Heights University Hospital

All Charges

Charge

Type

Setting

Price

VITEK SENSI CARD GN71

Facility

$357.90

Hospital Charge Code	270665949
Hospital Revenue Code	270
Min. Negotiated Rate	$46.53
Max. Negotiated Rate	$178.95
Rate for Payer: Aetna Commercial	$107.37
Rate for Payer: Aetna Medicare Advantage	$107.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.26
Rate for Payer: Cigna Commercial	$178.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.53
Rate for Payer: Oxford Commercial	$178.95
Rate for Payer: Qualcare PPO/HMO/WC	$53.69
Rate for Payer: UnitedHealthcare Commercial	$178.95

VITEK SENSI CARD GP67

Facility

$357.90

Hospital Charge Code	270665947
Hospital Revenue Code	270
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$53.69
Rate for Payer: Qualcare PPO/HMO/WC	$53.69

VITEK SENSI CARD GP67

Facility

$357.90

Hospital Charge Code	270665947
Hospital Revenue Code	270
Min. Negotiated Rate	$46.53
Max. Negotiated Rate	$178.95
Rate for Payer: Aetna Commercial	$107.37
Rate for Payer: Aetna Medicare Advantage	$107.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.26
Rate for Payer: Cigna Commercial	$178.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.53
Rate for Payer: Oxford Commercial	$178.95
Rate for Payer: Qualcare PPO/HMO/WC	$53.69
Rate for Payer: UnitedHealthcare Commercial	$178.95

VI TIBIAL PTA

Facility

$7,952.85

Hospital Charge Code	5600007
Hospital Revenue Code	361
Min. Negotiated Rate	$1,192.93
Max. Negotiated Rate	$1,192.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,192.93

VI TIBIAL PTA

Facility

$7,952.85

Hospital Charge Code	5600007
Hospital Revenue Code	361
Min. Negotiated Rate	$1,033.87
Max. Negotiated Rate	$3,976.43
Rate for Payer: Aetna Commercial	$2,385.86
Rate for Payer: Aetna Medicare Advantage	$2,385.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,027.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,027.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,027.98
Rate for Payer: Cigna Commercial	$3,976.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,192.93

VITMIN B3 (SERUM)

Facility

$178.88

Service Code	HCPCS 84591
Hospital Charge Code	397080020
Hospital Revenue Code	301
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.27
Rate for Payer: Aetna Medicare Advantage	$17.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.51
Rate for Payer: Cigna Commercial	$17.06
Rate for Payer: Cigna Medicare Advantage	$8.53
Rate for Payer: Clover Medicare Advantage	$16.21
Rate for Payer: EmblemHealth Commercial	$51.18
Rate for Payer: Humana Medicare Advantage	$17.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.83
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.08
Rate for Payer: Wellcare Medicare Advantage	$17.06

VITMIN B3 (SERUM)

Facility

$178.88

Service Code	HCPCS 84591
Hospital Charge Code	397080020
Hospital Revenue Code	301
Min. Negotiated Rate	$26.83
Max. Negotiated Rate	$26.83
Rate for Payer: Qualcare PPO/HMO/WC	$26.83

VITOSS 2.5 CC BA2X

Facility

$6,345.00

Hospital Charge Code	270656574
Hospital Revenue Code	278
Min. Negotiated Rate	$951.75
Max. Negotiated Rate	$3,172.50
Rate for Payer: Aetna Commercial	$1,903.50
Rate for Payer: Aetna Medicare Advantage	$1,903.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,617.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,617.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,269.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,617.97
Rate for Payer: Cigna Commercial	$3,172.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,535.49
Rate for Payer: Qualcare PPO/HMO/WC	$951.75

VITOSS 2.5 CC BA2X

Facility

$6,345.00

Hospital Charge Code	270656574
Hospital Revenue Code	278
Min. Negotiated Rate	$951.75
Max. Negotiated Rate	$1,535.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,269.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,535.49
Rate for Payer: Qualcare PPO/HMO/WC	$951.75

VITOSS BA2X FOAM PACK 10CC

Facility

$19,922.35

Service Code	HCPCS C1713
Hospital Charge Code	270656479
Hospital Revenue Code	278
Min. Negotiated Rate	$2,988.35
Max. Negotiated Rate	$4,821.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,984.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,821.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,988.35

VITOSS BA2X FOAM PACK 10CC

Facility

$19,922.35

Service Code	HCPCS C1713
Hospital Charge Code	270656479
Hospital Revenue Code	278
Min. Negotiated Rate	$2,988.35
Max. Negotiated Rate	$9,961.17
Rate for Payer: Aetna Commercial	$5,976.70
Rate for Payer: Aetna Medicare Advantage	$5,976.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,080.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,080.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,984.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,080.20
Rate for Payer: Cigna Commercial	$9,961.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,821.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,988.35

