Heights University Hospital

All Charges

Charge

Type

Setting

Price

PORT SINGLE SITE

Facility

$750.00

Hospital Charge Code	270677930
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

PORT SINGLE SITE

Facility

$750.00

Hospital Charge Code	270677930
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PORT SINGLE SITE 8.5

Facility

$750.00

Hospital Charge Code	270664270
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

PORT SINGLE SITE 8.5

Facility

$750.00

Hospital Charge Code	270664270
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PORT VORTEX P12155K

Facility

$1,750.00

Hospital Charge Code	270639110V
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

PORT VORTEX P12155K

Facility

$1,750.00

Hospital Charge Code	270639110V
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

POSITIONER HEAD ADULT

Facility

$10.14

Hospital Charge Code	270665497
Hospital Revenue Code	270
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$1.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.52

POSITIONER HEAD ADULT

Facility

$10.14

Hospital Charge Code	270665497
Hospital Revenue Code	270
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$5.07
Rate for Payer: Aetna Commercial	$3.04
Rate for Payer: Aetna Medicare Advantage	$3.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.59
Rate for Payer: Cigna Commercial	$5.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.32
Rate for Payer: Oxford Commercial	$5.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.52
Rate for Payer: UnitedHealthcare Commercial	$5.07

POSITIONER HIP LONG PEG

Facility

$2,740.00

Hospital Charge Code	270677974
Hospital Revenue Code	272
Min. Negotiated Rate	$356.20
Max. Negotiated Rate	$1,370.00
Rate for Payer: Aetna Commercial	$822.00
Rate for Payer: Aetna Medicare Advantage	$822.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$698.70
Rate for Payer: Cigna Commercial	$1,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.20
Rate for Payer: Oxford Commercial	$1,370.00
Rate for Payer: Qualcare PPO/HMO/WC	$411.00
Rate for Payer: UnitedHealthcare Commercial	$1,370.00

POSITIONER HIP LONG PEG

Facility

$2,740.00

Hospital Charge Code	270677974
Hospital Revenue Code	272
Min. Negotiated Rate	$411.00
Max. Negotiated Rate	$411.00
Rate for Payer: Qualcare PPO/HMO/WC	$411.00

POSITIONER HIP SHORT PEG

Facility

$2,740.00

Hospital Charge Code	270677975
Hospital Revenue Code	272
Min. Negotiated Rate	$411.00
Max. Negotiated Rate	$411.00
Rate for Payer: Qualcare PPO/HMO/WC	$411.00

POSITIONER HIP SHORT PEG

Facility

$2,740.00

Hospital Charge Code	270677975
Hospital Revenue Code	272
Min. Negotiated Rate	$356.20
Max. Negotiated Rate	$1,370.00
Rate for Payer: Aetna Commercial	$822.00
Rate for Payer: Aetna Medicare Advantage	$822.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$698.70
Rate for Payer: Cigna Commercial	$1,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.20
Rate for Payer: Oxford Commercial	$1,370.00
Rate for Payer: Qualcare PPO/HMO/WC	$411.00
Rate for Payer: UnitedHealthcare Commercial	$1,370.00

POSITIONER LATERAL IMP *****

Facility

$66.00

Hospital Charge Code	1606516
Hospital Revenue Code	272
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$33.00

POSITIONER LATERAL IMP *****

Facility

$66.00

Hospital Charge Code	1606516
Hospital Revenue Code	272
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

POSITIONER LG RECTANGLE 25

Facility

$497.50

Hospital Charge Code	270646189
Hospital Revenue Code	271
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$74.62
Rate for Payer: Qualcare PPO/HMO/WC	$74.62

POSITIONER LG RECTANGLE 25

Facility

$497.50

Hospital Charge Code	270646189
Hospital Revenue Code	271
Min. Negotiated Rate	$64.67
Max. Negotiated Rate	$248.75
Rate for Payer: Aetna Commercial	$149.25
Rate for Payer: Aetna Medicare Advantage	$149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.86
Rate for Payer: Cigna Commercial	$248.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.67
Rate for Payer: Oxford Commercial	$248.75
Rate for Payer: Qualcare PPO/HMO/WC	$74.62
Rate for Payer: UnitedHealthcare Commercial	$248.75

