Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR SURGIPORT 11MM 171035

Facility

$750.45

Hospital Charge Code	270600073
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 12MM 171036

Facility

$783.25

Hospital Charge Code	270600070
Hospital Revenue Code	272
Min. Negotiated Rate	$117.49
Max. Negotiated Rate	$117.49
Rate for Payer: Qualcare PPO/HMO/WC	$117.49

TROCAR SURGIPORT 12MM 171036

Facility

$783.25

Hospital Charge Code	270600070
Hospital Revenue Code	272
Min. Negotiated Rate	$101.82
Max. Negotiated Rate	$391.62
Rate for Payer: Aetna Commercial	$234.97
Rate for Payer: Aetna Medicare Advantage	$234.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.73
Rate for Payer: Cigna Commercial	$391.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.82
Rate for Payer: Oxford Commercial	$391.62
Rate for Payer: Qualcare PPO/HMO/WC	$117.49
Rate for Payer: UnitedHealthcare Commercial	$391.62

TROCAR SURGIPORT 15MM 179032

Facility

$816.00

Hospital Charge Code	270600071
Hospital Revenue Code	272
Min. Negotiated Rate	$106.08
Max. Negotiated Rate	$408.00
Rate for Payer: Aetna Commercial	$244.80
Rate for Payer: Aetna Medicare Advantage	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.08
Rate for Payer: Cigna Commercial	$408.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.08
Rate for Payer: Oxford Commercial	$408.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.40
Rate for Payer: UnitedHealthcare Commercial	$408.00

TROCAR SURGIPORT 15MM 179032

Facility

$816.00

Hospital Charge Code	270600071
Hospital Revenue Code	272
Min. Negotiated Rate	$122.40
Max. Negotiated Rate	$122.40
Rate for Payer: Qualcare PPO/HMO/WC	$122.40

TROCAR SURGIPORT 15MM 179078

Facility

$344.85

Hospital Charge Code	270614794
Hospital Revenue Code	272
Min. Negotiated Rate	$44.83
Max. Negotiated Rate	$172.43
Rate for Payer: Aetna Commercial	$103.45
Rate for Payer: Aetna Medicare Advantage	$103.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.94
Rate for Payer: Cigna Commercial	$172.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.83
Rate for Payer: Oxford Commercial	$172.43
Rate for Payer: Qualcare PPO/HMO/WC	$51.73
Rate for Payer: UnitedHealthcare Commercial	$172.43

TROCAR SURGIPORT 15MM 179078

Facility

$344.85

Hospital Charge Code	270614794
Hospital Revenue Code	272
Min. Negotiated Rate	$51.73
Max. Negotiated Rate	$51.73
Rate for Payer: Qualcare PPO/HMO/WC	$51.73

TROCAR THORACIC 10/12MM

Facility

$82.85

Hospital Charge Code	270661493
Hospital Revenue Code	272
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

TROCAR THORACIC 10/12MM

Facility

$82.85

Hospital Charge Code	270661493
Hospital Revenue Code	272
Min. Negotiated Rate	$10.77
Max. Negotiated Rate	$41.42
Rate for Payer: Aetna Commercial	$24.86
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.77
Rate for Payer: Oxford Commercial	$41.42
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$41.42

TROCAR VERSA BLADELESS 5MM

Facility

$98.65

Service Code	HCPCS A4649
Hospital Charge Code	270696227
Hospital Revenue Code	272
Min. Negotiated Rate	$12.82
Max. Negotiated Rate	$49.33
Rate for Payer: Aetna Commercial	$29.59
Rate for Payer: Aetna Medicare Advantage	$29.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.16
Rate for Payer: Cigna Commercial	$49.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.82
Rate for Payer: Oxford Commercial	$49.33
Rate for Payer: Qualcare PPO/HMO/WC	$14.80
Rate for Payer: UnitedHealthcare Commercial	$49.33

TROCAR VERSA BLADELESS 5MM

Facility

$98.65

Service Code	HCPCS A4649
Hospital Charge Code	270696227
Hospital Revenue Code	272
Min. Negotiated Rate	$14.80
Max. Negotiated Rate	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.80

TROCAR VERSAONE 8X10MM

Facility

$181.50

Hospital Charge Code	270696188
Hospital Revenue Code	272
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$27.23

TROCAR VERSAONE 8X10MM

Facility

$181.50

Hospital Charge Code	270696188
Hospital Revenue Code	272
Min. Negotiated Rate	$23.59
Max. Negotiated Rate	$90.75
Rate for Payer: Aetna Commercial	$54.45
Rate for Payer: Aetna Medicare Advantage	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.28
Rate for Payer: Cigna Commercial	$90.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.59
Rate for Payer: Oxford Commercial	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.23
Rate for Payer: UnitedHealthcare Commercial	$90.75

