Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHIRT I GOT MY 1ST HUG

Facility

$26.45

Hospital Charge Code	270130190
Hospital Revenue Code	270
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

SHIRT I GOT MY 1ST HUG

Facility

$26.45

Hospital Charge Code	270130190
Hospital Revenue Code	270
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$7.93
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.22

SHOCKWAVE C2 IVL CATH 2.5X12MM

Facility

$23,500.00

Hospital Charge Code	270702773
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$7,050.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 2.5X12MM

Facility

$23,500.00

Hospital Charge Code	270702773
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$5,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 3.0X12MM

Facility

$23,500.00

Hospital Charge Code	270702774
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$5,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 3.0X12MM

Facility

$23,500.00

Hospital Charge Code	270702774
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$7,050.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 3.5X12MM

Facility

$23,500.00

Hospital Charge Code	270702775
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$5,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 3.5X12MM

Facility

$23,500.00

Hospital Charge Code	270702775
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$7,050.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 4.0X12MM

Facility

$23,500.00

Hospital Charge Code	270702776
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$5,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 4.0X12MM

Facility

$23,500.00

Hospital Charge Code	270702776
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$7,050.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOE CAST CUSH LG CL TOE

Facility

$38.00

Hospital Charge Code	270302725
Hospital Revenue Code	270
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

SHOE CAST CUSH LG CL TOE

Facility

$38.00

Hospital Charge Code	270302725
Hospital Revenue Code	270
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

SHOE CAST CUSH MED CL TOE

Facility

$35.95

Hospital Charge Code	270302721
Hospital Revenue Code	270
Min. Negotiated Rate	$4.67
Max. Negotiated Rate	$17.98
Rate for Payer: Aetna Commercial	$10.79
Rate for Payer: Aetna Medicare Advantage	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.17
Rate for Payer: Cigna Commercial	$17.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.67
Rate for Payer: Oxford Commercial	$17.98
Rate for Payer: Qualcare PPO/HMO/WC	$5.39
Rate for Payer: UnitedHealthcare Commercial	$17.98

SHOE CAST CUSH MED CL TOE

Facility

$35.95

Hospital Charge Code	270302721
Hospital Revenue Code	270
Min. Negotiated Rate	$5.39
Max. Negotiated Rate	$5.39
Rate for Payer: Qualcare PPO/HMO/WC	$5.39

SHOE CAST CUSH SM CL TOE

Facility

$24.85

Hospital Charge Code	270302720
Hospital Revenue Code	270
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$12.43
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.23
Rate for Payer: Oxford Commercial	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$12.43

SHOE CAST CUSH SM CL TOE

Facility

$24.85

Hospital Charge Code	270302720
Hospital Revenue Code	270
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

SHOE CAST CUSH XLG CL TOE

Facility

$44.85

Hospital Charge Code	270302730
Hospital Revenue Code	270
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$22.43
Rate for Payer: Aetna Commercial	$13.46
Rate for Payer: Aetna Medicare Advantage	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.44
Rate for Payer: Cigna Commercial	$22.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Oxford Commercial	$22.43
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$22.43

SHOE CAST CUSH XLG CL TOE

Facility

$44.85

Hospital Charge Code	270302730
Hospital Revenue Code	270
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

SHOE CAST VINYL LG OP TOE

Facility

$23.90

Hospital Charge Code	270302745
Hospital Revenue Code	270
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$3.58
Rate for Payer: Qualcare PPO/HMO/WC	$3.58

SHOE CAST VINYL LG OP TOE

Facility

$23.90

Hospital Charge Code	270302745
Hospital Revenue Code	270
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$11.95
Rate for Payer: Aetna Commercial	$7.17
Rate for Payer: Aetna Medicare Advantage	$7.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.09
Rate for Payer: Cigna Commercial	$11.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.11
Rate for Payer: Oxford Commercial	$11.95
Rate for Payer: Qualcare PPO/HMO/WC	$3.58
Rate for Payer: UnitedHealthcare Commercial	$11.95

SHOE CAST VINYL MED OP TOE

Facility

$35.85

Hospital Charge Code	270302740
Hospital Revenue Code	270
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.38

SHOE CAST VINYL MED OP TOE

Facility

$35.85

Hospital Charge Code	270302740
Hospital Revenue Code	270
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$17.93
Rate for Payer: Aetna Commercial	$10.76
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.14
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.66
Rate for Payer: Oxford Commercial	$17.93
Rate for Payer: Qualcare PPO/HMO/WC	$5.38
Rate for Payer: UnitedHealthcare Commercial	$17.93

SHOE CAST VINYL MED O T****

Facility

$23.00

Hospital Charge Code	270301740
Hospital Revenue Code	270
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

SHOE CAST VINYL MED O T****

Facility

$23.00

Hospital Charge Code	270301740
Hospital Revenue Code	270
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

SHOE CAST VINYL SM OP TOE

Facility

$35.85

Hospital Charge Code	270302735
Hospital Revenue Code	270
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$17.93
Rate for Payer: Aetna Commercial	$10.76
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.14
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.66
Rate for Payer: Oxford Commercial	$17.93
Rate for Payer: Qualcare PPO/HMO/WC	$5.38
Rate for Payer: UnitedHealthcare Commercial	$17.93

Know your out-of-pocket cost for care.

All Charges