Heights University Hospital

All Charges

Charge

Type

Setting

Price

VIZADISC 2 PK REPLACEMENT KIT

Facility

$170.00

Hospital Charge Code	270668075
Hospital Revenue Code	272
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

VIZADISC KNEE TRACE KIT

Facility

$1,140.75

Hospital Charge Code	270668479
Hospital Revenue Code	272
Min. Negotiated Rate	$171.11
Max. Negotiated Rate	$171.11
Rate for Payer: Qualcare PPO/HMO/WC	$171.11

VIZADISC KNEE TRACE KIT

Facility

$1,140.75

Hospital Charge Code	270668479
Hospital Revenue Code	272
Min. Negotiated Rate	$148.30
Max. Negotiated Rate	$570.38
Rate for Payer: Aetna Commercial	$342.23
Rate for Payer: Aetna Medicare Advantage	$342.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.89
Rate for Payer: Cigna Commercial	$570.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.30
Rate for Payer: Oxford Commercial	$570.38
Rate for Payer: Qualcare PPO/HMO/WC	$171.11
Rate for Payer: UnitedHealthcare Commercial	$570.38

VIZISHOT FLEX

Facility

$1,586.20

Hospital Charge Code	270678497
Hospital Revenue Code	272
Min. Negotiated Rate	$206.21
Max. Negotiated Rate	$793.10
Rate for Payer: Aetna Commercial	$475.86
Rate for Payer: Aetna Medicare Advantage	$475.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.48
Rate for Payer: Cigna Commercial	$793.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.21
Rate for Payer: Oxford Commercial	$793.10
Rate for Payer: Qualcare PPO/HMO/WC	$237.93
Rate for Payer: UnitedHealthcare Commercial	$793.10

VIZISHOT FLEX

Facility

$1,586.20

Hospital Charge Code	270678497
Hospital Revenue Code	272
Min. Negotiated Rate	$237.93
Max. Negotiated Rate	$237.93
Rate for Payer: Qualcare PPO/HMO/WC	$237.93

VLDL CHOLESTEROL

Facility

$125.75

Service Code	HCPCS 83719
Hospital Charge Code	3006459B
Hospital Revenue Code	301
Min. Negotiated Rate	$18.86
Max. Negotiated Rate	$18.86
Rate for Payer: Qualcare PPO/HMO/WC	$18.86

VLDL CHOLESTEROL

Facility

$125.75

Service Code	HCPCS 83719
Hospital Charge Code	3006459B
Hospital Revenue Code	301
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.31
Rate for Payer: Aetna Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.72
Rate for Payer: Cigna Commercial	$12.75
Rate for Payer: Cigna Medicare Advantage	$6.38
Rate for Payer: Clover Medicare Advantage	$12.11
Rate for Payer: EmblemHealth Commercial	$38.25
Rate for Payer: Humana Medicare Advantage	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.86
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.52
Rate for Payer: Wellcare Medicare Advantage	$12.75

V-LOC 180 3-0 ENDO STITCH

Facility

$296.25

Hospital Charge Code	270692038
Hospital Revenue Code	272
Min. Negotiated Rate	$38.51
Max. Negotiated Rate	$148.12
Rate for Payer: Aetna Commercial	$88.88
Rate for Payer: Aetna Medicare Advantage	$88.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.54
Rate for Payer: Cigna Commercial	$148.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.51
Rate for Payer: Oxford Commercial	$148.12
Rate for Payer: Qualcare PPO/HMO/WC	$44.44
Rate for Payer: UnitedHealthcare Commercial	$148.12

V-LOC 180 3-0 ENDO STITCH

Facility

$296.25

Hospital Charge Code	270692038
Hospital Revenue Code	272
Min. Negotiated Rate	$44.44
Max. Negotiated Rate	$44.44
Rate for Payer: Qualcare PPO/HMO/WC	$44.44

V-LOCK 90-DEGREE 22mm NL-22

Facility

$421.65

Hospital Charge Code	270635026
Hospital Revenue Code	272
Min. Negotiated Rate	$54.81
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.81
Rate for Payer: Oxford Commercial	$210.82
Rate for Payer: Qualcare PPO/HMO/WC	$63.25
Rate for Payer: UnitedHealthcare Commercial	$210.82

