Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR W/O RIBS IN SLEEVE 511S

Facility

$4,983.25

Hospital Charge Code	270609778
Hospital Revenue Code	272
Min. Negotiated Rate	$647.82
Max. Negotiated Rate	$2,491.62
Rate for Payer: Aetna Commercial	$1,494.97
Rate for Payer: Aetna Medicare Advantage	$1,494.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,270.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,270.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,270.73
Rate for Payer: Cigna Commercial	$2,491.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$647.82
Rate for Payer: Oxford Commercial	$2,491.62
Rate for Payer: Qualcare PPO/HMO/WC	$747.49
Rate for Payer: UnitedHealthcare Commercial	$2,491.62

TROCAR W/O RIBS IN SLEEVE 511S

Facility

$4,983.25

Hospital Charge Code	270609778
Hospital Revenue Code	272
Min. Negotiated Rate	$747.49
Max. Negotiated Rate	$747.49
Rate for Payer: Qualcare PPO/HMO/WC	$747.49

TROCAR XCEL BLADELESS 15MM

Facility

$220.00

Hospital Charge Code	270641080
Hospital Revenue Code	272
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.60
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$110.00

TROCAR XCEL BLADELESS 15MM

Facility

$67.25

Service Code	HCPCS C1726
Hospital Charge Code	270630134
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

TROCAR XCEL BLADELESS 15MM

Facility

$220.00

Hospital Charge Code	270641080
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

TROCAR XCEL BLADELESS 15MM

Facility

$67.25

Service Code	HCPCS C1726
Hospital Charge Code	270630134
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

TROCAR XCEL BLADELESS 5-11mm

Facility

$115.00

Hospital Charge Code	270635613
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 XCEL BLADELESS 5-11mm

Facility

$115.00

Hospital Charge Code	270635613
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR XCEL BLADELESS 5-12mm

Facility

$145.00

Hospital Charge Code	270647919
Hospital Revenue Code	272
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

TROCAR XCEL BLADELESS 5-12mm

Facility

$145.00

Hospital Charge Code	270647919
Hospital Revenue Code	272
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$43.50
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$72.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$72.50

TROCAR XCEL BLADELESS 5x150MM

Facility

$125.00

Hospital Charge Code	270665377
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TROCAR XCEL BLADELESS 5x150MM

Facility

$125.00

Hospital Charge Code	270665377
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 Z THREAD 12X100 CANNULA

Facility

$125.00

Hospital Charge Code	270662257
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 Z THREAD 12X100 CANNULA

Facility

$125.00

Hospital Charge Code	270662257
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TROCAR Z THREAD 12X100 NON

Facility

$1,678.60

Hospital Charge Code	270662255
Hospital Revenue Code	270
Min. Negotiated Rate	$218.22
Max. Negotiated Rate	$839.30
Rate for Payer: Aetna Commercial	$503.58
Rate for Payer: Aetna Medicare Advantage	$503.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.04
Rate for Payer: Cigna Commercial	$839.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.22
Rate for Payer: Oxford Commercial	$839.30
Rate for Payer: Qualcare PPO/HMO/WC	$251.79
Rate for Payer: UnitedHealthcare Commercial	$839.30

TROCAR Z THREAD 12X100 NON

Facility

$1,678.60

Hospital Charge Code	270662255
Hospital Revenue Code	270
Min. Negotiated Rate	$251.79
Max. Negotiated Rate	$251.79
Rate for Payer: Qualcare PPO/HMO/WC	$251.79

TROCHANTER HOOK COCR MEDIUM

Facility

$3,910.00

Service Code	HCPCS C1776
Hospital Charge Code	270611650
Hospital Revenue Code	278
Min. Negotiated Rate	$586.50
Max. Negotiated Rate	$946.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$782.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$946.22
Rate for Payer: Qualcare PPO/HMO/WC	$586.50

TROCHANTER HOOK COCR MEDIUM

Facility

$3,910.00

Service Code	HCPCS C1776
Hospital Charge Code	270611650
Hospital Revenue Code	278
Min. Negotiated Rate	$586.50
Max. Negotiated Rate	$1,955.00
Rate for Payer: Aetna Commercial	$1,173.00
Rate for Payer: Aetna Medicare Advantage	$1,173.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$997.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$997.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$782.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$997.05
Rate for Payer: Cigna Commercial	$1,955.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$946.22
Rate for Payer: Qualcare PPO/HMO/WC	$586.50

TROCHANTERIC GRIP LG 2MM CABLE

Facility

$10,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270675953
Hospital Revenue Code	278
Min. Negotiated Rate	$1,503.00
Max. Negotiated Rate	$2,424.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,004.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,424.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,503.00

TROCHANTERIC GRIP LG 2MM CABLE

Facility

$10,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270675953
Hospital Revenue Code	278
Min. Negotiated Rate	$1,503.00
Max. Negotiated Rate	$5,010.00
Rate for Payer: Aetna Commercial	$3,006.00
Rate for Payer: Aetna Medicare Advantage	$3,006.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,555.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,555.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,004.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,555.10
Rate for Payer: Cigna Commercial	$5,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,424.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,503.00

TROCHANTERIC MED GRIP W/2 CBL

Facility

$16,038.00

Hospital Charge Code	270670722
Hospital Revenue Code	272
Min. Negotiated Rate	$2,084.94
Max. Negotiated Rate	$8,019.00
Rate for Payer: Aetna Commercial	$4,811.40
Rate for Payer: Aetna Medicare Advantage	$4,811.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,089.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,089.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,089.69
Rate for Payer: Cigna Commercial	$8,019.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,084.94
Rate for Payer: Oxford Commercial	$8,019.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,405.70
Rate for Payer: UnitedHealthcare Commercial	$8,019.00

TROCHANTERIC MED GRIP W/2 CBL

Facility

$16,038.00

Hospital Charge Code	270670722
Hospital Revenue Code	272
Min. Negotiated Rate	$2,405.70
Max. Negotiated Rate	$2,405.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,405.70

TROCHANTERIC NAIL 10X170MM 125

Facility

$11,735.00

Service Code	HCPCS 11735
Hospital Charge Code	270705029
Hospital Revenue Code	278
Min. Negotiated Rate	$1,760.25
Max. Negotiated Rate	$2,839.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25

TROCHANTERIC NAIL 10X170MM 125

Facility

$11,735.00

Service Code	HCPCS 11735
Hospital Charge Code	270705029
Hospital Revenue Code	278
Min. Negotiated Rate	$1,760.25
Max. Negotiated Rate	$5,867.50
Rate for Payer: Aetna Commercial	$3,520.50
Rate for Payer: Aetna Medicare Advantage	$3,520.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,992.43
Rate for Payer: Cigna Commercial	$5,867.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25

TROCHANTERIC REATTACH DEV LNG

Facility

$11,893.40

Service Code	HCPCS C1713
Hospital Charge Code	270674368
Hospital Revenue Code	278
Min. Negotiated Rate	$1,784.01
Max. Negotiated Rate	$2,878.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,378.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,878.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,784.01

Know your out-of-pocket cost for care.

All Charges