Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLICAMYCIN INJ 2.5MG

Facility

$591.40

Hospital Charge Code	6000194
Hospital Revenue Code	636
Min. Negotiated Rate	$88.71
Max. Negotiated Rate	$295.70
Rate for Payer: Aetna Commercial	$177.42
Rate for Payer: Aetna Medicare Advantage	$177.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.81
Rate for Payer: Cigna Commercial	$295.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.12
Rate for Payer: Qualcare PPO/HMO/WC	$88.71

PLICAMYCIN INJ 2.5MG

Facility

$394.96

Hospital Charge Code	60627405
Hospital Revenue Code	636
Min. Negotiated Rate	$59.24
Max. Negotiated Rate	$95.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.58
Rate for Payer: Qualcare PPO/HMO/WC	$59.24

PLICAMYCIN INJ 2.5MG

Facility

$591.40

Hospital Charge Code	6000194
Hospital Revenue Code	636
Min. Negotiated Rate	$88.71
Max. Negotiated Rate	$143.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.12
Rate for Payer: Qualcare PPO/HMO/WC	$88.71

PLICAMYCIN INJ 2.5MG

Facility

$394.96

Hospital Charge Code	60627405
Hospital Revenue Code	636
Min. Negotiated Rate	$59.24
Max. Negotiated Rate	$197.48
Rate for Payer: Aetna Commercial	$118.49
Rate for Payer: Aetna Medicare Advantage	$118.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.71
Rate for Payer: Cigna Commercial	$197.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.58
Rate for Payer: Qualcare PPO/HMO/WC	$59.24

PLIERS BENDING 2.7/3.5MM PLATE

Facility

$6,550.80

Hospital Charge Code	270626577
Hospital Revenue Code	272
Min. Negotiated Rate	$982.62
Max. Negotiated Rate	$982.62
Rate for Payer: Qualcare PPO/HMO/WC	$982.62

PLIERS BENDING 2.7/3.5MM PLATE

Facility

$6,550.80

Hospital Charge Code	270626577
Hospital Revenue Code	272
Min. Negotiated Rate	$851.60
Max. Negotiated Rate	$3,275.40
Rate for Payer: Aetna Commercial	$1,965.24
Rate for Payer: Aetna Medicare Advantage	$1,965.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,670.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,670.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,670.45
Rate for Payer: Cigna Commercial	$3,275.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$851.60
Rate for Payer: Oxford Commercial	$3,275.40
Rate for Payer: Qualcare PPO/HMO/WC	$982.62
Rate for Payer: UnitedHealthcare Commercial	$3,275.40

PLIERS BND 2.7/3.5MM RCN PLATE

Facility

$4,887.00

Hospital Charge Code	270676250
Hospital Revenue Code	272
Min. Negotiated Rate	$635.31
Max. Negotiated Rate	$2,443.50
Rate for Payer: Aetna Commercial	$1,466.10
Rate for Payer: Aetna Medicare Advantage	$1,466.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,246.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,246.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,246.18
Rate for Payer: Cigna Commercial	$2,443.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.31
Rate for Payer: Oxford Commercial	$2,443.50
Rate for Payer: Qualcare PPO/HMO/WC	$733.05
Rate for Payer: UnitedHealthcare Commercial	$2,443.50

PLIERS BND 2.7/3.5MM RCN PLATE

Facility

$4,887.00

Hospital Charge Code	270676250
Hospital Revenue Code	272
Min. Negotiated Rate	$733.05
Max. Negotiated Rate	$733.05
Rate for Payer: Qualcare PPO/HMO/WC	$733.05

PLIERS WIRE BENDING 155mm

Facility

$2,178.45

Hospital Charge Code	270614778
Hospital Revenue Code	272
Min. Negotiated Rate	$326.77
Max. Negotiated Rate	$326.77
Rate for Payer: Qualcare PPO/HMO/WC	$326.77

PLIERS WIRE BENDING 155mm

Facility

$2,178.45

Hospital Charge Code	270614778
Hospital Revenue Code	272
Min. Negotiated Rate	$283.20
Max. Negotiated Rate	$1,089.22
Rate for Payer: Aetna Commercial	$653.53
Rate for Payer: Aetna Medicare Advantage	$653.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.50
Rate for Payer: Cigna Commercial	$1,089.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.20
Rate for Payer: Oxford Commercial	$1,089.22
Rate for Payer: Qualcare PPO/HMO/WC	$326.77
Rate for Payer: UnitedHealthcare Commercial	$1,089.22