POSITIONER MMD KNEE 193

Facility

$1,237.65

Hospital Charge Code	270623919
Hospital Revenue Code	272
Min. Negotiated Rate	$160.89
Max. Negotiated Rate	$618.83
Rate for Payer: Aetna Commercial	$371.30
Rate for Payer: Aetna Medicare Advantage	$371.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.60
Rate for Payer: Cigna Commercial	$618.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.89
Rate for Payer: Oxford Commercial	$618.83
Rate for Payer: Qualcare PPO/HMO/WC	$185.65
Rate for Payer: UnitedHealthcare Commercial	$618.83

POSITIONER MMD KNEE 193

Facility

$1,237.65

Hospital Charge Code	270623919
Hospital Revenue Code	272
Min. Negotiated Rate	$185.65
Max. Negotiated Rate	$185.65
Rate for Payer: Qualcare PPO/HMO/WC	$185.65

POSITIONER PIGAZZI KIT

Facility

$727.40

Hospital Charge Code	270677558
Hospital Revenue Code	272
Min. Negotiated Rate	$109.11
Max. Negotiated Rate	$109.11
Rate for Payer: Qualcare PPO/HMO/WC	$109.11

POSITIONER PIGAZZI KIT

Facility

$727.40

Hospital Charge Code	270677558
Hospital Revenue Code	272
Min. Negotiated Rate	$94.56
Max. Negotiated Rate	$363.70
Rate for Payer: Aetna Commercial	$218.22
Rate for Payer: Aetna Medicare Advantage	$218.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.49
Rate for Payer: Cigna Commercial	$363.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.56
Rate for Payer: Oxford Commercial	$363.70
Rate for Payer: Qualcare PPO/HMO/WC	$109.11
Rate for Payer: UnitedHealthcare Commercial	$363.70

POSITIONER SALVATION LEG

Facility

$1,280.00

Hospital Charge Code	270684462
Hospital Revenue Code	272
Min. Negotiated Rate	$192.00
Max. Negotiated Rate	$192.00
Rate for Payer: Qualcare PPO/HMO/WC	$192.00

POSITIONER SALVATION LEG

Facility

$1,280.00

Hospital Charge Code	270684462
Hospital Revenue Code	272
Min. Negotiated Rate	$166.40
Max. Negotiated Rate	$640.00
Rate for Payer: Aetna Commercial	$384.00
Rate for Payer: Aetna Medicare Advantage	$384.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.40
Rate for Payer: Cigna Commercial	$640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.40
Rate for Payer: Oxford Commercial	$640.00
Rate for Payer: Qualcare PPO/HMO/WC	$192.00
Rate for Payer: UnitedHealthcare Commercial	$640.00

POSITIONER SLT KIT

Facility

$358.75

Hospital Charge Code	270675045
Hospital Revenue Code	272
Min. Negotiated Rate	$46.64
Max. Negotiated Rate	$179.38
Rate for Payer: Aetna Commercial	$107.62
Rate for Payer: Aetna Medicare Advantage	$107.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.48
Rate for Payer: Cigna Commercial	$179.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.64
Rate for Payer: Oxford Commercial	$179.38
Rate for Payer: Qualcare PPO/HMO/WC	$53.81
Rate for Payer: UnitedHealthcare Commercial	$179.38

POSITIONER SLT KIT

Facility

$358.75

Hospital Charge Code	270675045
Hospital Revenue Code	272
Min. Negotiated Rate	$53.81
Max. Negotiated Rate	$53.81
Rate for Payer: Qualcare PPO/HMO/WC	$53.81

POSITIONER SPIDER LIMB KIT

Facility

$466.80

Hospital Charge Code	270678171
Hospital Revenue Code	272
Min. Negotiated Rate	$60.68
Max. Negotiated Rate	$233.40
Rate for Payer: Aetna Commercial	$140.04
Rate for Payer: Aetna Medicare Advantage	$140.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.03
Rate for Payer: Cigna Commercial	$233.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.68
Rate for Payer: Oxford Commercial	$233.40
Rate for Payer: Qualcare PPO/HMO/WC	$70.02
Rate for Payer: UnitedHealthcare Commercial	$233.40

Know your out-of-pocket cost for care.

All Charges