Heights University Hospital

All Charges

Charge

Type

Setting

Price

PUMP SOLUSET CLAVE

Facility

$40.91

Hospital Charge Code	270650216
Hospital Revenue Code	270
Min. Negotiated Rate	$5.32
Max. Negotiated Rate	$20.45
Rate for Payer: Aetna Commercial	$12.27
Rate for Payer: Aetna Medicare Advantage	$12.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.43
Rate for Payer: Cigna Commercial	$20.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.32
Rate for Payer: Oxford Commercial	$20.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.14
Rate for Payer: UnitedHealthcare Commercial	$20.45

PUMP SUMP AMPRO DISP STERILE

Facility

$417.15

Hospital Charge Code	270644908
Hospital Revenue Code	272
Min. Negotiated Rate	$62.57
Max. Negotiated Rate	$62.57
Rate for Payer: Qualcare PPO/HMO/WC	$62.57

PUMP SUMP AMPRO DISP STERILE

Facility

$417.15

Hospital Charge Code	270644908
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$208.57
Rate for Payer: Aetna Commercial	$125.14
Rate for Payer: Aetna Medicare Advantage	$125.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.37
Rate for Payer: Cigna Commercial	$208.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.23
Rate for Payer: Oxford Commercial	$208.57
Rate for Payer: Qualcare PPO/HMO/WC	$62.57
Rate for Payer: UnitedHealthcare Commercial	$208.57

PUMP SUPPLIES-BAG/CASSETTE***

Facility

$300.00

Service Code	HCPCS 99999
Hospital Charge Code	3400272
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

PUMP SUPPLIES-BAG/CASSETTE***

Facility

$300.00

Service Code	HCPCS 99999
Hospital Charge Code	3400272
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$150.00

PUMP SYNCHROMED II

Facility

$56,000.00

Service Code	HCPCS C1772
Hospital Charge Code	270660619
Hospital Revenue Code	278
Min. Negotiated Rate	$8,400.00
Max. Negotiated Rate	$13,552.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,552.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,400.00

PUMP SYNCHROMED II

Facility

$56,000.00

Service Code	HCPCS C1772
Hospital Charge Code	270660619
Hospital Revenue Code	278
Min. Negotiated Rate	$8,400.00
Max. Negotiated Rate	$28,000.00
Rate for Payer: Aetna Commercial	$16,800.00
Rate for Payer: Aetna Medicare Advantage	$16,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,280.00
Rate for Payer: Cigna Commercial	$28,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,552.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,400.00

PUMP SYNCHROMED II 863740

Facility

$53,072.00

Hospital Charge Code	270633446
Hospital Revenue Code	278
Min. Negotiated Rate	$7,960.80
Max. Negotiated Rate	$12,843.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,614.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,843.42
Rate for Payer: Qualcare PPO/HMO/WC	$7,960.80

PUMP SYNCHROMED II 863740

Facility

$53,072.00

Hospital Charge Code	270633446
Hospital Revenue Code	278
Min. Negotiated Rate	$7,960.80
Max. Negotiated Rate	$26,536.00
Rate for Payer: Aetna Commercial	$15,921.60
Rate for Payer: Aetna Medicare Advantage	$15,921.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,533.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,533.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,614.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,533.36
Rate for Payer: Cigna Commercial	$26,536.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,843.42
Rate for Payer: Qualcare PPO/HMO/WC	$7,960.80

PUMP SYNCHROMED INFUS P

Facility

$41,425.00

Hospital Charge Code	270606846
Hospital Revenue Code	278
Min. Negotiated Rate	$6,213.75
Max. Negotiated Rate	$10,024.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,024.85
Rate for Payer: Qualcare PPO/HMO/WC	$6,213.75

PUMP SYNCHROMED INFUS P

Facility

$41,425.00

Hospital Charge Code	270606846
Hospital Revenue Code	278
Min. Negotiated Rate	$6,213.75
Max. Negotiated Rate	$20,712.50
Rate for Payer: Aetna Commercial	$12,427.50
Rate for Payer: Aetna Medicare Advantage	$12,427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,563.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,563.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,563.38
Rate for Payer: Cigna Commercial	$20,712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,024.85
Rate for Payer: Qualcare PPO/HMO/WC	$6,213.75

PUMP SYSTM CLLCTION HYGIENIKIT

Facility

$578.45

Hospital Charge Code	270662660
Hospital Revenue Code	270
Min. Negotiated Rate	$75.20
Max. Negotiated Rate	$289.23
Rate for Payer: Aetna Commercial	$173.53
Rate for Payer: Aetna Medicare Advantage	$173.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.50
Rate for Payer: Cigna Commercial	$289.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.20
Rate for Payer: Oxford Commercial	$289.23
Rate for Payer: Qualcare PPO/HMO/WC	$86.77
Rate for Payer: UnitedHealthcare Commercial	$289.23

