Heights University Hospital

All Charges

Charge

Type

Setting

Price

VACCINE ADMIN PNEUMO

Facility

$89.07

Service Code	HCPCS 90471
Hospital Charge Code	100142
Hospital Revenue Code	771
Min. Negotiated Rate	$11.58
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$26.72
Rate for Payer: Aetna Medicare Advantage	$26.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.71
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.58
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.36
Rate for Payer: UnitedHealthcare Commercial	$103.00

VACCINE ADMIN PNEUMO

Facility

$89.07

Service Code	HCPCS 90471
Hospital Charge Code	93500179
Hospital Revenue Code	771
Min. Negotiated Rate	$11.58
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$26.72
Rate for Payer: Aetna Medicare Advantage	$26.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.71
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.58
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.36
Rate for Payer: UnitedHealthcare Commercial	$103.00

VACCINE ADMIN PNEUMO

Facility

$89.07

Service Code	HCPCS 90471
Hospital Charge Code	5792175
Hospital Revenue Code	771
Min. Negotiated Rate	$13.36
Max. Negotiated Rate	$13.36
Rate for Payer: Qualcare PPO/HMO/WC	$13.36

VACCINE ADMIN PNEUMO

Facility

$89.07

Service Code	HCPCS 90471
Hospital Charge Code	83652521
Hospital Revenue Code	771
Min. Negotiated Rate	$11.58
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$26.72
Rate for Payer: Aetna Medicare Advantage	$26.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.71
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.58
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.36
Rate for Payer: UnitedHealthcare Commercial	$103.00

VACCINE ADMIN PNEUMO

Facility

$89.07

Service Code	HCPCS 90471
Hospital Charge Code	260121
Hospital Revenue Code	771
Min. Negotiated Rate	$11.58
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$26.72
Rate for Payer: Aetna Medicare Advantage	$26.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.71
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.58
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.36
Rate for Payer: UnitedHealthcare Commercial	$103.00

VACCINE ADMIN PNEUMO

Facility

$41.00

Service Code	HCPCS 90471
Hospital Charge Code	84206165
Hospital Revenue Code	771
Min. Negotiated Rate	$6.15
Max. Negotiated Rate	$6.15
Rate for Payer: Qualcare PPO/HMO/WC	$6.15

VACCINE ADMIN PNEUMO

Facility

$89.07

Service Code	HCPCS 90471
Hospital Charge Code	5792175
Hospital Revenue Code	771
Min. Negotiated Rate	$11.58
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$26.72
Rate for Payer: Aetna Medicare Advantage	$26.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.71
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.58
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.36
Rate for Payer: UnitedHealthcare Commercial	$103.00

VACCUM QUICK CONNECT 18 NPT MA

Facility

$172.50

Hospital Charge Code	270664117
Hospital Revenue Code	270
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$25.88
Rate for Payer: Qualcare PPO/HMO/WC	$25.88

VACCUM QUICK CONNECT 18 NPT MA

Facility

$172.50

Hospital Charge Code	270664117
Hospital Revenue Code	270
Min. Negotiated Rate	$22.43
Max. Negotiated Rate	$86.25
Rate for Payer: Aetna Commercial	$51.75
Rate for Payer: Aetna Medicare Advantage	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.99
Rate for Payer: Cigna Commercial	$86.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.43
Rate for Payer: Oxford Commercial	$86.25
Rate for Payer: Qualcare PPO/HMO/WC	$25.88
Rate for Payer: UnitedHealthcare Commercial	$86.25

VAC PULSA PLUS FOR SPRING KIT

Facility

$203.05

Hospital Charge Code	270654993
Hospital Revenue Code	270
Min. Negotiated Rate	$30.46
Max. Negotiated Rate	$30.46
Rate for Payer: Qualcare PPO/HMO/WC	$30.46

VAC PULSA PLUS FOR SPRING KIT

Facility

$203.05

Hospital Charge Code	270654993
Hospital Revenue Code	270
Min. Negotiated Rate	$26.40
Max. Negotiated Rate	$101.53
Rate for Payer: Aetna Commercial	$60.91
Rate for Payer: Aetna Medicare Advantage	$60.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.78
Rate for Payer: Cigna Commercial	$101.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.40
Rate for Payer: Oxford Commercial	$101.53
Rate for Payer: Qualcare PPO/HMO/WC	$30.46
Rate for Payer: UnitedHealthcare Commercial	$101.53