TROCAR VERSAPORT 5 70MM 179068

Facility

$688.85

Hospital Charge Code	270600147
Hospital Revenue Code	272
Min. Negotiated Rate	$89.55
Max. Negotiated Rate	$344.43
Rate for Payer: Aetna Commercial	$206.66
Rate for Payer: Aetna Medicare Advantage	$206.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.66
Rate for Payer: Cigna Commercial	$344.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.55
Rate for Payer: Oxford Commercial	$344.43
Rate for Payer: Qualcare PPO/HMO/WC	$103.33
Rate for Payer: UnitedHealthcare Commercial	$344.43

TROCAR VERSAPORT 5 70MM 179068

Facility

$688.85

Hospital Charge Code	270600147
Hospital Revenue Code	272
Min. Negotiated Rate	$103.33
Max. Negotiated Rate	$103.33
Rate for Payer: Qualcare PPO/HMO/WC	$103.33

TROCAR VERSAPORT PLUS V2 11MM

Facility

$169.80

Hospital Charge Code	270656294
Hospital Revenue Code	271
Min. Negotiated Rate	$25.47
Max. Negotiated Rate	$25.47
Rate for Payer: Qualcare PPO/HMO/WC	$25.47

TROCAR VERSAPORT PLUS V2 11MM

Facility

$169.80

Hospital Charge Code	270656294
Hospital Revenue Code	271
Min. Negotiated Rate	$22.07
Max. Negotiated Rate	$84.90
Rate for Payer: Aetna Commercial	$50.94
Rate for Payer: Aetna Medicare Advantage	$50.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.30
Rate for Payer: Cigna Commercial	$84.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.07
Rate for Payer: Oxford Commercial	$84.90
Rate for Payer: Qualcare PPO/HMO/WC	$25.47
Rate for Payer: UnitedHealthcare Commercial	$84.90

TROCAR VERSAPORT PLUS V2 12MM

Facility

$127.35

Hospital Charge Code	270656295
Hospital Revenue Code	271
Min. Negotiated Rate	$19.10
Max. Negotiated Rate	$19.10
Rate for Payer: Qualcare PPO/HMO/WC	$19.10

TROCAR VERSAPORT PLUS V2 12MM

Facility

$127.35

Hospital Charge Code	270656295
Hospital Revenue Code	271
Min. Negotiated Rate	$16.56
Max. Negotiated Rate	$63.67
Rate for Payer: Aetna Commercial	$38.20
Rate for Payer: Aetna Medicare Advantage	$38.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.47
Rate for Payer: Cigna Commercial	$63.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.56
Rate for Payer: Oxford Commercial	$63.67
Rate for Payer: Qualcare PPO/HMO/WC	$19.10
Rate for Payer: UnitedHealthcare Commercial	$63.67

TROCAR VERSAPORT V2 5MM SMOOTH

Facility

$144.73

Hospital Charge Code	270659229
Hospital Revenue Code	272
Min. Negotiated Rate	$21.71
Max. Negotiated Rate	$21.71
Rate for Payer: Qualcare PPO/HMO/WC	$21.71

TROCAR VERSAPORT V2 5MM SMOOTH

Facility

$144.73

Hospital Charge Code	270659229
Hospital Revenue Code	272
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$72.36
Rate for Payer: Aetna Commercial	$43.42
Rate for Payer: Aetna Medicare Advantage	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.91
Rate for Payer: Cigna Commercial	$72.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.81
Rate for Payer: Oxford Commercial	$72.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.71
Rate for Payer: UnitedHealthcare Commercial	$72.36

TROCAR VERSASTEP 12MM EXP

Facility

$334.05

Hospital Charge Code	270690812
Hospital Revenue Code	272
Min. Negotiated Rate	$50.11
Max. Negotiated Rate	$50.11
Rate for Payer: Qualcare PPO/HMO/WC	$50.11

TROCAR VERSASTEP 12MM EXP

Facility

$334.05

Hospital Charge Code	270690812
Hospital Revenue Code	272
Min. Negotiated Rate	$43.43
Max. Negotiated Rate	$167.03
Rate for Payer: Aetna Commercial	$100.22
Rate for Payer: Aetna Medicare Advantage	$100.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.18
Rate for Payer: Cigna Commercial	$167.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.43
Rate for Payer: Oxford Commercial	$167.03
Rate for Payer: Qualcare PPO/HMO/WC	$50.11
Rate for Payer: UnitedHealthcare Commercial	$167.03

TROCAR VISIPORT #176671 *****

Facility

$424.00

Hospital Charge Code	1606128
Hospital Revenue Code	272
Min. Negotiated Rate	$63.60
Max. Negotiated Rate	$63.60
Rate for Payer: Qualcare PPO/HMO/WC	$63.60

TROCAR VISIPORT #176671 *****

Facility

$424.00

Hospital Charge Code	1606128
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$212.00
Rate for Payer: Aetna Commercial	$127.20
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.12
Rate for Payer: Cigna Commercial	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.12
Rate for Payer: Oxford Commercial	$212.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.60
Rate for Payer: UnitedHealthcare Commercial	$212.00

Know your out-of-pocket cost for care.

All Charges