Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN HMD MOD 5 150 5018-6-150

Facility

$522.45

Hospital Charge Code	270621588
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$156.74
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

PIN HMD TARGET 4.0 3815-8-920

Facility

$307.25

Hospital Charge Code	270613086
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$153.62
Rate for Payer: Aetna Commercial	$92.17
Rate for Payer: Aetna Medicare Advantage	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.35
Rate for Payer: Cigna Commercial	$153.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

PIN HMD TARGET 4.0 3815-8-920

Facility

$307.25

Hospital Charge Code	270613086
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$74.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

PIN HOLDER ADAPT 90o FA10054.2

Facility

$1,711.25

Hospital Charge Code	270632398
Hospital Revenue Code	272
Min. Negotiated Rate	$256.69
Max. Negotiated Rate	$256.69
Rate for Payer: Qualcare PPO/HMO/WC	$256.69

PIN HOLDER ADAPT 90o FA10054.2

Facility

$1,711.25

Hospital Charge Code	270632398
Hospital Revenue Code	272
Min. Negotiated Rate	$222.46
Max. Negotiated Rate	$855.62
Rate for Payer: Aetna Commercial	$513.38
Rate for Payer: Aetna Medicare Advantage	$513.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.37
Rate for Payer: Cigna Commercial	$855.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.46
Rate for Payer: Oxford Commercial	$855.62
Rate for Payer: Qualcare PPO/HMO/WC	$256.69
Rate for Payer: UnitedHealthcare Commercial	$855.62

PIN INTRAFLEX 4.0MM *****

Facility

$181.00

Hospital Charge Code	1602085
Hospital Revenue Code	274
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$90.50
Rate for Payer: Aetna Commercial	$54.30
Rate for Payer: Aetna Medicare Advantage	$54.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.16
Rate for Payer: Cigna Commercial	$90.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$27.15

PIN INTRAFLEX 4.0MM *****

Facility

$181.00

Hospital Charge Code	1602085
Hospital Revenue Code	274
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$43.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$27.15

PIN INTRAFLEX 4.5MM *****

Facility

$181.00

Hospital Charge Code	1602077
Hospital Revenue Code	274
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$43.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$27.15

PIN INTRAFLEX 4.5MM *****

Facility

$181.00

Hospital Charge Code	1602077
Hospital Revenue Code	274
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$90.50
Rate for Payer: Aetna Commercial	$54.30
Rate for Payer: Aetna Medicare Advantage	$54.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.16
Rate for Payer: Cigna Commercial	$90.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$27.15

PIN KNOWLES 2 1/2 INCH****

Facility

$107.00

Hospital Charge Code	1601699
Hospital Revenue Code	274
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$32.10
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.89
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

PIN KNOWLES 2 1/2 INCH****

Facility

$107.00

Hospital Charge Code	1601699
Hospital Revenue Code	274
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$25.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.89
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

PIN KNOWLES 4 1/4 INCH****

Facility

$124.00

Hospital Charge Code	1601707
Hospital Revenue Code	274
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.01
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

PIN KNOWLES 4 1/4 INCH****

Facility

$124.00

Hospital Charge Code	1601707
Hospital Revenue Code	274
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$30.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.01
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

PIN KNOWLES 5 1/2

Facility

$328.85

Hospital Charge Code	270601384
Hospital Revenue Code	278
Min. Negotiated Rate	$49.33
Max. Negotiated Rate	$164.43
Rate for Payer: Aetna Commercial	$98.66
Rate for Payer: Aetna Medicare Advantage	$98.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.86
Rate for Payer: Cigna Commercial	$164.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.58
Rate for Payer: Qualcare PPO/HMO/WC	$49.33

PIN KNOWLES 5 1/2

Facility

$328.85

Hospital Charge Code	270601384
Hospital Revenue Code	278
Min. Negotiated Rate	$49.33
Max. Negotiated Rate	$79.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.58
Rate for Payer: Qualcare PPO/HMO/WC	$49.33

PIN KNOWLES 5 1/4 INCH****

Facility

$140.00

Hospital Charge Code	1601715
Hospital Revenue Code	278
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$70.00
Rate for Payer: Aetna Commercial	$42.00
Rate for Payer: Aetna Medicare Advantage	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.70
Rate for Payer: Cigna Commercial	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.88
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

PIN KNOWLES 5 1/4 INCH****

Facility

$140.00

Hospital Charge Code	1601715
Hospital Revenue Code	278
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$33.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.88
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

PIN LOCKING

Facility

$1,005.75

Hospital Charge Code	270681232
Hospital Revenue Code	272
Min. Negotiated Rate	$150.86
Max. Negotiated Rate	$150.86
Rate for Payer: Qualcare PPO/HMO/WC	$150.86

PIN LOCKING

Facility

$1,005.75

Hospital Charge Code	270681232
Hospital Revenue Code	272
Min. Negotiated Rate	$130.75
Max. Negotiated Rate	$502.88
Rate for Payer: Aetna Commercial	$301.73
Rate for Payer: Aetna Medicare Advantage	$301.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.47
Rate for Payer: Cigna Commercial	$502.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.75
Rate for Payer: Oxford Commercial	$502.88
Rate for Payer: Qualcare PPO/HMO/WC	$150.86
Rate for Payer: UnitedHealthcare Commercial	$502.88

PIN LOCKING 40X145X3.0MM

Facility

$345.00

Hospital Charge Code	270668736
Hospital Revenue Code	278
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$83.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.49
Rate for Payer: Qualcare PPO/HMO/WC	$51.75

PIN LOCKING 40X145X3.0MM

Facility

$345.00

Hospital Charge Code	270668736
Hospital Revenue Code	278
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$172.50
Rate for Payer: Aetna Commercial	$103.50
Rate for Payer: Aetna Medicare Advantage	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.97
Rate for Payer: Cigna Commercial	$172.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.49
Rate for Payer: Qualcare PPO/HMO/WC	$51.75

PIN MTP BB-TAK

Facility

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	270693494
Hospital Revenue Code	278
Min. Negotiated Rate	$53.62
Max. Negotiated Rate	$178.75
Rate for Payer: Aetna Commercial	$107.25
Rate for Payer: Aetna Medicare Advantage	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.16
Rate for Payer: Cigna Commercial	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.52
Rate for Payer: Qualcare PPO/HMO/WC	$53.62

PIN MTP BB-TAK

Facility

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	270693494
Hospital Revenue Code	278
Min. Negotiated Rate	$53.62
Max. Negotiated Rate	$86.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.52
Rate for Payer: Qualcare PPO/HMO/WC	$53.62

PINNACLE 8FR 10CM SHEATH

Facility

$56.65

Hospital Charge Code	270683727N
Hospital Revenue Code	272
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$17.00
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.36
Rate for Payer: Oxford Commercial	$28.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.50
Rate for Payer: UnitedHealthcare Commercial	$28.32

PINNACLE 8FR 10CM SHEATH

Facility

$56.65

Hospital Charge Code	270683727S
Hospital Revenue Code	272
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$17.00
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.36
Rate for Payer: Oxford Commercial	$28.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.50
Rate for Payer: UnitedHealthcare Commercial	$28.32

Know your out-of-pocket cost for care.

All Charges