Heights University Hospital

All Charges

Charge

Type

Setting

Price

RECHANNELING OF ARTERY

Facility

$12,015.00

Service Code	HCPCS 35302
Hospital Charge Code	1600000420
Hospital Revenue Code	360
Min. Negotiated Rate	$1,802.25
Max. Negotiated Rate	$1,802.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,802.25

RECHANNELING OF ARTERY

Facility

$12,015.00

Service Code	HCPCS 35302
Hospital Charge Code	1600000420
Hospital Revenue Code	360
Min. Negotiated Rate	$1,090.62
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$3,604.50
Rate for Payer: Aetna Medicare Advantage	$3,604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,063.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,063.82
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	$3,063.82
Rate for Payer: Cigna Commercial	$1,090.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,561.95
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,802.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

RECHANNELING OF THE ARTERY

Facility

$16,108.00

Service Code	HCPCS 35372
Hospital Charge Code	1600000681
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$4,832.40
Rate for Payer: Aetna Medicare Advantage	$4,832.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,107.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,107.54
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	$4,107.54
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,094.04
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,416.20
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

RECHANNELING OF THE ARTERY

Facility

$16,108.00

Service Code	HCPCS 35372
Hospital Charge Code	1600000681
Hospital Revenue Code	360
Min. Negotiated Rate	$2,416.20
Max. Negotiated Rate	$2,416.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,416.20

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041N
Hospital Revenue Code	272
Min. Negotiated Rate	$838.50
Max. Negotiated Rate	$3,225.00
Rate for Payer: Aetna Commercial	$1,935.00
Rate for Payer: Aetna Medicare Advantage	$1,935.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,644.75
Rate for Payer: Cigna Commercial	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$838.50
Rate for Payer: Oxford Commercial	$3,225.00
Rate for Payer: Qualcare PPO/HMO/WC	$967.50
Rate for Payer: UnitedHealthcare Commercial	$3,225.00

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041
Hospital Revenue Code	272
Min. Negotiated Rate	$838.50
Max. Negotiated Rate	$3,225.00
Rate for Payer: Aetna Commercial	$1,935.00
Rate for Payer: Aetna Medicare Advantage	$1,935.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,644.75
Rate for Payer: Cigna Commercial	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$838.50
Rate for Payer: Oxford Commercial	$3,225.00
Rate for Payer: Qualcare PPO/HMO/WC	$967.50
Rate for Payer: UnitedHealthcare Commercial	$3,225.00

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041
Hospital Revenue Code	272
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$967.50
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041N
Hospital Revenue Code	272
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$967.50
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

RECIPROCATING BLADE DOUBLE SID

Facility

$221.40

Hospital Charge Code	270655972
Hospital Revenue Code	271
Min. Negotiated Rate	$28.78
Max. Negotiated Rate	$110.70
Rate for Payer: Aetna Commercial	$66.42
Rate for Payer: Aetna Medicare Advantage	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.46
Rate for Payer: Cigna Commercial	$110.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.78
Rate for Payer: Oxford Commercial	$110.70
Rate for Payer: Qualcare PPO/HMO/WC	$33.21
Rate for Payer: UnitedHealthcare Commercial	$110.70

RECIPROCATING BLADE DOUBLE SID

Facility

$221.40

Hospital Charge Code	270655972
Hospital Revenue Code	271
Min. Negotiated Rate	$33.21
Max. Negotiated Rate	$33.21
Rate for Payer: Qualcare PPO/HMO/WC	$33.21

RECIP SAW BLADE 10X40MM

Facility

$645.00

Hospital Charge Code	270674772
Hospital Revenue Code	272
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

RECIP SAW BLADE 10X40MM

Facility

$645.00

Hospital Charge Code	270674772
Hospital Revenue Code	272
Min. Negotiated Rate	$83.85
Max. Negotiated Rate	$322.50
Rate for Payer: Aetna Commercial	$193.50
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.47
Rate for Payer: Cigna Commercial	$322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.85
Rate for Payer: Oxford Commercial	$322.50
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$322.50

RECIP SAW BLADE 55MMx0.85MM

Facility

$367.50

Hospital Charge Code	270674768
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$110.25
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.77
Rate for Payer: Oxford Commercial	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$183.75

RECIP SAW BLADE 55MMx0.85MM

Facility

$367.50

Hospital Charge Code	270674768
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 55MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674767
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 55MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674767
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$110.25
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.77
Rate for Payer: Oxford Commercial	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$183.75

RECIP SAW BLADE 70MMx1.27MM

Facility

$367.50

Hospital Charge Code	270674766
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 70MMx1.27MM

Facility

$367.50

Hospital Charge Code	270674766
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$110.25
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.77
Rate for Payer: Oxford Commercial	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$183.75

RECIP SAW BLADE 80MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674765
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$110.25
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.77
Rate for Payer: Oxford Commercial	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$183.75

RECIP SAW BLADE 80MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674765
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE D/S 68x0.80MM

Facility

$367.50

Hospital Charge Code	270674771
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$110.25
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.77
Rate for Payer: Oxford Commercial	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$183.75

RECIP SAW BLADE D/S 68x0.80MM

Facility

$367.50

Hospital Charge Code	270674771
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE D/S 68x1.00MM

Facility

$367.50

Hospital Charge Code	270674770
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$110.25
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.77
Rate for Payer: Oxford Commercial	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$183.75

RECIP SAW BLADE D/S 68x1.00MM

Facility

$367.50

Hospital Charge Code	270674770
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE D/S 68x1.10MM

Facility

$367.50

Hospital Charge Code	270674769
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

Know your out-of-pocket cost for care.

All Charges