Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR BLADELESS 15MM STANDARD

Facility

$214.20

Hospital Charge Code	270641727
Hospital Revenue Code	272
Min. Negotiated Rate	$32.13
Max. Negotiated Rate	$32.13
Rate for Payer: Qualcare PPO/HMO/WC	$32.13

TROCAR BLADELESS 15MM STANDARD

Facility

$214.20

Hospital Charge Code	270641727
Hospital Revenue Code	272
Min. Negotiated Rate	$27.85
Max. Negotiated Rate	$107.10
Rate for Payer: Aetna Commercial	$64.26
Rate for Payer: Aetna Medicare Advantage	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.62
Rate for Payer: Cigna Commercial	$107.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.85
Rate for Payer: Oxford Commercial	$107.10
Rate for Payer: Qualcare PPO/HMO/WC	$32.13
Rate for Payer: UnitedHealthcare Commercial	$107.10

TROCAR BLADELESS 5MM STANDARD

Facility

$96.90

Hospital Charge Code	270641728
Hospital Revenue Code	272
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.54

TROCAR BLADELESS 5MM STANDARD

Facility

$96.90

Hospital Charge Code	270641728
Hospital Revenue Code	272
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$48.45
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.71
Rate for Payer: Cigna Commercial	$48.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.60
Rate for Payer: Oxford Commercial	$48.45
Rate for Payer: Qualcare PPO/HMO/WC	$14.54
Rate for Payer: UnitedHealthcare Commercial	$48.45

TROCAR BLADELESS 5x100MM STABI

Facility

$115.00

Hospital Charge Code	270671540
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLADELESS 5x100MM STABI

Facility

$115.00

Hospital Charge Code	270671540
Hospital Revenue Code	272
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$57.50

TROCAR BLADELESS 8MM ST W/FIX

Facility

$117.30

Hospital Charge Code	270669569
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 8MM ST W/FIX

Facility

$117.30

Hospital Charge Code	270669569
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 8x100MM STABI

Facility

$115.00

Hospital Charge Code	270671542
Hospital Revenue Code	272
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$57.50

TROCAR BLADELESS 8x100MM STABI

Facility

$115.00

Hospital Charge Code	270671542
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLADELESS OPT 12MM STD

Facility

$142.80

Hospital Charge Code	270662395
Hospital Revenue Code	272
Min. Negotiated Rate	$21.42
Max. Negotiated Rate	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$21.42

TROCAR BLADELESS OPT 12MM STD

Facility

$142.80

Hospital Charge Code	270662395
Hospital Revenue Code	272
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$71.40
Rate for Payer: Aetna Commercial	$42.84
Rate for Payer: Aetna Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.41
Rate for Payer: Cigna Commercial	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.56
Rate for Payer: Oxford Commercial	$71.40
Rate for Payer: Qualcare PPO/HMO/WC	$21.42
Rate for Payer: UnitedHealthcare Commercial	$71.40

TROCAR BLADELESS OPT 5MM LNG

Facility

$102.00

Hospital Charge Code	270669700
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$51.00
Rate for Payer: Aetna Commercial	$30.60
Rate for Payer: Aetna Medicare Advantage	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.01
Rate for Payer: Cigna Commercial	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.26
Rate for Payer: Oxford Commercial	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.30
Rate for Payer: UnitedHealthcare Commercial	$51.00

TROCAR BLADELESS OPT 5MM LNG

Facility

$102.00

Hospital Charge Code	270669700
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$15.30

TROCAR BLADELESS OPTI 5MM STD

Facility

$102.00

Hospital Charge Code	270655181
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$51.00
Rate for Payer: Aetna Commercial	$30.60
Rate for Payer: Aetna Medicare Advantage	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.01
Rate for Payer: Cigna Commercial	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.26
Rate for Payer: Oxford Commercial	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.30
Rate for Payer: UnitedHealthcare Commercial	$51.00

TROCAR BLADELESS OPTI 5MM STD

Facility

$102.00

Hospital Charge Code	270655181
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$15.30

TROCAR BLADELESS OPTICAL 12MM

Facility

$71.40

Hospital Charge Code	270669733
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 OPTICAL 12MM

Facility

$71.40

Hospital Charge Code	270669733
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 VP 5MM W/FIX

Facility

$96.90

Hospital Charge Code	270675178
Hospital Revenue Code	272
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$48.45
Rate for Payer: Aetna Commercial	$29.07
Rate for Payer: Aetna Medicare Advantage	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.71
Rate for Payer: Cigna Commercial	$48.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.60
Rate for Payer: Oxford Commercial	$48.45
Rate for Payer: Qualcare PPO/HMO/WC	$14.54
Rate for Payer: UnitedHealthcare Commercial	$48.45

TROCAR BLADELESS VP 5MM W/FIX

Facility

$96.90

Hospital Charge Code	270675178
Hospital Revenue Code	272
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.54

TROCAR BLDLESS 5mmX100mmm W/

Facility

$115.00

Hospital Charge Code	270635614
Hospital Revenue Code	272
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$57.50

TROCAR BLDLESS 5mmX100mmm W/

Facility

$115.00

Hospital Charge Code	270635614
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLESS 12 W/HANDL B12LTH

Facility

$115.00

Hospital Charge Code	270641081
Hospital Revenue Code	272
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$57.50

TROCAR BLESS 12 W/HANDL B12LTH

Facility

$115.00

Hospital Charge Code	270641081
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLUNT 12MM STD THD

Facility

$707.63

Hospital Charge Code	270675262
Hospital Revenue Code	272
Min. Negotiated Rate	$91.99
Max. Negotiated Rate	$353.81
Rate for Payer: Aetna Commercial	$212.29
Rate for Payer: Aetna Medicare Advantage	$212.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.45
Rate for Payer: Cigna Commercial	$353.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.99
Rate for Payer: Oxford Commercial	$353.81
Rate for Payer: Qualcare PPO/HMO/WC	$106.14
Rate for Payer: UnitedHealthcare Commercial	$353.81

Know your out-of-pocket cost for care.

All Charges