Heights University Hospital

All Charges

Charge

Type

Setting

Price

VALVE SM CONTOUR HI PRESS IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696478
Hospital Revenue Code	278
Min. Negotiated Rate	$825.84
Max. Negotiated Rate	$1,332.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: Qualcare PPO/HMO/WC	$825.84

VALVE SM CONTOUR MED PRES IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696477
Hospital Revenue Code	278
Min. Negotiated Rate	$825.84
Max. Negotiated Rate	$2,752.80
Rate for Payer: Aetna Commercial	$1,651.68
Rate for Payer: Aetna Medicare Advantage	$1,651.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,403.93
Rate for Payer: Cigna Commercial	$2,752.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: Qualcare PPO/HMO/WC	$825.84

VALVE SM CONTOUR MED PRES IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696477
Hospital Revenue Code	278
Min. Negotiated Rate	$825.84
Max. Negotiated Rate	$1,332.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: Qualcare PPO/HMO/WC	$825.84

VALVE SPEAKING SHILEY P

Facility

$256.00

Hospital Charge Code	270600660
Hospital Revenue Code	272
Min. Negotiated Rate	$33.28
Max. Negotiated Rate	$128.00
Rate for Payer: Aetna Commercial	$76.80
Rate for Payer: Aetna Medicare Advantage	$76.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.28
Rate for Payer: Cigna Commercial	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.28
Rate for Payer: Oxford Commercial	$128.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$128.00

VALVE SPEAKING SHILEY P

Facility

$256.00

Hospital Charge Code	270600660
Hospital Revenue Code	272
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

VALVE SUCTION SINGLE USE

Facility

$51.24

Hospital Charge Code	270650784
Hospital Revenue Code	272
Min. Negotiated Rate	$7.69
Max. Negotiated Rate	$7.69
Rate for Payer: Qualcare PPO/HMO/WC	$7.69

VALVE SUCTION SINGLE USE

Facility

$51.24

Hospital Charge Code	270650784
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$25.62
Rate for Payer: Aetna Commercial	$15.37
Rate for Payer: Aetna Medicare Advantage	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.07
Rate for Payer: Cigna Commercial	$25.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.66
Rate for Payer: Oxford Commercial	$25.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.69
Rate for Payer: UnitedHealthcare Commercial	$25.62

VALVE SWAL & SPEAK TRA PMV2000

Facility

$290.00

Hospital Charge Code	270637549
Hospital Revenue Code	272
Min. Negotiated Rate	$37.70
Max. Negotiated Rate	$145.00
Rate for Payer: Aetna Commercial	$87.00
Rate for Payer: Aetna Medicare Advantage	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.95
Rate for Payer: Cigna Commercial	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.70
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.50
Rate for Payer: UnitedHealthcare Commercial	$145.00

VALVE SWAL & SPEAK TRA PMV2000

Facility

$290.00

Hospital Charge Code	270637549
Hospital Revenue Code	272
Min. Negotiated Rate	$43.50
Max. Negotiated Rate	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.50

VALVE TRACH PASSY-MUIR

Facility

$959.25

Hospital Charge Code	270613698
Hospital Revenue Code	272
Min. Negotiated Rate	$124.70
Max. Negotiated Rate	$479.62
Rate for Payer: Aetna Commercial	$287.77
Rate for Payer: Aetna Medicare Advantage	$287.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.61
Rate for Payer: Cigna Commercial	$479.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.70
Rate for Payer: Oxford Commercial	$479.62
Rate for Payer: Qualcare PPO/HMO/WC	$143.89
Rate for Payer: UnitedHealthcare Commercial	$479.62

VALVE TRACH PASSY-MUIR

Facility

$959.25

Hospital Charge Code	270613698
Hospital Revenue Code	272
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$143.89
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

VALVOLOTOME ANGIO 2.5MM 80CM

Facility

$1,348.75

Hospital Charge Code	270656118
Hospital Revenue Code	270
Min. Negotiated Rate	$175.34
Max. Negotiated Rate	$674.38
Rate for Payer: Aetna Commercial	$404.62
Rate for Payer: Aetna Medicare Advantage	$404.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.93
Rate for Payer: Cigna Commercial	$674.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.34
Rate for Payer: Oxford Commercial	$674.38
Rate for Payer: Qualcare PPO/HMO/WC	$202.31
Rate for Payer: UnitedHealthcare Commercial	$674.38

VALVOLOTOME ANGIO 2.5MM 80CM

Facility

$1,348.75

Hospital Charge Code	270656118
Hospital Revenue Code	270
Min. Negotiated Rate	$202.31
Max. Negotiated Rate	$202.31
Rate for Payer: Qualcare PPO/HMO/WC	$202.31

VALVULOTOME 7

Facility

$470.00

Hospital Charge Code	270665871
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

VALVULOTOME 7

Facility

$470.00

Hospital Charge Code	270665871
Hospital Revenue Code	272
Min. Negotiated Rate	$61.10
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$141.00
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$235.00

VALVULOTOME LEMAITRE 1000-80

Facility

$3,410.45

Hospital Charge Code	270617167
Hospital Revenue Code	272
Min. Negotiated Rate	$511.57
Max. Negotiated Rate	$511.57
Rate for Payer: Qualcare PPO/HMO/WC	$511.57

VALVULOTOME LEMAITRE 1000-80

Facility

$3,410.45

Hospital Charge Code	270617167
Hospital Revenue Code	272
Min. Negotiated Rate	$443.36
Max. Negotiated Rate	$1,705.22
Rate for Payer: Aetna Commercial	$1,023.13
Rate for Payer: Aetna Medicare Advantage	$1,023.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$869.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$869.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$869.66
Rate for Payer: Cigna Commercial	$1,705.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.36
Rate for Payer: Oxford Commercial	$1,705.22
Rate for Payer: Qualcare PPO/HMO/WC	$511.57
Rate for Payer: UnitedHealthcare Commercial	$1,705.22

VANCENASE NASAL/16.8GM

Facility

$131.00

Hospital Charge Code	60634116
Hospital Revenue Code	250
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

VANCENASE NASAL/16.8GM

Facility

$131.00

Hospital Charge Code	60634116
Hospital Revenue Code	250
Min. Negotiated Rate	$17.03
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$39.30
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.03
Rate for Payer: Oxford Commercial	$65.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$65.50

VANCERIL INHALER/16.8G

Facility

$141.00

Hospital Charge Code	60634600
Hospital Revenue Code	250
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$21.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.15

VANCERIL INHALER/16.8G

Facility

$141.00

Hospital Charge Code	60634600
Hospital Revenue Code	250
Min. Negotiated Rate	$18.33
Max. Negotiated Rate	$70.50
Rate for Payer: Aetna Commercial	$42.30
Rate for Payer: Aetna Medicare Advantage	$42.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.95
Rate for Payer: Cigna Commercial	$70.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.33
Rate for Payer: Oxford Commercial	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.15
Rate for Payer: UnitedHealthcare Commercial	$70.50

VANCO10MG EPI 0.4ML

Facility

$23.00

Hospital Charge Code	60635606
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

VANCO10MG EPI 0.4ML

Facility

$23.00

Hospital Charge Code	60635606
Hospital Revenue Code	250
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

VANCO10MGGENT4MG EPI0.4ML

Facility

$35.00

Hospital Charge Code	60635605
Hospital Revenue Code	250
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

VANCO10MGGENT4MG EPI0.4ML

Facility

$35.00

Hospital Charge Code	60635605
Hospital Revenue Code	250
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

Know your out-of-pocket cost for care.

All Charges