Heights University Hospital

All Charges

Charge

Type

Setting

Price

TEMPLATE SYN 22H 3.5PLT 329.64

Facility

$396.85

Hospital Charge Code	270615259
Hospital Revenue Code	278
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$96.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.04
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

TEMPLATE SYN 7H 3.5PLT 329.87

Facility

$144.00

Hospital Charge Code	270614776
Hospital Revenue Code	278
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

TEMPLATE SYN 7H 3.5PLT 329.87

Facility

$144.00

Hospital Charge Code	270614776
Hospital Revenue Code	278
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$43.20
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

TEMPLTE GRID 18GA STRL 610-906

Facility

$234.00

Hospital Charge Code	270640970
Hospital Revenue Code	272
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$35.10
Rate for Payer: Qualcare PPO/HMO/WC	$35.10

TEMPLTE GRID 18GA STRL 610-906

Facility

$234.00

Hospital Charge Code	270640970
Hospital Revenue Code	272
Min. Negotiated Rate	$30.42
Max. Negotiated Rate	$117.00
Rate for Payer: Aetna Commercial	$70.20
Rate for Payer: Aetna Medicare Advantage	$70.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.67
Rate for Payer: Cigna Commercial	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.42
Rate for Payer: Oxford Commercial	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.10
Rate for Payer: UnitedHealthcare Commercial	$117.00

TEMPORARY FIXATION PIN

Facility

$1,240.00

Hospital Charge Code	270704213
Hospital Revenue Code	279
Min. Negotiated Rate	$161.20
Max. Negotiated Rate	$620.00
Rate for Payer: Aetna Commercial	$372.00
Rate for Payer: Aetna Medicare Advantage	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.20
Rate for Payer: Cigna Commercial	$620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.20
Rate for Payer: Oxford Commercial	$620.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.00
Rate for Payer: UnitedHealthcare Commercial	$620.00

TEMPORARY FIXATION PIN

Facility

$1,240.00

Hospital Charge Code	270704213
Hospital Revenue Code	279
Min. Negotiated Rate	$186.00
Max. Negotiated Rate	$186.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.00

TEMP PACEMAKER INSERTION

Facility

$18,455.00

Service Code	HCPCS 33210
Hospital Charge Code	366833210
Hospital Revenue Code	480
Min. Negotiated Rate	$2,768.25
Max. Negotiated Rate	$2,768.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,768.25

TEMP PACEMAKER INSERTION

Facility

$18,455.00

Service Code	HCPCS 33210
Hospital Charge Code	7411015
Hospital Revenue Code	480
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$5,536.50
Rate for Payer: Aetna Medicare Advantage	$5,536.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,706.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,706.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,706.02
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,399.15
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,768.25
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

TEMP PACEMAKER INSERTION

Facility

$18,455.00

Service Code	HCPCS 33210
Hospital Charge Code	7411015
Hospital Revenue Code	480
Min. Negotiated Rate	$2,768.25
Max. Negotiated Rate	$2,768.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,768.25

TEMP PACEMAKER INSERTION

Facility

$18,455.00

Service Code	HCPCS 33210
Hospital Charge Code	366833210
Hospital Revenue Code	480
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$5,536.50
Rate for Payer: Aetna Medicare Advantage	$5,536.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,706.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,706.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,706.02
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,399.15
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,768.25
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

TEMP PROBE COVER CARE

Facility

$2.34

Hospital Charge Code	270658673
Hospital Revenue Code	270
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.35

TEMP PROBE COVER CARE

Facility

$2.34

Hospital Charge Code	270658673
Hospital Revenue Code	270
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$1.17
Rate for Payer: Aetna Commercial	$0.70
Rate for Payer: Aetna Medicare Advantage	$0.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.60
Rate for Payer: Cigna Commercial	$1.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$1.17

TEMP TREND INDICATOR CRYSTAL**

Facility

$8.00

Hospital Charge Code	2300861
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

TEMP TREND INDICATOR CRYSTAL**

Facility

$8.00

Hospital Charge Code	2300861
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

TEMPURATURE PROBE 72

Facility

$45.00

Hospital Charge Code	270688450
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

TEMPURATURE PROBE 72

Facility

$45.00

Hospital Charge Code	270688450
Hospital Revenue Code	272
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.85
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$22.50

TEMSIROLIMUS 25 MG/ML VIAL

Facility

$10,011.06

Hospital Charge Code	6063943251
Hospital Revenue Code	636
Min. Negotiated Rate	$1,501.66
Max. Negotiated Rate	$5,005.53
Rate for Payer: Aetna Commercial	$3,003.32
Rate for Payer: Aetna Medicare Advantage	$3,003.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,552.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,552.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,552.82
Rate for Payer: Cigna Commercial	$5,005.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,422.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,501.66

TEMSIROLIMUS 25 MG/ML VIAL

Facility

$10,011.06

Hospital Charge Code	6063943251
Hospital Revenue Code	636
Min. Negotiated Rate	$1,501.66
Max. Negotiated Rate	$2,422.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,422.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,501.66

TENA HELICAL BLADE 90MM

Facility

$3,389.60

Hospital Charge Code	270681850
Hospital Revenue Code	272
Min. Negotiated Rate	$440.65
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,016.88
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.65
Rate for Payer: Oxford Commercial	$1,694.80
Rate for Payer: Qualcare PPO/HMO/WC	$508.44
Rate for Payer: UnitedHealthcare Commercial	$1,694.80

TENA HELICAL BLADE 90MM

Facility

$3,389.60

Hospital Charge Code	270681850
Hospital Revenue Code	272
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$508.44
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

TENDERFOOT HEEL INCISION

Facility

$5.00

Hospital Charge Code	270649806
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

TENDERFOOT HEEL INCISION

Facility

$5.00

Hospital Charge Code	270649806
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

TENDON ACHILES BONE ON BONE

Facility

$8,693.75

Hospital Charge Code	270637059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,304.06
Max. Negotiated Rate	$4,346.88
Rate for Payer: Aetna Commercial	$2,608.12
Rate for Payer: Aetna Medicare Advantage	$2,608.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,216.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,216.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,738.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,216.91
Rate for Payer: Cigna Commercial	$4,346.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,103.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.06

TENDON ACHILES BONE ON BONE

Facility

$8,693.75

Hospital Charge Code	270637059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,304.06
Max. Negotiated Rate	$2,103.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,738.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,103.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.06

Know your out-of-pocket cost for care.

All Charges