Heights University Hospital

All Charges

Charge

Type

Setting

Price

TIP SUCTION YANKAUER ******

Facility

$4.00

Hospital Charge Code	8002925
Hospital Revenue Code	279
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TIP SUCTION YANKAUER ******

Facility

$4.00

Hospital Charge Code	8002925
Hospital Revenue Code	279
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

TIP TRANSDUCER INTRAUTERINE

Facility

$288.00

Hospital Charge Code	270600594
Hospital Revenue Code	272
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.20

TIP TRANSDUCER INTRAUTERINE

Facility

$288.00

Hospital Charge Code	270600594
Hospital Revenue Code	272
Min. Negotiated Rate	$37.44
Max. Negotiated Rate	$144.00
Rate for Payer: Aetna Commercial	$86.40
Rate for Payer: Aetna Medicare Advantage	$86.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.44
Rate for Payer: Cigna Commercial	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Oxford Commercial	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.20
Rate for Payer: UnitedHealthcare Commercial	$144.00

TIP VITAL VIEW DISP

Facility

$925.65

Hospital Charge Code	270600595
Hospital Revenue Code	272
Min. Negotiated Rate	$138.85
Max. Negotiated Rate	$138.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.85

TIP VITAL VIEW DISP

Facility

$925.65

Hospital Charge Code	270600595
Hospital Revenue Code	272
Min. Negotiated Rate	$120.33
Max. Negotiated Rate	$462.82
Rate for Payer: Aetna Commercial	$277.69
Rate for Payer: Aetna Medicare Advantage	$277.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.04
Rate for Payer: Cigna Commercial	$462.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.33
Rate for Payer: Oxford Commercial	$462.82
Rate for Payer: Qualcare PPO/HMO/WC	$138.85
Rate for Payer: UnitedHealthcare Commercial	$462.82

TIP VITAL VUE DISP 8281-06

Facility

$856.85

Hospital Charge Code	270600270
Hospital Revenue Code	272
Min. Negotiated Rate	$111.39
Max. Negotiated Rate	$428.43
Rate for Payer: Aetna Commercial	$257.06
Rate for Payer: Aetna Medicare Advantage	$257.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.50
Rate for Payer: Cigna Commercial	$428.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.39
Rate for Payer: Oxford Commercial	$428.43
Rate for Payer: Qualcare PPO/HMO/WC	$128.53
Rate for Payer: UnitedHealthcare Commercial	$428.43

TIP VITAL VUE DISP 8281-06

Facility

$856.85

Hospital Charge Code	270600270
Hospital Revenue Code	272
Min. Negotiated Rate	$128.53
Max. Negotiated Rate	$128.53
Rate for Payer: Qualcare PPO/HMO/WC	$128.53

TIRBOLOX INTERVERT BODY FUSION

Facility

$15,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704564
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$3,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

TIRBOLOX INTERVERT BODY FUSION

Facility

$15,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704564
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$7,750.00
Rate for Payer: Aetna Commercial	$4,650.00
Rate for Payer: Aetna Medicare Advantage	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,952.50
Rate for Payer: Cigna Commercial	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

TI ROD 70MM PREBENT LORDOTI

Facility

$4,580.00

Hospital Charge Code	270660949
Hospital Revenue Code	278
Min. Negotiated Rate	$687.00
Max. Negotiated Rate	$2,290.00
Rate for Payer: Aetna Commercial	$1,374.00
Rate for Payer: Aetna Medicare Advantage	$1,374.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,167.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,167.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$916.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,167.90
Rate for Payer: Cigna Commercial	$2,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,108.36
Rate for Payer: Qualcare PPO/HMO/WC	$687.00

TI ROD 70MM PREBENT LORDOTI

Facility

$4,580.00

Hospital Charge Code	270660949
Hospital Revenue Code	278
Min. Negotiated Rate	$687.00
Max. Negotiated Rate	$1,108.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$916.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,108.36
Rate for Payer: Qualcare PPO/HMO/WC	$687.00

TIROFIBAN HCL INJ 12.5MG

Facility

$49.60

Hospital Charge Code	60628870
Hospital Revenue Code	636
Min. Negotiated Rate	$7.44
Max. Negotiated Rate	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.44

TIROFIBAN HCL INJ 12.5MG

Facility

$49.60

Hospital Charge Code	60628870
Hospital Revenue Code	636
Min. Negotiated Rate	$7.44
Max. Negotiated Rate	$24.80
Rate for Payer: Aetna Commercial	$14.88
Rate for Payer: Aetna Medicare Advantage	$14.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.65
Rate for Payer: Cigna Commercial	$24.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.44

