Heights University Hospital

All Charges

Charge

Type

Setting

Price

Straight Shank Drill Bit 2.5 m

Facility

$275.00

Hospital Charge Code	270685139
Hospital Revenue Code	272
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$137.50

Straight Shank Drill Bit 2.5 m

Facility

$275.00

Hospital Charge Code	270685139
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

STRAINER CALCULI

Facility

$7.16

Hospital Charge Code	270649808
Hospital Revenue Code	270
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.07

STRAINER CALCULI

Facility

$7.16

Hospital Charge Code	270649808
Hospital Revenue Code	270
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$3.58
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.93
Rate for Payer: Oxford Commercial	$3.58
Rate for Payer: Qualcare PPO/HMO/WC	$1.07
Rate for Payer: UnitedHealthcare Commercial	$3.58

STRAINER URINE ******

Facility

$11.00

Hospital Charge Code	8002107
Hospital Revenue Code	279
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$3.30
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.50

STRAINER URINE ******

Facility

$11.00

Hospital Charge Code	8002107
Hospital Revenue Code	279
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

STRAINER URINE CALCULI

Facility

$5.47

Hospital Charge Code	270302075
Hospital Revenue Code	270
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.82
Rate for Payer: Qualcare PPO/HMO/WC	$0.82

STRAINER URINE CALCULI

Facility

$5.47

Hospital Charge Code	270302075
Hospital Revenue Code	270
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$2.73
Rate for Payer: Aetna Commercial	$1.64
Rate for Payer: Aetna Medicare Advantage	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.39
Rate for Payer: Cigna Commercial	$2.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.71
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.82
Rate for Payer: UnitedHealthcare Commercial	$2.73

STRAP ANKLE DISTRACTOR 012421

Facility

$172.85

Hospital Charge Code	270624135
Hospital Revenue Code	272
Min. Negotiated Rate	$25.93
Max. Negotiated Rate	$25.93
Rate for Payer: Qualcare PPO/HMO/WC	$25.93

STRAP ANKLE DISTRACTOR 012421

Facility

$172.85

Hospital Charge Code	270624135
Hospital Revenue Code	272
Min. Negotiated Rate	$22.47
Max. Negotiated Rate	$86.42
Rate for Payer: Aetna Commercial	$51.85
Rate for Payer: Aetna Medicare Advantage	$51.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.08
Rate for Payer: Cigna Commercial	$86.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.47
Rate for Payer: Oxford Commercial	$86.42
Rate for Payer: Qualcare PPO/HMO/WC	$25.93
Rate for Payer: UnitedHealthcare Commercial	$86.42

STRAP ANKLE DISTRACTOR FOOT***

Facility

$65.00

Hospital Charge Code	1607308
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

STRAP ANKLE DISTRACTOR FOOT***

Facility

$65.00

Hospital Charge Code	1607308
Hospital Revenue Code	272
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$19.50
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$32.50

STRAP ANKLE STER 014407

Facility

$312.00

Hospital Charge Code	270613998
Hospital Revenue Code	272
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$46.80
Rate for Payer: Qualcare PPO/HMO/WC	$46.80

STRAP ANKLE STER 014407

Facility

$312.00

Hospital Charge Code	270613998
Hospital Revenue Code	272
Min. Negotiated Rate	$40.56
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$93.60
Rate for Payer: Aetna Medicare Advantage	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.56
Rate for Payer: Cigna Commercial	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.80
Rate for Payer: UnitedHealthcare Commercial	$156.00

STRAP CATHETER

Facility

$20.23

Hospital Charge Code	270303059
Hospital Revenue Code	270
Min. Negotiated Rate	$2.63
Max. Negotiated Rate	$10.12
Rate for Payer: Aetna Commercial	$6.07
Rate for Payer: Aetna Medicare Advantage	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.16
Rate for Payer: Cigna Commercial	$10.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.63
Rate for Payer: Oxford Commercial	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$3.03
Rate for Payer: UnitedHealthcare Commercial	$10.12

STRAP CATHETER

Facility

$20.23

Hospital Charge Code	270303059
Hospital Revenue Code	270
Min. Negotiated Rate	$3.03
Max. Negotiated Rate	$3.03
Rate for Payer: Qualcare PPO/HMO/WC	$3.03

STRAP CATHETER LEG

Facility

$18.50

Hospital Charge Code	270651078
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$2.77
Rate for Payer: Qualcare PPO/HMO/WC	$2.77

STRAP CATHETER LEG

Facility

$18.50

Hospital Charge Code	270651078
Hospital Revenue Code	272
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$9.25
Rate for Payer: Aetna Commercial	$5.55
Rate for Payer: Aetna Medicare Advantage	$5.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.72
Rate for Payer: Cigna Commercial	$9.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$9.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.77
Rate for Payer: UnitedHealthcare Commercial	$9.25

STRAP CIRCUMCISION ******

Facility

$4.00

Hospital Charge Code	1801091
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

STRAP CIRCUMCISION ******

Facility

$4.00

Hospital Charge Code	1801091
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

STRAP CIRCUMCISION DISP

Facility

$4.00

Hospital Charge Code	270600465
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

STRAP CIRCUMCISION DISP

Facility

$4.00

Hospital Charge Code	270600465
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

STRAP CIRCUMSTRAINT

Facility

$332.85

Hospital Charge Code	270600474
Hospital Revenue Code	272
Min. Negotiated Rate	$49.93
Max. Negotiated Rate	$49.93
Rate for Payer: Qualcare PPO/HMO/WC	$49.93

STRAP CIRCUMSTRAINT

Facility

$332.85

Hospital Charge Code	270600474
Hospital Revenue Code	272
Min. Negotiated Rate	$43.27
Max. Negotiated Rate	$166.43
Rate for Payer: Aetna Commercial	$99.86
Rate for Payer: Aetna Medicare Advantage	$99.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.88
Rate for Payer: Cigna Commercial	$166.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.27
Rate for Payer: Oxford Commercial	$166.43
Rate for Payer: Qualcare PPO/HMO/WC	$49.93
Rate for Payer: UnitedHealthcare Commercial	$166.43

STRAP CLAVICLE ******

Facility

$35.00

Hospital Charge Code	8001901
Hospital Revenue Code	279
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

Know your out-of-pocket cost for care.

All Charges