Heights University Hospital

All Charges

Charge

Type

Setting

Price

VAPR 2.3 MM THERM END

Facility

$1,300.00

Hospital Charge Code	270658649
Hospital Revenue Code	270
Min. Negotiated Rate	$169.00
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$390.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.00
Rate for Payer: Oxford Commercial	$650.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00
Rate for Payer: UnitedHealthcare Commercial	$650.00

VAPRISOL 20MG AMP

Facility

$1,737.00

Hospital Charge Code	60635570
Hospital Revenue Code	250
Min. Negotiated Rate	$260.55
Max. Negotiated Rate	$260.55
Rate for Payer: Qualcare PPO/HMO/WC	$260.55

VAPRISOL 20MG AMP

Facility

$1,737.00

Hospital Charge Code	60635570
Hospital Revenue Code	250
Min. Negotiated Rate	$225.81
Max. Negotiated Rate	$868.50
Rate for Payer: Aetna Commercial	$521.10
Rate for Payer: Aetna Medicare Advantage	$521.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$442.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$442.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$442.94
Rate for Payer: Cigna Commercial	$868.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.81
Rate for Payer: Oxford Commercial	$868.50
Rate for Payer: Qualcare PPO/HMO/WC	$260.55
Rate for Payer: UnitedHealthcare Commercial	$868.50

VAPRISOL 20MG AMPULE

Facility

$2,067.00

Hospital Charge Code	60635619
Hospital Revenue Code	250
Min. Negotiated Rate	$268.71
Max. Negotiated Rate	$1,033.50
Rate for Payer: Aetna Commercial	$620.10
Rate for Payer: Aetna Medicare Advantage	$620.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$527.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$527.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$527.09
Rate for Payer: Cigna Commercial	$1,033.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.71
Rate for Payer: Oxford Commercial	$1,033.50
Rate for Payer: Qualcare PPO/HMO/WC	$310.05
Rate for Payer: UnitedHealthcare Commercial	$1,033.50

VAPRISOL 20MG AMPULE

Facility

$2,067.00

Hospital Charge Code	60635619
Hospital Revenue Code	250
Min. Negotiated Rate	$310.05
Max. Negotiated Rate	$310.05
Rate for Payer: Qualcare PPO/HMO/WC	$310.05

VAR ANG SCREW-SEL DRL PAIR

Facility

$2,500.00

Hospital Charge Code	270702368
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

VAR ANG SCREW-SEL DRL PAIR

Facility

$2,500.00

Hospital Charge Code	270702368
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

VARIABLE ANG SCREW 5X27MM

Facility

$1,500.00

Service Code	HCPCS 1500
Hospital Charge Code	270704955
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

VARIABLE ANG SCREW 5X27MM

Facility

$1,500.00

Service Code	HCPCS 1500
Hospital Charge Code	270704955
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

VARIABLE ANKLE FIXATOR COMP

Facility

$27,770.00

Hospital Charge Code	270673484
Hospital Revenue Code	272
Min. Negotiated Rate	$3,610.10
Max. Negotiated Rate	$13,885.00
Rate for Payer: Aetna Commercial	$8,331.00
Rate for Payer: Aetna Medicare Advantage	$8,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,081.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,081.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,081.35
Rate for Payer: Cigna Commercial	$13,885.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,610.10
Rate for Payer: Oxford Commercial	$13,885.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,165.50
Rate for Payer: UnitedHealthcare Commercial	$13,885.00

VARIABLE ANKLE FIXATOR COMP

Facility

$27,770.00

Hospital Charge Code	270673484
Hospital Revenue Code	272
Min. Negotiated Rate	$4,165.50
Max. Negotiated Rate	$4,165.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,165.50

VARIABLE SCREW 4X16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705475
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

VARIABLE SCREW 4X16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705475
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

VARIABLE SCREWS 16MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270703879
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

VARIABLE SCREWS 16MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270703879
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

VARIAX FIBULA STRAIGHT PLATES,

Facility

$3,120.00

Hospital Charge Code	270665481
Hospital Revenue Code	278
Min. Negotiated Rate	$468.00
Max. Negotiated Rate	$755.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.04
Rate for Payer: Qualcare PPO/HMO/WC	$468.00

