Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY SAFETY-T-CENTESIS 16FR

Facility

$294.40

Hospital Charge Code	270649763
Hospital Revenue Code	270
Min. Negotiated Rate	$44.16
Max. Negotiated Rate	$44.16
Rate for Payer: Qualcare PPO/HMO/WC	$44.16

TRAY SHOULDER ARTHROSCOPY

Facility

$465.75

Hospital Charge Code	270654121
Hospital Revenue Code	272
Min. Negotiated Rate	$69.86
Max. Negotiated Rate	$69.86
Rate for Payer: Qualcare PPO/HMO/WC	$69.86

TRAY SHOULDER ARTHROSCOPY

Facility

$465.75

Hospital Charge Code	270654121
Hospital Revenue Code	272
Min. Negotiated Rate	$60.55
Max. Negotiated Rate	$232.88
Rate for Payer: Aetna Commercial	$139.72
Rate for Payer: Aetna Medicare Advantage	$139.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.77
Rate for Payer: Cigna Commercial	$232.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.55
Rate for Payer: Oxford Commercial	$232.88
Rate for Payer: Qualcare PPO/HMO/WC	$69.86
Rate for Payer: UnitedHealthcare Commercial	$232.88

TRAY SHOULDER REPAIR RENTAL

Facility

$496.00

Hospital Charge Code	270636065
Hospital Revenue Code	272
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

TRAY SHOULDER REPAIR RENTAL

Facility

$496.00

Hospital Charge Code	270636065
Hospital Revenue Code	272
Min. Negotiated Rate	$64.48
Max. Negotiated Rate	$248.00
Rate for Payer: Aetna Commercial	$148.80
Rate for Payer: Aetna Medicare Advantage	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.48
Rate for Payer: Cigna Commercial	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.48
Rate for Payer: Oxford Commercial	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.40
Rate for Payer: UnitedHealthcare Commercial	$248.00

TRAY SINGLE LUM W/ARROW

Facility

$138.00

Hospital Charge Code	270302220
Hospital Revenue Code	272
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.70

TRAY SINGLE LUM W/ARROW

Facility

$138.00

Hospital Charge Code	270302220
Hospital Revenue Code	272
Min. Negotiated Rate	$17.94
Max. Negotiated Rate	$69.00
Rate for Payer: Aetna Commercial	$41.40
Rate for Payer: Aetna Medicare Advantage	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.19
Rate for Payer: Cigna Commercial	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Oxford Commercial	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.70
Rate for Payer: UnitedHealthcare Commercial	$69.00

TRAY SINGLE SHOT EPIDL 182A050

Facility

$109.75

Hospital Charge Code	270632601
Hospital Revenue Code	272
Min. Negotiated Rate	$16.46
Max. Negotiated Rate	$16.46
Rate for Payer: Qualcare PPO/HMO/WC	$16.46

TRAY SINGLE SHOT EPIDL 182A050

Facility

$109.75

Hospital Charge Code	270632601
Hospital Revenue Code	272
Min. Negotiated Rate	$14.27
Max. Negotiated Rate	$54.88
Rate for Payer: Aetna Commercial	$32.92
Rate for Payer: Aetna Medicare Advantage	$32.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.99
Rate for Payer: Cigna Commercial	$54.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.27
Rate for Payer: Oxford Commercial	$54.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.46
Rate for Payer: UnitedHealthcare Commercial	$54.88

TRAY SINGLE SHOT EPIDURAL 20G

Facility

$84.77

Hospital Charge Code	270655731
Hospital Revenue Code	272
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$12.72
Rate for Payer: Qualcare PPO/HMO/WC	$12.72

TRAY SINGLE SHOT EPIDURAL 20G

Facility

$84.77

Hospital Charge Code	270655731
Hospital Revenue Code	272
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$42.38
Rate for Payer: Aetna Commercial	$25.43
Rate for Payer: Aetna Medicare Advantage	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.62
Rate for Payer: Cigna Commercial	$42.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.02
Rate for Payer: Oxford Commercial	$42.38
Rate for Payer: Qualcare PPO/HMO/WC	$12.72
Rate for Payer: UnitedHealthcare Commercial	$42.38

TRAY SKIN PREP 4480

Facility

$18.89

Hospital Charge Code	270613962
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.83

TRAY SKIN PREP 4480

Facility

$18.89

Hospital Charge Code	270613962
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$9.45
Rate for Payer: Aetna Commercial	$5.67
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.82
Rate for Payer: Cigna Commercial	$9.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.46
Rate for Payer: Oxford Commercial	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.83
Rate for Payer: UnitedHealthcare Commercial	$9.45

TRAY SKIN SCRUB WET

Facility

$19.31

Hospital Charge Code	270649184
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$2.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.90

TRAY SKIN SCRUB WET

Facility

$19.31

Hospital Charge Code	270649184
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$9.65
Rate for Payer: Aetna Commercial	$5.79
Rate for Payer: Aetna Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.92
Rate for Payer: Cigna Commercial	$9.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.51
Rate for Payer: Oxford Commercial	$9.65
Rate for Payer: Qualcare PPO/HMO/WC	$2.90
Rate for Payer: UnitedHealthcare Commercial	$9.65

TRAY SOFT TISSUE BX

Facility

$43.99

Hospital Charge Code	270677166
Hospital Revenue Code	272
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

TRAY SOFT TISSUE BX

Facility

$43.95

Hospital Charge Code	270677166N
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$21.98
Rate for Payer: Aetna Commercial	$13.19
Rate for Payer: Aetna Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.21
Rate for Payer: Cigna Commercial	$21.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.71
Rate for Payer: Oxford Commercial	$21.98
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$21.98

TRAY SOFT TISSUE BX

Facility

$43.99

Hospital Charge Code	270677166R
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

TRAY SOFT TISSUE BX

Facility

$43.95

Hospital Charge Code	270677166N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

TRAY SOFT TISSUE BX

Facility

$43.99

Hospital Charge Code	270677166
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

TRAY SOFT TISSUE BX

Facility

$43.99

Hospital Charge Code	270677166R
Hospital Revenue Code	272
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

TRAY SPINAL *******

Facility

$230.00

Hospital Charge Code	8002339
Hospital Revenue Code	279
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$115.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$115.00

TRAY SPINAL *******

Facility

$230.00

Hospital Charge Code	8002339
Hospital Revenue Code	279
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

TRAY SPINAL ANESTHESIA

Facility

$113.65

Hospital Charge Code	270070095
Hospital Revenue Code	272
Min. Negotiated Rate	$17.05
Max. Negotiated Rate	$17.05
Rate for Payer: Qualcare PPO/HMO/WC	$17.05

TRAY SPINAL ANESTHESIA

Facility

$65.89

Hospital Charge Code	270649897
Hospital Revenue Code	272
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$9.88
Rate for Payer: Qualcare PPO/HMO/WC	$9.88

Know your out-of-pocket cost for care.

All Charges