Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR BLUNT 12MM STD THD

Facility

$707.63

Hospital Charge Code	270675262
Hospital Revenue Code	272
Min. Negotiated Rate	$106.14
Max. Negotiated Rate	$106.14
Rate for Payer: Qualcare PPO/HMO/WC	$106.14

TROCAR BLUNT 5/12MM 512B

Facility

$150.50

Hospital Charge Code	270608757
Hospital Revenue Code	272
Min. Negotiated Rate	$22.57
Max. Negotiated Rate	$22.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.57

TROCAR BLUNT 5/12MM 512B

Facility

$150.50

Hospital Charge Code	270608757
Hospital Revenue Code	272
Min. Negotiated Rate	$19.57
Max. Negotiated Rate	$75.25
Rate for Payer: Aetna Commercial	$45.15
Rate for Payer: Aetna Medicare Advantage	$45.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.38
Rate for Payer: Cigna Commercial	$75.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.57
Rate for Payer: Oxford Commercial	$75.25
Rate for Payer: Qualcare PPO/HMO/WC	$22.57
Rate for Payer: UnitedHealthcare Commercial	$75.25

TROCAR BLUNTPORT 12MM

Facility

$268.37

Hospital Charge Code	270656290
Hospital Revenue Code	271
Min. Negotiated Rate	$40.26
Max. Negotiated Rate	$40.26
Rate for Payer: Qualcare PPO/HMO/WC	$40.26

TROCAR BLUNTPORT 12MM

Facility

$268.37

Hospital Charge Code	270656290
Hospital Revenue Code	271
Min. Negotiated Rate	$34.89
Max. Negotiated Rate	$134.19
Rate for Payer: Aetna Commercial	$80.51
Rate for Payer: Aetna Medicare Advantage	$80.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.43
Rate for Payer: Cigna Commercial	$134.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.89
Rate for Payer: Oxford Commercial	$134.19
Rate for Payer: Qualcare PPO/HMO/WC	$40.26
Rate for Payer: UnitedHealthcare Commercial	$134.19

TROCAR BLUNT TIP 10/12 AND

Facility

$125.00

Hospital Charge Code	270642082
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TROCAR BLUNT TIP 10/12 AND

Facility

$125.00

Hospital Charge Code	270642082
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 BLUNT TIP 10/12mm BALL

Facility

$239.15

Hospital Charge Code	270642081
Hospital Revenue Code	272
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$119.58
Rate for Payer: Aetna Commercial	$71.75
Rate for Payer: Aetna Medicare Advantage	$71.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.98
Rate for Payer: Cigna Commercial	$119.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.09
Rate for Payer: Oxford Commercial	$119.58
Rate for Payer: Qualcare PPO/HMO/WC	$35.87
Rate for Payer: UnitedHealthcare Commercial	$119.58

TROCAR BLUNT TIP 10/12mm BALL

Facility

$239.15

Hospital Charge Code	270642081
Hospital Revenue Code	272
Min. Negotiated Rate	$35.87
Max. Negotiated Rate	$35.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.87

TROCAR CK NEEDLE DTN-18-20

Facility

$70.00

Hospital Charge Code	270623767
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

TROCAR CK NEEDLE DTN-18-20

Facility

$70.00

Hospital Charge Code	270623767
Hospital Revenue Code	272
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

TROCAR DILATING TIP 100x11MM

Facility

$115.00

Hospital Charge Code	270672162
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 DILATING TIP 100x11MM

Facility

$115.00

Hospital Charge Code	270672162
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DILATING TIP 100x12MM

Facility

$115.00

Hospital Charge Code	270672163
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 DILATING TIP 100x12MM

Facility

$115.00

Hospital Charge Code	270672163
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DILATING TIP 10/11MM

Facility

$154.30

Hospital Charge Code	270654239
Hospital Revenue Code	272
Min. Negotiated Rate	$20.06
Max. Negotiated Rate	$77.15
Rate for Payer: Aetna Commercial	$46.29
Rate for Payer: Aetna Medicare Advantage	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.35
Rate for Payer: Cigna Commercial	$77.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.06
Rate for Payer: Oxford Commercial	$77.15
Rate for Payer: Qualcare PPO/HMO/WC	$23.14
Rate for Payer: UnitedHealthcare Commercial	$77.15

TROCAR DILATING TIP 10/11MM

Facility

$154.30

Hospital Charge Code	270654239
Hospital Revenue Code	272
Min. Negotiated Rate	$23.14
Max. Negotiated Rate	$23.14
Rate for Payer: Qualcare PPO/HMO/WC	$23.14

TROCAR DILATING TIP 12x150MM

Facility

$158.40

Hospital Charge Code	270673272
Hospital Revenue Code	272
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$79.20
Rate for Payer: Aetna Commercial	$47.52
Rate for Payer: Aetna Medicare Advantage	$47.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.39
Rate for Payer: Cigna Commercial	$79.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.59
Rate for Payer: Oxford Commercial	$79.20
Rate for Payer: Qualcare PPO/HMO/WC	$23.76
Rate for Payer: UnitedHealthcare Commercial	$79.20

TROCAR DILATING TIP 12x150MM

Facility

$158.40

Hospital Charge Code	270673272
Hospital Revenue Code	272
Min. Negotiated Rate	$23.76
Max. Negotiated Rate	$23.76
Rate for Payer: Qualcare PPO/HMO/WC	$23.76

TROCAR DILATING TIP 5MM

Facility

$115.00

Hospital Charge Code	270656801
Hospital Revenue Code	270
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 DILATING TIP 5MM

Facility

$115.00

Hospital Charge Code	270656801
Hospital Revenue Code	270
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DRAIN BLKE 15FR RD 3/16

Facility

$350.64

Hospital Charge Code	270669711
Hospital Revenue Code	272
Min. Negotiated Rate	$52.60
Max. Negotiated Rate	$52.60
Rate for Payer: Qualcare PPO/HMO/WC	$52.60

TROCAR DRAIN BLKE 15FR RD 3/16

Facility

$350.64

Hospital Charge Code	270669711
Hospital Revenue Code	272
Min. Negotiated Rate	$45.58
Max. Negotiated Rate	$175.32
Rate for Payer: Aetna Commercial	$105.19
Rate for Payer: Aetna Medicare Advantage	$105.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.41
Rate for Payer: Cigna Commercial	$175.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.58
Rate for Payer: Oxford Commercial	$175.32
Rate for Payer: Qualcare PPO/HMO/WC	$52.60
Rate for Payer: UnitedHealthcare Commercial	$175.32

TROCAR ENDO 11.5MM BLK NON CON

Facility

$284.66

Hospital Charge Code	270600066
Hospital Revenue Code	272
Min. Negotiated Rate	$42.70
Max. Negotiated Rate	$42.70
Rate for Payer: Qualcare PPO/HMO/WC	$42.70

TROCAR ENDO 11.5MM BLK NON CON

Facility

$284.66

Hospital Charge Code	270600066
Hospital Revenue Code	272
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$142.33
Rate for Payer: Aetna Commercial	$85.40
Rate for Payer: Aetna Medicare Advantage	$85.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.59
Rate for Payer: Cigna Commercial	$142.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.01
Rate for Payer: Oxford Commercial	$142.33
Rate for Payer: Qualcare PPO/HMO/WC	$42.70
Rate for Payer: UnitedHealthcare Commercial	$142.33

Know your out-of-pocket cost for care.

All Charges