Heights University Hospital

All Charges

Charge

Type

Setting

Price

STRAP CLAVICLE ******

Facility

$35.00

Hospital Charge Code	8001901
Hospital Revenue Code	279
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

STRAP CLAVICLE LGE

Facility

$39.10

Hospital Charge Code	270303065
Hospital Revenue Code	270
Min. Negotiated Rate	$5.87
Max. Negotiated Rate	$5.87
Rate for Payer: Qualcare PPO/HMO/WC	$5.87

STRAP CLAVICLE LGE

Facility

$39.10

Hospital Charge Code	270303065
Hospital Revenue Code	270
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$19.55
Rate for Payer: Aetna Commercial	$11.73
Rate for Payer: Aetna Medicare Advantage	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.97
Rate for Payer: Cigna Commercial	$19.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: Oxford Commercial	$19.55
Rate for Payer: Qualcare PPO/HMO/WC	$5.87
Rate for Payer: UnitedHealthcare Commercial	$19.55

STRAP CLAVICLE MED

Facility

$26.85

Hospital Charge Code	270303060
Hospital Revenue Code	270
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$4.03
Rate for Payer: Qualcare PPO/HMO/WC	$4.03

STRAP CLAVICLE MED

Facility

$26.85

Hospital Charge Code	270303060
Hospital Revenue Code	270
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$13.43
Rate for Payer: Aetna Commercial	$8.05
Rate for Payer: Aetna Medicare Advantage	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.85
Rate for Payer: Cigna Commercial	$13.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.49
Rate for Payer: Oxford Commercial	$13.43
Rate for Payer: Qualcare PPO/HMO/WC	$4.03
Rate for Payer: UnitedHealthcare Commercial	$13.43

STRAP COTTON W/LOCK 48

Facility

$144.85

Hospital Charge Code	270603387
Hospital Revenue Code	270
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$72.42
Rate for Payer: Aetna Commercial	$43.45
Rate for Payer: Aetna Medicare Advantage	$43.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.94
Rate for Payer: Cigna Commercial	$72.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.83
Rate for Payer: Oxford Commercial	$72.42
Rate for Payer: Qualcare PPO/HMO/WC	$21.73
Rate for Payer: UnitedHealthcare Commercial	$72.42

STRAP COTTON W/LOCK 48

Facility

$144.85

Hospital Charge Code	270603387
Hospital Revenue Code	270
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$21.73
Rate for Payer: Qualcare PPO/HMO/WC	$21.73

STRAP FACE HD FACEMASK 1007365

Facility

$99.05

Hospital Charge Code	270638083
Hospital Revenue Code	272
Min. Negotiated Rate	$14.86
Max. Negotiated Rate	$14.86
Rate for Payer: Qualcare PPO/HMO/WC	$14.86

STRAP FACE HD FACEMASK 1007365

Facility

$99.05

Hospital Charge Code	270638083
Hospital Revenue Code	272
Min. Negotiated Rate	$12.88
Max. Negotiated Rate	$49.52
Rate for Payer: Aetna Commercial	$29.71
Rate for Payer: Aetna Medicare Advantage	$29.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.26
Rate for Payer: Cigna Commercial	$49.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.88
Rate for Payer: Oxford Commercial	$49.52
Rate for Payer: Qualcare PPO/HMO/WC	$14.86
Rate for Payer: UnitedHealthcare Commercial	$49.52

STRAP FETAL MONITOR SECURITY

Facility

$17.49

Hospital Charge Code	270651781
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$8.74
Rate for Payer: Aetna Commercial	$5.25
Rate for Payer: Aetna Medicare Advantage	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.46
Rate for Payer: Cigna Commercial	$8.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.27
Rate for Payer: Oxford Commercial	$8.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.62
Rate for Payer: UnitedHealthcare Commercial	$8.74

STRAP FETAL MONITOR SECURITY

Facility

$17.49

Hospital Charge Code	270651781
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.62

STRAP FOR MASK

Facility

$940.00

Hospital Charge Code	270663191
Hospital Revenue Code	270
Min. Negotiated Rate	$122.20
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$282.00
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.20
Rate for Payer: Oxford Commercial	$470.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Commercial	$470.00

STRAP FOR MASK

Facility

$940.00

Hospital Charge Code	270663191
Hospital Revenue Code	270
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$141.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

STRAP GREATTOE RT

Facility

$468.75

Service Code	HCPCS 29550T5
Hospital Charge Code	5792215
Hospital Revenue Code	450
Min. Negotiated Rate	$60.94
Max. Negotiated Rate	$234.38
Rate for Payer: Aetna Commercial	$140.62
Rate for Payer: Aetna Medicare Advantage	$140.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.53
Rate for Payer: Cigna Commercial	$234.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.94
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

STRAP GREATTOE RT

Facility

$468.75

Service Code	HCPCS 29550T5
Hospital Charge Code	5792215
Hospital Revenue Code	450
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$70.31
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

STRAP GREY COTTON DUCK

Facility

$948.75

Hospital Charge Code	270651337
Hospital Revenue Code	272
Min. Negotiated Rate	$123.34
Max. Negotiated Rate	$474.38
Rate for Payer: Aetna Commercial	$284.62
Rate for Payer: Aetna Medicare Advantage	$284.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.93
Rate for Payer: Cigna Commercial	$474.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.34
Rate for Payer: Oxford Commercial	$474.38
Rate for Payer: Qualcare PPO/HMO/WC	$142.31
Rate for Payer: UnitedHealthcare Commercial	$474.38

STRAP GREY COTTON DUCK

Facility

$948.75

Hospital Charge Code	270651337
Hospital Revenue Code	272
Min. Negotiated Rate	$142.31
Max. Negotiated Rate	$142.31
Rate for Payer: Qualcare PPO/HMO/WC	$142.31

STRAP HD FACEMASK 1004877

Facility

$27.10

Hospital Charge Code	270638084
Hospital Revenue Code	272
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$4.07
Rate for Payer: Qualcare PPO/HMO/WC	$4.07

STRAP HD FACEMASK 1004877

Facility

$27.10

Hospital Charge Code	270638084
Hospital Revenue Code	272
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$13.55
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.91
Rate for Payer: Cigna Commercial	$13.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.52
Rate for Payer: Oxford Commercial	$13.55
Rate for Payer: Qualcare PPO/HMO/WC	$4.07
Rate for Payer: UnitedHealthcare Commercial	$13.55

STRAP HEAD RESP 312106

Facility

$57.65

Hospital Charge Code	270600635
Hospital Revenue Code	272
Min. Negotiated Rate	$7.49
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$28.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.65
Rate for Payer: UnitedHealthcare Commercial	$28.82

STRAP HEAD RESP 312106

Facility

$57.65

Hospital Charge Code	270600635
Hospital Revenue Code	272
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

STRAP MONTGOMERY

Facility

$29.65

Hospital Charge Code	270350145
Hospital Revenue Code	270
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

STRAP MONTGOMERY

Facility

$29.65

Hospital Charge Code	270350145
Hospital Revenue Code	270
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$14.82

STRAPPING ANKLE

Facility

$458.00

Service Code	HCPCS 29540
Hospital Charge Code	9108025
Hospital Revenue Code	420
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

STRAPPING ANKLE

Facility

$458.00

Service Code	HCPCS 29540
Hospital Charge Code	9108025
Hospital Revenue Code	420
Min. Negotiated Rate	$59.54
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$137.40
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.54
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Commercial	$686.00

Know your out-of-pocket cost for care.

All Charges