Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIOCUFF IMPLANT 5.7x18 235718

Facility

$1,116.00

Hospital Charge Code	270620671
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$558.00
Rate for Payer: Aetna Commercial	$334.80
Rate for Payer: Aetna Medicare Advantage	$334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.58
Rate for Payer: Cigna Commercial	$558.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

BIOCUFF IMPLANT 5.7X28 235728

Facility

$1,116.00

Hospital Charge Code	270620672
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$558.00
Rate for Payer: Aetna Commercial	$334.80
Rate for Payer: Aetna Medicare Advantage	$334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.58
Rate for Payer: Cigna Commercial	$558.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

BIOCUFF IMPLANT 5.7X28 235728

Facility

$1,116.00

Hospital Charge Code	270620672
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$270.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

BIOCUFF IMPLANT 5.7X36 235736

Facility

$1,116.00

Hospital Charge Code	270620673
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$558.00
Rate for Payer: Aetna Commercial	$334.80
Rate for Payer: Aetna Medicare Advantage	$334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.58
Rate for Payer: Cigna Commercial	$558.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

BIOCUFF IMPLANT 5.7X36 235736

Facility

$1,116.00

Hospital Charge Code	270620673
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$270.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

BIO DBM PLUS PUTTY 10CC

Facility

$16,635.00

Service Code	HCPCS C1713
Hospital Charge Code	270694787
Hospital Revenue Code	278
Min. Negotiated Rate	$2,495.25
Max. Negotiated Rate	$8,317.50
Rate for Payer: Aetna Commercial	$4,990.50
Rate for Payer: Aetna Medicare Advantage	$4,990.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,241.93
Rate for Payer: Cigna Commercial	$8,317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,025.67
Rate for Payer: Qualcare PPO/HMO/WC	$2,495.25

BIO DBM PLUS PUTTY 10CC

Facility

$16,635.00

Service Code	HCPCS C1713
Hospital Charge Code	270694787
Hospital Revenue Code	278
Min. Negotiated Rate	$2,495.25
Max. Negotiated Rate	$4,025.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,327.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,025.67
Rate for Payer: Qualcare PPO/HMO/WC	$2,495.25

BIODELTCERAM CTAPR FEM HD 36MM

Facility

$4,799.25

Service Code	HCPCS C1776
Hospital Charge Code	270691181
Hospital Revenue Code	278
Min. Negotiated Rate	$719.89
Max. Negotiated Rate	$1,161.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$959.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.42
Rate for Payer: Qualcare PPO/HMO/WC	$719.89

BIODELTCERAM CTAPR FEM HD 36MM

Facility

$4,799.25

Service Code	HCPCS C1776
Hospital Charge Code	270691181
Hospital Revenue Code	278
Min. Negotiated Rate	$719.89
Max. Negotiated Rate	$2,399.62
Rate for Payer: Aetna Commercial	$1,439.78
Rate for Payer: Aetna Medicare Advantage	$1,439.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$959.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,223.81
Rate for Payer: Cigna Commercial	$2,399.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.42
Rate for Payer: Qualcare PPO/HMO/WC	$719.89

BIODELTCERAMSZCTAP FEM HD 36MM

Facility

$2,979.25

Service Code	HCPCS C1776
Hospital Charge Code	270691175
Hospital Revenue Code	278
Min. Negotiated Rate	$446.89
Max. Negotiated Rate	$1,489.62
Rate for Payer: Aetna Commercial	$893.77
Rate for Payer: Aetna Medicare Advantage	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$759.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$759.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$759.71
Rate for Payer: Cigna Commercial	$1,489.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.98
Rate for Payer: Qualcare PPO/HMO/WC	$446.89

BIODELTCERAMSZCTAP FEM HD 36MM

Facility

$2,979.25

Service Code	HCPCS C1776
Hospital Charge Code	270691175
Hospital Revenue Code	278
Min. Negotiated Rate	$446.89
Max. Negotiated Rate	$720.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.98
Rate for Payer: Qualcare PPO/HMO/WC	$446.89

BIOFIRE BCID2 PANEL

Facility

$1,090.30

Service Code	HCPCS 87154
Hospital Charge Code	401387154
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$798.97
Rate for Payer: Aetna Commercial	$706.51
Rate for Payer: Aetna Medicare Advantage	$218.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$798.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$798.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$218.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$798.97
Rate for Payer: Cigna Commercial	$218.06
Rate for Payer: Cigna Medicare Advantage	$109.03
Rate for Payer: Clover Medicare Advantage	$207.16
Rate for Payer: EmblemHealth Commercial	$654.18
Rate for Payer: Humana Medicare Advantage	$224.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.54
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$218.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$231.14
Rate for Payer: Wellcare Medicare Advantage	$218.06

