Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRANSCAT PLACE STENT EA ADDL

Facility

$41,896.20

Service Code	HCPCS 37237
Hospital Charge Code	5100336
Hospital Revenue Code	361
Min. Negotiated Rate	$201.26
Max. Negotiated Rate	$12,568.86
Rate for Payer: Aetna Commercial	$12,568.86
Rate for Payer: Aetna Medicare Advantage	$12,568.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,683.53
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	$10,683.53
Rate for Payer: Cigna Commercial	$201.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,446.51
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TRANSCAT PLACE STENT EA ADDL

Facility

$41,896.20

Service Code	HCPCS 37237
Hospital Charge Code	74110040
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT PLACE STENT EA ADDL

Facility

$41,896.20

Service Code	HCPCS 37237
Hospital Charge Code	74110040
Hospital Revenue Code	361
Min. Negotiated Rate	$201.26
Max. Negotiated Rate	$12,568.86
Rate for Payer: Aetna Commercial	$12,568.86
Rate for Payer: Aetna Medicare Advantage	$12,568.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,683.53
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	$10,683.53
Rate for Payer: Cigna Commercial	$201.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,446.51
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TRANSCAT PLACE STENT EA ADDL

Facility

$41,896.20

Service Code	HCPCS 37237
Hospital Charge Code	5100336
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT PLACE STENT OPEN ADDL

Facility

$41,896.20

Hospital Charge Code	74110042
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$20,948.10
Rate for Payer: Aetna Commercial	$12,568.86
Rate for Payer: Aetna Medicare Advantage	$12,568.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,683.53
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	$10,683.53
Rate for Payer: Cigna Commercial	$20,948.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,446.51
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT PLACE STENT OPEN ADDL

Facility

$41,896.20

Hospital Charge Code	5100338
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$20,948.10
Rate for Payer: Aetna Commercial	$12,568.86
Rate for Payer: Aetna Medicare Advantage	$12,568.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,683.53
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	$10,683.53
Rate for Payer: Cigna Commercial	$20,948.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,446.51
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT PLACE STENT OPEN ADDL

Facility

$41,896.20

Hospital Charge Code	74110042
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT PLACE STENT OPEN ADDL

Facility

$41,896.20

Hospital Charge Code	5100338
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT RETRIEVAL FB S&I

Facility

$1,648.00

Service Code	HCPCS 75961
Hospital Charge Code	5100347
Hospital Revenue Code	320
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

TRANSCAT RETRIEVAL FB S&I

Facility

$1,648.00

Service Code	HCPCS 75961
Hospital Charge Code	5100347
Hospital Revenue Code	320
Min. Negotiated Rate	$214.24
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$494.40
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.24
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

TRANSCAT RETRIEV FOREIGN BODY

Facility

$2,571.55

Service Code	HCPCS 37203
Hospital Charge Code	5100335
Hospital Revenue Code	761
Min. Negotiated Rate	$385.73
Max. Negotiated Rate	$385.73
Rate for Payer: Qualcare PPO/HMO/WC	$385.73

TRANSCAT RETRIEV FOREIGN BODY

Facility

$2,571.55

Service Code	HCPCS 37203
Hospital Charge Code	5100335
Hospital Revenue Code	761
Min. Negotiated Rate	$334.30
Max. Negotiated Rate	$1,285.78
Rate for Payer: Aetna Commercial	$771.47
Rate for Payer: Aetna Medicare Advantage	$771.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$655.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$655.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$655.75
Rate for Payer: Cigna Commercial	$1,285.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.30
Rate for Payer: Oxford Commercial	$1,285.78
Rate for Payer: Qualcare PPO/HMO/WC	$385.73
Rate for Payer: UnitedHealthcare Commercial	$1,285.78

TRANSCORTIN(CORTISOL BINDG GLO

Facility

$127.00

Service Code	HCPCS 84449
Hospital Charge Code	38477148
Hospital Revenue Code	301
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.32
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.95
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: Cigna Medicare Advantage	$9.00
Rate for Payer: Clover Medicare Advantage	$17.10
Rate for Payer: EmblemHealth Commercial	$54.00
Rate for Payer: Humana Medicare Advantage	$18.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.08
Rate for Payer: Wellcare Medicare Advantage	$18.00

TRANSCORTIN(CORTISOL BINDG GLO

Facility

$127.00

Service Code	HCPCS 84449
Hospital Charge Code	38477148
Hospital Revenue Code	301
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

TRANSDERM-SCOP/1.5MG/EACH

Facility

$23.00

Hospital Charge Code	60634048
Hospital Revenue Code	250
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

TRANSDERM-SCOP/1.5MG/EACH

Facility

$23.00

Hospital Charge Code	60634048
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

TRANSDUCER COBE CDX 3 DISPOS.

Facility

$382.00

Hospital Charge Code	270331151
Hospital Revenue Code	272
Min. Negotiated Rate	$57.30
Max. Negotiated Rate	$57.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.30

TRANSDUCER COBE CDX 3 DISPOS.

Facility

$382.00

Hospital Charge Code	270331151
Hospital Revenue Code	272
Min. Negotiated Rate	$49.66
Max. Negotiated Rate	$191.00
Rate for Payer: Aetna Medicare Advantage	$114.60
Rate for Payer: Aetna Commercial	$114.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.41
Rate for Payer: Cigna Commercial	$191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.66
Rate for Payer: Oxford Commercial	$191.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.30
Rate for Payer: UnitedHealthcare Commercial	$191.00

TRANSDUCER DISP PRESSURE

Facility

$45.00

Hospital Charge Code	270669305
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

TRANSDUCER DISP PRESSURE

Facility

$45.00

Hospital Charge Code	270669305
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

TRANSDUCER LT PRESSURE 1880

Facility

$60.85

Hospital Charge Code	270601238
Hospital Revenue Code	272
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

TRANSDUCER LT PRESSURE 1880

Facility

$60.85

Hospital Charge Code	270601238
Hospital Revenue Code	272
Min. Negotiated Rate	$7.91
Max. Negotiated Rate	$30.43
Rate for Payer: Aetna Commercial	$18.25
Rate for Payer: Aetna Medicare Advantage	$18.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.52
Rate for Payer: Cigna Commercial	$30.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.91
Rate for Payer: Oxford Commercial	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$30.43

TRANSDUCER TRANSPAC II 60101

Facility

$71.25

Hospital Charge Code	270600700
Hospital Revenue Code	272
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

TRANSDUCER TRANSPAC II 60101

Facility

$71.25

Hospital Charge Code	270600700
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$35.62

TRANSDUCER TRANSPAC IV

Facility

$39.70

Hospital Charge Code	270641652
Hospital Revenue Code	270
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$19.85
Rate for Payer: Aetna Commercial	$11.91
Rate for Payer: Aetna Medicare Advantage	$11.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.12
Rate for Payer: Cigna Commercial	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.16
Rate for Payer: Oxford Commercial	$19.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Commercial	$19.85

Know your out-of-pocket cost for care.

All Charges