Heights University Hospital

All Charges

Charge

Type

Setting

Price

SYSTEM THROMBECTOMY PROL 86511

Facility

$2,975.00

Hospital Charge Code	270632896
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$719.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

SYSTEM TRACH ADULT W/SWIVEL T

Facility

$29.61

Hospital Charge Code	270622088
Hospital Revenue Code	270
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.80
Rate for Payer: Aetna Commercial	$8.88
Rate for Payer: Aetna Medicare Advantage	$8.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.55
Rate for Payer: Cigna Commercial	$14.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.44
Rate for Payer: UnitedHealthcare Commercial	$14.80

SYSTEM TRACH ADULT W/SWIVEL T

Facility

$29.61

Hospital Charge Code	270622088
Hospital Revenue Code	270
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$4.44
Rate for Payer: Qualcare PPO/HMO/WC	$4.44

SYSTEM TRANSURETHRAL INJECT

Facility

$231.25

Hospital Charge Code	270604621
Hospital Revenue Code	272
Min. Negotiated Rate	$30.06
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$69.38
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.06
Rate for Payer: Oxford Commercial	$115.62
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Commercial	$115.62

SYSTEM TRANSURETHRAL INJECT

Facility

$231.25

Hospital Charge Code	270604621
Hospital Revenue Code	272
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

SYSTEM UCL INTERNAL BRACE

Facility

$5,895.00

Hospital Charge Code	270680851
Hospital Revenue Code	278
Min. Negotiated Rate	$884.25
Max. Negotiated Rate	$1,426.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,179.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,426.59
Rate for Payer: Qualcare PPO/HMO/WC	$884.25

SYSTEM UCL INTERNAL BRACE

Facility

$5,895.00

Hospital Charge Code	270680851
Hospital Revenue Code	278
Min. Negotiated Rate	$884.25
Max. Negotiated Rate	$2,947.50
Rate for Payer: Aetna Commercial	$1,768.50
Rate for Payer: Aetna Medicare Advantage	$1,768.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,503.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,503.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,179.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,503.22
Rate for Payer: Cigna Commercial	$2,947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,426.59
Rate for Payer: Qualcare PPO/HMO/WC	$884.25

SYSTEM UROST 45MM 3/4FL

Facility

$92.00

Hospital Charge Code	270600410
Hospital Revenue Code	272
Min. Negotiated Rate	$11.96
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$27.60
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.96
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$46.00

SYSTEM UROST 45MM 3/4FL

Facility

$92.00

Hospital Charge Code	270600410
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SYSTEM UROST 70MM 2 3/4F

Facility

$92.00

Hospital Charge Code	270600411
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SYSTEM UROST 70MM 2 3/4F

Facility

$92.00

Hospital Charge Code	270600411
Hospital Revenue Code	272
Min. Negotiated Rate	$11.96
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$27.60
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.96
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$46.00

SYSTEM UROST GNTLE TCH 020929*

Facility

$51.00

Hospital Charge Code	1606037
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

SYSTEM UROST GNTLE TCH 020929*

Facility

$51.00

Hospital Charge Code	1606037
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$15.30
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.63
Rate for Payer: Oxford Commercial	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$25.50

SYSTEM UROST GNTLE TCH 020930*

Facility

$51.00

Hospital Charge Code	1606045
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$15.30
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.63
Rate for Payer: Oxford Commercial	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$25.50

SYSTEM UROST GNTLE TCH 020930*

Facility

$51.00

Hospital Charge Code	1606045
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

SYSTEM UTERINE BALLOON UMBILIC

Facility

$2,844.35

Hospital Charge Code	270657586
Hospital Revenue Code	278
Min. Negotiated Rate	$426.65
Max. Negotiated Rate	$1,422.17
Rate for Payer: Aetna Commercial	$853.30
Rate for Payer: Aetna Medicare Advantage	$853.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$725.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$725.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$568.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$725.31
Rate for Payer: Cigna Commercial	$1,422.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.33
Rate for Payer: Qualcare PPO/HMO/WC	$426.65

SYSTEM UTERINE BALLOON UMBILIC

Facility

$2,844.35

Hospital Charge Code	270657586
Hospital Revenue Code	278
Min. Negotiated Rate	$426.65
Max. Negotiated Rate	$688.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$568.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.33
Rate for Payer: Qualcare PPO/HMO/WC	$426.65

SYSTEM VAC BONE GRAFT 480580VP

Facility

$1,483.10

Hospital Charge Code	270633821
Hospital Revenue Code	272
Min. Negotiated Rate	$222.47
Max. Negotiated Rate	$222.47
Rate for Payer: Qualcare PPO/HMO/WC	$222.47

SYSTEM VAC BONE GRAFT 480580VP

Facility

$1,483.10

Hospital Charge Code	270633821
Hospital Revenue Code	272
Min. Negotiated Rate	$192.80
Max. Negotiated Rate	$741.55
Rate for Payer: Aetna Commercial	$444.93
Rate for Payer: Aetna Medicare Advantage	$444.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.19
Rate for Payer: Cigna Commercial	$741.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.80
Rate for Payer: Oxford Commercial	$741.55
Rate for Payer: Qualcare PPO/HMO/WC	$222.47
Rate for Payer: UnitedHealthcare Commercial	$741.55

SYSTEM VAS ENTRY 5f MINI 45994

Facility

$217.25

Hospital Charge Code	270628619
Hospital Revenue Code	272
Min. Negotiated Rate	$32.59
Max. Negotiated Rate	$32.59
Rate for Payer: Qualcare PPO/HMO/WC	$32.59

SYSTEM VAS ENTRY 5f MINI 45994

Facility

$217.25

Hospital Charge Code	270628619
Hospital Revenue Code	272
Min. Negotiated Rate	$28.24
Max. Negotiated Rate	$108.62
Rate for Payer: Aetna Commercial	$65.17
Rate for Payer: Aetna Medicare Advantage	$65.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.40
Rate for Payer: Cigna Commercial	$108.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.24
Rate for Payer: Oxford Commercial	$108.62
Rate for Payer: Qualcare PPO/HMO/WC	$32.59
Rate for Payer: UnitedHealthcare Commercial	$108.62

SYSTEM VERSA-DAIL 42x18x46mmSH

Facility

$9,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270665691
Hospital Revenue Code	278
Min. Negotiated Rate	$1,432.50
Max. Negotiated Rate	$2,311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,311.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.50

SYSTEM VERSA-DAIL 42x18x46mmSH

Facility

$9,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270665691
Hospital Revenue Code	278
Min. Negotiated Rate	$1,432.50
Max. Negotiated Rate	$4,775.00
Rate for Payer: Aetna Commercial	$2,865.00
Rate for Payer: Aetna Medicare Advantage	$2,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,435.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,435.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,435.25
Rate for Payer: Cigna Commercial	$4,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,311.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.50

SYSTEM WMT HEAD REPAIR SJOEV01

Facility

$11,780.00

Hospital Charge Code	270628375
Hospital Revenue Code	272
Min. Negotiated Rate	$1,767.00
Max. Negotiated Rate	$1,767.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,767.00

SYSTEM WMT HEAD REPAIR SJOEV01

Facility

$11,780.00

Hospital Charge Code	270628375
Hospital Revenue Code	272
Min. Negotiated Rate	$1,531.40
Max. Negotiated Rate	$5,890.00
Rate for Payer: Aetna Commercial	$3,534.00
Rate for Payer: Aetna Medicare Advantage	$3,534.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,003.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,003.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,003.90
Rate for Payer: Cigna Commercial	$5,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,531.40
Rate for Payer: Oxford Commercial	$5,890.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,767.00
Rate for Payer: UnitedHealthcare Commercial	$5,890.00

Know your out-of-pocket cost for care.

All Charges