Heights University Hospital

All Charges

Charge

Type

Setting

Price

WASHER

Facility

$326.55

Service Code	HCPCS C1713
Hospital Charge Code	270705721
Hospital Revenue Code	278
Min. Negotiated Rate	$48.98
Max. Negotiated Rate	$79.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.03
Rate for Payer: Qualcare PPO/HMO/WC	$48.98

WASHER

Facility

$326.55

Service Code	HCPCS C1713
Hospital Charge Code	270705721
Hospital Revenue Code	278
Min. Negotiated Rate	$48.98
Max. Negotiated Rate	$163.28
Rate for Payer: Aetna Commercial	$97.97
Rate for Payer: Aetna Medicare Advantage	$97.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.27
Rate for Payer: Cigna Commercial	$163.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.03
Rate for Payer: Qualcare PPO/HMO/WC	$48.98

WASHER

Facility

$220.00

Service Code	HCPCS C1713
Hospital Charge Code	270665084
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

WASHER

Facility

$220.00

Service Code	HCPCS C1713
Hospital Charge Code	270665084
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

WASHER

Facility

$105.30

Hospital Charge Code	270657776
Hospital Revenue Code	278
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$25.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.48
Rate for Payer: Qualcare PPO/HMO/WC	$15.79

WASHER 10.0MM

Facility

$116.95

Service Code	HCPCS C1713
Hospital Charge Code	270604928
Hospital Revenue Code	278
Min. Negotiated Rate	$17.54
Max. Negotiated Rate	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.54

WASHER 10.0MM

Facility

$116.95

Service Code	HCPCS C1713
Hospital Charge Code	270604928
Hospital Revenue Code	278
Min. Negotiated Rate	$17.54
Max. Negotiated Rate	$58.48
Rate for Payer: Aetna Commercial	$35.09
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.82
Rate for Payer: Cigna Commercial	$58.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.54

WASHER 13.0MM

Facility

$116.25

Hospital Charge Code	270656955
Hospital Revenue Code	272
Min. Negotiated Rate	$15.11
Max. Negotiated Rate	$58.12
Rate for Payer: Aetna Commercial	$34.88
Rate for Payer: Aetna Medicare Advantage	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.64
Rate for Payer: Cigna Commercial	$58.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.11
Rate for Payer: Oxford Commercial	$58.12
Rate for Payer: Qualcare PPO/HMO/WC	$17.44
Rate for Payer: UnitedHealthcare Commercial	$58.12

WASHER 13.0MM

Facility

$116.25

Hospital Charge Code	270656955
Hospital Revenue Code	272
Min. Negotiated Rate	$17.44
Max. Negotiated Rate	$17.44
Rate for Payer: Qualcare PPO/HMO/WC	$17.44

WASHER 13.0mm CANN SCREWS LRG

Facility

$123.35

Service Code	HCPCS C1713
Hospital Charge Code	270605006
Hospital Revenue Code	278
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$61.67
Rate for Payer: Aetna Commercial	$37.01
Rate for Payer: Aetna Medicare Advantage	$37.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.45
Rate for Payer: Cigna Commercial	$61.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.85
Rate for Payer: Qualcare PPO/HMO/WC	$18.50

WASHER 13.0mm CANN SCREWS LRG

Facility

$123.35

Service Code	HCPCS C1713
Hospital Charge Code	270605006
Hospital Revenue Code	278
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.85
Rate for Payer: Qualcare PPO/HMO/WC	$18.50

WASHER 1.5MM X 13MM

Facility

$315.00

Hospital Charge Code	270670999
Hospital Revenue Code	278
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$157.50
Rate for Payer: Aetna Commercial	$94.50
Rate for Payer: Aetna Medicare Advantage	$94.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.33
Rate for Payer: Cigna Commercial	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.23
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

WASHER 1.5MM X 13MM

Facility

$315.00

Hospital Charge Code	270670999
Hospital Revenue Code	278
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.23
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

WASHER 3.5MM

Facility

$410.00

Hospital Charge Code	270661804
Hospital Revenue Code	272
Min. Negotiated Rate	$53.30
Max. Negotiated Rate	$205.00
Rate for Payer: Aetna Commercial	$123.00
Rate for Payer: Aetna Medicare Advantage	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.55
Rate for Payer: Cigna Commercial	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Commercial	$205.00

WASHER 3.5MM

Facility

$410.00

Hospital Charge Code	270661804
Hospital Revenue Code	272
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$61.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

WASHER 390017S

Facility

$690.00

Service Code	HCPCS C1713
Hospital Charge Code	270648764
Hospital Revenue Code	278
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$166.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$138.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.98
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

WASHER 390017S

Facility

$690.00

Service Code	HCPCS C1713
Hospital Charge Code	270648764
Hospital Revenue Code	278
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$207.00
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.98
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

WASHER 4.0/4.5MM

Facility

$25.00

Hospital Charge Code	270656796
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

WASHER 4.0/4.5MM

Facility

$25.00

Hospital Charge Code	270656796
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

WASHER 4.5MM

Facility

$400.00

Hospital Charge Code	270659869
Hospital Revenue Code	270
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$200.00

WASHER 4.5MM

Facility

$400.00

Hospital Charge Code	270659869
Hospital Revenue Code	270
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

WASHER 6.5MM

Facility

$125.00

Hospital Charge Code	270685157
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

WASHER 6.5MM

Facility

$125.00

Hospital Charge Code	270685157
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

WASHER 7.0MM

Facility

$105.00

Hospital Charge Code	270656907
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

WASHER 7.0MM

Facility

$111.40

Hospital Charge Code	270604108
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$55.70
Rate for Payer: Aetna Commercial	$33.42
Rate for Payer: Aetna Medicare Advantage	$33.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$55.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

Know your out-of-pocket cost for care.

All Charges