Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY FIRST FRACTURE EXPRESS II

Facility

$14,962.50

Hospital Charge Code	270691562
Hospital Revenue Code	272
Min. Negotiated Rate	$1,945.12
Max. Negotiated Rate	$7,481.25
Rate for Payer: Aetna Commercial	$4,488.75
Rate for Payer: Aetna Medicare Advantage	$4,488.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,815.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,815.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,815.44
Rate for Payer: Cigna Commercial	$7,481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,945.12
Rate for Payer: Oxford Commercial	$7,481.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,244.38
Rate for Payer: UnitedHealthcare Commercial	$7,481.25

TRAY FIRST FRACTURE EXPRESS II

Facility

$14,962.50

Hospital Charge Code	270691562
Hospital Revenue Code	272
Min. Negotiated Rate	$2,244.38
Max. Negotiated Rate	$2,244.38
Rate for Payer: Qualcare PPO/HMO/WC	$2,244.38

TRAY FIXED SAIPH KNEE C

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680033
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

TRAY FIXED SAIPH KNEE C

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680033
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

TRAY FOLEY 16FR CATH LTX FREE

Facility

$136.85

Hospital Charge Code	270612396
Hospital Revenue Code	272
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

TRAY FOLEY 16FR CATH LTX FREE

Facility

$136.85

Hospital Charge Code	270612396
Hospital Revenue Code	272
Min. Negotiated Rate	$17.79
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$41.05
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.79
Rate for Payer: Oxford Commercial	$68.42
Rate for Payer: Qualcare PPO/HMO/WC	$20.53
Rate for Payer: UnitedHealthcare Commercial	$68.42

TRAY FOLEY CATH 16FR

Facility

$81.82

Hospital Charge Code	270649268S
Hospital Revenue Code	272
Min. Negotiated Rate	$10.64
Max. Negotiated Rate	$40.91
Rate for Payer: Aetna Commercial	$24.55
Rate for Payer: Aetna Medicare Advantage	$24.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.86
Rate for Payer: Cigna Commercial	$40.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.64
Rate for Payer: Oxford Commercial	$40.91
Rate for Payer: Qualcare PPO/HMO/WC	$12.27
Rate for Payer: UnitedHealthcare Commercial	$40.91

TRAY FOLEY CATH 16FR

Facility

$81.82

Hospital Charge Code	270649268S
Hospital Revenue Code	272
Min. Negotiated Rate	$12.27
Max. Negotiated Rate	$12.27
Rate for Payer: Qualcare PPO/HMO/WC	$12.27

TRAY FOLEY CATH 18FR

Facility

$57.56

Hospital Charge Code	270649269
Hospital Revenue Code	272
Min. Negotiated Rate	$7.48
Max. Negotiated Rate	$28.78
Rate for Payer: Aetna Commercial	$17.27
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.68
Rate for Payer: Cigna Commercial	$28.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.48
Rate for Payer: Oxford Commercial	$28.78
Rate for Payer: Qualcare PPO/HMO/WC	$8.63
Rate for Payer: UnitedHealthcare Commercial	$28.78

TRAY FOLEY CATH 18FR

Facility

$57.56

Hospital Charge Code	270649269
Hospital Revenue Code	272
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$8.63
Rate for Payer: Qualcare PPO/HMO/WC	$8.63

TRAY FOLEY CATHER 16FR

Facility

$62.22

Hospital Charge Code	270649268N
Hospital Revenue Code	272
Min. Negotiated Rate	$9.33
Max. Negotiated Rate	$9.33
Rate for Payer: Qualcare PPO/HMO/WC	$9.33

TRAY FOLEY CATHER 16FR

Facility

$81.82

Hospital Charge Code	270649268
Hospital Revenue Code	272
Min. Negotiated Rate	$12.27
Max. Negotiated Rate	$12.27
Rate for Payer: Qualcare PPO/HMO/WC	$12.27

TRAY FOLEY CATHER 16FR

Facility

$81.82

Hospital Charge Code	270649268
Hospital Revenue Code	272
Min. Negotiated Rate	$10.64
Max. Negotiated Rate	$40.91
Rate for Payer: Aetna Commercial	$24.55
Rate for Payer: Aetna Medicare Advantage	$24.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.86
Rate for Payer: Cigna Commercial	$40.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.64
Rate for Payer: Oxford Commercial	$40.91
Rate for Payer: Qualcare PPO/HMO/WC	$12.27
Rate for Payer: UnitedHealthcare Commercial	$40.91

