Heights University Hospital

All Charges

Charge

Type

Setting

Price

SNAP-OFF PIN 1.9MMX14MM

Facility

$1,802.50

Hospital Charge Code	270703051
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

SNAP OFF SCREW 2.MM X 11M

Facility

$382.50

Hospital Charge Code	270339452
Hospital Revenue Code	278
Min. Negotiated Rate	$57.38
Max. Negotiated Rate	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.38

SNAP OFF SCREW 2.MM X 11M

Facility

$382.50

Hospital Charge Code	270339452
Hospital Revenue Code	278
Min. Negotiated Rate	$57.38
Max. Negotiated Rate	$191.25
Rate for Payer: Aetna Commercial	$114.75
Rate for Payer: Aetna Medicare Advantage	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.54
Rate for Payer: Cigna Commercial	$191.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.38

SNAPP OFF SCREW 2.0MM X 13MM C

Facility

$3,707.00

Service Code	HCPCS C1713
Hospital Charge Code	270704138
Hospital Revenue Code	278
Min. Negotiated Rate	$556.05
Max. Negotiated Rate	$1,853.50
Rate for Payer: Aetna Commercial	$1,112.10
Rate for Payer: Aetna Medicare Advantage	$1,112.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$945.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$945.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$741.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$945.28
Rate for Payer: Cigna Commercial	$1,853.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$897.09
Rate for Payer: Qualcare PPO/HMO/WC	$556.05

SNAPP OFF SCREW 2.0MM X 13MM C

Facility

$3,707.00

Service Code	HCPCS C1713
Hospital Charge Code	270704138
Hospital Revenue Code	278
Min. Negotiated Rate	$556.05
Max. Negotiated Rate	$897.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$741.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$897.09
Rate for Payer: Qualcare PPO/HMO/WC	$556.05

SNARE 10MM 4FR x 120CM

Facility

$1,450.00

Hospital Charge Code	270668886S
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SNARE 10MM 4FR x 120CM

Facility

$1,450.00

Hospital Charge Code	270668886S
Hospital Revenue Code	272
Min. Negotiated Rate	$188.50
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$435.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.50
Rate for Payer: Oxford Commercial	$725.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$725.00

SNARE 10MM 4FR x 120CM

Facility

$1,800.00

Hospital Charge Code	270668886N
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SNARE 10MM 4FR x 120CM

Facility

$1,800.00

Hospital Charge Code	270668886N
Hospital Revenue Code	272
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$900.00

SNARE 10MM 4FR x 120CM

Facility

$1,450.00

Hospital Charge Code	270668886
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SNARE 10MM 4FR x 120CM

Facility

$1,450.00

Hospital Charge Code	270668886
Hospital Revenue Code	272
Min. Negotiated Rate	$188.50
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$435.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.50
Rate for Payer: Oxford Commercial	$725.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$725.00

SNARE 12-20MM FRr X 120CM

Facility

$1,800.00

Hospital Charge Code	270658295N
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SNARE 12-20MM FRr X 120CM

Facility

$1,800.00

Hospital Charge Code	270658295N
Hospital Revenue Code	272
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$900.00

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295S
Hospital Revenue Code	272
Min. Negotiated Rate	$214.24
Max. Negotiated Rate	$824.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$824.00
Rate for Payer: Aetna Commercial	$494.40
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.24
Rate for Payer: Oxford Commercial	$824.00

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295
Hospital Revenue Code	272
Min. Negotiated Rate	$214.24
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$494.40
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.24
Rate for Payer: Oxford Commercial	$824.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$824.00

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295S
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887N
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887
Hospital Revenue Code	272
Min. Negotiated Rate	$429.00
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$990.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.00
Rate for Payer: Oxford Commercial	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$1,650.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887S
Hospital Revenue Code	272
Min. Negotiated Rate	$429.00
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$990.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.00
Rate for Payer: Oxford Commercial	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$1,650.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887N
Hospital Revenue Code	272
Min. Negotiated Rate	$429.00
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$990.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.00
Rate for Payer: Oxford Commercial	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$1,650.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887S
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE ATRIEVE 12-20MM 6FR CATH

Facility

$1,425.00

Hospital Charge Code	270678018
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SNARE ATRIEVE 12-20MM 6FR CATH

Facility

$1,425.00

Hospital Charge Code	270678018
Hospital Revenue Code	272
Min. Negotiated Rate	$185.25
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.25
Rate for Payer: Oxford Commercial	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$712.50

Know your out-of-pocket cost for care.

All Charges