Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIPES CLOTH GERMICIDAL STERIS

Facility

$20.58

Hospital Charge Code	270649264
Hospital Revenue Code	270
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$10.29
Rate for Payer: Aetna Commercial	$6.17
Rate for Payer: Aetna Medicare Advantage	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.25
Rate for Payer: Cigna Commercial	$10.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$10.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.09
Rate for Payer: UnitedHealthcare Commercial	$10.29

WIPES CLOTH GERMICIDAL STERIS

Facility

$20.58

Hospital Charge Code	270649264
Hospital Revenue Code	270
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

WIRE 0.14

Facility

$900.00

Hospital Charge Code	270660505C
Hospital Revenue Code	272
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

WIRE 0.14

Facility

$900.00

Hospital Charge Code	270660505C
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$450.00

WIRE 1.25MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270692245
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

WIRE 1.25MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270692245
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$222.75
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

WIRE 24 GAGE 6.5MM

Facility

$520.00

Hospital Charge Code	270663597
Hospital Revenue Code	270
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

WIRE 24 GAGE 6.5MM

Facility

$520.00

Hospital Charge Code	270663597
Hospital Revenue Code	270
Min. Negotiated Rate	$67.60
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$156.00
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.60
Rate for Payer: Oxford Commercial	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Commercial	$260.00

WIRE 3.2mm STRAIGHT 27949

Facility

$456.75

Service Code	HCPCS C1769
Hospital Charge Code	270636767
Hospital Revenue Code	278
Min. Negotiated Rate	$68.51
Max. Negotiated Rate	$110.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.53
Rate for Payer: Qualcare PPO/HMO/WC	$68.51

WIRE 3.2mm STRAIGHT 27949

Facility

$456.75

Service Code	HCPCS C1769
Hospital Charge Code	270636767
Hospital Revenue Code	278
Min. Negotiated Rate	$68.51
Max. Negotiated Rate	$228.38
Rate for Payer: Aetna Commercial	$137.03
Rate for Payer: Aetna Medicare Advantage	$137.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.47
Rate for Payer: Cigna Commercial	$228.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.53
Rate for Payer: Qualcare PPO/HMO/WC	$68.51

WIRE ACCNET4-5 190 1011649-55

Facility

$7,688.00

Hospital Charge Code	270635409
Hospital Revenue Code	278
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$3,844.00
Rate for Payer: Aetna Commercial	$2,306.40
Rate for Payer: Aetna Medicare Advantage	$2,306.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.44
Rate for Payer: Cigna Commercial	$3,844.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

WIRE ACCNET4-5 190 1011649-55

Facility

$7,688.00

Hospital Charge Code	270635409
Hospital Revenue Code	278
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$1,860.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

WIRE AMPLATZ .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700846
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$44.05
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700846
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ SS .035 X 80 X 7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700844
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$44.05
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ SS .035 X 80 X 7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700844
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ SS .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700845
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$44.05
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ SS .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700845
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE ANGLED 80CM

Facility

$117.00

Hospital Charge Code	270655082
Hospital Revenue Code	278
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$28.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

WIRE ANGLED 80CM

Facility

$117.00

Hospital Charge Code	270655082
Hospital Revenue Code	278
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$58.50
Rate for Payer: Aetna Commercial	$35.10
Rate for Payer: Aetna Medicare Advantage	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.84
Rate for Payer: Cigna Commercial	$58.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

WIRE ANGLE SENSOR .035x150CM

Facility

$323.37

Hospital Charge Code	270672306
Hospital Revenue Code	272
Min. Negotiated Rate	$42.04
Max. Negotiated Rate	$161.69
Rate for Payer: Aetna Commercial	$97.01
Rate for Payer: Aetna Medicare Advantage	$97.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.46
Rate for Payer: Cigna Commercial	$161.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.04
Rate for Payer: Oxford Commercial	$161.69
Rate for Payer: Qualcare PPO/HMO/WC	$48.51
Rate for Payer: UnitedHealthcare Commercial	$161.69

WIRE ANGLE SENSOR .035x150CM

Facility

$323.37

Hospital Charge Code	270672306
Hospital Revenue Code	272
Min. Negotiated Rate	$48.51
Max. Negotiated Rate	$48.51
Rate for Payer: Qualcare PPO/HMO/WC	$48.51

WIRE APPROACH CTO 12G .014x135

Facility

$765.00

Hospital Charge Code	270677164
Hospital Revenue Code	272
Min. Negotiated Rate	$99.45
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$229.50
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.45
Rate for Payer: Oxford Commercial	$382.50
Rate for Payer: Qualcare PPO/HMO/WC	$114.75
Rate for Payer: UnitedHealthcare Commercial	$382.50

WIRE APPROACH CTO 12G .014x135

Facility

$765.00

Hospital Charge Code	270677164N
Hospital Revenue Code	272
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$114.75
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

WIRE APPROACH CTO 12G .014x135

Facility

$765.00

Hospital Charge Code	270677164
Hospital Revenue Code	272
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$114.75
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

Know your out-of-pocket cost for care.

All Charges