VARIAX FIBULA STRAIGHT PLATES,

Facility

$3,120.00

Hospital Charge Code	270665481
Hospital Revenue Code	278
Min. Negotiated Rate	$468.00
Max. Negotiated Rate	$1,560.00
Rate for Payer: Aetna Commercial	$936.00
Rate for Payer: Aetna Medicare Advantage	$936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$795.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$795.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$795.60
Rate for Payer: Cigna Commercial	$1,560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.04
Rate for Payer: Qualcare PPO/HMO/WC	$468.00

VARIBAR HONEY BARIUM SULFATE

Facility

$5,014.82

Service Code	NDC 32909012207
Hospital Charge Code	606390509
Hospital Revenue Code	250
Min. Negotiated Rate	$651.93
Max. Negotiated Rate	$2,507.41
Rate for Payer: Aetna Commercial	$1,504.45
Rate for Payer: Aetna Medicare Advantage	$1,504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,278.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,278.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,278.78
Rate for Payer: Cigna Commercial	$2,507.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$651.93
Rate for Payer: Oxford Commercial	$2,507.41
Rate for Payer: Qualcare PPO/HMO/WC	$752.22
Rate for Payer: UnitedHealthcare Commercial	$2,507.41

VARIBAR HONEY BARIUM SULFATE

Facility

$5,014.82

Service Code	NDC 32909012207
Hospital Charge Code	606390509
Hospital Revenue Code	250
Min. Negotiated Rate	$752.22
Max. Negotiated Rate	$752.22
Rate for Payer: Qualcare PPO/HMO/WC	$752.22

VARIBAR NECTAR BARIUM SULFATE

Facility

$127.30

Service Code	NDC 32909011600
Hospital Charge Code	606390510
Hospital Revenue Code	250
Min. Negotiated Rate	$16.55
Max. Negotiated Rate	$63.65
Rate for Payer: Aetna Commercial	$38.19
Rate for Payer: Aetna Medicare Advantage	$38.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.46
Rate for Payer: Cigna Commercial	$63.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.55
Rate for Payer: Oxford Commercial	$63.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.09
Rate for Payer: UnitedHealthcare Commercial	$63.65

VARIBAR NECTAR BARIUM SULFATE

Facility

$127.30

Service Code	NDC 32909011600
Hospital Charge Code	606390510
Hospital Revenue Code	250
Min. Negotiated Rate	$19.09
Max. Negotiated Rate	$19.09
Rate for Payer: Qualcare PPO/HMO/WC	$19.09

VARIBAR THIN LIQ BARIUM SULFAT

Facility

$46.30

Service Code	NDC 32909010510
Hospital Charge Code	606390511
Hospital Revenue Code	250
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$6.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.95

VARIBAR THIN LIQ BARIUM SULFAT

Facility

$46.30

Service Code	NDC 32909010510
Hospital Charge Code	606390511
Hospital Revenue Code	250
Min. Negotiated Rate	$6.02
Max. Negotiated Rate	$23.15
Rate for Payer: Aetna Commercial	$13.89
Rate for Payer: Aetna Medicare Advantage	$13.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.81
Rate for Payer: Cigna Commercial	$23.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.02
Rate for Payer: Oxford Commercial	$23.15
Rate for Payer: Qualcare PPO/HMO/WC	$6.95
Rate for Payer: UnitedHealthcare Commercial	$23.15

VARIBLE ANGLED DK 10CM

Facility

$10,470.00

Hospital Charge Code	270657237
Hospital Revenue Code	278
Min. Negotiated Rate	$1,570.50
Max. Negotiated Rate	$2,533.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,094.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,533.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,570.50

VARIBLE ANGLED DK 10CM

Facility

$10,470.00

Hospital Charge Code	270657237
Hospital Revenue Code	278
Min. Negotiated Rate	$1,570.50
Max. Negotiated Rate	$5,235.00
Rate for Payer: Aetna Commercial	$3,141.00
Rate for Payer: Aetna Medicare Advantage	$3,141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,669.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,669.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,094.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,669.85
Rate for Payer: Cigna Commercial	$5,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,533.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,570.50

Know your out-of-pocket cost for care.

All Charges