Heights University Hospital

All Charges

Charge

Type

Setting

Price

RAPID RHINO 5.5 NON-INF

Facility

$155.00

Hospital Charge Code	270654032
Hospital Revenue Code	272
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$23.25
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

RAPID STREP A

Facility

$618.59

Service Code	HCPCS 87430
Hospital Charge Code	3036054
Hospital Revenue Code	306
Min. Negotiated Rate	$92.79
Max. Negotiated Rate	$92.79
Rate for Payer: Qualcare PPO/HMO/WC	$92.79

RAPID STREP A

Facility

$618.59

Service Code	HCPCS 87430
Hospital Charge Code	3036054
Hospital Revenue Code	306
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.46
Rate for Payer: Aetna Medicare Advantage	$16.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.59
Rate for Payer: Cigna Commercial	$16.81
Rate for Payer: Cigna Medicare Advantage	$8.40
Rate for Payer: Clover Medicare Advantage	$15.97
Rate for Payer: EmblemHealth Commercial	$50.43
Rate for Payer: Humana Medicare Advantage	$17.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.42
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.79
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.82
Rate for Payer: Wellcare Medicare Advantage	$16.81

RAP-PAC 1.5 7209217

Facility

$800.65

Hospital Charge Code	270635329
Hospital Revenue Code	272
Min. Negotiated Rate	$104.08
Max. Negotiated Rate	$400.32
Rate for Payer: Aetna Commercial	$240.19
Rate for Payer: Aetna Medicare Advantage	$240.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.17
Rate for Payer: Cigna Commercial	$400.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.08
Rate for Payer: Oxford Commercial	$400.32
Rate for Payer: Qualcare PPO/HMO/WC	$120.10
Rate for Payer: UnitedHealthcare Commercial	$400.32

RAP-PAC 1.5 7209217

Facility

$800.65

Hospital Charge Code	270635329
Hospital Revenue Code	272
Min. Negotiated Rate	$120.10
Max. Negotiated Rate	$120.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.10

RAP-RHINO STAMMBERGER FOAM DRE

Facility

$120.00

Hospital Charge Code	270339116
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

RAP-RHINO STAMMBERGER FOAM DRE

Facility

$120.00

Hospital Charge Code	270339116
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$36.00
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$60.00

RA-RIGHT ATRIUM

Facility

$2,000.00

Hospital Charge Code	270702433
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

RA-RIGHT ATRIUM

Facility

$2,000.00

Hospital Charge Code	270702433
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

RASP COLLATERAL LIGAMENT

Facility

$2,484.00

Hospital Charge Code	270692523
Hospital Revenue Code	272
Min. Negotiated Rate	$322.92
Max. Negotiated Rate	$1,242.00
Rate for Payer: Aetna Commercial	$745.20
Rate for Payer: Aetna Medicare Advantage	$745.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$633.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$633.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$633.42
Rate for Payer: Cigna Commercial	$1,242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.92
Rate for Payer: Oxford Commercial	$1,242.00
Rate for Payer: Qualcare PPO/HMO/WC	$372.60
Rate for Payer: UnitedHealthcare Commercial	$1,242.00

RASP COLLATERAL LIGAMENT

Facility

$2,484.00

Hospital Charge Code	270692523
Hospital Revenue Code	272
Min. Negotiated Rate	$372.60
Max. Negotiated Rate	$372.60
Rate for Payer: Qualcare PPO/HMO/WC	$372.60

RASP LARGE FOR PEN DRIVE

Facility

$616.00

Hospital Charge Code	270674683
Hospital Revenue Code	272
Min. Negotiated Rate	$80.08
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$184.80
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.08
Rate for Payer: Oxford Commercial	$308.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.40
Rate for Payer: UnitedHealthcare Commercial	$308.00

RASP LARGE FOR PEN DRIVE

Facility

$616.00

Hospital Charge Code	270674683
Hospital Revenue Code	272
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

