Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR POINT PIN 3.2MM SZ 5.1

Facility

$650.00

Hospital Charge Code	270673923
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

TROCAR POINT PIN 3.2MM SZ 5.1

Facility

$650.00

Hospital Charge Code	270673923
Hospital Revenue Code	272
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

TROCAR PORT 8FR ATTACHABLE

Facility

$1,390.00

Hospital Charge Code	270653936
Hospital Revenue Code	272
Min. Negotiated Rate	$208.50
Max. Negotiated Rate	$208.50
Rate for Payer: Qualcare PPO/HMO/WC	$208.50

TROCAR PORT 8FR ATTACHABLE

Facility

$1,390.00

Hospital Charge Code	270653936
Hospital Revenue Code	272
Min. Negotiated Rate	$180.70
Max. Negotiated Rate	$695.00
Rate for Payer: Aetna Commercial	$417.00
Rate for Payer: Aetna Medicare Advantage	$417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$354.45
Rate for Payer: Cigna Commercial	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.70
Rate for Payer: Oxford Commercial	$695.00
Rate for Payer: Qualcare PPO/HMO/WC	$208.50
Rate for Payer: UnitedHealthcare Commercial	$695.00

TROCAR SLEEVE 5MM

Facility

$43.35

Hospital Charge Code	270655182
Hospital Revenue Code	270
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

TROCAR SLEEVE 5MM

Facility

$43.35

Hospital Charge Code	270655182
Hospital Revenue Code	270
Min. Negotiated Rate	$5.64
Max. Negotiated Rate	$21.68
Rate for Payer: Aetna Commercial	$13.01
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.05
Rate for Payer: Cigna Commercial	$21.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.64
Rate for Payer: Oxford Commercial	$21.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$21.68

TROCAR SLEEVE ETHICON 10 MM

Facility

$125.00

Hospital Charge Code	270338721
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TROCAR SLEEVE ETHICON 10 MM

Facility

$125.00

Hospital Charge Code	270338721
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 SLEEVE ETHICON 12MM

Facility

$71.00

Hospital Charge Code	270338722
Hospital Revenue Code	272
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$21.30
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$35.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$35.50

TROCAR SLEEVE ETHICON 12MM

Facility

$71.00

Hospital Charge Code	270338722
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

TROCAR SLEEVE ETHICON 5MM

Facility

$85.00

Hospital Charge Code	270338720
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$42.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$42.50

TROCAR SLEEVE ETHICON 5MM

Facility

$85.00

Hospital Charge Code	270338720
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

TROCAR SOFT THORACOPORT 12MM

Facility

$102.00

Hospital Charge Code	270660798
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 SOFT THORACOPORT 12MM

Facility

$102.00

Hospital Charge Code	270660798
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$15.30

TROCAR SPACEMAKER BLUNT 12MM

Facility

$1,020.49

Hospital Charge Code	270622300
Hospital Revenue Code	272
Min. Negotiated Rate	$153.07
Max. Negotiated Rate	$153.07
Rate for Payer: Qualcare PPO/HMO/WC	$153.07

TROCAR SPACEMAKER BLUNT 12MM

Facility

$1,020.49

Hospital Charge Code	270622300
Hospital Revenue Code	272
Min. Negotiated Rate	$132.66
Max. Negotiated Rate	$510.25
Rate for Payer: Aetna Commercial	$306.15
Rate for Payer: Aetna Medicare Advantage	$306.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.22
Rate for Payer: Cigna Commercial	$510.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.66
Rate for Payer: Oxford Commercial	$510.25
Rate for Payer: Qualcare PPO/HMO/WC	$153.07
Rate for Payer: UnitedHealthcare Commercial	$510.25

TROCAR SURGIPORT 10.5MM 179405

Facility

$392.45

Hospital Charge Code	270600097
Hospital Revenue Code	272
Min. Negotiated Rate	$58.87
Max. Negotiated Rate	$58.87
Rate for Payer: Qualcare PPO/HMO/WC	$58.87

TROCAR SURGIPORT 10.5MM 179405

Facility

$392.45

Hospital Charge Code	270600097
Hospital Revenue Code	272
Min. Negotiated Rate	$51.02
Max. Negotiated Rate	$196.22
Rate for Payer: Aetna Commercial	$117.73
Rate for Payer: Aetna Medicare Advantage	$117.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.07
Rate for Payer: Cigna Commercial	$196.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.02
Rate for Payer: Oxford Commercial	$196.22
Rate for Payer: Qualcare PPO/HMO/WC	$58.87
Rate for Payer: UnitedHealthcare Commercial	$196.22

TROCAR SURGIPORT 10MM 171028

Facility

$71.40

Hospital Charge Code	270600072
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 SURGIPORT 10MM 171028

Facility

$71.40

Hospital Charge Code	270600072
Hospital Revenue Code	272
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$10.71
Rate for Payer: Qualcare PPO/HMO/WC	$10.71

TROCAR SURGIPORT 10MM L 171026

Facility

$750.45

Hospital Charge Code	270600069
Hospital Revenue Code	272
Min. Negotiated Rate	$97.56
Max. Negotiated Rate	$375.23
Rate for Payer: Aetna Commercial	$225.13
Rate for Payer: Aetna Medicare Advantage	$225.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.36
Rate for Payer: Cigna Commercial	$375.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.56
Rate for Payer: Oxford Commercial	$375.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.57
Rate for Payer: UnitedHealthcare Commercial	$375.23

TROCAR SURGIPORT 10MM L 171026

Facility

$750.45

Hospital Charge Code	270600069
Hospital Revenue Code	272
Min. Negotiated Rate	$112.57
Max. Negotiated Rate	$112.57
Rate for Payer: Qualcare PPO/HMO/WC	$112.57

TROCAR SURGIPORT 11.5MM 179407

Facility

$409.45

Hospital Charge Code	270600105
Hospital Revenue Code	272
Min. Negotiated Rate	$53.23
Max. Negotiated Rate	$204.72
Rate for Payer: Aetna Commercial	$122.83
Rate for Payer: Aetna Medicare Advantage	$122.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.41
Rate for Payer: Cigna Commercial	$204.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.23
Rate for Payer: Oxford Commercial	$204.72
Rate for Payer: Qualcare PPO/HMO/WC	$61.42
Rate for Payer: UnitedHealthcare Commercial	$204.72

TROCAR SURGIPORT 11.5MM 179407

Facility

$409.45

Hospital Charge Code	270600105
Hospital Revenue Code	272
Min. Negotiated Rate	$61.42
Max. Negotiated Rate	$61.42
Rate for Payer: Qualcare PPO/HMO/WC	$61.42

TROCAR SURGIPORT 11MM 171035

Facility

$750.45

Hospital Charge Code	270600073
Hospital Revenue Code	272
Min. Negotiated Rate	$112.57
Max. Negotiated Rate	$112.57
Rate for Payer: Qualcare PPO/HMO/WC	$112.57

Know your out-of-pocket cost for care.

All Charges