BIOFIRE BCID2 PANEL

Facility

$1,090.30

Service Code	HCPCS 87154
Hospital Charge Code	401387154
Hospital Revenue Code	306
Min. Negotiated Rate	$163.54
Max. Negotiated Rate	$163.54
Rate for Payer: Qualcare PPO/HMO/WC	$163.54

BIOFIRE GI PANEL

Facility

$2,083.90

Service Code	HCPCS 87507
Hospital Charge Code	401387507
Hospital Revenue Code	306
Min. Negotiated Rate	$312.58
Max. Negotiated Rate	$312.58
Rate for Payer: Qualcare PPO/HMO/WC	$312.58

BIOFIRE GI PANEL

Facility

$2,083.90

Service Code	HCPCS 87507
Hospital Charge Code	401387507
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,527.08
Rate for Payer: Aetna Commercial	$1,350.37
Rate for Payer: Aetna Medicare Advantage	$416.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,527.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,527.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$416.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$424.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,527.08
Rate for Payer: Cigna Commercial	$416.78
Rate for Payer: Cigna Medicare Advantage	$208.39
Rate for Payer: Clover Medicare Advantage	$395.94
Rate for Payer: EmblemHealth Commercial	$1,250.34
Rate for Payer: Humana Medicare Advantage	$429.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.58
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$416.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$441.79
Rate for Payer: Wellcare Medicare Advantage	$416.78

BIOFIRE RESP PANEL 2.1 COVID

Facility

$675.00

Service Code	HCPCS 0202U
Hospital Charge Code	40130202U
Hospital Revenue Code	306
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$1,527.08
Rate for Payer: Aetna Commercial	$1,350.37
Rate for Payer: Aetna Medicare Advantage	$416.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,527.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,527.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$416.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,527.08
Rate for Payer: Cigna Commercial	$416.78
Rate for Payer: Cigna Medicare Advantage	$208.39
Rate for Payer: Clover Medicare Advantage	$395.94
Rate for Payer: EmblemHealth Commercial	$1,250.34
Rate for Payer: Humana Medicare Advantage	$429.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$416.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$441.79
Rate for Payer: Wellcare Medicare Advantage	$416.78

BIOFIRE RESP PANEL 2.1 COVID

Facility

$675.00

Service Code	HCPCS 0202U
Hospital Charge Code	40130202U
Hospital Revenue Code	306
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

BIOFIRE RESP VIR PCR RP2 COVID

Facility

$275.00

Service Code	HCPCS 0100U
Hospital Charge Code	40130100U
Hospital Revenue Code	306
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

BIOFIRE RESP VIR PCR RP2 COVID

Facility

$275.00

Service Code	HCPCS 0100U
Hospital Charge Code	40130100U
Hospital Revenue Code	306
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

BIOFIX PLUS 4x4

Facility

$9,945.00

Service Code	HCPCS Q4100
Hospital Charge Code	270685217
Hospital Revenue Code	636
Min. Negotiated Rate	$1,491.75
Max. Negotiated Rate	$4,972.50
Rate for Payer: Aetna Commercial	$2,983.50
Rate for Payer: Aetna Medicare Advantage	$2,983.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,535.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,535.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,535.97
Rate for Payer: Cigna Commercial	$4,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,406.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.75

BIOFIX PLUS 4x4

Facility

$9,945.00

Service Code	HCPCS Q4100
Hospital Charge Code	270685217
Hospital Revenue Code	636
Min. Negotiated Rate	$1,491.75
Max. Negotiated Rate	$2,406.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,406.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.75

BIOFOAM COTTON WEDGE

Facility

$840.00

Service Code	HCPCS C1713
Hospital Charge Code	270681265
Hospital Revenue Code	278
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$252.00
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.28
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

BIOFOAM COTTON WEDGE

Facility

$840.00

Service Code	HCPCS C1713
Hospital Charge Code	270681265
Hospital Revenue Code	278
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$203.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.28
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

Biofreeze 32oz pump

Facility

$255.00

Hospital Charge Code	270665774
Hospital Revenue Code	270
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$38.25
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

Biofreeze 32oz pump

Facility

$255.00

Hospital Charge Code	270665774
Hospital Revenue Code	270
Min. Negotiated Rate	$33.15
Max. Negotiated Rate	$127.50
Rate for Payer: Aetna Commercial	$76.50
Rate for Payer: Aetna Medicare Advantage	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.03
Rate for Payer: Cigna Commercial	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.15
Rate for Payer: Oxford Commercial	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$38.25
Rate for Payer: UnitedHealthcare Commercial	$127.50

Know your out-of-pocket cost for care.

All Charges