Heights University Hospital

All Charges

Charge

Type

Setting

Price

BATTERY PRO 2 DRILL

Facility

$2,525.00

Hospital Charge Code	270690137
Hospital Revenue Code	272
Min. Negotiated Rate	$378.75
Max. Negotiated Rate	$378.75
Rate for Payer: Qualcare PPO/HMO/WC	$378.75

BATTERY PRO 2 DRILL

Facility

$2,525.00

Hospital Charge Code	270690137
Hospital Revenue Code	272
Min. Negotiated Rate	$328.25
Max. Negotiated Rate	$1,262.50
Rate for Payer: Aetna Commercial	$757.50
Rate for Payer: Aetna Medicare Advantage	$757.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$643.88
Rate for Payer: Cigna Commercial	$1,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$328.25
Rate for Payer: Oxford Commercial	$1,262.50
Rate for Payer: Qualcare PPO/HMO/WC	$378.75
Rate for Payer: UnitedHealthcare Commercial	$1,262.50

BATTERY RECHARGABLE SEALED LE

Facility

$3,168.75

Hospital Charge Code	270656383
Hospital Revenue Code	272
Min. Negotiated Rate	$475.31
Max. Negotiated Rate	$475.31
Rate for Payer: Qualcare PPO/HMO/WC	$475.31

BATTERY RECHARGABLE SEALED LE

Facility

$3,168.75

Hospital Charge Code	270656383
Hospital Revenue Code	272
Min. Negotiated Rate	$411.94
Max. Negotiated Rate	$1,584.38
Rate for Payer: Aetna Commercial	$950.62
Rate for Payer: Aetna Medicare Advantage	$950.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$808.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$808.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$808.03
Rate for Payer: Cigna Commercial	$1,584.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.94
Rate for Payer: Oxford Commercial	$1,584.38
Rate for Payer: Qualcare PPO/HMO/WC	$475.31
Rate for Payer: UnitedHealthcare Commercial	$1,584.38

BATTERY SMART

Facility

$511.00

Hospital Charge Code	270665805
Hospital Revenue Code	270
Min. Negotiated Rate	$76.65
Max. Negotiated Rate	$76.65
Rate for Payer: Qualcare PPO/HMO/WC	$76.65

BATTERY SMART

Facility

$511.00

Hospital Charge Code	270665805
Hospital Revenue Code	270
Min. Negotiated Rate	$66.43
Max. Negotiated Rate	$255.50
Rate for Payer: Aetna Commercial	$153.30
Rate for Payer: Aetna Medicare Advantage	$153.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.31
Rate for Payer: Cigna Commercial	$255.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.43
Rate for Payer: Oxford Commercial	$255.50
Rate for Payer: Qualcare PPO/HMO/WC	$76.65
Rate for Payer: UnitedHealthcare Commercial	$255.50

BATTERY SORIN REPLY DR

Facility

$19,142.50

Service Code	HCPCS C1785
Hospital Charge Code	270672799
Hospital Revenue Code	275
Min. Negotiated Rate	$2,871.38
Max. Negotiated Rate	$9,571.25
Rate for Payer: Aetna Commercial	$5,742.75
Rate for Payer: Aetna Medicare Advantage	$5,742.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,881.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,881.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,828.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,881.34
Rate for Payer: Cigna Commercial	$9,571.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,632.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,871.38

BATTERY SORIN REPLY DR

Facility

$19,142.50

Service Code	HCPCS C1785
Hospital Charge Code	270672799
Hospital Revenue Code	275
Min. Negotiated Rate	$2,871.38
Max. Negotiated Rate	$4,632.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,828.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,632.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,871.38

BATTERY XL SMART (3PK)

Facility

$2,317.75

Hospital Charge Code	270665804
Hospital Revenue Code	270
Min. Negotiated Rate	$347.66
Max. Negotiated Rate	$347.66
Rate for Payer: Qualcare PPO/HMO/WC	$347.66

BATTERY XL SMART (3PK)

Facility

$2,317.75

Hospital Charge Code	270665804
Hospital Revenue Code	270
Min. Negotiated Rate	$301.31
Max. Negotiated Rate	$1,158.88
Rate for Payer: Aetna Commercial	$695.33
Rate for Payer: Aetna Medicare Advantage	$695.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.03
Rate for Payer: Cigna Commercial	$1,158.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.31
Rate for Payer: Oxford Commercial	$1,158.88
Rate for Payer: Qualcare PPO/HMO/WC	$347.66
Rate for Payer: UnitedHealthcare Commercial	$1,158.88

BAYER CHILDREN'S ASPIRIN

Facility

$1.00

Hospital Charge Code	60632533
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.50

BAYER CHILDREN'S ASPIRIN

Facility

$1.00

Hospital Charge Code	60632533
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

BB PHYSICIAN SERVICE/CONSULT

Facility

$396.85

Service Code	HCPCS 86077
Hospital Charge Code	3100195
Hospital Revenue Code	302
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$59.53
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

BB PHYSICIAN SERVICE/CONSULT

Facility

$396.85

Service Code	HCPCS 86077
Hospital Charge Code	3100195
Hospital Revenue Code	302
Min. Negotiated Rate	$21.48
Max. Negotiated Rate	$119.06
Rate for Payer: Aetna Commercial	$119.06
Rate for Payer: Aetna Medicare Advantage	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.20
Rate for Payer: Cigna Commercial	$68.87
Rate for Payer: Cigna Medicare Advantage	$21.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.59
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Commercial	$114.00

BB TAK

Facility

$250.00

Hospital Charge Code	270652914
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

BB TAK

Facility

$250.00

Hospital Charge Code	270652914
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

BB TAK

Facility

$425.00

Hospital Charge Code	270656495
Hospital Revenue Code	272
Min. Negotiated Rate	$55.25
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.25
Rate for Payer: Oxford Commercial	$212.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$212.50

BB TAK

Facility

$425.00

Hospital Charge Code	270656495
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

BB-TAK MTP THREADED

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270694409
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

BB-TAK MTP THREADED

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270694409
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

BB TAK THREADED

Facility

$772.50

Service Code	HCPCS C1713
Hospital Charge Code	270703765
Hospital Revenue Code	278
Min. Negotiated Rate	$115.88
Max. Negotiated Rate	$186.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.94
Rate for Payer: Qualcare PPO/HMO/WC	$115.88

BB TAK THREADED

Facility

$772.50

Service Code	HCPCS C1713
Hospital Charge Code	270703765
Hospital Revenue Code	278
Min. Negotiated Rate	$115.88
Max. Negotiated Rate	$386.25
Rate for Payer: Aetna Commercial	$231.75
Rate for Payer: Aetna Medicare Advantage	$231.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.99
Rate for Payer: Cigna Commercial	$386.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.94
Rate for Payer: Qualcare PPO/HMO/WC	$115.88

B.BURGDORFERI AB (IGG,M), I

Facility

$667.59

Service Code	HCPCS 8661791
Hospital Charge Code	39990036A
Hospital Revenue Code	302
Min. Negotiated Rate	$86.79
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$200.28
Rate for Payer: Aetna Medicare Advantage	$200.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.24
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00

B.BURGDORFERI AB (IGG,M), I

Facility

$667.59

Service Code	HCPCS 8661791
Hospital Charge Code	39990036A
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

B.BURGDORFERI AB (IGG,M), II

Facility

$667.59

Service Code	HCPCS 8661791
Hospital Charge Code	39990036B
Hospital Revenue Code	302
Min. Negotiated Rate	$86.79
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$200.28
Rate for Payer: Aetna Medicare Advantage	$200.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.24
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges