Heights University Hospital

All Charges

Charge

Type

Setting

Price

TAP 3MM 20-35MM

Facility

$1,895.00

Hospital Charge Code	270693360
Hospital Revenue Code	272
Min. Negotiated Rate	$284.25
Max. Negotiated Rate	$284.25
Rate for Payer: Qualcare PPO/HMO/WC	$284.25

TAP 3MM 20-35MM

Facility

$1,895.00

Hospital Charge Code	270693360
Hospital Revenue Code	272
Min. Negotiated Rate	$246.35
Max. Negotiated Rate	$947.50
Rate for Payer: Aetna Commercial	$568.50
Rate for Payer: Aetna Medicare Advantage	$568.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.23
Rate for Payer: Cigna Commercial	$947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.35
Rate for Payer: Oxford Commercial	$947.50
Rate for Payer: Qualcare PPO/HMO/WC	$284.25
Rate for Payer: UnitedHealthcare Commercial	$947.50

TAP 4.0mm CANCELLOUS SCREW

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	270604464
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

TAP 4.0mm CANCELLOUS SCREW

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	270604464
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

TAP 4.0mm DISPOSABLE 702805

Facility

$855.00

Hospital Charge Code	270640259
Hospital Revenue Code	272
Min. Negotiated Rate	$128.25
Max. Negotiated Rate	$128.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.25

TAP 4.0mm DISPOSABLE 702805

Facility

$855.00

Hospital Charge Code	270640259
Hospital Revenue Code	272
Min. Negotiated Rate	$111.15
Max. Negotiated Rate	$427.50
Rate for Payer: Aetna Commercial	$256.50
Rate for Payer: Aetna Medicare Advantage	$256.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.03
Rate for Payer: Cigna Commercial	$427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.15
Rate for Payer: Oxford Commercial	$427.50
Rate for Payer: Qualcare PPO/HMO/WC	$128.25
Rate for Payer: UnitedHealthcare Commercial	$427.50

TAP 4 5MM CANNULATED

Facility

$1,000.00

Hospital Charge Code	270680219
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

TAP 4 5MM CANNULATED

Facility

$1,000.00

Hospital Charge Code	270680219
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

TAP 5.5MM 615.215

Facility

$2,600.00

Hospital Charge Code	270693629
Hospital Revenue Code	272
Min. Negotiated Rate	$338.00
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Commercial	$780.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.00
Rate for Payer: Oxford Commercial	$1,300.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Commercial	$1,300.00

TAP 5.5MM 615.215

Facility

$2,600.00

Hospital Charge Code	270693629
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

TAP 5.5MM CAN

Facility

$1,086.25

Hospital Charge Code	270701727
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$543.12
Rate for Payer: Aetna Commercial	$325.88
Rate for Payer: Aetna Medicare Advantage	$325.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.99
Rate for Payer: Cigna Commercial	$543.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

TAP 5.5MM CAN

Facility

$1,086.25

Hospital Charge Code	270701727
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$262.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

TAP 6.5 MM

Facility

$1,890.00

Service Code	HCPCS C1713
Hospital Charge Code	270692306
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$457.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: Qualcare PPO/HMO/WC	$283.50

TAP 6.5 MM

Facility

$1,890.00

Service Code	HCPCS C1713
Hospital Charge Code	270692306
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$945.00
Rate for Payer: Aetna Commercial	$567.00
Rate for Payer: Aetna Medicare Advantage	$567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.95
Rate for Payer: Cigna Commercial	$945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: Qualcare PPO/HMO/WC	$283.50

TAP 6.5mm 2346-066

Facility

$555.25

Hospital Charge Code	270610456
Hospital Revenue Code	278
Min. Negotiated Rate	$83.29
Max. Negotiated Rate	$134.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.37
Rate for Payer: Qualcare PPO/HMO/WC	$83.29

TAP 6.5mm 2346-066

Facility

$555.25

Hospital Charge Code	270610456
Hospital Revenue Code	278
Min. Negotiated Rate	$83.29
Max. Negotiated Rate	$277.62
Rate for Payer: Aetna Commercial	$166.57
Rate for Payer: Aetna Medicare Advantage	$166.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.59
Rate for Payer: Cigna Commercial	$277.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.37
Rate for Payer: Qualcare PPO/HMO/WC	$83.29

TAP 6.5MM BONE

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270702587
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

TAP 6.5MM BONE

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270702587
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

TAPAZOLE/10MG/TAB

Facility

$3.00

Hospital Charge Code	60633964
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

TAPAZOLE/10MG/TAB

Facility

$3.00

Hospital Charge Code	60633964
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

TAPAZOLE/5MG/TAB

Facility

$4.00

Hospital Charge Code	60633965
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

TAPAZOLE/5MG/TAB

Facility

$4.00

Hospital Charge Code	60633965
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TAP BIO TENODESIS 8mm

Facility

$975.00

Hospital Charge Code	270638709
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

TAP BIO TENODESIS 8mm

Facility

$975.00

Hospital Charge Code	270638709
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

TAP BLOCK

Facility

$2,196.25

Service Code	HCPCS 64486
Hospital Charge Code	1650116A
Hospital Revenue Code	361
Min. Negotiated Rate	$52.11
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$658.88
Rate for Payer: Aetna Medicare Advantage	$658.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$560.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$560.04
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	$560.04
Rate for Payer: Cigna Commercial	$52.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.51
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$329.44
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

Know your out-of-pocket cost for care.

All Charges