VACU PEN PLUME COLLECTOR

Facility

$411.25

Hospital Charge Code	270658072
Hospital Revenue Code	270
Min. Negotiated Rate	$61.69
Max. Negotiated Rate	$61.69
Rate for Payer: Qualcare PPO/HMO/WC	$61.69

VACU PEN PLUME COLLECTOR

Facility

$411.25

Hospital Charge Code	270658072
Hospital Revenue Code	270
Min. Negotiated Rate	$53.46
Max. Negotiated Rate	$205.62
Rate for Payer: Aetna Commercial	$123.38
Rate for Payer: Aetna Medicare Advantage	$123.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.87
Rate for Payer: Cigna Commercial	$205.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.46
Rate for Payer: Oxford Commercial	$205.62
Rate for Payer: Qualcare PPO/HMO/WC	$61.69
Rate for Payer: UnitedHealthcare Commercial	$205.62

VACURETTE CANNULAS CURVED 12MM

Facility

$225.00

Hospital Charge Code	270655605
Hospital Revenue Code	270
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

VACURETTE CANNULAS CURVED 12MM

Facility

$225.00

Hospital Charge Code	270655605
Hospital Revenue Code	270
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

VACURETTE CANNULAS F-TIP 8MM

Facility

$221.45

Hospital Charge Code	270655607
Hospital Revenue Code	270
Min. Negotiated Rate	$28.79
Max. Negotiated Rate	$110.72
Rate for Payer: Aetna Commercial	$66.44
Rate for Payer: Aetna Medicare Advantage	$66.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.47
Rate for Payer: Cigna Commercial	$110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.79
Rate for Payer: Oxford Commercial	$110.72
Rate for Payer: Qualcare PPO/HMO/WC	$33.22
Rate for Payer: UnitedHealthcare Commercial	$110.72

VACURETTE CANNULAS F-TIP 8MM

Facility

$221.45

Hospital Charge Code	270655607
Hospital Revenue Code	270
Min. Negotiated Rate	$33.22
Max. Negotiated Rate	$33.22
Rate for Payer: Qualcare PPO/HMO/WC	$33.22

VACURETTE CRVD TIP 10mm

Facility

$10.42

Hospital Charge Code	270649246
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$5.21
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.35
Rate for Payer: Oxford Commercial	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$1.56
Rate for Payer: UnitedHealthcare Commercial	$5.21

VACURETTE CRVD TIP 10mm

Facility

$10.42

Hospital Charge Code	270649246
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$1.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.56

VACURETTE CRVD TIP 11mm

Facility

$25.00

Hospital Charge Code	270650483
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

VACURETTE CRVD TIP 11mm

Facility

$25.00

Hospital Charge Code	270650483
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

VACURETTE CRVD TIP 7mm

Facility

$23.08

Hospital Charge Code	270649248
Hospital Revenue Code	272
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$3.46

VACURETTE CRVD TIP 7mm

Facility

$23.08

Hospital Charge Code	270649248
Hospital Revenue Code	272
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$11.54
Rate for Payer: Aetna Commercial	$6.92
Rate for Payer: Aetna Medicare Advantage	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.89
Rate for Payer: Cigna Commercial	$11.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$11.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.46
Rate for Payer: UnitedHealthcare Commercial	$11.54

VACURETTE CRVD TIP 8mm

Facility

$21.83

Hospital Charge Code	270649249
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$10.91
Rate for Payer: Aetna Commercial	$6.55
Rate for Payer: Aetna Medicare Advantage	$6.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.57
Rate for Payer: Cigna Commercial	$10.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.84
Rate for Payer: Oxford Commercial	$10.91
Rate for Payer: Qualcare PPO/HMO/WC	$3.27
Rate for Payer: UnitedHealthcare Commercial	$10.91

VACURETTE CRVD TIP 8mm

Facility

$21.83

Hospital Charge Code	270649249
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$3.27

Know your out-of-pocket cost for care.

All Charges