Heights University Hospital

All Charges

Charge

Type

Setting

Price

WALLSTENT BILIARY RX 10FR 10MM

Facility

$7,000.00

Hospital Charge Code	270636842
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

WALLSTENT BILIARY RX 10FR 10MM

Facility

$7,000.00

Hospital Charge Code	270636842
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,100.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

WALLSTENT MONORAIL 10x24 71840

Facility

$7,757.50

Hospital Charge Code	270631408
Hospital Revenue Code	278
Min. Negotiated Rate	$1,163.62
Max. Negotiated Rate	$1,877.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,877.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,163.62

WALLSTENT MONORAIL 10x24 71840

Facility

$7,757.50

Hospital Charge Code	270631408
Hospital Revenue Code	278
Min. Negotiated Rate	$1,163.62
Max. Negotiated Rate	$3,878.75
Rate for Payer: Aetna Commercial	$2,327.25
Rate for Payer: Aetna Medicare Advantage	$2,327.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,978.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,978.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,551.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,978.16
Rate for Payer: Cigna Commercial	$3,878.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,877.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,163.62

WALLSTENT MONORAIL 10x24 71840

Facility

$7,757.50

Hospital Charge Code	270631408V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,163.62
Max. Negotiated Rate	$1,877.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,877.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,163.62

WALLSTENT MONORAIL 10x24 71840

Facility

$7,757.50

Hospital Charge Code	270631408V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,163.62
Max. Negotiated Rate	$3,878.75
Rate for Payer: Aetna Commercial	$2,327.25
Rate for Payer: Aetna Medicare Advantage	$2,327.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,978.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,978.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,551.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,978.16
Rate for Payer: Cigna Commercial	$3,878.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,877.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,163.62

WALNUT (F256) IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	39900354
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

WALNUT (F256) IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	39900354
Hospital Revenue Code	305
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
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	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

WAND 50-S

Facility

$800.00

Hospital Charge Code	270676343
Hospital Revenue Code	272
Min. Negotiated Rate	$104.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$400.00

WAND 50-S

Facility

$800.00

Hospital Charge Code	270676343
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

WAND 90-S ACCELERATOR

Facility

$750.00

Hospital Charge Code	270676342
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

WAND 90-S ACCELERATOR

Facility

$750.00

Hospital Charge Code	270676342
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
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) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

WAND APOLLO ABLATOR 50 DEG MUT

Facility

$995.00

Hospital Charge Code	270687552
Hospital Revenue Code	272
Min. Negotiated Rate	$129.35
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$298.50
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.35
Rate for Payer: Oxford Commercial	$497.50
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Commercial	$497.50

WAND APOLLO ABLATOR 50 DEG MUT

Facility

$995.00

Hospital Charge Code	270687552
Hospital Revenue Code	272
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$149.25
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

WAND ARTHRO 2.5/60 DEGRE

Facility

$1,276.85

Hospital Charge Code	270605476
Hospital Revenue Code	272
Min. Negotiated Rate	$191.53
Max. Negotiated Rate	$191.53
Rate for Payer: Qualcare PPO/HMO/WC	$191.53

WAND ARTHRO 2.5/60 DEGRE

Facility

$1,276.85

Hospital Charge Code	270605476
Hospital Revenue Code	272
Min. Negotiated Rate	$165.99
Max. Negotiated Rate	$638.42
Rate for Payer: Aetna Commercial	$383.06
Rate for Payer: Aetna Medicare Advantage	$383.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$325.60
Rate for Payer: Cigna Commercial	$638.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.99
Rate for Payer: Oxford Commercial	$638.42
Rate for Payer: Qualcare PPO/HMO/WC	$191.53
Rate for Payer: UnitedHealthcare Commercial	$638.42

WAND ARTHRO 3.5/90 DEGRE

Facility

$1,331.25

Hospital Charge Code	270605475
Hospital Revenue Code	272
Min. Negotiated Rate	$173.06
Max. Negotiated Rate	$665.62
Rate for Payer: Aetna Commercial	$399.38
Rate for Payer: Aetna Medicare Advantage	$399.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.47
Rate for Payer: Cigna Commercial	$665.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.06
Rate for Payer: Oxford Commercial	$665.62
Rate for Payer: Qualcare PPO/HMO/WC	$199.69
Rate for Payer: UnitedHealthcare Commercial	$665.62

WAND ARTHRO 3.5/90 DEGRE

Facility

$1,331.25

Hospital Charge Code	270605475
Hospital Revenue Code	272
Min. Negotiated Rate	$199.69
Max. Negotiated Rate	$199.69
Rate for Payer: Qualcare PPO/HMO/WC	$199.69

WAND ARTHRO 4.5/90 DEG A134501

Facility

$1,035.25

Hospital Charge Code	270613777
Hospital Revenue Code	272
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

WAND ARTHRO 4.5/90 DEG A134501

Facility

$1,035.25

Hospital Charge Code	270613777
Hospital Revenue Code	272
Min. Negotiated Rate	$134.58
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$310.57
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.58
Rate for Payer: Oxford Commercial	$517.62
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$517.62

WAND EVAC 70 COBLATOR

Facility

$1,335.00

Hospital Charge Code	270630595
Hospital Revenue Code	272
Min. Negotiated Rate	$173.55
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$400.50
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.55
Rate for Payer: Oxford Commercial	$667.50
Rate for Payer: Qualcare PPO/HMO/WC	$200.25
Rate for Payer: UnitedHealthcare Commercial	$667.50

WAND EVAC 70 COBLATOR

Facility

$1,335.00

Hospital Charge Code	270630595
Hospital Revenue Code	272
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$200.25
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

WAND GBA ARTHR SUCT 3.5 133501

Facility

$1,226.45

Hospital Charge Code	270617452
Hospital Revenue Code	272
Min. Negotiated Rate	$183.97
Max. Negotiated Rate	$183.97
Rate for Payer: Qualcare PPO/HMO/WC	$183.97

WAND GBA ARTHR SUCT 3.5 133501

Facility

$1,226.45

Hospital Charge Code	270617452
Hospital Revenue Code	272
Min. Negotiated Rate	$159.44
Max. Negotiated Rate	$613.23
Rate for Payer: Aetna Commercial	$367.94
Rate for Payer: Aetna Medicare Advantage	$367.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.74
Rate for Payer: Cigna Commercial	$613.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.44
Rate for Payer: Oxford Commercial	$613.23
Rate for Payer: Qualcare PPO/HMO/WC	$183.97
Rate for Payer: UnitedHealthcare Commercial	$613.23

WAND OPES 90DEGREE LOW PROFILE

Facility

$868.00

Hospital Charge Code	270636746
Hospital Revenue Code	272
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Qualcare PPO/HMO/WC	$130.20

Know your out-of-pocket cost for care.

All Charges