PUMP SYSTM CLLCTION HYGIENIKIT

Facility

$578.45

Hospital Charge Code	270662660
Hospital Revenue Code	270
Min. Negotiated Rate	$86.77
Max. Negotiated Rate	$86.77
Rate for Payer: Qualcare PPO/HMO/WC	$86.77

PUMP TUBE SET ARTHROSCOPY

Facility

$287.70

Hospital Charge Code	270657504
Hospital Revenue Code	270
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$143.85
Rate for Payer: Aetna Commercial	$86.31
Rate for Payer: Aetna Medicare Advantage	$86.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.36
Rate for Payer: Cigna Commercial	$143.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.40
Rate for Payer: Oxford Commercial	$143.85
Rate for Payer: Qualcare PPO/HMO/WC	$43.16
Rate for Payer: UnitedHealthcare Commercial	$143.85

PUMP TUBE SET ARTHROSCOPY

Facility

$287.70

Hospital Charge Code	270657504
Hospital Revenue Code	270
Min. Negotiated Rate	$43.16
Max. Negotiated Rate	$43.16
Rate for Payer: Qualcare PPO/HMO/WC	$43.16

PUMP TUBING

Facility

$26.00

Service Code	HCPCS 99999
Hospital Charge Code	3400298
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$13.00
Rate for Payer: Aetna Commercial	$7.80
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$13.00

PUMP TUBING

Facility

$26.00

Service Code	HCPCS 99999
Hospital Charge Code	3400298
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.90

PUMP TUBING(CMG)

Facility

$63.00

Hospital Charge Code	270335626
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$18.90
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.19
Rate for Payer: Oxford Commercial	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$31.50

PUMP TUBING(CMG)

Facility

$63.00

Hospital Charge Code	270335626
Hospital Revenue Code	272
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

PUNCH BARRON CORNEA 8.75mm

Facility

$315.00

Hospital Charge Code	270667430
Hospital Revenue Code	272
Min. Negotiated Rate	$40.95
Max. Negotiated Rate	$157.50
Rate for Payer: Aetna Commercial	$94.50
Rate for Payer: Aetna Medicare Advantage	$94.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.33
Rate for Payer: Cigna Commercial	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.95
Rate for Payer: Oxford Commercial	$157.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.25
Rate for Payer: UnitedHealthcare Commercial	$157.50

PUNCH BARRON CORNEA 8.75mm

Facility

$315.00

Hospital Charge Code	270667430
Hospital Revenue Code	272
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$47.25
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

PUNCH BIG BITE 2.7MM STRAIGHT

Facility

$3,965.65

Hospital Charge Code	270665788
Hospital Revenue Code	270
Min. Negotiated Rate	$594.85
Max. Negotiated Rate	$594.85
Rate for Payer: Qualcare PPO/HMO/WC	$594.85

PUNCH BIG BITE 2.7MM STRAIGHT

Facility

$3,965.65

Hospital Charge Code	270665788
Hospital Revenue Code	270
Min. Negotiated Rate	$515.53
Max. Negotiated Rate	$1,982.83
Rate for Payer: Aetna Commercial	$1,189.69
Rate for Payer: Aetna Medicare Advantage	$1,189.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,011.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,011.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,011.24
Rate for Payer: Cigna Commercial	$1,982.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.53
Rate for Payer: Oxford Commercial	$1,982.83
Rate for Payer: Qualcare PPO/HMO/WC	$594.85
Rate for Payer: UnitedHealthcare Commercial	$1,982.83

PUNCH BIG BITE LEFT 3.4MM 30

Facility

$4,541.70

Hospital Charge Code	270665787
Hospital Revenue Code	270
Min. Negotiated Rate	$590.42
Max. Negotiated Rate	$2,270.85
Rate for Payer: Aetna Commercial	$1,362.51
Rate for Payer: Aetna Medicare Advantage	$1,362.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,158.13
Rate for Payer: Cigna Commercial	$2,270.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$590.42
Rate for Payer: Oxford Commercial	$2,270.85
Rate for Payer: Qualcare PPO/HMO/WC	$681.25
Rate for Payer: UnitedHealthcare Commercial	$2,270.85

PUNCH BIG BITE LEFT 3.4MM 30

Facility

$4,541.70

Hospital Charge Code	270665787
Hospital Revenue Code	270
Min. Negotiated Rate	$681.25
Max. Negotiated Rate	$681.25
Rate for Payer: Qualcare PPO/HMO/WC	$681.25

Know your out-of-pocket cost for care.

All Charges