Heights University Hospital

All Charges

Charge

Type

Setting

Price

TIGAN 300MG

Facility

$1.00

Hospital Charge Code	60635502
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

TIGAN 300MG

Facility

$1.00

Hospital Charge Code	60635502
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

TIGAN 300MG CAPSULE

Facility

$2.00

Hospital Charge Code	60635528
Hospital Revenue Code	250
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.60
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.26
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$1.00

TIGAN 300MG CAPSULE

Facility

$2.00

Hospital Charge Code	60635528
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

TIGE FEMORALE SANS APPULSANS

Facility

$42,030.00

Hospital Charge Code	270657708
Hospital Revenue Code	278
Min. Negotiated Rate	$6,304.50
Max. Negotiated Rate	$10,171.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,406.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,171.26
Rate for Payer: Qualcare PPO/HMO/WC	$6,304.50

TIGE FEMORALE SANS APPULSANS

Facility

$42,030.00

Hospital Charge Code	270657708
Hospital Revenue Code	278
Min. Negotiated Rate	$6,304.50
Max. Negotiated Rate	$21,015.00
Rate for Payer: Aetna Commercial	$12,609.00
Rate for Payer: Aetna Medicare Advantage	$12,609.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,717.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,717.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,406.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,717.65
Rate for Payer: Cigna Commercial	$21,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,171.26
Rate for Payer: Qualcare PPO/HMO/WC	$6,304.50

TIGERSTICK

Facility

$250.00

Hospital Charge Code	270663951
Hospital Revenue Code	270
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

TIGERSTICK

Facility

$250.00

Hospital Charge Code	270663951
Hospital Revenue Code	270
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

TIGER TAPE 2MM 7 WHITE/BLACK

Facility

$250.00

Hospital Charge Code	270673984
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

TIGER TAPE 2MM 7 WHITE/BLACK

Facility

$250.00

Hospital Charge Code	270673984
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

TIGERTAPE CERCLAGE W/O NDL 2MM

Facility

$2,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270698125
Hospital Revenue Code	278
Min. Negotiated Rate	$386.10
Max. Negotiated Rate	$1,287.00
Rate for Payer: Aetna Commercial	$772.20
Rate for Payer: Aetna Medicare Advantage	$772.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$514.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.37
Rate for Payer: Cigna Commercial	$1,287.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.91
Rate for Payer: Qualcare PPO/HMO/WC	$386.10

TIGERTAPE CERCLAGE W/O NDL 2MM

Facility

$2,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270698125
Hospital Revenue Code	278
Min. Negotiated Rate	$386.10
Max. Negotiated Rate	$622.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$514.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.91
Rate for Payer: Qualcare PPO/HMO/WC	$386.10

TIGERTAPE STERNAL CLOSURE 2MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270703523
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

TIGERTAPE STERNAL CLOSURE 2MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270703523
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

TIGERTRIEVER 13 SYST 20.5M

Facility

$34,000.00

Service Code	HCPCS C1757
Hospital Charge Code	270698109S
Hospital Revenue Code	278
Min. Negotiated Rate	$5,100.00
Max. Negotiated Rate	$8,228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,228.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,100.00

TIGERTRIEVER 13 SYST 20.5M

Facility

$34,000.00

Service Code	HCPCS C1757
Hospital Charge Code	270698109S
Hospital Revenue Code	278
Min. Negotiated Rate	$5,100.00
Max. Negotiated Rate	$17,000.00
Rate for Payer: Aetna Commercial	$10,200.00
Rate for Payer: Aetna Medicare Advantage	$10,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,670.00
Rate for Payer: Cigna Commercial	$17,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,228.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,100.00

TIGHTROPE 1.1 MM IMPLANT

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270684814
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,042.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

TIGHTROPE 1.1 MM IMPLANT

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270684814
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

TIGHT ROPE ABS,14MM BUTTON

Facility

$1,070.00

Service Code	HCPCS C1713
Hospital Charge Code	270664774
Hospital Revenue Code	278
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$321.00
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.94
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

TIGHT ROPE ABS,14MM BUTTON

Facility

$1,070.00

Service Code	HCPCS C1713
Hospital Charge Code	270664774
Hospital Revenue Code	278
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$258.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.94
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

TIGHT ROPE ABS 14 MM CONVA

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270690220
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$336.00
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

TIGHT ROPE ABS 14 MM CONVA

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270690220
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

TIGHTROPE ABS BUT RD CONC 17MM

Facility

$1,422.90

Hospital Charge Code	270702507
Hospital Revenue Code	278
Min. Negotiated Rate	$213.44
Max. Negotiated Rate	$711.45
Rate for Payer: Aetna Commercial	$426.87
Rate for Payer: Aetna Medicare Advantage	$426.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.84
Rate for Payer: Cigna Commercial	$711.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.34
Rate for Payer: Qualcare PPO/HMO/WC	$213.44

TIGHTROPE ABS BUT RD CONC 17MM

Facility

$1,422.90

Hospital Charge Code	270702507
Hospital Revenue Code	278
Min. Negotiated Rate	$213.44
Max. Negotiated Rate	$344.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.34
Rate for Payer: Qualcare PPO/HMO/WC	$213.44

TIGHT ROPE ABS BUTTON 8X12MM

Facility

$715.00

Service Code	HCPCS C1713
Hospital Charge Code	270669603
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$173.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.03
Rate for Payer: Qualcare PPO/HMO/WC	$107.25

Know your out-of-pocket cost for care.

All Charges