Heights University Hospital

All Charges

Charge

Type

Setting

Price

STANDBY PROCEDURE ATS500

Facility

$1,364.00

Hospital Charge Code	270633101
Hospital Revenue Code	272
Min. Negotiated Rate	$204.60
Max. Negotiated Rate	$204.60
Rate for Payer: Qualcare PPO/HMO/WC	$204.60

STANDING ORDER FOR CUST

Facility

$71.25

Hospital Charge Code	270603104
Hospital Revenue Code	270
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$35.62

STANDING ORDER FOR CUST

Facility

$71.25

Hospital Charge Code	270603104
Hospital Revenue Code	270
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

STANDOFF 20MM

Facility

$232.35

Hospital Charge Code	270691901
Hospital Revenue Code	272
Min. Negotiated Rate	$34.85
Max. Negotiated Rate	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$34.85

STANDOFF 20MM

Facility

$232.35

Hospital Charge Code	270691901
Hospital Revenue Code	272
Min. Negotiated Rate	$30.21
Max. Negotiated Rate	$116.17
Rate for Payer: Aetna Commercial	$69.70
Rate for Payer: Aetna Medicare Advantage	$69.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.25
Rate for Payer: Cigna Commercial	$116.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.21
Rate for Payer: Oxford Commercial	$116.17
Rate for Payer: Qualcare PPO/HMO/WC	$34.85
Rate for Payer: UnitedHealthcare Commercial	$116.17

STANDOFF 50MM

Facility

$377.60

Hospital Charge Code	270691902
Hospital Revenue Code	272
Min. Negotiated Rate	$49.09
Max. Negotiated Rate	$188.80
Rate for Payer: Aetna Commercial	$113.28
Rate for Payer: Aetna Medicare Advantage	$113.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.29
Rate for Payer: Cigna Commercial	$188.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.09
Rate for Payer: Oxford Commercial	$188.80
Rate for Payer: Qualcare PPO/HMO/WC	$56.64
Rate for Payer: UnitedHealthcare Commercial	$188.80

STANDOFF 50MM

Facility

$377.60

Hospital Charge Code	270691902
Hospital Revenue Code	272
Min. Negotiated Rate	$56.64
Max. Negotiated Rate	$56.64
Rate for Payer: Qualcare PPO/HMO/WC	$56.64

STAPL CURVED CUTTER REG CS40B

Facility

$2,249.25

Hospital Charge Code	270637401
Hospital Revenue Code	272
Min. Negotiated Rate	$292.40
Max. Negotiated Rate	$1,124.62
Rate for Payer: Aetna Commercial	$674.77
Rate for Payer: Aetna Medicare Advantage	$674.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.56
Rate for Payer: Cigna Commercial	$1,124.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.40
Rate for Payer: Oxford Commercial	$1,124.62
Rate for Payer: Qualcare PPO/HMO/WC	$337.39
Rate for Payer: UnitedHealthcare Commercial	$1,124.62

STAPL CURVED CUTTER REG CS40B

Facility

$2,249.25

Hospital Charge Code	270637401
Hospital Revenue Code	272
Min. Negotiated Rate	$337.39
Max. Negotiated Rate	$337.39
Rate for Payer: Qualcare PPO/HMO/WC	$337.39

STAPLE 10MM

Facility

$4,500.00

Hospital Charge Code	270680749
Hospital Revenue Code	272
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$2,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Commercial	$2,250.00

STAPLE 10MM

Facility

$4,500.00

Hospital Charge Code	270680749
Hospital Revenue Code	272
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

STAPLE ARCUS 10X8MM

Facility

$4,840.00

Service Code	HCPCS C1713
Hospital Charge Code	270694777
Hospital Revenue Code	278
Min. Negotiated Rate	$726.00
Max. Negotiated Rate	$2,420.00
Rate for Payer: Aetna Commercial	$1,452.00
Rate for Payer: Aetna Medicare Advantage	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,234.20
Rate for Payer: Cigna Commercial	$2,420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,171.28
Rate for Payer: Qualcare PPO/HMO/WC	$726.00

STAPLE ARCUS 10X8MM

Facility

$4,840.00

Service Code	HCPCS C1713
Hospital Charge Code	270694777
Hospital Revenue Code	278
Min. Negotiated Rate	$726.00
Max. Negotiated Rate	$1,171.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$968.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,171.28
Rate for Payer: Qualcare PPO/HMO/WC	$726.00

STAPLE BONE 11X10X10

Facility

$4,475.00

Hospital Charge Code	270656971
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$1,082.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

STAPLE BONE 11X10X10

Facility

$4,475.00

Hospital Charge Code	270656971
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,342.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

STAPLE BONE 15/15/15 mm

Facility

$6,250.00

Hospital Charge Code	270681062
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STAPLE BONE 15/15/15 mm

Facility

$6,250.00

Hospital Charge Code	270681062
Hospital Revenue Code	272
Min. Negotiated Rate	$812.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$3,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$3,125.00

STAPLE BONE 15MMx12MMx12MM

Facility

$6,250.00

Hospital Charge Code	270681059
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STAPLE BONE 15MMx12MMx12MM

Facility

$6,250.00

Hospital Charge Code	270681059
Hospital Revenue Code	272
Min. Negotiated Rate	$812.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$3,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$3,125.00

STAPLE BONE 18/16/16 mm

Facility

$6,250.00

Hospital Charge Code	270681063
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STAPLE BONE 18/16/16 mm

Facility

$6,250.00

Hospital Charge Code	270681063
Hospital Revenue Code	272
Min. Negotiated Rate	$812.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$3,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$3,125.00

STAPLE BONE 20/20/20 mm

Facility

$6,250.00

Hospital Charge Code	270681064
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STAPLE BONE 20/20/20 mm

Facility

$6,250.00

Hospital Charge Code	270681064
Hospital Revenue Code	272
Min. Negotiated Rate	$812.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$3,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$3,125.00

STAPLE BONE 9X7X7

Facility

$4,475.00

Hospital Charge Code	270656973
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,342.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

STAPLE BONE 9X7X7

Facility

$4,475.00

Hospital Charge Code	270656973
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$1,082.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

Know your out-of-pocket cost for care.

All Charges