Heights University Hospital

All Charges

Charge

Type

Setting

Price

SUCTION COAGULATOR 6 10FR

Facility

$108.00

Hospital Charge Code	270600315
Hospital Revenue Code	272
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

SUCTION COAGULATOR 6 10FR

Facility

$108.00

Hospital Charge Code	270600315
Hospital Revenue Code	272
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$32.40
Rate for Payer: Aetna Medicare Advantage	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.54
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$54.00

SUCTION COAGULATOR 8FR W/HANDS

Facility

$57.00

Hospital Charge Code	270677264
Hospital Revenue Code	272
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$8.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.55

SUCTION COAGULATOR 8FR W/HANDS

Facility

$57.00

Hospital Charge Code	270677264
Hospital Revenue Code	272
Min. Negotiated Rate	$7.41
Max. Negotiated Rate	$28.50
Rate for Payer: Aetna Commercial	$17.10
Rate for Payer: Aetna Medicare Advantage	$17.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.54
Rate for Payer: Cigna Commercial	$28.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.41
Rate for Payer: Oxford Commercial	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.55
Rate for Payer: UnitedHealthcare Commercial	$28.50

SUCTION COAGULATOR VALLEYLAB**

Facility

$30.00

Hospital Charge Code	1608009
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

SUCTION COAGULATOR VALLEYLAB**

Facility

$30.00

Hospital Charge Code	1608009
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

SUCTION COLLECTION BOTTLE

Facility

$48.00

Hospital Charge Code	270331831
Hospital Revenue Code	272
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.24
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$24.00

SUCTION COLLECTION BOTTLE

Facility

$48.00

Hospital Charge Code	270331831
Hospital Revenue Code	272
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

SUCTION CURVED TIP KAMVAC

Facility

$73.75

Hospital Charge Code	270669175
Hospital Revenue Code	272
Min. Negotiated Rate	$9.59
Max. Negotiated Rate	$36.88
Rate for Payer: Aetna Commercial	$22.12
Rate for Payer: Aetna Medicare Advantage	$22.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.81
Rate for Payer: Cigna Commercial	$36.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.59
Rate for Payer: Oxford Commercial	$36.88
Rate for Payer: Qualcare PPO/HMO/WC	$11.06
Rate for Payer: UnitedHealthcare Commercial	$36.88

SUCTION CURVED TIP KAMVAC

Facility

$73.75

Hospital Charge Code	270669175
Hospital Revenue Code	272
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$11.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.06

SUCTION Frazier 10FR

Facility

$8.94

Hospital Charge Code	270608640
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$4.47
Rate for Payer: Aetna Commercial	$2.68
Rate for Payer: Aetna Medicare Advantage	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.28
Rate for Payer: Cigna Commercial	$4.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.16
Rate for Payer: Oxford Commercial	$4.47
Rate for Payer: Qualcare PPO/HMO/WC	$1.34
Rate for Payer: UnitedHealthcare Commercial	$4.47

SUCTION Frazier 10FR

Facility

$8.94

Hospital Charge Code	270608640
Hospital Revenue Code	272
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$1.34
Rate for Payer: Qualcare PPO/HMO/WC	$1.34

SUCTION IRRIGATION

Facility

$243.33

Hospital Charge Code	270654340
Hospital Revenue Code	272
Min. Negotiated Rate	$36.50
Max. Negotiated Rate	$36.50
Rate for Payer: Qualcare PPO/HMO/WC	$36.50

SUCTION IRRIGATION

Facility

$243.33

Hospital Charge Code	270654340
Hospital Revenue Code	272
Min. Negotiated Rate	$31.63
Max. Negotiated Rate	$121.67
Rate for Payer: Aetna Commercial	$73.00
Rate for Payer: Aetna Medicare Advantage	$73.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.05
Rate for Payer: Cigna Commercial	$121.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.63
Rate for Payer: Oxford Commercial	$121.67
Rate for Payer: Qualcare PPO/HMO/WC	$36.50
Rate for Payer: UnitedHealthcare Commercial	$121.67

SUCTION IRRIGATOR SIMPULSE

Facility

$748.75

Hospital Charge Code	270657850
Hospital Revenue Code	270
Min. Negotiated Rate	$97.34
Max. Negotiated Rate	$374.38
Rate for Payer: Aetna Commercial	$224.62
Rate for Payer: Aetna Medicare Advantage	$224.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$190.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$190.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$190.93
Rate for Payer: Cigna Commercial	$374.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.34
Rate for Payer: Oxford Commercial	$374.38
Rate for Payer: Qualcare PPO/HMO/WC	$112.31
Rate for Payer: UnitedHealthcare Commercial	$374.38

SUCTION IRRIGATOR SIMPULSE

Facility

$748.75

Hospital Charge Code	270657850
Hospital Revenue Code	270
Min. Negotiated Rate	$112.31
Max. Negotiated Rate	$112.31
Rate for Payer: Qualcare PPO/HMO/WC	$112.31

SUCTION LIPECTOMY HEAD&NECK

Facility

$15,611.20

Service Code	HCPCS 15876
Hospital Charge Code	16000787
Hospital Revenue Code	360
Min. Negotiated Rate	$2,341.68
Max. Negotiated Rate	$2,341.68
Rate for Payer: Qualcare PPO/HMO/WC	$2,341.68

SUCTION LIPECTOMY HEAD&NECK

Facility

$15,611.20

Service Code	HCPCS 15876
Hospital Charge Code	16000787
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Commercial	$4,683.36
Rate for Payer: Aetna Medicare Advantage	$4,683.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,980.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,980.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,980.86
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,029.46
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,341.68
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

SUCTION LIPECTOMY,L EXTR

Facility

$31,159.05

Service Code	HCPCS 15879
Hospital Charge Code	16000662
Hospital Revenue Code	360
Min. Negotiated Rate	$4,673.86
Max. Negotiated Rate	$4,673.86
Rate for Payer: Qualcare PPO/HMO/WC	$4,673.86

SUCTION LIPECTOMY,L EXTR

Facility

$31,159.05

Service Code	HCPCS 15879
Hospital Charge Code	16000662
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,347.72
Rate for Payer: Aetna Commercial	$9,347.72
Rate for Payer: Aetna Medicare Advantage	$9,347.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,945.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,945.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,945.56
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,050.68
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,673.86
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

SUCTION LIPECTOMY,TRUNK

Facility

$26,848.40

Service Code	HCPCS 15877
Hospital Charge Code	16000348
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Commercial	$8,054.52
Rate for Payer: Aetna Medicare Advantage	$8,054.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,846.34
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,490.29
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

SUCTION LIPECTOMY,TRUNK

Facility

$26,848.40

Service Code	HCPCS 15877
Hospital Charge Code	16000348
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

SUCTION LIPECTOMY U EXTR

Facility

$26,848.40

Service Code	HCPCS 15878
Hospital Charge Code	1600000401
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

SUCTION LIPECTOMY U EXTR

Facility

$26,848.40

Service Code	HCPCS 15878
Hospital Charge Code	1600000401
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,054.52
Rate for Payer: Aetna Commercial	$8,054.52
Rate for Payer: Aetna Medicare Advantage	$8,054.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,846.34
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,490.29
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

SUCTION LIPECTOMY,U EXTR

Facility

$26,848.40

Service Code	HCPCS 15878
Hospital Charge Code	16000163
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,054.52
Rate for Payer: Aetna Commercial	$8,054.52
Rate for Payer: Aetna Medicare Advantage	$8,054.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,846.34
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,490.29
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges