Heights University Hospital

All Charges

Charge

Type

Setting

Price

VESSEL LOOP BLUE MAXI

Facility

$7.75

Hospital Charge Code	270654606
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

VESSEL LOOP MAXI YELLOW STERIL

Facility

$13.73

Hospital Charge Code	270656241
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$6.87
Rate for Payer: Aetna Commercial	$4.12
Rate for Payer: Aetna Medicare Advantage	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.50
Rate for Payer: Cigna Commercial	$6.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.78
Rate for Payer: Oxford Commercial	$6.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$6.87

VESSEL LOOP MAXI YELLOW STERIL

Facility

$13.73

Hospital Charge Code	270656241
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

VESSEL LOOP MINI RED

Facility

$9.00

Hospital Charge Code	270665983
Hospital Revenue Code	270
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

VESSEL LOOP MINI RED

Facility

$9.00

Hospital Charge Code	270665983
Hospital Revenue Code	270
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

VESSEL MAPPING HEMO ACCESS

Facility

$6,700.00

Service Code	HCPCS G0365
Hospital Charge Code	404270365
Hospital Revenue Code	402
Min. Negotiated Rate	$871.00
Max. Negotiated Rate	$3,350.00
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$3,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

VESSEL MAPPING HEMO ACCESS

Facility

$6,700.00

Service Code	HCPCS G0365
Hospital Charge Code	2692240
Hospital Revenue Code	402
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

VESSEL MAPPING HEMO ACCESS

Facility

$6,700.00

Service Code	HCPCS G0365
Hospital Charge Code	404270365
Hospital Revenue Code	402
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

VESSEL MAPPING HEMO ACCESS

Facility

$6,700.00

Service Code	HCPCS G0365
Hospital Charge Code	2692240
Hospital Revenue Code	402
Min. Negotiated Rate	$871.00
Max. Negotiated Rate	$3,350.00
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$3,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

VESSEL MAPPING HEMO ACCESS BIL

Facility

$6,700.00

Service Code	HCPCS G0365
Hospital Charge Code	2692241
Hospital Revenue Code	402
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

VESSEL MAPPING HEMO ACCESS BIL

Facility

$6,700.00

Service Code	HCPCS G0365
Hospital Charge Code	2692241
Hospital Revenue Code	402
Min. Negotiated Rate	$871.00
Max. Negotiated Rate	$3,350.00
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$3,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

VESSEL SEALER EXTEND

Facility

$3,125.00

Hospital Charge Code	270683865
Hospital Revenue Code	272
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$468.75
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

VESSEL SEALER EXTEND

Facility

$3,125.00

Hospital Charge Code	270683865
Hospital Revenue Code	272
Min. Negotiated Rate	$406.25
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$937.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.25
Rate for Payer: Oxford Commercial	$1,562.50
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Commercial	$1,562.50

VESSEL UMBILICAL W/POWER CATH

Facility

$311.41

Hospital Charge Code	270654041
Hospital Revenue Code	270
Min. Negotiated Rate	$40.48
Max. Negotiated Rate	$155.71
Rate for Payer: Aetna Commercial	$93.42
Rate for Payer: Aetna Medicare Advantage	$93.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.41
Rate for Payer: Cigna Commercial	$155.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.48
Rate for Payer: Oxford Commercial	$155.71
Rate for Payer: Qualcare PPO/HMO/WC	$46.71
Rate for Payer: UnitedHealthcare Commercial	$155.71

VESSEL UMBILICAL W/POWER CATH

Facility

$311.41

Hospital Charge Code	270654041
Hospital Revenue Code	270
Min. Negotiated Rate	$46.71
Max. Negotiated Rate	$46.71
Rate for Payer: Qualcare PPO/HMO/WC	$46.71

VESSLE SIZING CATH 100CM

Facility

$650.00

Hospital Charge Code	270686377
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

VESSLE SIZING CATH 100CM

Facility

$650.00

Hospital Charge Code	270686377
Hospital Revenue Code	272
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

VEST POSEY TIE-BACK ALL SZS

Facility

$124.85

Hospital Charge Code	270609500
Hospital Revenue Code	270
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

VEST POSEY TIE-BACK ALL SZS

Facility

$124.85

Hospital Charge Code	270609500
Hospital Revenue Code	270
Min. Negotiated Rate	$16.23
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$37.45
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.23
Rate for Payer: Oxford Commercial	$62.42
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$62.42

VEST SPU DISP WRAP LG

Facility

$332.15

Hospital Charge Code	270653059
Hospital Revenue Code	270
Min. Negotiated Rate	$43.18
Max. Negotiated Rate	$166.07
Rate for Payer: Aetna Commercial	$99.64
Rate for Payer: Aetna Medicare Advantage	$99.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.70
Rate for Payer: Cigna Commercial	$166.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.18
Rate for Payer: Oxford Commercial	$166.07
Rate for Payer: Qualcare PPO/HMO/WC	$49.82
Rate for Payer: UnitedHealthcare Commercial	$166.07

VEST SPU DISP WRAP LG

Facility

$332.15

Hospital Charge Code	270653059
Hospital Revenue Code	270
Min. Negotiated Rate	$49.82
Max. Negotiated Rate	$49.82
Rate for Payer: Qualcare PPO/HMO/WC	$49.82

VEST SPU DISP WRAP MED

Facility

$343.10

Hospital Charge Code	270653064
Hospital Revenue Code	270
Min. Negotiated Rate	$51.47
Max. Negotiated Rate	$51.47
Rate for Payer: Qualcare PPO/HMO/WC	$51.47

VEST SPU DISP WRAP MED

Facility

$343.10

Hospital Charge Code	270653064
Hospital Revenue Code	270
Min. Negotiated Rate	$44.60
Max. Negotiated Rate	$171.55
Rate for Payer: Aetna Commercial	$102.93
Rate for Payer: Aetna Medicare Advantage	$102.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.49
Rate for Payer: Cigna Commercial	$171.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.60
Rate for Payer: Oxford Commercial	$171.55
Rate for Payer: Qualcare PPO/HMO/WC	$51.47
Rate for Payer: UnitedHealthcare Commercial	$171.55

VEST SPU DISP WRAP SM

Facility

$343.10

Hospital Charge Code	270653065
Hospital Revenue Code	270
Min. Negotiated Rate	$51.47
Max. Negotiated Rate	$51.47
Rate for Payer: Qualcare PPO/HMO/WC	$51.47

VEST SPU DISP WRAP SM

Facility

$343.10

Hospital Charge Code	270653065
Hospital Revenue Code	270
Min. Negotiated Rate	$44.60
Max. Negotiated Rate	$171.55
Rate for Payer: Aetna Commercial	$102.93
Rate for Payer: Aetna Medicare Advantage	$102.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.49
Rate for Payer: Cigna Commercial	$171.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.60
Rate for Payer: Oxford Commercial	$171.55
Rate for Payer: Qualcare PPO/HMO/WC	$51.47
Rate for Payer: UnitedHealthcare Commercial	$171.55

Know your out-of-pocket cost for care.

All Charges