VITOSS BB FOAM PACK 5 CC

Facility

$11,100.40

Service Code	HCPCS C1713
Hospital Charge Code	270680168
Hospital Revenue Code	278
Min. Negotiated Rate	$1,665.06
Max. Negotiated Rate	$5,550.20
Rate for Payer: Aetna Commercial	$3,330.12
Rate for Payer: Aetna Medicare Advantage	$3,330.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,830.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,830.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,220.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,830.60
Rate for Payer: Cigna Commercial	$5,550.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,686.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.06

VITOSS BB FOAM PACK 5 CC

Facility

$11,100.40

Service Code	HCPCS C1713
Hospital Charge Code	270680168
Hospital Revenue Code	278
Min. Negotiated Rate	$1,665.06
Max. Negotiated Rate	$2,686.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,220.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,686.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.06

VITOSS BB TRAUMA FOAM PACK

Facility

$5,920.20

Service Code	HCPCS C1713
Hospital Charge Code	270671169
Hospital Revenue Code	278
Min. Negotiated Rate	$888.03
Max. Negotiated Rate	$1,432.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,184.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,432.69
Rate for Payer: Qualcare PPO/HMO/WC	$888.03

VITOSS BB TRAUMA FOAM PACK

Facility

$5,920.20

Service Code	HCPCS C1713
Hospital Charge Code	270671169
Hospital Revenue Code	278
Min. Negotiated Rate	$888.03
Max. Negotiated Rate	$2,960.10
Rate for Payer: Aetna Commercial	$1,776.06
Rate for Payer: Aetna Medicare Advantage	$1,776.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,509.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,509.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,184.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,509.65
Rate for Payer: Cigna Commercial	$2,960.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,432.69
Rate for Payer: Qualcare PPO/HMO/WC	$888.03

VITOSS BIMODAL 10CC

Facility

$23,895.30

Service Code	HCPCS C1713
Hospital Charge Code	270697908
Hospital Revenue Code	278
Min. Negotiated Rate	$3,584.30
Max. Negotiated Rate	$11,947.65
Rate for Payer: Aetna Commercial	$7,168.59
Rate for Payer: Aetna Medicare Advantage	$7,168.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,093.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,093.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,779.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,093.30
Rate for Payer: Cigna Commercial	$11,947.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,782.66
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.30

VITOSS BIMODAL 10CC

Facility

$23,895.30

Service Code	HCPCS C1713
Hospital Charge Code	270697908
Hospital Revenue Code	278
Min. Negotiated Rate	$3,584.30
Max. Negotiated Rate	$5,782.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,779.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,782.66
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.30

VITOSS BIMODAL 5ML

Facility

$17,620.00

Service Code	HCPCS C1713
Hospital Charge Code	270699423
Hospital Revenue Code	278
Min. Negotiated Rate	$2,643.00
Max. Negotiated Rate	$4,264.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,524.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,264.04
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.00

VITOSS BIMODAL 5ML

Facility

$17,620.00

Service Code	HCPCS C1713
Hospital Charge Code	270699423
Hospital Revenue Code	278
Min. Negotiated Rate	$2,643.00
Max. Negotiated Rate	$8,810.00
Rate for Payer: Aetna Commercial	$5,286.00
Rate for Payer: Aetna Medicare Advantage	$5,286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,493.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,493.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,524.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,493.10
Rate for Payer: Cigna Commercial	$8,810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,264.04
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.00

VITOSS BONE GRAFT SUB

Facility

$5,250.00

Hospital Charge Code	270656576
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

VITOSS BONE GRAFT SUB

Facility

$5,250.00

Hospital Charge Code	270656576
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

VI TRANSHEPATIC CHOLANGIOGRAM

Facility

$1,631.25

Hospital Charge Code	5600009
Hospital Revenue Code	320
Min. Negotiated Rate	$244.69
Max. Negotiated Rate	$244.69
Rate for Payer: Qualcare PPO/HMO/WC	$244.69

VI TRANSHEPATIC CHOLANGIOGRAM

Facility

$1,631.25

Hospital Charge Code	5600009
Hospital Revenue Code	320
Min. Negotiated Rate	$212.06
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$489.38
Rate for Payer: Aetna Medicare Advantage	$489.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$415.97
Rate for Payer: Cigna Commercial	$815.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.06
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.69
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

VIVACIT-E DM BEAR LNR 28X42MM

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270689981
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$4,050.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

VIVACIT-E DM BEAR LNR 28X42MM

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270689981
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

Know your out-of-pocket cost for care.

All Charges