Heights University Hospital

All Charges

Charge

Type

Setting

Price

ONLAY TIB INSRT SZ7 8MM THICK

Facility

$5,435.00

Hospital Charge Code	270668839
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$2,717.50
Rate for Payer: Aetna Commercial	$1,630.50
Rate for Payer: Aetna Medicare Advantage	$1,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,385.92
Rate for Payer: Cigna Commercial	$2,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ7 8MM THICK

Facility

$5,435.00

Hospital Charge Code	270668839
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$1,315.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ7 9MM THICK

Facility

$5,435.00

Hospital Charge Code	270668840
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$2,717.50
Rate for Payer: Aetna Commercial	$1,630.50
Rate for Payer: Aetna Medicare Advantage	$1,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,385.92
Rate for Payer: Cigna Commercial	$2,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ7 9MM THICK

Facility

$5,435.00

Hospital Charge Code	270668840
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$1,315.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ8 10MM THICK

Facility

$5,435.00

Hospital Charge Code	270668845
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$1,315.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ8 10MM THICK

Facility

$5,435.00

Hospital Charge Code	270668845
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$2,717.50
Rate for Payer: Aetna Commercial	$1,630.50
Rate for Payer: Aetna Medicare Advantage	$1,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,385.92
Rate for Payer: Cigna Commercial	$2,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ8 12MM THICK

Facility

$5,435.00

Hospital Charge Code	270668846
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$1,315.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ8 12MM THICK

Facility

$5,435.00

Hospital Charge Code	270668846
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$2,717.50
Rate for Payer: Aetna Commercial	$1,630.50
Rate for Payer: Aetna Medicare Advantage	$1,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,385.92
Rate for Payer: Cigna Commercial	$2,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ8 8MM THICK

Facility

$5,435.00

Hospital Charge Code	270668843
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$2,717.50
Rate for Payer: Aetna Commercial	$1,630.50
Rate for Payer: Aetna Medicare Advantage	$1,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,385.92
Rate for Payer: Cigna Commercial	$2,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ8 8MM THICK

Facility

$5,435.00

Hospital Charge Code	270668843
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$1,315.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ8 9MM THICK

Facility

$5,435.00

Hospital Charge Code	270668844
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$1,315.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ONLAY TIB INSRT SZ8 9MM THICK

Facility

$5,435.00

Hospital Charge Code	270668844
Hospital Revenue Code	278
Min. Negotiated Rate	$815.25
Max. Negotiated Rate	$2,717.50
Rate for Payer: Aetna Commercial	$1,630.50
Rate for Payer: Aetna Medicare Advantage	$1,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,385.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,087.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,385.92
Rate for Payer: Cigna Commercial	$2,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.27
Rate for Payer: Qualcare PPO/HMO/WC	$815.25

ON-Q PAIN PUMP W/ BUPIVACAINE

Facility

$4,281.30

Service Code	NDC 61553032160
Hospital Charge Code	606390094
Hospital Revenue Code	250
Min. Negotiated Rate	$642.20
Max. Negotiated Rate	$642.20
Rate for Payer: Qualcare PPO/HMO/WC	$642.20

ON-Q PAIN PUMP W/ BUPIVACAINE

Facility

$4,281.30

Service Code	NDC 61553032160
Hospital Charge Code	606390094
Hospital Revenue Code	250
Min. Negotiated Rate	$556.57
Max. Negotiated Rate	$2,140.65
Rate for Payer: Aetna Commercial	$1,284.39
Rate for Payer: Aetna Medicare Advantage	$1,284.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,091.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,091.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,091.73
Rate for Payer: Cigna Commercial	$2,140.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.57
Rate for Payer: Oxford Commercial	$2,140.65
Rate for Payer: Qualcare PPO/HMO/WC	$642.20
Rate for Payer: UnitedHealthcare Commercial	$2,140.65

ON-Q SOAKER 6.5

Facility

$280.00

Hospital Charge Code	270335662
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

ON-Q SOAKER 6.5

Facility

$280.00

Hospital Charge Code	270335662
Hospital Revenue Code	272
Min. Negotiated Rate	$36.40
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

OOPHORECTMY PARTIAL OR TTAL UL

Facility

$6,544.55

Service Code	HCPCS 58940
Hospital Charge Code	1600000827
Hospital Revenue Code	360
Min. Negotiated Rate	$981.68
Max. Negotiated Rate	$981.68
Rate for Payer: Qualcare PPO/HMO/WC	$981.68

OOPHORECTMY PARTIAL OR TTAL UL

Facility

$6,544.55

Service Code	HCPCS 58940
Hospital Charge Code	1600000827
Hospital Revenue Code	360
Min. Negotiated Rate	$566.75
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$1,963.37
Rate for Payer: Aetna Medicare Advantage	$1,963.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,668.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,668.86
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	$1,668.86
Rate for Payer: Cigna Commercial	$566.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$850.79
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$981.68
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OPAL SPACER 10MMX24MM 12MM HIG

Facility

$27,565.00

Hospital Charge Code	270656691
Hospital Revenue Code	278
Min. Negotiated Rate	$4,134.75
Max. Negotiated Rate	$13,782.50
Rate for Payer: Aetna Commercial	$8,269.50
Rate for Payer: Aetna Medicare Advantage	$8,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,029.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,029.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,029.07
Rate for Payer: Cigna Commercial	$13,782.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,670.73
Rate for Payer: Qualcare PPO/HMO/WC	$4,134.75

OPAL SPACER 10MMX24MM 12MM HIG

Facility

$27,565.00

Hospital Charge Code	270656691
Hospital Revenue Code	278
Min. Negotiated Rate	$4,134.75
Max. Negotiated Rate	$6,670.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,513.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,670.73
Rate for Payer: Qualcare PPO/HMO/WC	$4,134.75

OP AV FUSE UPPR ARM CEPHALIC

Facility

$38,857.60

Service Code	HCPCS 36818
Hospital Charge Code	1600000639
Hospital Revenue Code	360
Min. Negotiated Rate	$5,828.64
Max. Negotiated Rate	$5,828.64
Rate for Payer: Qualcare PPO/HMO/WC	$5,828.64

OP AV FUSE UPPR ARM CEPHALIC

Facility

$38,857.60

Service Code	HCPCS 36818
Hospital Charge Code	1600000639
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,244.40
Rate for Payer: Aetna Better Health Medicaid	$42,396.47
Rate for Payer: Aetna Commercial	$11,657.28
Rate for Payer: Aetna Medicare Advantage	$11,657.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,908.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,908.69
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	$9,908.69
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,051.49
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,828.64
Rate for Payer: UnitedHealthcare Commercial	$9,851.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,244.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42,396.47

OP BREAST CAPSULOTOMY

Facility

$31,541.30

Service Code	HCPCS 19370
Hospital Charge Code	16000789
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,462.39
Rate for Payer: Aetna Commercial	$9,462.39
Rate for Payer: Aetna Medicare Advantage	$9,462.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,043.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,043.03
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	$8,043.03
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,100.37
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OP BREAST CAPSULOTOMY

Facility

$31,541.30

Service Code	HCPCS 19370
Hospital Charge Code	16000789
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

OPD INDIVID NON MD 20-30 MIN

Facility

$1,296.00

Service Code	HCPCS 90832
Hospital Charge Code	84310060
Hospital Revenue Code	914
Min. Negotiated Rate	$71.39
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$388.80
Rate for Payer: Aetna Medicare Advantage	$388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.48
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.48
Rate for Payer: Qualcare PPO/HMO/WC	$194.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

Know your out-of-pocket cost for care.

All Charges