Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR ENDO BLUNT TIP 12x100MM

Facility

$115.00

Hospital Charge Code	270671546
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR ENDO BLUNT TIP 12x100MM

Facility

$115.00

Hospital Charge Code	270671546
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 ENDO CLOSURE DEV 10MM

Facility

$414.30

Hospital Charge Code	270640346
Hospital Revenue Code	272
Min. Negotiated Rate	$53.86
Max. Negotiated Rate	$207.15
Rate for Payer: Aetna Commercial	$124.29
Rate for Payer: Aetna Medicare Advantage	$124.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.65
Rate for Payer: Cigna Commercial	$207.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.86
Rate for Payer: Oxford Commercial	$207.15
Rate for Payer: Qualcare PPO/HMO/WC	$62.15
Rate for Payer: UnitedHealthcare Commercial	$207.15

TROCAR ENDO CLOSURE DEV 10MM

Facility

$414.30

Hospital Charge Code	270640346
Hospital Revenue Code	272
Min. Negotiated Rate	$62.15
Max. Negotiated Rate	$62.15
Rate for Payer: Qualcare PPO/HMO/WC	$62.15

TROCAR ENDOPAT 12 X100

Facility

$115.00

Hospital Charge Code	270692140
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 ENDOPAT 12 X100

Facility

$115.00

Hospital Charge Code	270692140
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR ENDOPATH BLADELESS 15M

Facility

$782.00

Hospital Charge Code	270669197
Hospital Revenue Code	272
Min. Negotiated Rate	$117.30
Max. Negotiated Rate	$117.30
Rate for Payer: Qualcare PPO/HMO/WC	$117.30

TROCAR ENDOPATH BLADELESS 15M

Facility

$782.00

Hospital Charge Code	270669197
Hospital Revenue Code	272
Min. Negotiated Rate	$101.66
Max. Negotiated Rate	$391.00
Rate for Payer: Aetna Commercial	$234.60
Rate for Payer: Aetna Medicare Advantage	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.41
Rate for Payer: Cigna Commercial	$391.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.66
Rate for Payer: Oxford Commercial	$391.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.30
Rate for Payer: UnitedHealthcare Commercial	$391.00

TROCAR ENDOPATH XCEL BLADELESS

Facility

$212.50

Hospital Charge Code	270664578
Hospital Revenue Code	270
Min. Negotiated Rate	$27.62
Max. Negotiated Rate	$106.25
Rate for Payer: Aetna Commercial	$63.75
Rate for Payer: Aetna Medicare Advantage	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.19
Rate for Payer: Cigna Commercial	$106.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Oxford Commercial	$106.25
Rate for Payer: Qualcare PPO/HMO/WC	$31.88
Rate for Payer: UnitedHealthcare Commercial	$106.25

TROCAR ENDOPATH XCEL BLADELESS

Facility

$212.50

Hospital Charge Code	270664578
Hospital Revenue Code	270
Min. Negotiated Rate	$31.88
Max. Negotiated Rate	$31.88
Rate for Payer: Qualcare PPO/HMO/WC	$31.88

TROCAR FALLAR STYLET

Facility

$350.00

Hospital Charge Code	270674110
Hospital Revenue Code	272
Min. Negotiated Rate	$45.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$175.00

TROCAR FALLAR STYLET

Facility

$350.00

Hospital Charge Code	270674110
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

TROCAR FIXA FIOS 1ST ENT CFF03

Facility

$151.25

Hospital Charge Code	270642073
Hospital Revenue Code	272
Min. Negotiated Rate	$22.69
Max. Negotiated Rate	$22.69
Rate for Payer: Qualcare PPO/HMO/WC	$22.69

TROCAR FIXA FIOS 1ST ENT CFF03

Facility

$151.25

Hospital Charge Code	270642073
Hospital Revenue Code	272
Min. Negotiated Rate	$19.66
Max. Negotiated Rate	$75.62
Rate for Payer: Aetna Commercial	$45.38
Rate for Payer: Aetna Medicare Advantage	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.57
Rate for Payer: Cigna Commercial	$75.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.66
Rate for Payer: Oxford Commercial	$75.62
Rate for Payer: Qualcare PPO/HMO/WC	$22.69
Rate for Payer: UnitedHealthcare Commercial	$75.62

TROCAR FLEXIPATH FLEXIBLE SURG

Facility

$165.70

Hospital Charge Code	270671545
Hospital Revenue Code	272
Min. Negotiated Rate	$24.86
Max. Negotiated Rate	$24.86
Rate for Payer: Qualcare PPO/HMO/WC	$24.86

TROCAR FLEXIPATH FLEXIBLE SURG

Facility

$165.70

Hospital Charge Code	270671545
Hospital Revenue Code	272
Min. Negotiated Rate	$21.54
Max. Negotiated Rate	$82.85
Rate for Payer: Aetna Commercial	$49.71
Rate for Payer: Aetna Medicare Advantage	$49.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.25
Rate for Payer: Cigna Commercial	$82.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.54
Rate for Payer: Oxford Commercial	$82.85
Rate for Payer: Qualcare PPO/HMO/WC	$24.86
Rate for Payer: UnitedHealthcare Commercial	$82.85

TROCAR KII FIOS 5X100MM

Facility

$500.00

Hospital Charge Code	270664523
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 KII FIOS 5X100MM

Facility

$500.00

Hospital Charge Code	270664523
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TROCAR KII ZTHR 5X100 MM

Facility

$450.00

Hospital Charge Code	270692160
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

TROCAR KII ZTHR 5X100 MM

Facility

$450.00

Hospital Charge Code	270692160
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

TROCAR KIT 11x100 FIOS CFI43

Facility

$183.75

Hospital Charge Code	270642083
Hospital Revenue Code	272
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$91.88
Rate for Payer: Aetna Commercial	$55.12
Rate for Payer: Aetna Medicare Advantage	$55.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.86
Rate for Payer: Cigna Commercial	$91.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.89
Rate for Payer: Oxford Commercial	$91.88
Rate for Payer: Qualcare PPO/HMO/WC	$27.56
Rate for Payer: UnitedHealthcare Commercial	$91.88

TROCAR KIT 11x100 FIOS CFI43

Facility

$183.75

Hospital Charge Code	270642083
Hospital Revenue Code	272
Min. Negotiated Rate	$27.56
Max. Negotiated Rate	$27.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.56

TROCAR KIT 11x100 SHIELD COR63

Facility

$132.50

Hospital Charge Code	270642084
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$19.88
Rate for Payer: Qualcare PPO/HMO/WC	$19.88

TROCAR KIT 11x100 SHIELD COR63

Facility

$132.50

Hospital Charge Code	270642084
Hospital Revenue Code	272
Min. Negotiated Rate	$17.23
Max. Negotiated Rate	$66.25
Rate for Payer: Aetna Commercial	$39.75
Rate for Payer: Aetna Medicare Advantage	$39.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.79
Rate for Payer: Cigna Commercial	$66.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.23
Rate for Payer: Oxford Commercial	$66.25
Rate for Payer: Qualcare PPO/HMO/WC	$19.88
Rate for Payer: UnitedHealthcare Commercial	$66.25

TROCAR LAPRSC 10-12 MM *****

Facility

$144.00

Hospital Charge Code	1607019
Hospital Revenue Code	272
Min. Negotiated Rate	$18.72
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$43.20
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.72
Rate for Payer: Oxford Commercial	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$72.00

Know your out-of-pocket cost for care.

All Charges