
Rate for Payer: Aetna Medicare Advantage	$67.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.33
Rate for Payer: Cigna Commercial	$112.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.23
Rate for Payer: Oxford Commercial	$112.42
Rate for Payer: Qualcare PPO/HMO/WC	$33.72
Rate for Payer: UnitedHealthcare Commercial	$112.42

NEEDLE VERRES 120MM DISP STR

Facility

$66.30

Hospital Charge Code	270651810
Hospital Revenue Code	272
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$9.95
Rate for Payer: Qualcare PPO/HMO/WC	$9.95

NEEDLE VERRES 120MM DISP STR

Facility

$66.30

Hospital Charge Code	270651810
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$33.15
Rate for Payer: Aetna Commercial	$19.89
Rate for Payer: Aetna Medicare Advantage	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.91
Rate for Payer: Cigna Commercial	$33.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.62
Rate for Payer: Oxford Commercial	$33.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.95
Rate for Payer: UnitedHealthcare Commercial	$33.15

NEEDLE VERRES 150MM DISP STR

Facility

$217.18

Hospital Charge Code	270600055
Hospital Revenue Code	272
Min. Negotiated Rate	$32.58
Max. Negotiated Rate	$32.58
Rate for Payer: Qualcare PPO/HMO/WC	$32.58

NEEDLE VERRES 150MM DISP STR

Facility

$217.18

Hospital Charge Code	270600055
Hospital Revenue Code	272
Min. Negotiated Rate	$28.23
Max. Negotiated Rate	$108.59
Rate for Payer: Aetna Commercial	$65.15
Rate for Payer: Aetna Medicare Advantage	$65.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.38
Rate for Payer: Cigna Commercial	$108.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.23
Rate for Payer: Oxford Commercial	$108.59
Rate for Payer: Qualcare PPO/HMO/WC	$32.58
Rate for Payer: UnitedHealthcare Commercial	$108.59

NEEDLE VERRES 150MM PN150

Facility

$123.50

Hospital Charge Code	270608758
Hospital Revenue Code	272
Min. Negotiated Rate	$18.52
Max. Negotiated Rate	$18.52
Rate for Payer: Qualcare PPO/HMO/WC	$18.52

NEEDLE VERRES 150MM PN150

Facility

$123.50

Hospital Charge Code	270608758
Hospital Revenue Code	272
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$61.75
Rate for Payer: Aetna Commercial	$37.05
Rate for Payer: Aetna Medicare Advantage	$37.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.49
Rate for Payer: Cigna Commercial	$61.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.05
Rate for Payer: Oxford Commercial	$61.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.52
Rate for Payer: UnitedHealthcare Commercial	$61.75

NEEDLE VIZISHOT EBUS-TBNA

Facility

$575.18

Hospital Charge Code	270675838
Hospital Revenue Code	272
Min. Negotiated Rate	$74.77
Max. Negotiated Rate	$287.59
Rate for Payer: Aetna Commercial	$172.55
Rate for Payer: Aetna Medicare Advantage	$172.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.67
Rate for Payer: Cigna Commercial	$287.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.77
Rate for Payer: Oxford Commercial	$287.59
Rate for Payer: Qualcare PPO/HMO/WC	$86.28
Rate for Payer: UnitedHealthcare Commercial	$287.59

NEEDLE VIZISHOT EBUS-TBNA

Facility

$575.18

Hospital Charge Code	270675838
Hospital Revenue Code	272
Min. Negotiated Rate	$86.28
Max. Negotiated Rate	$86.28
Rate for Payer: Qualcare PPO/HMO/WC	$86.28

NEEDLE WC SCLEROTHERAPY VIN-23

Facility

$124.85

Hospital Charge Code	270623502
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

NEEDLE WC SCLEROTHERAPY VIN-23

Facility

$124.85

Hospital Charge Code	270623502
Hospital Revenue Code	272
Min. Negotiated Rate	$16.23
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$37.45
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.23
Rate for Payer: Oxford Commercial	$62.42
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$62.42

NEEDLE WHITACRE 26G 5 405143

Facility

$2,637.65

Hospital Charge Code	270614170
Hospital Revenue Code	272
Min. Negotiated Rate	$395.65
Max. Negotiated Rate	$395.65
Rate for Payer: Qualcare PPO/HMO/WC	$395.65

NEEDLE WHITACRE 26G 5 405143

Facility

$2,637.65

Hospital Charge Code	270614170
Hospital Revenue Code	272
Min. Negotiated Rate	$342.89
Max. Negotiated Rate	$1,318.83
Rate for Payer: Aetna Commercial	$791.29
Rate for Payer: Aetna Medicare Advantage	$791.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$672.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$672.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$672.60
Rate for Payer: Cigna Commercial	$1,318.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.89
Rate for Payer: Oxford Commercial	$1,318.83
Rate for Payer: Qualcare PPO/HMO/WC	$395.65
Rate for Payer: UnitedHealthcare Commercial	$1,318.83

NEEDLE WING EATER G15

Facility

$7.50

Hospital Charge Code	270658655
Hospital Revenue Code	272
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$3.75
Rate for Payer: Aetna Commercial	$2.25
Rate for Payer: Aetna Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.91
Rate for Payer: Cigna Commercial	$3.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.98
Rate for Payer: Oxford Commercial	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.12
Rate for Payer: UnitedHealthcare Commercial	$3.75

NEEDLE WING EATER G15

Facility

$7.50

Hospital Charge Code	270658655
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$1.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.12

NEEDLE XBRAID S VMO-6

Facility

$225.00

Service Code	HCPCS C1714
Hospital Charge Code	270701809
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

NEEDLE XBRAID S VMO-6

Facility

$225.00

Service Code	HCPCS C1714
Hospital Charge Code	270701809
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
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) NJ Health	$45.00
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	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

NEEDLPLASTICHUB27GALONGYELLOW

Facility

$1.20

Hospital Charge Code	270664108
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.60
Rate for Payer: Aetna Commercial	$0.36
Rate for Payer: Aetna Medicare Advantage	$0.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.31
Rate for Payer: Cigna Commercial	$0.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.16
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.18
Rate for Payer: UnitedHealthcare Commercial	$0.60

NEEDLPLASTICHUB27GALONGYELLOW

Facility

$1.20

Hospital Charge Code	270664108
Hospital Revenue Code	270
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.18
Rate for Payer: Qualcare PPO/HMO/WC	$0.18

NEFAZODONE 100 MG TAB

Facility

$7.70

Hospital Charge Code	60627770
Hospital Revenue Code	250
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.31
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.85

NEFAZODONE 100 MG TAB

Facility

$7.70

Hospital Charge Code	60627770
Hospital Revenue Code	250
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

NEFAZODONE 100MG TAB

Facility

$32.16

Service Code	NDC 93102406
Hospital Charge Code	6063943146
Hospital Revenue Code	250
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$16.08
Rate for Payer: Aetna Commercial	$9.65
Rate for Payer: Aetna Medicare Advantage	$9.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.20
Rate for Payer: Cigna Commercial	$16.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.18
Rate for Payer: Oxford Commercial	$16.08
Rate for Payer: Qualcare PPO/HMO/WC	$4.82
Rate for Payer: UnitedHealthcare Commercial	$16.08

NEFAZODONE 100MG TAB

Facility

$32.16

Service Code	NDC 93102406
Hospital Charge Code	6063943146
Hospital Revenue Code	250
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$4.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.82

NEFAZODONE TAB 100MG

Facility

$7.70

Hospital Charge Code	6024194
Hospital Revenue Code	251
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.31
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.85

Know your out-of-pocket cost for care.

All Charges