Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR 5x100m BLADED FIX CFB03

Facility

$102.50

Hospital Charge Code	270642086
Hospital Revenue Code	272
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$15.38
Rate for Payer: Qualcare PPO/HMO/WC	$15.38

TROCAR 5x100 W/INSUF NED CF113

Facility

$150.00

Hospital Charge Code	270642071
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$75.00

TROCAR 5x100 W/INSUF NED CF113

Facility

$150.00

Hospital Charge Code	270642071
Hospital Revenue Code	272
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

TROCAR 8MM

Facility

$3,600.00

Hospital Charge Code	270692633
Hospital Revenue Code	272
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

TROCAR 8MM

Facility

$3,600.00

Hospital Charge Code	270692633
Hospital Revenue Code	272
Min. Negotiated Rate	$468.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,080.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.00
Rate for Payer: Oxford Commercial	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Commercial	$1,800.00

TROCAR BALLOON KIT 100X12MM

Facility

$500.00

Hospital Charge Code	270692299
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

TROCAR BALLOON KIT 100X12MM

Facility

$500.00

Hospital Charge Code	270692299
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TROCAR BALLOON KIT 130X12MM

Facility

$500.00

Hospital Charge Code	270692298
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TROCAR BALLOON KIT 130X12MM

Facility

$500.00

Hospital Charge Code	270692298
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

TROCAR BLADED 12MM STD FIX

Facility

$274.20

Hospital Charge Code	270696191
Hospital Revenue Code	272
Min. Negotiated Rate	$41.13
Max. Negotiated Rate	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$41.13

TROCAR BLADED 12MM STD FIX

Facility

$274.20

Hospital Charge Code	270696191
Hospital Revenue Code	272
Min. Negotiated Rate	$35.65
Max. Negotiated Rate	$137.10
Rate for Payer: Aetna Commercial	$82.26
Rate for Payer: Aetna Medicare Advantage	$82.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.92
Rate for Payer: Cigna Commercial	$137.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: Oxford Commercial	$137.10
Rate for Payer: Qualcare PPO/HMO/WC	$41.13
Rate for Payer: UnitedHealthcare Commercial	$137.10

TROCAR BLADELESS 10/11x100mm

Facility

$125.00

Hospital Charge Code	270646143
Hospital Revenue Code	272
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

TROCAR BLADELESS 10/11x100mm

Facility

$125.00

Hospital Charge Code	270646143
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TROCAR BLADELESS 11MM STANDARD

Facility

$71.40

Hospital Charge Code	270654905
Hospital Revenue Code	272
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$35.70
Rate for Payer: Aetna Commercial	$21.42
Rate for Payer: Aetna Medicare Advantage	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.21
Rate for Payer: Cigna Commercial	$35.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.28
Rate for Payer: Oxford Commercial	$35.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.71
Rate for Payer: UnitedHealthcare Commercial	$35.70

TROCAR BLADELESS 11MM STANDARD

Facility

$71.40

Hospital Charge Code	270654905
Hospital Revenue Code	272
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$10.71
Rate for Payer: Qualcare PPO/HMO/WC	$10.71

TROCAR BLADELESS 11MM STD

Facility

$117.30

Hospital Charge Code	270656292
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

TROCAR BLADELESS 11MM STD

Facility

$117.30

Hospital Charge Code	270656292
Hospital Revenue Code	272
Min. Negotiated Rate	$15.25
Max. Negotiated Rate	$58.65
Rate for Payer: Aetna Commercial	$35.19
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.25
Rate for Payer: Oxford Commercial	$58.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$58.65

TROCAR BLADELESS 12MM

Facility

$155.00

Hospital Charge Code	270673457
Hospital Revenue Code	272
Min. Negotiated Rate	$20.15
Max. Negotiated Rate	$77.50
Rate for Payer: Aetna Commercial	$46.50
Rate for Payer: Aetna Medicare Advantage	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.52
Rate for Payer: Cigna Commercial	$77.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Oxford Commercial	$77.50
Rate for Payer: Qualcare PPO/HMO/WC	$23.25
Rate for Payer: UnitedHealthcare Commercial	$77.50

TROCAR BLADELESS 12MM

Facility

$155.00

Hospital Charge Code	270673457
Hospital Revenue Code	272
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$23.25
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

TROCAR BLADELESS 12MM STANDARD

Facility

$117.30

Hospital Charge Code	270641729
Hospital Revenue Code	272
Min. Negotiated Rate	$15.25
Max. Negotiated Rate	$58.65
Rate for Payer: Aetna Commercial	$35.19
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.25
Rate for Payer: Oxford Commercial	$58.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$58.65

TROCAR BLADELESS 12MM STANDARD

Facility

$117.30

Hospital Charge Code	270641729
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

TROCAR BLADELESS 12MM STD

Facility

$117.30

Hospital Charge Code	270656293
Hospital Revenue Code	272
Min. Negotiated Rate	$15.25
Max. Negotiated Rate	$58.65
Rate for Payer: Aetna Commercial	$35.19
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.25
Rate for Payer: Oxford Commercial	$58.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$58.65

TROCAR BLADELESS 12MM STD

Facility

$117.30

Hospital Charge Code	270656293
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

TROCAR BLADELESS 15MM LONG

Facility

$1,285.20

Hospital Charge Code	270676285
Hospital Revenue Code	272
Min. Negotiated Rate	$192.78
Max. Negotiated Rate	$192.78
Rate for Payer: Qualcare PPO/HMO/WC	$192.78

TROCAR BLADELESS 15MM LONG

Facility

$1,285.20

Hospital Charge Code	270676285
Hospital Revenue Code	272
Min. Negotiated Rate	$167.08
Max. Negotiated Rate	$642.60
Rate for Payer: Aetna Commercial	$385.56
Rate for Payer: Aetna Medicare Advantage	$385.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.73
Rate for Payer: Cigna Commercial	$642.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.08
Rate for Payer: Oxford Commercial	$642.60
Rate for Payer: Qualcare PPO/HMO/WC	$192.78
Rate for Payer: UnitedHealthcare Commercial	$642.60

Know your out-of-pocket cost for care.

All Charges