Heights University Hospital

All Charges

Charge

Type

Setting

Price

RACK WECK 18.0

Facility

$588.55

Hospital Charge Code	270666098
Hospital Revenue Code	270
Min. Negotiated Rate	$88.28
Max. Negotiated Rate	$88.28
Rate for Payer: Qualcare PPO/HMO/WC	$88.28

RACK WECK 18.0

Facility

$588.55

Hospital Charge Code	270666098
Hospital Revenue Code	270
Min. Negotiated Rate	$76.51
Max. Negotiated Rate	$294.27
Rate for Payer: Aetna Commercial	$176.56
Rate for Payer: Aetna Medicare Advantage	$176.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.08
Rate for Payer: Cigna Commercial	$294.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.51
Rate for Payer: Oxford Commercial	$294.27
Rate for Payer: Qualcare PPO/HMO/WC	$88.28
Rate for Payer: UnitedHealthcare Commercial	$294.27

RADENOID BLADE

Facility

$220.00

Hospital Charge Code	270337857
Hospital Revenue Code	272
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.60
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$110.00

RADENOID BLADE

Facility

$220.00

Hospital Charge Code	270337857
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

RAD EXC WRIST BURSA/FARM TEND

Facility

$6,353.84

Service Code	HCPCS 25115
Hospital Charge Code	16000422
Hospital Revenue Code	360
Min. Negotiated Rate	$953.08
Max. Negotiated Rate	$953.08
Rate for Payer: Qualcare PPO/HMO/WC	$953.08

RAD EXC WRIST BURSA/FARM TEND

Facility

$6,353.84

Service Code	HCPCS 25115
Hospital Charge Code	16000422
Hospital Revenue Code	360
Min. Negotiated Rate	$826.00
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$1,906.15
Rate for Payer: Aetna Medicare Advantage	$1,906.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,620.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,620.23
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	$1,620.23
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.00
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$953.08
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RADIAL COMPRESSOR

Facility

$135.00

Hospital Charge Code	2709002916
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

RADIAL COMPRESSOR

Facility

$135.00

Hospital Charge Code	2709002916
Hospital Revenue Code	272
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$67.50

RADIAL HEAD 19X5.5MM STM .9

Facility

$17,703.15

Service Code	HCPCS C1776
Hospital Charge Code	270696904
Hospital Revenue Code	278
Min. Negotiated Rate	$2,655.47
Max. Negotiated Rate	$4,284.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,540.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,284.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,655.47

RADIAL HEAD 19X5.5MM STM .9

Facility

$17,703.15

Service Code	HCPCS C1776
Hospital Charge Code	270696904
Hospital Revenue Code	278
Min. Negotiated Rate	$2,655.47
Max. Negotiated Rate	$8,851.58
Rate for Payer: Aetna Commercial	$5,310.94
Rate for Payer: Aetna Medicare Advantage	$5,310.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,540.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,514.30
Rate for Payer: Cigna Commercial	$8,851.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,284.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,655.47

RADIAL HEAD LOCK SCREW 20MM

Facility

$11,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270680785
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$5,750.00
Rate for Payer: Aetna Commercial	$3,450.00
Rate for Payer: Aetna Medicare Advantage	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,932.50
Rate for Payer: Cigna Commercial	$5,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

RADIAL HEAD LOCK SCREW 20MM

Facility

$11,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270680785
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$2,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

RADIAL HEAD POLYMER 24MM

Facility

$12,045.00

Service Code	HCPCS C1776
Hospital Charge Code	270695661
Hospital Revenue Code	278
Min. Negotiated Rate	$1,806.75
Max. Negotiated Rate	$6,022.50
Rate for Payer: Aetna Commercial	$3,613.50
Rate for Payer: Aetna Medicare Advantage	$3,613.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,071.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,071.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,071.47
Rate for Payer: Cigna Commercial	$6,022.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,914.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,806.75