V-LOCK 90-DEGREE 22mm NL-22

Facility

$421.65

Hospital Charge Code	270635026
Hospital Revenue Code	272
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$63.25
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

V-LOCK 90-DEGREE 24mm NL-24

Facility

$421.65

Hospital Charge Code	270635027
Hospital Revenue Code	272
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$63.25
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

V-LOCK 90-DEGREE 24mm NL-24

Facility

$421.65

Hospital Charge Code	270635027
Hospital Revenue Code	272
Min. Negotiated Rate	$54.81
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.81
Rate for Payer: Oxford Commercial	$210.82
Rate for Payer: Qualcare PPO/HMO/WC	$63.25
Rate for Payer: UnitedHealthcare Commercial	$210.82

V-LOCK 90-DEGREE 28mm NL28

Facility

$421.65

Hospital Charge Code	270634965
Hospital Revenue Code	272
Min. Negotiated Rate	$54.81
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.81
Rate for Payer: Oxford Commercial	$210.82
Rate for Payer: Qualcare PPO/HMO/WC	$63.25
Rate for Payer: UnitedHealthcare Commercial	$210.82

V-LOCK 90-DEGREE 28mm NL28

Facility

$421.65

Hospital Charge Code	270634965
Hospital Revenue Code	272
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$63.25
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

V-LOCK 90-DEGREE 32mm NL32

Facility

$421.65

Hospital Charge Code	270634966
Hospital Revenue Code	272
Min. Negotiated Rate	$54.81
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.81
Rate for Payer: Oxford Commercial	$210.82
Rate for Payer: Qualcare PPO/HMO/WC	$63.25
Rate for Payer: UnitedHealthcare Commercial	$210.82

V-LOCK 90-DEGREE 32mm NL32

Facility

$421.65

Hospital Charge Code	270634966
Hospital Revenue Code	272
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$63.25
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

V-LOCK 90-DEGRE SET SCREW NLSS

Facility

$248.00

Hospital Charge Code	270635028
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

V-LOCK 90-DEGRE SET SCREW NLSS

Facility

$248.00

Hospital Charge Code	270635028
Hospital Revenue Code	272
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.40
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$124.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$124.00

VLOK ADULT BP INFL SYST

Facility

$146.67

Hospital Charge Code	270650039
Hospital Revenue Code	272
Min. Negotiated Rate	$19.07
Max. Negotiated Rate	$73.33
Rate for Payer: Aetna Commercial	$44.00
Rate for Payer: Aetna Medicare Advantage	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.40
Rate for Payer: Cigna Commercial	$73.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.07
Rate for Payer: Oxford Commercial	$73.33
Rate for Payer: Qualcare PPO/HMO/WC	$22.00
Rate for Payer: UnitedHealthcare Commercial	$73.33

VLOK ADULT BP INFL SYST

Facility

$146.67

Hospital Charge Code	270650039
Hospital Revenue Code	272
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.00

VMA 24 HR W/O CREATININE

Facility

$390.00

Service Code	HCPCS 84585
Hospital Charge Code	39900147
Hospital Revenue Code	301
Min. Negotiated Rate	$7.75
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$50.22
Rate for Payer: Aetna Medicare Advantage	$15.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.79
Rate for Payer: Cigna Commercial	$15.50
Rate for Payer: Cigna Medicare Advantage	$7.75
Rate for Payer: Clover Medicare Advantage	$14.72
Rate for Payer: EmblemHealth Commercial	$46.50
Rate for Payer: Humana Medicare Advantage	$15.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.50
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.43
Rate for Payer: Wellcare Medicare Advantage	$15.50

VMA 24 HR W/O CREATININE

Facility

$390.00

Service Code	HCPCS 84585
Hospital Charge Code	39900147
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VMA,URINE I

Facility

$390.00

Service Code	HCPCS 82570
Hospital Charge Code	39990067A
Hospital Revenue Code	301
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

VMA,URINE I

Facility

$390.00

Service Code	HCPCS 82570
Hospital Charge Code	39990067A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges