Heights University Hospital

All Charges

Charge

Type

Setting

Price

SOFT SPLASH SHIELD STERILE

Facility

$172.00

Hospital Charge Code	270330544
Hospital Revenue Code	272
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

SOFT SPLASH SHIELD STERILE

Facility

$172.00

Hospital Charge Code	270330544
Hospital Revenue Code	272
Min. Negotiated Rate	$22.36
Max. Negotiated Rate	$86.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$51.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.86
Rate for Payer: Cigna Commercial	$86.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.36
Rate for Payer: Oxford Commercial	$86.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.80
Rate for Payer: UnitedHealthcare Commercial	$86.00

SOFT TISSUE PATCH 2 MM

Facility

$962.00

Hospital Charge Code	270335125
Hospital Revenue Code	278
Min. Negotiated Rate	$144.30
Max. Negotiated Rate	$481.00
Rate for Payer: Aetna Commercial	$288.60
Rate for Payer: Aetna Medicare Advantage	$288.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.31
Rate for Payer: Cigna Commercial	$481.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.80
Rate for Payer: Qualcare PPO/HMO/WC	$144.30

SOFT TISSUE PATCH 2 MM

Facility

$962.00

Hospital Charge Code	270335125
Hospital Revenue Code	278
Min. Negotiated Rate	$144.30
Max. Negotiated Rate	$232.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.80
Rate for Payer: Qualcare PPO/HMO/WC	$144.30

SOFT TISSUE PROCEDURES WITH CC

Facility

$62,562.12

Service Code	MSDRG 501
Min. Negotiated Rate	$19,076.29
Max. Negotiated Rate	$62,562.12
Rate for Payer: Aetna Commercial	$58,945.74
Rate for Payer: Aetna Medicare Advantage	$19,076.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,966.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,966.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,854.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,966.58
Rate for Payer: Cigna Commercial	$37,620.86
Rate for Payer: Cigna Medicare Advantage	$20,854.04
Rate for Payer: Clover Medicare Advantage	$19,811.34
Rate for Payer: EmblemHealth Commercial	$62,562.12
Rate for Payer: Humana Medicare Advantage	$21,479.66
Rate for Payer: Oxford Commercial	$23,511.94
Rate for Payer: UnitedHealthcare Commercial	$26,688.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,854.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,105.28
Rate for Payer: Wellcare Medicare Advantage	$20,854.04

SOFT TISSUE PROCEDURES WITH MCC

Facility

$106,716.67

Service Code	MSDRG 500
Min. Negotiated Rate	$32,832.91
Max. Negotiated Rate	$106,716.67
Rate for Payer: Aetna Commercial	$106,716.67
Rate for Payer: Aetna Medicare Advantage	$34,536.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89,317.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89,317.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,560.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89,317.08
Rate for Payer: Cigna Commercial	$68,109.66
Rate for Payer: Cigna Medicare Advantage	$34,560.96
Rate for Payer: Clover Medicare Advantage	$32,832.91
Rate for Payer: EmblemHealth Commercial	$103,682.88
Rate for Payer: Humana Medicare Advantage	$35,597.79
Rate for Payer: Oxford Commercial	$42,566.56
Rate for Payer: UnitedHealthcare Commercial	$48,317.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,560.96
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,634.62
Rate for Payer: Wellcare Medicare Advantage	$34,560.96

SOFT TISSUE PROCEDURES WITHOUT CC/MCC

Facility

$50,887.95

Service Code	MSDRG 502
Min. Negotiated Rate	$14,687.25
Max. Negotiated Rate	$50,887.95
Rate for Payer: Aetna Commercial	$45,383.60
Rate for Payer: Aetna Medicare Advantage	$14,687.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,042.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,042.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,962.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,042.46
Rate for Payer: Cigna Commercial	$28,965.11
Rate for Payer: Cigna Medicare Advantage	$16,962.65
Rate for Payer: Clover Medicare Advantage	$16,114.52
Rate for Payer: EmblemHealth Commercial	$50,887.95
Rate for Payer: Humana Medicare Advantage	$17,471.53
Rate for Payer: Oxford Commercial	$18,102.35
Rate for Payer: UnitedHealthcare Commercial	$20,547.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,962.65
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,980.41
Rate for Payer: Wellcare Medicare Advantage	$16,962.65

SOFT TISSUE SHAVER PLUS

Facility

$2,336.50

Hospital Charge Code	270701400
Hospital Revenue Code	278
Min. Negotiated Rate	$350.48
Max. Negotiated Rate	$1,168.25
Rate for Payer: Aetna Commercial	$700.95
Rate for Payer: Aetna Medicare Advantage	$700.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$595.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$595.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$595.81
Rate for Payer: Cigna Commercial	$1,168.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.43
Rate for Payer: Qualcare PPO/HMO/WC	$350.48

SOFT TISSUE SHAVER PLUS

Facility

$2,336.50

Hospital Charge Code	270701400
Hospital Revenue Code	278
Min. Negotiated Rate	$350.48
Max. Negotiated Rate	$565.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.43
Rate for Payer: Qualcare PPO/HMO/WC	$350.48

