Heights University Hospital

All Charges

Charge

Type

Setting

Price

RELOAD ECHELON 60MM WHITE

Facility

$280.38

Hospital Charge Code	270608751
Hospital Revenue Code	272
Min. Negotiated Rate	$36.45
Max. Negotiated Rate	$140.19
Rate for Payer: Aetna Commercial	$84.11
Rate for Payer: Aetna Medicare Advantage	$84.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.50
Rate for Payer: Cigna Commercial	$140.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.45
Rate for Payer: Oxford Commercial	$140.19
Rate for Payer: Qualcare PPO/HMO/WC	$42.06
Rate for Payer: UnitedHealthcare Commercial	$140.19

RELOAD EGIA VASC MED 30MM

Facility

$2,600.00

Hospital Charge Code	270662691
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

RELOAD EGIA VASC MED 30MM

Facility

$2,600.00

Hospital Charge Code	270662691
Hospital Revenue Code	272
Min. Negotiated Rate	$338.00
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Commercial	$780.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.00
Rate for Payer: Oxford Commercial	$1,300.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Commercial	$1,300.00

RELOAD ENDO 45MM

Facility

$226.00

Hospital Charge Code	270338732
Hospital Revenue Code	272
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$33.90
Rate for Payer: Qualcare PPO/HMO/WC	$33.90

RELOAD ENDO 45MM

Facility

$226.00

Hospital Charge Code	270338732
Hospital Revenue Code	272
Min. Negotiated Rate	$29.38
Max. Negotiated Rate	$113.00
Rate for Payer: Aetna Commercial	$67.80
Rate for Payer: Aetna Medicare Advantage	$67.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.63
Rate for Payer: Cigna Commercial	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.38
Rate for Payer: Oxford Commercial	$113.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.90
Rate for Payer: UnitedHealthcare Commercial	$113.00

RELOAD ENDOPATH CUTTER BLUE

Facility

$519.95

Hospital Charge Code	270608383
Hospital Revenue Code	272
Min. Negotiated Rate	$67.59
Max. Negotiated Rate	$259.98
Rate for Payer: Aetna Commercial	$155.99
Rate for Payer: Aetna Medicare Advantage	$155.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.59
Rate for Payer: Cigna Commercial	$259.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.59
Rate for Payer: Oxford Commercial	$259.98
Rate for Payer: Qualcare PPO/HMO/WC	$77.99
Rate for Payer: UnitedHealthcare Commercial	$259.98

RELOAD ENDOPATH CUTTER BLUE

Facility

$519.95

Hospital Charge Code	270608383
Hospital Revenue Code	272
Min. Negotiated Rate	$77.99
Max. Negotiated Rate	$77.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.99

RELOAD ENDO VASCULAR 35MM

Facility

$154.00

Hospital Charge Code	270338710
Hospital Revenue Code	272
Min. Negotiated Rate	$20.02
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$46.20
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$77.00

RELOAD ENDO VASCULAR 35MM

Facility

$154.00

Hospital Charge Code	270338710
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

RELOAD ETH CUTTER VASC TR45W

Facility

$652.21

Hospital Charge Code	270625421
Hospital Revenue Code	272
Min. Negotiated Rate	$97.83
Max. Negotiated Rate	$97.83
Rate for Payer: Qualcare PPO/HMO/WC	$97.83

RELOAD ETH CUTTER VASC TR45W

Facility

$652.21

Hospital Charge Code	270625421
Hospital Revenue Code	272
Min. Negotiated Rate	$84.79
Max. Negotiated Rate	$326.11
Rate for Payer: Aetna Commercial	$195.66
Rate for Payer: Aetna Medicare Advantage	$195.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.31
Rate for Payer: Cigna Commercial	$326.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.79
Rate for Payer: Oxford Commercial	$326.11
Rate for Payer: Qualcare PPO/HMO/WC	$97.83
Rate for Payer: UnitedHealthcare Commercial	$326.11

