Heights University Hospital

All Charges

Charge

Type

Setting

Price

TIPS BARIUM ENEMA

Facility

$11.87

Hospital Charge Code	270601327
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$5.93
Rate for Payer: Aetna Commercial	$3.56
Rate for Payer: Aetna Medicare Advantage	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.03
Rate for Payer: Cigna Commercial	$5.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.54
Rate for Payer: Oxford Commercial	$5.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$5.93

TIP SCISSOR DISP 3142

Facility

$230.50

Hospital Charge Code	270641064
Hospital Revenue Code	272
Min. Negotiated Rate	$34.58
Max. Negotiated Rate	$34.58
Rate for Payer: Qualcare PPO/HMO/WC	$34.58

TIP SCISSOR DISP 3142

Facility

$230.50

Hospital Charge Code	270641064
Hospital Revenue Code	272
Min. Negotiated Rate	$29.96
Max. Negotiated Rate	$115.25
Rate for Payer: Aetna Commercial	$69.15
Rate for Payer: Aetna Medicare Advantage	$69.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.78
Rate for Payer: Cigna Commercial	$115.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.96
Rate for Payer: Oxford Commercial	$115.25
Rate for Payer: Qualcare PPO/HMO/WC	$34.58
Rate for Payer: UnitedHealthcare Commercial	$115.25

TIP SCISSORS CVD METZ DISP

Facility

$235.00

Hospital Charge Code	270662868
Hospital Revenue Code	270
Min. Negotiated Rate	$30.55
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$70.50
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.55
Rate for Payer: Oxford Commercial	$117.50
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Commercial	$117.50

TIP SCISSORS CVD METZ DISP

Facility

$235.00

Hospital Charge Code	270662868
Hospital Revenue Code	270
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$35.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

TIP SELF SEALING

Facility

$17.92

Hospital Charge Code	270658477
Hospital Revenue Code	270
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.69

TIP SELF SEALING

Facility

$17.92

Hospital Charge Code	270658477
Hospital Revenue Code	270
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$8.96
Rate for Payer: Aetna Commercial	$5.38
Rate for Payer: Aetna Medicare Advantage	$5.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.57
Rate for Payer: Cigna Commercial	$8.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$8.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.69
Rate for Payer: UnitedHealthcare Commercial	$8.96

TIP SET OPEN SUCTION 11

Facility

$94.00

Hospital Charge Code	270331365
Hospital Revenue Code	272
Min. Negotiated Rate	$12.22
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$28.20
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$47.00

TIP SET OPEN SUCTION 11

Facility

$94.00

Hospital Charge Code	270331365
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

TIP SHARP VAC NEXUS

Facility

$4,068.75

Hospital Charge Code	270696884
Hospital Revenue Code	272
Min. Negotiated Rate	$528.94
Max. Negotiated Rate	$2,034.38
Rate for Payer: Aetna Commercial	$1,220.62
Rate for Payer: Aetna Medicare Advantage	$1,220.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,037.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,037.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,037.53
Rate for Payer: Cigna Commercial	$2,034.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.94
Rate for Payer: Oxford Commercial	$2,034.38
Rate for Payer: Qualcare PPO/HMO/WC	$610.31
Rate for Payer: UnitedHealthcare Commercial	$2,034.38

TIP SHARP VAC NEXUS

Facility

$4,068.75

Hospital Charge Code	270696884
Hospital Revenue Code	272
Min. Negotiated Rate	$610.31
Max. Negotiated Rate	$610.31
Rate for Payer: Qualcare PPO/HMO/WC	$610.31

TIP SIMPULSE FEMORAL

Facility

$123.25

Hospital Charge Code	270600333
Hospital Revenue Code	272
Min. Negotiated Rate	$18.49
Max. Negotiated Rate	$18.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.49

TIP SIMPULSE FEMORAL

Facility

$123.25

Hospital Charge Code	270600333
Hospital Revenue Code	272
Min. Negotiated Rate	$16.02
Max. Negotiated Rate	$61.62
Rate for Payer: Aetna Commercial	$36.98
Rate for Payer: Aetna Medicare Advantage	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.43
Rate for Payer: Cigna Commercial	$61.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.02
Rate for Payer: Oxford Commercial	$61.62
Rate for Payer: Qualcare PPO/HMO/WC	$18.49
Rate for Payer: UnitedHealthcare Commercial	$61.62

TIP SIMPULSE SHOWERHEAD

Facility

$128.00

Hospital Charge Code	270600332
Hospital Revenue Code	272
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$64.00

TIP SIMPULSE SHOWERHEAD

Facility

$128.00

Hospital Charge Code	270600332
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

TIP SUCTION DEPUY KAMVAC******

Facility

$94.00

Hospital Charge Code	1606078
Hospital Revenue Code	272
Min. Negotiated Rate	$12.22
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$28.20
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$47.00

TIP SUCTION DEPUY KAMVAC******

Facility

$94.00

Hospital Charge Code	1606078
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

TIP SUCTION DIVIDER 67810

Facility

$204.00

Hospital Charge Code	270609361
Hospital Revenue Code	270
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

TIP SUCTION DIVIDER 67810

Facility

$204.00

Hospital Charge Code	270609361
Hospital Revenue Code	270
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$102.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$102.00

TIP SUCTION INSTRUMENT FRAZIER

Facility

$8.57

Hospital Charge Code	270655501
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

TIP SUCTION INSTRUMENT FRAZIER

Facility

$9.37

Hospital Charge Code	270650803
Hospital Revenue Code	270
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$1.41
Rate for Payer: Qualcare PPO/HMO/WC	$1.41

TIP SUCTION INSTRUMENT FRAZIER

Facility

$8.57

Hospital Charge Code	270655501
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$4.29
Rate for Payer: Aetna Commercial	$2.57
Rate for Payer: Aetna Medicare Advantage	$2.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.19
Rate for Payer: Cigna Commercial	$4.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.11
Rate for Payer: Oxford Commercial	$4.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$4.29

TIP SUCTION INSTRUMENT FRAZIER

Facility

$9.37

Hospital Charge Code	270650803
Hospital Revenue Code	270
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$4.68
Rate for Payer: Aetna Commercial	$2.81
Rate for Payer: Aetna Medicare Advantage	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.39
Rate for Payer: Cigna Commercial	$4.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.22
Rate for Payer: Oxford Commercial	$4.68
Rate for Payer: Qualcare PPO/HMO/WC	$1.41
Rate for Payer: UnitedHealthcare Commercial	$4.68

TIP SUCTION POOLE

Facility

$27.25

Hospital Charge Code	270061380
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$13.62
Rate for Payer: Aetna Commercial	$8.18
Rate for Payer: Aetna Medicare Advantage	$8.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.95
Rate for Payer: Cigna Commercial	$13.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.54
Rate for Payer: Oxford Commercial	$13.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.09
Rate for Payer: UnitedHealthcare Commercial	$13.62

TIP SUCTION POOLE

Facility

$27.25

Hospital Charge Code	270061380
Hospital Revenue Code	272
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$4.09

Know your out-of-pocket cost for care.

All Charges