Heights University Hospital

All Charges

Charge

Type

Setting

Price

VALVE FP-STRATA NSC SMALL

Facility

$27,271.40

Service Code	HCPCS L8699
Hospital Charge Code	270695660
Hospital Revenue Code	278
Min. Negotiated Rate	$4,090.71
Max. Negotiated Rate	$13,635.70
Rate for Payer: Aetna Commercial	$8,181.42
Rate for Payer: Aetna Medicare Advantage	$8,181.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,954.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,954.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,454.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,954.21
Rate for Payer: Cigna Commercial	$13,635.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,599.68
Rate for Payer: Qualcare PPO/HMO/WC	$4,090.71

VALVE HEIMLICH

Facility

$103.25

Hospital Charge Code	270303211
Hospital Revenue Code	272
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$15.49
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

VALVE HEIMLICH

Facility

$103.25

Hospital Charge Code	270303211
Hospital Revenue Code	272
Min. Negotiated Rate	$13.42
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$30.98
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.42
Rate for Payer: Oxford Commercial	$51.62
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Commercial	$51.62

VALVE HEIMLICH *******

Facility

$48.00

Hospital Charge Code	8003329
Hospital Revenue Code	279
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

VALVE HEIMLICH *******

Facility

$48.00

Hospital Charge Code	8003329
Hospital Revenue Code	279
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.24
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$24.00

VALVE HEIMLICH 373460

Facility

$1,547.50

Hospital Charge Code	270648678
Hospital Revenue Code	272
Min. Negotiated Rate	$201.18
Max. Negotiated Rate	$773.75
Rate for Payer: Aetna Commercial	$464.25
Rate for Payer: Aetna Medicare Advantage	$464.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$394.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$394.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$394.61
Rate for Payer: Cigna Commercial	$773.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.18
Rate for Payer: Oxford Commercial	$773.75
Rate for Payer: Qualcare PPO/HMO/WC	$232.12
Rate for Payer: UnitedHealthcare Commercial	$773.75

VALVE HEIMLICH 373460

Facility

$1,547.50

Hospital Charge Code	270648678
Hospital Revenue Code	272
Min. Negotiated Rate	$232.12
Max. Negotiated Rate	$232.12
Rate for Payer: Qualcare PPO/HMO/WC	$232.12

VALVE HEIMLICK ******

Facility

$55.00

Hospital Charge Code	8000887
Hospital Revenue Code	279
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$27.50

VALVE HEIMLICK ******

Facility

$55.00

Hospital Charge Code	8000887
Hospital Revenue Code	279
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

VALVE HEMO LG BORE MBA MAP400

Facility

$135.00

Hospital Charge Code	270639504C
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

VALVE HEMO LG BORE MBA MAP400

Facility

$135.00

Hospital Charge Code	270639504C
Hospital Revenue Code	272
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$67.50

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577N
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$36.00
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$60.00

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577N
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$36.00
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$60.00

VALVE LOW PROF HI PRESS

Facility

$3,026.45

Hospital Charge Code	270600297
Hospital Revenue Code	270
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$453.97
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

VALVE LOW PROF HI PRESS

Facility

$3,026.45

Hospital Charge Code	270600297
Hospital Revenue Code	270
Min. Negotiated Rate	$393.44
Max. Negotiated Rate	$1,513.22
Rate for Payer: Aetna Commercial	$907.93
Rate for Payer: Aetna Medicare Advantage	$907.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.74
Rate for Payer: Cigna Commercial	$1,513.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.44
Rate for Payer: Oxford Commercial	$1,513.22
Rate for Payer: Qualcare PPO/HMO/WC	$453.97
Rate for Payer: UnitedHealthcare Commercial	$1,513.22

VALVE MANIFOLD IMV***

Facility

$15.00

Hospital Charge Code	9501180
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

VALVE MANIFOLD IMV***

Facility

$15.00

Hospital Charge Code	9501180
Hospital Revenue Code	279
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

VALVE MEDT DELTA LVL 1.5 42823

Facility

$2,944.00

Hospital Charge Code	270610691
Hospital Revenue Code	272
Min. Negotiated Rate	$441.60
Max. Negotiated Rate	$441.60
Rate for Payer: Qualcare PPO/HMO/WC	$441.60

VALVE MEDT DELTA LVL 1.5 42823

Facility

$2,944.00

Hospital Charge Code	270610691
Hospital Revenue Code	272
Min. Negotiated Rate	$382.72
Max. Negotiated Rate	$1,472.00
Rate for Payer: Aetna Commercial	$883.20
Rate for Payer: Aetna Medicare Advantage	$883.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$750.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$750.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$750.72
Rate for Payer: Cigna Commercial	$1,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.72
Rate for Payer: Oxford Commercial	$1,472.00
Rate for Payer: Qualcare PPO/HMO/WC	$441.60
Rate for Payer: UnitedHealthcare Commercial	$1,472.00

VALVE MEDT STARTA ADJ 42865

Facility

$11,121.65

Hospital Charge Code	270628768
Hospital Revenue Code	272
Min. Negotiated Rate	$1,445.81
Max. Negotiated Rate	$5,560.82
Rate for Payer: Aetna Commercial	$3,336.49
Rate for Payer: Aetna Medicare Advantage	$3,336.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,836.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,836.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,836.02
Rate for Payer: Cigna Commercial	$5,560.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,445.81
Rate for Payer: Oxford Commercial	$5,560.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,668.25
Rate for Payer: UnitedHealthcare Commercial	$5,560.82

VALVE MEDT STARTA ADJ 42865

Facility

$11,121.65

Hospital Charge Code	270628768
Hospital Revenue Code	272
Min. Negotiated Rate	$1,668.25
Max. Negotiated Rate	$1,668.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,668.25

VALVE MISHLER DL ANT NL8500314

Facility

$4,493.85

Hospital Charge Code	270625565
Hospital Revenue Code	272
Min. Negotiated Rate	$674.08
Max. Negotiated Rate	$674.08
Rate for Payer: Qualcare PPO/HMO/WC	$674.08

VALVE MISHLER DL ANT NL8500314

Facility

$4,493.85

Hospital Charge Code	270625565
Hospital Revenue Code	272
Min. Negotiated Rate	$584.20
Max. Negotiated Rate	$2,246.93
Rate for Payer: Aetna Commercial	$1,348.15
Rate for Payer: Aetna Medicare Advantage	$1,348.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,145.93
Rate for Payer: Cigna Commercial	$2,246.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.20
Rate for Payer: Oxford Commercial	$2,246.93
Rate for Payer: Qualcare PPO/HMO/WC	$674.08
Rate for Payer: UnitedHealthcare Commercial	$2,246.93

Know your out-of-pocket cost for care.

All Charges