Heights University Hospital

All Charges

Charge

Type

Setting

Price

SYRINGE TOOMEY STERILE 70cc

Facility

$6.28

Hospital Charge Code	270649082
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Qualcare PPO/HMO/WC	$0.94

SYRINGE TOOMEY STERILE 70cc

Facility

$6.28

Hospital Charge Code	270649082
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$3.14
Rate for Payer: Aetna Commercial	$1.88
Rate for Payer: Aetna Medicare Advantage	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.60
Rate for Payer: Cigna Commercial	$3.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.82
Rate for Payer: Oxford Commercial	$3.14
Rate for Payer: Qualcare PPO/HMO/WC	$0.94
Rate for Payer: UnitedHealthcare Commercial	$3.14

SYRINGE VANISHPOINT TB 27GAX.5

Facility

$279.20

Hospital Charge Code	270653638
Hospital Revenue Code	272
Min. Negotiated Rate	$36.30
Max. Negotiated Rate	$139.60
Rate for Payer: Aetna Commercial	$83.76
Rate for Payer: Aetna Medicare Advantage	$83.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.20
Rate for Payer: Cigna Commercial	$139.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Oxford Commercial	$139.60
Rate for Payer: Qualcare PPO/HMO/WC	$41.88
Rate for Payer: UnitedHealthcare Commercial	$139.60

SYRINGE VANISHPOINT TB 27GAX.5

Facility

$279.20

Hospital Charge Code	270653638
Hospital Revenue Code	272
Min. Negotiated Rate	$41.88
Max. Negotiated Rate	$41.88
Rate for Payer: Qualcare PPO/HMO/WC	$41.88

SYRINGE WHITE SALINE 20CC

Facility

$2.50

Hospital Charge Code	270658327
Hospital Revenue Code	270
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Qualcare PPO/HMO/WC	$0.38

SYRINGE WHITE SALINE 20CC

Facility

$12.50

Hospital Charge Code	2709000377
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

SYRINGE WHITE SALINE 20CC

Facility

$2.50

Hospital Charge Code	270658327
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$1.25
Rate for Payer: Aetna Commercial	$0.75
Rate for Payer: Aetna Medicare Advantage	$0.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.64
Rate for Payer: Cigna Commercial	$1.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.33
Rate for Payer: Oxford Commercial	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.38
Rate for Payer: UnitedHealthcare Commercial	$1.25

SYRINGE WHITE SALINE 20CC

Facility

$12.50

Hospital Charge Code	2709000377
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$6.25
Rate for Payer: Aetna Commercial	$3.75
Rate for Payer: Aetna Medicare Advantage	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Oxford Commercial	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$6.25

SYRINGE YELLOE CONTRAST 10CC

Facility

$9.75

Hospital Charge Code	2709000380
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$4.88
Rate for Payer: Aetna Commercial	$2.92
Rate for Payer: Aetna Medicare Advantage	$2.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.49
Rate for Payer: Cigna Commercial	$4.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.27
Rate for Payer: Oxford Commercial	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$4.88

SYRINGE YELLOE CONTRAST 10CC

Facility

$9.75

Hospital Charge Code	2709000380
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

SYRINGE YELLOW CONTRAST 10CC

Facility

$1.95

Hospital Charge Code	270658331
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

SYRINGE YELLOW CONTRAST 10CC

Facility

$1.95

Hospital Charge Code	270658331
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

SYS ACNET EMB PROTCT 101133475

Facility

$7,688.00

Hospital Charge Code	270635099
Hospital Revenue Code	272
Min. Negotiated Rate	$999.44
Max. Negotiated Rate	$3,844.00
Rate for Payer: Aetna Commercial	$2,306.40
Rate for Payer: Aetna Medicare Advantage	$2,306.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.44
Rate for Payer: Cigna Commercial	$3,844.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$999.44
Rate for Payer: Oxford Commercial	$3,844.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20
Rate for Payer: UnitedHealthcare Commercial	$3,844.00

SYS ACNET EMB PROTCT 101133475

Facility

$7,688.00

Hospital Charge Code	270635099
Hospital Revenue Code	272
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$1,153.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

SYS ANKLE SYNDESMOSIS FIXATION

Facility

$5,730.00

Service Code	HCPCS C1776
Hospital Charge Code	270645177
Hospital Revenue Code	278
Min. Negotiated Rate	$859.50
Max. Negotiated Rate	$1,386.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.66
Rate for Payer: Qualcare PPO/HMO/WC	$859.50

SYS ANKLE SYNDESMOSIS FIXATION

Facility

$5,730.00

Service Code	HCPCS C1776
Hospital Charge Code	270645177
Hospital Revenue Code	278
Min. Negotiated Rate	$859.50
Max. Negotiated Rate	$2,865.00
Rate for Payer: Aetna Commercial	$1,719.00
Rate for Payer: Aetna Medicare Advantage	$1,719.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,461.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,461.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,461.15
Rate for Payer: Cigna Commercial	$2,865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.66
Rate for Payer: Qualcare PPO/HMO/WC	$859.50

SYS CHARG FOR PT PROG SC6412

Facility

$15,020.00

Hospital Charge Code	270641625
Hospital Revenue Code	272
Min. Negotiated Rate	$1,952.60
Max. Negotiated Rate	$7,510.00
Rate for Payer: Aetna Commercial	$4,506.00
Rate for Payer: Aetna Medicare Advantage	$4,506.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,830.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,830.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,830.10
Rate for Payer: Cigna Commercial	$7,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,952.60
Rate for Payer: Oxford Commercial	$7,510.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,253.00
Rate for Payer: UnitedHealthcare Commercial	$7,510.00

SYS CHARG FOR PT PROG SC6412

Facility

$15,020.00

Hospital Charge Code	270641625
Hospital Revenue Code	272
Min. Negotiated Rate	$2,253.00
Max. Negotiated Rate	$2,253.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,253.00

SYS CLOS PERCLOSE PGLIDE 12673

Facility

$1,075.00

Service Code	HCPCS C1760
Hospital Charge Code	270634327
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

SYS CLOS PERCLOSE PGLIDE 12673

Facility

$1,075.00

Service Code	HCPCS C1760
Hospital Charge Code	270634327
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

SYS CLOS PERCLOSE PGLIDE 12673

Facility

$2,334.86

Service Code	HCPCS C1760
Hospital Charge Code	270634327N
Hospital Revenue Code	278
Min. Negotiated Rate	$350.23
Max. Negotiated Rate	$1,167.43
Rate for Payer: Aetna Commercial	$700.46
Rate for Payer: Aetna Medicare Advantage	$700.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$595.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$595.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$466.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$595.39
Rate for Payer: Cigna Commercial	$1,167.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.04
Rate for Payer: Qualcare PPO/HMO/WC	$350.23

SYS CLOS PERCLOSE PGLIDE 12673

Facility

$1,075.00

Service Code	HCPCS C1760
Hospital Charge Code	270634327S
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

SYS CLOS PERCLOSE PGLIDE 12673

Facility

$1,075.00

Service Code	HCPCS C1760
Hospital Charge Code	270634327S
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

SYS CLOS PERCLOSE PGLIDE 12673

Facility

$2,334.86

Service Code	HCPCS C1760
Hospital Charge Code	270634327N
Hospital Revenue Code	278
Min. Negotiated Rate	$350.23
Max. Negotiated Rate	$565.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$466.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.04
Rate for Payer: Qualcare PPO/HMO/WC	$350.23

SYS COAXIAL BONE BIOPSY 11Gx12

Facility

$750.00

Hospital Charge Code	270650183
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges