Heights University Hospital

All Charges

Charge

Type

Setting

Price

PRECEPT SCREW SHANK, 6.5x50MM

Facility

$4,865.00

Hospital Charge Code	270665930
Hospital Revenue Code	278
Min. Negotiated Rate	$729.75
Max. Negotiated Rate	$2,432.50
Rate for Payer: Aetna Commercial	$1,459.50
Rate for Payer: Aetna Medicare Advantage	$1,459.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,240.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,240.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,240.58
Rate for Payer: Cigna Commercial	$2,432.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.33
Rate for Payer: Qualcare PPO/HMO/WC	$729.75

PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC

Facility

$54,452.31

Service Code	MSDRG 067
Min. Negotiated Rate	$16,027.31
Max. Negotiated Rate	$54,452.31
Rate for Payer: Aetna Commercial	$49,524.39
Rate for Payer: Aetna Medicare Advantage	$16,027.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,150.77
Rate for Payer: Cigna Medicare Advantage	$18,150.77
Rate for Payer: Clover Medicare Advantage	$17,243.23
Rate for Payer: EmblemHealth Commercial	$54,452.31
Rate for Payer: Humana Medicare Advantage	$18,695.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,150.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,239.82
Rate for Payer: Wellcare Medicare Advantage	$18,150.77

PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC

Facility

$36,912.06

Service Code	MSDRG 068
Min. Negotiated Rate	$9,432.84
Max. Negotiated Rate	$36,912.06
Rate for Payer: Aetna Commercial	$29,147.48
Rate for Payer: Aetna Medicare Advantage	$9,432.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,304.02
Rate for Payer: Cigna Medicare Advantage	$12,304.02
Rate for Payer: Clover Medicare Advantage	$11,688.82
Rate for Payer: EmblemHealth Commercial	$36,912.06
Rate for Payer: Humana Medicare Advantage	$12,673.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,304.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,042.26
Rate for Payer: Wellcare Medicare Advantage	$12,304.02

PREC G GLUCOSE TEST STRIP

Facility

$181.00

Hospital Charge Code	60635199
Hospital Revenue Code	250
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$27.15
Rate for Payer: Qualcare PPO/HMO/WC	$27.15

PREC G GLUCOSE TEST STRIP

Facility

$181.00

Hospital Charge Code	60635199
Hospital Revenue Code	250
Min. Negotiated Rate	$23.53
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) PPO	$46.16
Rate for Payer: Cigna Commercial	$90.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.53
Rate for Payer: Oxford Commercial	$90.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.15
Rate for Payer: UnitedHealthcare Commercial	$90.50

PRECHAMBER PROGAV W/SA10

Facility

$15,112.85

Hospital Charge Code	270686380
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$3,657.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA10

Facility

$15,112.85

Hospital Charge Code	270686382
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$3,657.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA10

Facility

$15,112.85

Hospital Charge Code	270686382
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$7,556.43
Rate for Payer: Aetna Commercial	$4,533.85
Rate for Payer: Aetna Medicare Advantage	$4,533.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,853.78
Rate for Payer: Cigna Commercial	$7,556.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA10

Facility

$15,112.85

Hospital Charge Code	270686380
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$7,556.43
Rate for Payer: Aetna Commercial	$4,533.85
Rate for Payer: Aetna Medicare Advantage	$4,533.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,853.78
Rate for Payer: Cigna Commercial	$7,556.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA20

Facility

$15,112.85

Hospital Charge Code	270686383
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$7,556.43
Rate for Payer: Aetna Commercial	$4,533.85
Rate for Payer: Aetna Medicare Advantage	$4,533.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,853.78
Rate for Payer: Cigna Commercial	$7,556.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA20

Facility

$15,112.85

Hospital Charge Code	270686383
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$3,657.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA20

Facility

$15,112.85

Hospital Charge Code	270686381
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$3,657.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECHAMBER PROGAV W/SA20

Facility

$15,112.85

Hospital Charge Code	270686381
Hospital Revenue Code	278
Min. Negotiated Rate	$2,266.93
Max. Negotiated Rate	$7,556.43
Rate for Payer: Aetna Commercial	$4,533.85
Rate for Payer: Aetna Medicare Advantage	$4,533.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,022.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,853.78
Rate for Payer: Cigna Commercial	$7,556.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,657.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,266.93

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$3,050.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$3,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$1,476.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256S
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$3,050.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$3,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256N
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$3,050.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$3,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256N
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$1,476.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE PRO RX US CAROT STENT

Facility

$6,100.00

Service Code	HCPCS C1876
Hospital Charge Code	270684256S
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$1,476.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,476.20
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PRECISE STENT 8MMX30MM

Facility

$10,590.00

Service Code	HCPCS C1876
Hospital Charge Code	270682958
Hospital Revenue Code	278
Min. Negotiated Rate	$1,588.50
Max. Negotiated Rate	$2,562.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,118.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,562.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,588.50

PRECISE STENT 8MMX30MM

Facility

$10,590.00

Service Code	HCPCS C1876
Hospital Charge Code	270682958
Hospital Revenue Code	278
Min. Negotiated Rate	$1,588.50
Max. Negotiated Rate	$5,295.00
Rate for Payer: Aetna Commercial	$3,177.00
Rate for Payer: Aetna Medicare Advantage	$3,177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,700.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,700.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,118.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,700.45
Rate for Payer: Cigna Commercial	$5,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,562.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,588.50

PRECISION SPINE DEKOTA CAGE 14

Facility

$32,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270697210
Hospital Revenue Code	278
Min. Negotiated Rate	$4,837.50
Max. Negotiated Rate	$7,804.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,804.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,837.50

PRECISION SPINE DEKOTA CAGE 14

Facility

$32,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270697210
Hospital Revenue Code	278
Min. Negotiated Rate	$4,837.50
Max. Negotiated Rate	$16,125.00
Rate for Payer: Aetna Commercial	$9,675.00
Rate for Payer: Aetna Medicare Advantage	$9,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,223.75
Rate for Payer: Cigna Commercial	$16,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,804.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,837.50

PRED FORTE 1% OPHTH/15ML

Facility

$152.00

Hospital Charge Code	60633697
Hospital Revenue Code	250
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$76.00

PRED FORTE 1% OPHTH/15ML

Facility

$152.00

Hospital Charge Code	60633697
Hospital Revenue Code	250
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

Know your out-of-pocket cost for care.

All Charges