SOLAR-S ALIF SPACER 40X28X16MM

Facility

$30,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705627
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$15,000.00
Rate for Payer: Cigna Commercial	$15,000.00
Rate for Payer: Aetna Commercial	$9,000.00
Rate for Payer: Aetna Medicare Advantage	$9,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

SOLAR-S ALIF SPACER 40X28X16MM

Facility

$30,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705627
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$7,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

SOLCOTRANS ACD-A 18258516

Facility

$119.25

Hospital Charge Code	270605239
Hospital Revenue Code	272
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

SOLCOTRANS ACD-A 18258516

Facility

$119.25

Hospital Charge Code	270605239
Hospital Revenue Code	272
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$59.62
Rate for Payer: Aetna Commercial	$35.77
Rate for Payer: Aetna Medicare Advantage	$35.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.41
Rate for Payer: Cigna Commercial	$59.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.50
Rate for Payer: Oxford Commercial	$59.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$59.62

SOLCOTRANS ACD-A ST 1600******

Facility

$18.30

Hospital Charge Code	1603166
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$9.15
Rate for Payer: Aetna Commercial	$5.49
Rate for Payer: Aetna Medicare Advantage	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.67
Rate for Payer: Cigna Commercial	$9.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.38
Rate for Payer: Oxford Commercial	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$2.75
Rate for Payer: UnitedHealthcare Commercial	$9.15

SOLCOTRANS ACD-A ST 1600******

Facility

$18.30

Hospital Charge Code	1603166
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.75

SOLCOTRANS PRE-FILTER ST1250**

Facility

$11.20

Hospital Charge Code	1603174
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.60
Rate for Payer: Aetna Commercial	$3.36
Rate for Payer: Aetna Medicare Advantage	$3.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.86
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.68
Rate for Payer: UnitedHealthcare Commercial	$5.60

SOLCOTRANS PRE-FILTER ST1250**

Facility

$11.20

Hospital Charge Code	1603174
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$1.68
Rate for Payer: Qualcare PPO/HMO/WC	$1.68

SOLCOTRANS ST 1000 **********

Facility

$240.50

Hospital Charge Code	1603158
Hospital Revenue Code	272
Min. Negotiated Rate	$31.27
Max. Negotiated Rate	$120.25
Rate for Payer: Aetna Commercial	$72.15
Rate for Payer: Aetna Medicare Advantage	$72.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.33
Rate for Payer: Cigna Commercial	$120.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.27
Rate for Payer: Oxford Commercial	$120.25
Rate for Payer: Qualcare PPO/HMO/WC	$36.08
Rate for Payer: UnitedHealthcare Commercial	$120.25

SOLCOTRANS ST 1000 **********

Facility

$240.50

Hospital Charge Code	1603158
Hospital Revenue Code	272
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$36.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.08

SOLENT OMNI THROMBECTOMY SET

Facility

$8,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270648590C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,267.50
Max. Negotiated Rate	$2,044.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,044.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,267.50

SOLENT OMNI THROMBECTOMY SET

Facility

$8,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270648590C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,267.50
Max. Negotiated Rate	$4,225.00
Rate for Payer: Aetna Commercial	$2,535.00
Rate for Payer: Aetna Medicare Advantage	$2,535.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,154.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,154.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,154.75
Rate for Payer: Cigna Commercial	$4,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,044.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,267.50

SOL FL THD SCR BLNT HD 2.7X18

Facility

$783.75

Service Code	HCPCS C1713
Hospital Charge Code	270701335
Hospital Revenue Code	278
Min. Negotiated Rate	$117.56
Max. Negotiated Rate	$189.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.67
Rate for Payer: Qualcare PPO/HMO/WC	$117.56

SOL FL THD SCR BLNT HD 2.7X18

Facility

$783.75

Service Code	HCPCS C1713
Hospital Charge Code	270701335
Hospital Revenue Code	278
Min. Negotiated Rate	$117.56
Max. Negotiated Rate	$391.88
Rate for Payer: Aetna Commercial	$235.12
Rate for Payer: Aetna Medicare Advantage	$235.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.86
Rate for Payer: Cigna Commercial	$391.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.67
Rate for Payer: Qualcare PPO/HMO/WC	$117.56

SOLID JOUST 7.2X135

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701937
Hospital Revenue Code	278
Min. Negotiated Rate	$818.81
Max. Negotiated Rate	$1,321.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: Qualcare PPO/HMO/WC	$818.81

SOLID JOUST 7.2X135

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701937
Hospital Revenue Code	278
Min. Negotiated Rate	$818.81
Max. Negotiated Rate	$2,729.38
Rate for Payer: Aetna Commercial	$1,637.62
Rate for Payer: Aetna Medicare Advantage	$1,637.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,391.98
Rate for Payer: Cigna Commercial	$2,729.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: Qualcare PPO/HMO/WC	$818.81

Know your out-of-pocket cost for care.

All Charges