RADIAL HEAD POLYMER 24MM

Facility

$12,045.00

Service Code	HCPCS C1776
Hospital Charge Code	270695661
Hospital Revenue Code	278
Min. Negotiated Rate	$1,806.75
Max. Negotiated Rate	$2,914.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,409.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,914.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,806.75

RADIAL HEAD PROSTHESIS

Facility

$20,750.00

Hospital Charge Code	270663135
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$10,375.00
Rate for Payer: Aetna Commercial	$6,225.00
Rate for Payer: Aetna Medicare Advantage	$6,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,291.25
Rate for Payer: Cigna Commercial	$10,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

RADIAL HEAD PROSTHESIS

Facility

$20,750.00

Hospital Charge Code	270663135
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$5,021.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

RADIAL JAW 160CM FORCEP

Facility

$46.25

Hospital Charge Code	270653857
Hospital Revenue Code	272
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$6.94
Rate for Payer: Qualcare PPO/HMO/WC	$6.94

RADIAL JAW 160CM FORCEP

Facility

$46.25

Hospital Charge Code	270653857
Hospital Revenue Code	272
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$23.12
Rate for Payer: Aetna Commercial	$13.88
Rate for Payer: Aetna Medicare Advantage	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.79
Rate for Payer: Cigna Commercial	$23.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.01
Rate for Payer: Oxford Commercial	$23.12
Rate for Payer: Qualcare PPO/HMO/WC	$6.94
Rate for Payer: UnitedHealthcare Commercial	$23.12

RADIAL JAW HOT BIOPSY

Facility

$140.00

Hospital Charge Code	270654280
Hospital Revenue Code	270
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$70.00
Rate for Payer: Aetna Commercial	$42.00
Rate for Payer: Aetna Medicare Advantage	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.70
Rate for Payer: Cigna Commercial	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.20
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00
Rate for Payer: UnitedHealthcare Commercial	$70.00

RADIAL JAW HOT BIOPSY

Facility

$140.00

Hospital Charge Code	270654280
Hospital Revenue Code	270
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

RADIAL STYLOID PLT SID RAD 5H

Facility

$4,605.00

Hospital Charge Code	270702937
Hospital Revenue Code	278
Min. Negotiated Rate	$690.75
Max. Negotiated Rate	$1,114.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$921.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,114.41
Rate for Payer: Qualcare PPO/HMO/WC	$690.75

RADIAL STYLOID PLT SID RAD 5H

Facility

$4,605.00

Hospital Charge Code	270702937
Hospital Revenue Code	278
Min. Negotiated Rate	$690.75
Max. Negotiated Rate	$2,302.50
Rate for Payer: Aetna Commercial	$1,381.50
Rate for Payer: Aetna Medicare Advantage	$1,381.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,174.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,174.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$921.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,174.28
Rate for Payer: Cigna Commercial	$2,302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,114.41
Rate for Payer: Qualcare PPO/HMO/WC	$690.75

RADIALUCENT DILATOR ABBOT SPN

Facility

$295.00

Hospital Charge Code	270339026
Hospital Revenue Code	272
Min. Negotiated Rate	$38.35
Max. Negotiated Rate	$147.50
Rate for Payer: Aetna Commercial	$88.50
Rate for Payer: Aetna Medicare Advantage	$88.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.22
Rate for Payer: Cigna Commercial	$147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.35
Rate for Payer: Oxford Commercial	$147.50
Rate for Payer: Qualcare PPO/HMO/WC	$44.25
Rate for Payer: UnitedHealthcare Commercial	$147.50

RADIALUCENT DILATOR ABBOT SPN

Facility

$295.00

Hospital Charge Code	270339026
Hospital Revenue Code	272
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$44.25
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

RADIATION PHYSICS CONSULT

Facility

$711.65

Service Code	HCPCS 77370
Hospital Charge Code	85000660
Hospital Revenue Code	333
Min. Negotiated Rate	$92.51
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$213.50
Rate for Payer: Aetna Medicare Advantage	$213.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.47
Rate for Payer: Cigna Commercial	$320.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.51
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$106.75
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

Know your out-of-pocket cost for care.

All Charges