RELOADING UNIT FOR TCM20

Facility

$180.00

Hospital Charge Code	270334678
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

RELOADING UNIT FOR TCM20

Facility

$180.00

Hospital Charge Code	270334678
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

RELOAD LINEAR CUTTER 45MM BLUE

Facility

$638.58

Hospital Charge Code	270625729
Hospital Revenue Code	272
Min. Negotiated Rate	$83.02
Max. Negotiated Rate	$319.29
Rate for Payer: Aetna Commercial	$191.57
Rate for Payer: Aetna Medicare Advantage	$191.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.84
Rate for Payer: Cigna Commercial	$319.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.02
Rate for Payer: Oxford Commercial	$319.29
Rate for Payer: Qualcare PPO/HMO/WC	$95.79
Rate for Payer: UnitedHealthcare Commercial	$319.29

RELOAD LINEAR CUTTER 45MM BLUE

Facility

$638.58

Hospital Charge Code	270625729
Hospital Revenue Code	272
Min. Negotiated Rate	$95.79
Max. Negotiated Rate	$95.79
Rate for Payer: Qualcare PPO/HMO/WC	$95.79

RELOAD LINEAR CUTTER 55MM GRN

Facility

$241.86

Hospital Charge Code	270658383
Hospital Revenue Code	272
Min. Negotiated Rate	$31.44
Max. Negotiated Rate	$120.93
Rate for Payer: Aetna Commercial	$72.56
Rate for Payer: Aetna Medicare Advantage	$72.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.67
Rate for Payer: Cigna Commercial	$120.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.44
Rate for Payer: Oxford Commercial	$120.93
Rate for Payer: Qualcare PPO/HMO/WC	$36.28
Rate for Payer: UnitedHealthcare Commercial	$120.93

RELOAD LINEAR CUTTER 55MM GRN

Facility

$241.86

Hospital Charge Code	270658383
Hospital Revenue Code	272
Min. Negotiated Rate	$36.28
Max. Negotiated Rate	$36.28
Rate for Payer: Qualcare PPO/HMO/WC	$36.28

RELOAD LINEAR CUTTER 75MM

Facility

$94.00

Hospital Charge Code	270338708
Hospital Revenue Code	272
Min. Negotiated Rate	$12.22
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$28.20
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$47.00

RELOAD LINEAR CUTTER 75MM

Facility

$94.00

Hospital Charge Code	270338708
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

RELOAD LINEAR CUTTER STAP 55MM

Facility

$94.00

Hospital Charge Code	270338691
Hospital Revenue Code	272
Min. Negotiated Rate	$12.22
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$28.20
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$47.00

RELOAD LINEAR CUTTER STAP 55MM

Facility

$94.00

Hospital Charge Code	270338691
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

RELOAD LINEAR STAPLER 90MM

Facility

$120.00

Hospital Charge Code	270338706
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

RELOAD LINEAR STAPLER 90MM

Facility

$120.00

Hospital Charge Code	270338706
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

RELOAD PROXIMATE 30MM 3.5MM

Facility

$209.34

Hospital Charge Code	270658360
Hospital Revenue Code	272
Min. Negotiated Rate	$27.21
Max. Negotiated Rate	$104.67
Rate for Payer: Aetna Commercial	$62.80
Rate for Payer: Aetna Medicare Advantage	$62.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.38
Rate for Payer: Cigna Commercial	$104.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.21
Rate for Payer: Oxford Commercial	$104.67
Rate for Payer: Qualcare PPO/HMO/WC	$31.40
Rate for Payer: UnitedHealthcare Commercial	$104.67

RELOAD PROXIMATE 30MM 3.5MM

Facility

$209.34

Hospital Charge Code	270658360
Hospital Revenue Code	272
Min. Negotiated Rate	$31.40
Max. Negotiated Rate	$31.40
Rate for Payer: Qualcare PPO/HMO/WC	$31.40

Know your out-of-pocket cost for care.

All Charges