PLIER UNIVERAL BENDING

Facility

$1,995.55

Hospital Charge Code	270680934
Hospital Revenue Code	272
Min. Negotiated Rate	$259.42
Max. Negotiated Rate	$997.77
Rate for Payer: Aetna Commercial	$598.66
Rate for Payer: Aetna Medicare Advantage	$598.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.87
Rate for Payer: Cigna Commercial	$997.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.42
Rate for Payer: Oxford Commercial	$997.77
Rate for Payer: Qualcare PPO/HMO/WC	$299.33
Rate for Payer: UnitedHealthcare Commercial	$997.77

PLIER UNIVERAL BENDING

Facility

$1,995.55

Hospital Charge Code	270680934
Hospital Revenue Code	272
Min. Negotiated Rate	$299.33
Max. Negotiated Rate	$299.33
Rate for Payer: Qualcare PPO/HMO/WC	$299.33

PLIF LIGHT

Facility

$3,260.00

Hospital Charge Code	270658005
Hospital Revenue Code	278
Min. Negotiated Rate	$489.00
Max. Negotiated Rate	$1,630.00
Rate for Payer: Aetna Commercial	$978.00
Rate for Payer: Aetna Medicare Advantage	$978.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$831.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$831.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$652.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$831.30
Rate for Payer: Cigna Commercial	$1,630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$788.92
Rate for Payer: Qualcare PPO/HMO/WC	$489.00

PLIF LIGHT

Facility

$3,260.00

Hospital Charge Code	270658005
Hospital Revenue Code	278
Min. Negotiated Rate	$489.00
Max. Negotiated Rate	$788.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$652.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$788.92
Rate for Payer: Qualcare PPO/HMO/WC	$489.00

PLI KIT PRELUDE SNAP 7FR

Facility

$325.00

Hospital Charge Code	270701742
Hospital Revenue Code	440
Min. Negotiated Rate	$42.25
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$97.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$686.00

PLI KIT PRELUDE SNAP 7FR

Facility

$325.00

Hospital Charge Code	270701742
Hospital Revenue Code	440
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

PLI KIT SSL7 SAFESHEATH 9FR 2

Facility

$365.00

Hospital Charge Code	270690420
Hospital Revenue Code	272
Min. Negotiated Rate	$47.45
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$109.50
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.45
Rate for Payer: Oxford Commercial	$182.50
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$182.50

PLI KIT SSL7 SAFESHEATH 9FR 2

Facility

$365.00

Hospital Charge Code	270690420
Hospital Revenue Code	272
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$54.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.75

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47534
Hospital Charge Code	2250438
Hospital Revenue Code	361
Min. Negotiated Rate	$1,924.10
Max. Negotiated Rate	$1,924.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10

PLMT BILIARY DRAINAGE CATH

Facility

$17,259.20

Service Code	HCPCS 47534
Hospital Charge Code	321047534
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47534
Hospital Charge Code	7411563
Hospital Revenue Code	361
Min. Negotiated Rate	$1,924.10
Max. Negotiated Rate	$1,924.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10

PLMT BILIARY DRAINAGE CATH

Facility

$11,644.64

Service Code	HCPCS 47533
Hospital Charge Code	1600000299
Hospital Revenue Code	360
Min. Negotiated Rate	$1,513.80
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$3,493.39
Rate for Payer: Aetna Medicare Advantage	$3,493.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,969.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,969.38
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	$2,969.38
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,513.80
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,746.70
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$11,644.64

Service Code	HCPCS 47533
Hospital Charge Code	1600000299
Hospital Revenue Code	360
Min. Negotiated Rate	$1,746.70
Max. Negotiated Rate	$1,746.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,746.70

PLMT BILIARY DRAINAGE CATH

Facility

$17,259.20

Service Code	HCPCS 47534
Hospital Charge Code	2600221
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47533
Hospital Charge Code	2011564
Hospital Revenue Code	361
Min. Negotiated Rate	$1,667.55
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$3,848.19
Rate for Payer: Aetna Medicare Advantage	$3,848.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,270.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,270.96
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	$3,270.96
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,667.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

Know your out-of-pocket cost for care.

All Charges