TRAY FOLEY CATHER 16FR

Facility

$62.22

Hospital Charge Code	270649268N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.09
Max. Negotiated Rate	$31.11
Rate for Payer: Aetna Commercial	$18.67
Rate for Payer: Aetna Medicare Advantage	$18.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.87
Rate for Payer: Cigna Commercial	$31.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.09
Rate for Payer: Oxford Commercial	$31.11
Rate for Payer: Qualcare PPO/HMO/WC	$9.33
Rate for Payer: UnitedHealthcare Commercial	$31.11

TRAY FOLEY CATH INSERTION ****

Facility

$9.00

Hospital Charge Code	8000382
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

TRAY FOLEY CATH INSERTION ****

Facility

$9.00

Hospital Charge Code	8000382
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TRAY FOLEY CATH W/2-WAY CATH**

Facility

$40.00

Hospital Charge Code	8000317
Hospital Revenue Code	279
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

TRAY FOLEY CATH W/2-WAY CATH**

Facility

$40.00

Hospital Charge Code	8000317
Hospital Revenue Code	279
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

TRAY FOLEY ERASE CAUTI SILV 16

Facility

$81.82

Hospital Charge Code	270646407
Hospital Revenue Code	272
Min. Negotiated Rate	$12.27
Max. Negotiated Rate	$12.27
Rate for Payer: Qualcare PPO/HMO/WC	$12.27

TRAY FOLEY ERASE CAUTI SILV 16

Facility

$81.82

Hospital Charge Code	270646407
Hospital Revenue Code	272
Min. Negotiated Rate	$10.64
Max. Negotiated Rate	$40.91
Rate for Payer: Aetna Commercial	$24.55
Rate for Payer: Aetna Medicare Advantage	$24.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.86
Rate for Payer: Cigna Commercial	$40.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.64
Rate for Payer: Oxford Commercial	$40.91
Rate for Payer: Qualcare PPO/HMO/WC	$12.27
Rate for Payer: UnitedHealthcare Commercial	$40.91

TRAY FOLEY ERASE CAUTI SILV 18

Facility

$73.10

Hospital Charge Code	270646408
Hospital Revenue Code	271
Min. Negotiated Rate	$9.50
Max. Negotiated Rate	$36.55
Rate for Payer: Aetna Commercial	$21.93
Rate for Payer: Aetna Medicare Advantage	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.64
Rate for Payer: Cigna Commercial	$36.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.50
Rate for Payer: Oxford Commercial	$36.55
Rate for Payer: Qualcare PPO/HMO/WC	$10.96
Rate for Payer: UnitedHealthcare Commercial	$36.55

TRAY FOLEY ERASE CAUTI SILV 18

Facility

$73.10

Hospital Charge Code	270646408
Hospital Revenue Code	271
Min. Negotiated Rate	$10.96
Max. Negotiated Rate	$10.96
Rate for Payer: Qualcare PPO/HMO/WC	$10.96

TRAY FOLEY PEDIATRIN URI 10FR

Facility

$106.90

Hospital Charge Code	270669765
Hospital Revenue Code	272
Min. Negotiated Rate	$16.04
Max. Negotiated Rate	$16.04
Rate for Payer: Qualcare PPO/HMO/WC	$16.04

TRAY FOLEY PEDIATRIN URI 10FR

Facility

$106.90

Hospital Charge Code	270669765
Hospital Revenue Code	272
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$53.45
Rate for Payer: Aetna Commercial	$32.07
Rate for Payer: Aetna Medicare Advantage	$32.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.26
Rate for Payer: Cigna Commercial	$53.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.90
Rate for Payer: Oxford Commercial	$53.45
Rate for Payer: Qualcare PPO/HMO/WC	$16.04
Rate for Payer: UnitedHealthcare Commercial	$53.45

TRAY FOLEY PEDIATRIN URI 6FR

Facility

$113.10

Hospital Charge Code	270669766
Hospital Revenue Code	272
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$56.55
Rate for Payer: Aetna Commercial	$33.93
Rate for Payer: Aetna Medicare Advantage	$33.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.84
Rate for Payer: Cigna Commercial	$56.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.70
Rate for Payer: Oxford Commercial	$56.55
Rate for Payer: Qualcare PPO/HMO/WC	$16.96
Rate for Payer: UnitedHealthcare Commercial	$56.55

Know your out-of-pocket cost for care.

All Charges