RASP LG CROSSCUT F/PEN DRIVE

Facility

$616.00

Hospital Charge Code	270674681
Hospital Revenue Code	272
Min. Negotiated Rate	$80.08
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$184.80
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.08
Rate for Payer: Oxford Commercial	$308.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.40
Rate for Payer: UnitedHealthcare Commercial	$308.00

RASP LG CROSSCUT F/PEN DRIVE

Facility

$616.00

Hospital Charge Code	270674681
Hospital Revenue Code	272
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

RASP LG TEAR 7x12.7MM

Facility

$280.25

Hospital Charge Code	270675674
Hospital Revenue Code	272
Min. Negotiated Rate	$42.04
Max. Negotiated Rate	$42.04
Rate for Payer: Qualcare PPO/HMO/WC	$42.04

RASP LG TEAR 7x12.7MM

Facility

$280.25

Hospital Charge Code	270675674
Hospital Revenue Code	272
Min. Negotiated Rate	$36.43
Max. Negotiated Rate	$140.12
Rate for Payer: Aetna Commercial	$84.08
Rate for Payer: Aetna Medicare Advantage	$84.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.46
Rate for Payer: Cigna Commercial	$140.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.43
Rate for Payer: Oxford Commercial	$140.12
Rate for Payer: Qualcare PPO/HMO/WC	$42.04
Rate for Payer: UnitedHealthcare Commercial	$140.12

RASP MALTZ RASP DOWN CUTTING

Facility

$356.25

Hospital Charge Code	270688971
Hospital Revenue Code	272
Min. Negotiated Rate	$53.44
Max. Negotiated Rate	$53.44
Rate for Payer: Qualcare PPO/HMO/WC	$53.44

RASP MALTZ RASP DOWN CUTTING

Facility

$356.25

Hospital Charge Code	270688971
Hospital Revenue Code	272
Min. Negotiated Rate	$46.31
Max. Negotiated Rate	$178.12
Rate for Payer: Aetna Commercial	$106.88
Rate for Payer: Aetna Medicare Advantage	$106.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.84
Rate for Payer: Cigna Commercial	$178.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.31
Rate for Payer: Oxford Commercial	$178.12
Rate for Payer: Qualcare PPO/HMO/WC	$53.44
Rate for Payer: UnitedHealthcare Commercial	$178.12

RASP MICRO RCPRCT SML 5053-080

Facility

$360.00

Hospital Charge Code	270643474
Hospital Revenue Code	272
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$108.00
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.00
Rate for Payer: UnitedHealthcare Commercial	$180.00

RASP MICRO RCPRCT SML 5053-080

Facility

$360.00

Hospital Charge Code	270643474
Hospital Revenue Code	272
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

RASP SMALL FOR PEN DRIVE

Facility

$616.00

Hospital Charge Code	270674682
Hospital Revenue Code	272
Min. Negotiated Rate	$80.08
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$184.80
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.08
Rate for Payer: Oxford Commercial	$308.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.40
Rate for Payer: UnitedHealthcare Commercial	$308.00

RASP SMALL FOR PEN DRIVE

Facility

$616.00

Hospital Charge Code	270674682
Hospital Revenue Code	272
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

RASP SMALL TEAR 5x11

Facility

$280.25

Hospital Charge Code	270673035
Hospital Revenue Code	272
Min. Negotiated Rate	$36.43
Max. Negotiated Rate	$140.12
Rate for Payer: Aetna Commercial	$84.08
Rate for Payer: Aetna Medicare Advantage	$84.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.46
Rate for Payer: Cigna Commercial	$140.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.43
Rate for Payer: Oxford Commercial	$140.12
Rate for Payer: Qualcare PPO/HMO/WC	$42.04
Rate for Payer: UnitedHealthcare Commercial	$140.12

RASP SMALL TEAR 5x11

Facility

$280.25

Hospital Charge Code	270673035
Hospital Revenue Code	272
Min. Negotiated Rate	$42.04
Max. Negotiated Rate	$42.04
Rate for Payer: Qualcare PPO/HMO/WC	$42.04

Know your out-of-pocket cost for care.

All Charges