TI SET SCREW 8X17.5MM

Facility

$1,315.00

Hospital Charge Code	270656559
Hospital Revenue Code	278
Min. Negotiated Rate	$197.25
Max. Negotiated Rate	$657.50
Rate for Payer: Aetna Commercial	$394.50
Rate for Payer: Aetna Medicare Advantage	$394.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.32
Rate for Payer: Cigna Commercial	$657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.23
Rate for Payer: Qualcare PPO/HMO/WC	$197.25

TI SET SCREW 8X17.5MM

Facility

$1,315.00

Hospital Charge Code	270656559
Hospital Revenue Code	278
Min. Negotiated Rate	$197.25
Max. Negotiated Rate	$318.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.23
Rate for Payer: Qualcare PPO/HMO/WC	$197.25

TIS MATRX 9.6x19.3CM THIN

Facility

$27,445.00

Service Code	HCPCS Q4116
Hospital Charge Code	270675064
Hospital Revenue Code	278
Min. Negotiated Rate	$4,116.75
Max. Negotiated Rate	$6,641.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,489.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,641.69
Rate for Payer: Qualcare PPO/HMO/WC	$4,116.75

TIS MATRX 9.6x19.3CM THIN

Facility

$27,445.00

Service Code	HCPCS Q4116
Hospital Charge Code	270675064
Hospital Revenue Code	278
Min. Negotiated Rate	$296.35
Max. Negotiated Rate	$8,233.50
Rate for Payer: Aetna Commercial	$8,233.50
Rate for Payer: Aetna Medicare Advantage	$8,233.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,998.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,998.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,489.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,998.48
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,641.69
Rate for Payer: Qualcare PPO/HMO/WC	$4,116.75

TIS MATRX 9.6x19.3CM TH/SQCMJW

Facility

$139.69

Hospital Charge Code	270675064W
Hospital Revenue Code	636
Min. Negotiated Rate	$20.95
Max. Negotiated Rate	$33.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.95

TIS MATRX 9.6x19.3CM TH/SQCMJW

Facility

$139.69

Hospital Charge Code	270675064W
Hospital Revenue Code	636
Min. Negotiated Rate	$20.95
Max. Negotiated Rate	$69.84
Rate for Payer: Aetna Commercial	$41.91
Rate for Payer: Aetna Medicare Advantage	$41.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.62
Rate for Payer: Cigna Commercial	$69.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.95

TI SPRL BLD 65MM F/T FEM NAILS

Facility

$2,563.85

Service Code	HCPCS C1713
Hospital Charge Code	270687937
Hospital Revenue Code	278
Min. Negotiated Rate	$384.58
Max. Negotiated Rate	$1,281.92
Rate for Payer: Aetna Commercial	$769.15
Rate for Payer: Aetna Medicare Advantage	$769.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$653.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$653.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$512.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$653.78
Rate for Payer: Cigna Commercial	$1,281.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$620.45
Rate for Payer: Qualcare PPO/HMO/WC	$384.58

TI SPRL BLD 65MM F/T FEM NAILS

Facility

$2,563.85

Service Code	HCPCS C1713
Hospital Charge Code	270687937
Hospital Revenue Code	278
Min. Negotiated Rate	$384.58
Max. Negotiated Rate	$620.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$512.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$620.45
Rate for Payer: Qualcare PPO/HMO/WC	$384.58

TISS CULT/NON-NEOPLASTIC LYMPH

Facility

$825.49

Service Code	HCPCS 88230
Hospital Charge Code	38477207
Hospital Revenue Code	311
Min. Negotiated Rate	$58.24
Max. Negotiated Rate	$426.82
Rate for Payer: Aetna Commercial	$377.43
Rate for Payer: Aetna Medicare Advantage	$116.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$426.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$426.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$116.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$426.82
Rate for Payer: Cigna Commercial	$116.49
Rate for Payer: Cigna Medicare Advantage	$58.24
Rate for Payer: Clover Medicare Advantage	$110.67
Rate for Payer: EmblemHealth Commercial	$349.47
Rate for Payer: Humana Medicare Advantage	$119.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.82
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$116.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$123.48
Rate for Payer: Wellcare Medicare Advantage	$116.49

TISS CULT/NON-NEOPLASTIC LYMPH

Facility

$825.49

Service Code	HCPCS 88230
Hospital Charge Code	38477207
Hospital Revenue Code	311
Min. Negotiated Rate	$123.82
Max. Negotiated Rate	$123.82
Rate for Payer: Qualcare PPO/HMO/WC	$123.82

TISSEAL FIBRIN SEALANT

Facility

$1,031.95

Hospital Charge Code	270660608
Hospital Revenue Code	272
Min. Negotiated Rate	$154.79
Max. Negotiated Rate	$154.79
Rate for Payer: Qualcare PPO/HMO/WC	$154.79

Know your out-of-pocket cost for care.

All Charges