Heights University Hospital

All Charges

Charge

Type

Setting

Price

QUINUPRISTIN/DALFOP INJ 500MG

Facility

$824.85

Hospital Charge Code	60628925
Hospital Revenue Code	250
Min. Negotiated Rate	$107.23
Max. Negotiated Rate	$412.43
Rate for Payer: Aetna Commercial	$247.46
Rate for Payer: Aetna Medicare Advantage	$247.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.34
Rate for Payer: Cigna Commercial	$412.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.23
Rate for Payer: Oxford Commercial	$412.43
Rate for Payer: Qualcare PPO/HMO/WC	$123.73
Rate for Payer: UnitedHealthcare Commercial	$412.43

R3ACT SYNDS IMP 4.2X42MM, 14MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270701419
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

R3ACT SYNDS IMP 4.2X42MM, 14MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270701419
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

R3CON LOCKING PLATE SCREW 3.5X

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701712
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

R3CON LOCKING PLATE SCREW 3.5X

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701712
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$198.00
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

R3CON N-LOCK SCREW 2.7X22MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270700333
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$198.00
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

R3CON N-LOCK SCREW 2.7X22MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270700333
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

R3ECON NLKING SCREW 2.7X24MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701417
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$198.00
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

R3ECON NLKING SCREW 2.7X24MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701417
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

R3FLEX IMPLANT W/INST, SK

Facility

$6,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270701516
Hospital Revenue Code	278
Min. Negotiated Rate	$1,031.25
Max. Negotiated Rate	$3,437.50
Rate for Payer: Aetna Commercial	$2,062.50
Rate for Payer: Aetna Medicare Advantage	$2,062.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,753.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,753.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,753.12
Rate for Payer: Cigna Commercial	$3,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.25

R3FLEX IMPLANT W/INST, SK

Facility

$6,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270701516
Hospital Revenue Code	278
Min. Negotiated Rate	$1,031.25
Max. Negotiated Rate	$1,663.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.25

RAABE GUIDING SHEATH 10FR 80CM

Facility

$530.00

Hospital Charge Code	270658518
Hospital Revenue Code	278
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$128.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.26
Rate for Payer: Qualcare PPO/HMO/WC	$79.50

RAABE GUIDING SHEATH 10FR 80CM

Facility

$530.00

Hospital Charge Code	270658518
Hospital Revenue Code	278
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$265.00
Rate for Payer: Aetna Commercial	$159.00
Rate for Payer: Aetna Medicare Advantage	$159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.15
Rate for Payer: Cigna Commercial	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.26
Rate for Payer: Qualcare PPO/HMO/WC	$79.50

RAABE GUIDING SHEATH 6FR 55cm

Facility

$220.50

Hospital Charge Code	2709003590
Hospital Revenue Code	272
Min. Negotiated Rate	$28.66
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$66.15
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.66
Rate for Payer: Oxford Commercial	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$33.08
Rate for Payer: UnitedHealthcare Commercial	$110.25

RAABE GUIDING SHEATH 6FR 55cm

Facility

$220.50

Hospital Charge Code	2709003590
Hospital Revenue Code	272
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$33.08
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

RAABE GUIDING SHEATH 6FR 70MM

Facility

$220.50

Hospital Charge Code	2709003239
Hospital Revenue Code	272
Min. Negotiated Rate	$28.66
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$66.15
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.66
Rate for Payer: Oxford Commercial	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$33.08
Rate for Payer: UnitedHealthcare Commercial	$110.25

RAABE GUIDING SHEATH 6FR 70MM

Facility

$220.50

Hospital Charge Code	2709003239
Hospital Revenue Code	272
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$33.08
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

RAABE GUIDING SHEATH 6FR 90MM

Facility

$287.00

Hospital Charge Code	2709003582
Hospital Revenue Code	272
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$43.05
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

RAABE GUIDING SHEATH 6FR 90MM

Facility

$287.00

Hospital Charge Code	2709003582
Hospital Revenue Code	272
Min. Negotiated Rate	$37.31
Max. Negotiated Rate	$143.50
Rate for Payer: Aetna Commercial	$86.10
Rate for Payer: Aetna Medicare Advantage	$86.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.19
Rate for Payer: Cigna Commercial	$143.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.31
Rate for Payer: Oxford Commercial	$143.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.05
Rate for Payer: UnitedHealthcare Commercial	$143.50

RAABE GUIDING SHEATH 7FR 55cm

Facility

$277.50

Hospital Charge Code	2709003589
Hospital Revenue Code	272
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$138.75
Rate for Payer: Aetna Commercial	$83.25
Rate for Payer: Aetna Medicare Advantage	$83.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.76
Rate for Payer: Cigna Commercial	$138.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.08
Rate for Payer: Oxford Commercial	$138.75
Rate for Payer: Qualcare PPO/HMO/WC	$41.62
Rate for Payer: UnitedHealthcare Commercial	$138.75

RAABE GUIDING SHEATH 7FR 55cm

Facility

$277.50

Hospital Charge Code	2709003589
Hospital Revenue Code	272
Min. Negotiated Rate	$41.62
Max. Negotiated Rate	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$41.62

RAABE GUIDING SHEATH 7FR 70CM

Facility

$220.50

Hospital Charge Code	2709003238
Hospital Revenue Code	272
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$33.08
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

RAABE GUIDING SHEATH 7FR 70CM

Facility

$220.50

Hospital Charge Code	2709003238
Hospital Revenue Code	272
Min. Negotiated Rate	$28.66
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$66.15
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.66
Rate for Payer: Oxford Commercial	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$33.08
Rate for Payer: UnitedHealthcare Commercial	$110.25

RAABE GUIDING SHEATH 9FR 70CM

Facility

$375.00

Hospital Charge Code	270658314
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

RAABE GUIDING SHEATH 9FR 70CM

Facility

$375.00

Hospital Charge Code	270658314
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

Know your out-of-pocket cost for care.

All Charges