Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE APPROACH CTO 12G .014x135

Facility

$765.00

Hospital Charge Code	270677164N
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 6G .014x135

Facility

$765.00

Hospital Charge Code	270677163
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 6G .014x135

Facility

$765.00

Hospital Charge Code	270677163
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 6G .014x135

Facility

$765.00

Hospital Charge Code	270677163N
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 6G .014x135

Facility

$765.00

Hospital Charge Code	270677163N
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 ASTATO 20X300 PAGH143392

Facility

$875.00

Service Code	HCPCS C1769
Hospital Charge Code	270665040
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75

WIRE ASTATO 20X300 PAGH143392

Facility

$875.00

Service Code	HCPCS C1769
Hospital Charge Code	270665040
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

WIRE ATK DRILL PNT 2.4 906870

Facility

$307.25

Hospital Charge Code	270610580
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$153.62
Rate for Payer: Aetna Commercial	$92.17
Rate for Payer: Aetna Medicare Advantage	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.35
Rate for Payer: Cigna Commercial	$153.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

WIRE ATK DRILL PNT 2.4 906870

Facility

$307.25

Hospital Charge Code	270610580
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$74.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

WIRE ATW FLOPPY J 195 595-J014

Facility

$375.00

Hospital Charge Code	270636972
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

WIRE ATW FLOPPY J 195 595-J014

Facility

$375.00

Hospital Charge Code	270636972
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

WIRE ATX GUIDE 1.5 AR1933

Facility

$498.45

Hospital Charge Code	270622384
Hospital Revenue Code	278
Min. Negotiated Rate	$74.77
Max. Negotiated Rate	$120.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.62
Rate for Payer: Qualcare PPO/HMO/WC	$74.77

WIRE ATX GUIDE 1.5 AR1933

Facility

$498.45

Hospital Charge Code	270622384
Hospital Revenue Code	278
Min. Negotiated Rate	$74.77
Max. Negotiated Rate	$249.22
Rate for Payer: Aetna Commercial	$149.53
Rate for Payer: Aetna Medicare Advantage	$149.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.10
Rate for Payer: Cigna Commercial	$249.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.62
Rate for Payer: Qualcare PPO/HMO/WC	$74.77

WIRE BD GUIDE .025 145C 281125

Facility

$63.25

Service Code	HCPCS C1769
Hospital Charge Code	270601265
Hospital Revenue Code	278
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$15.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

WIRE BD GUIDE .025 145C 281125

Facility

$63.25

Service Code	HCPCS C1769
Hospital Charge Code	270601265
Hospital Revenue Code	278
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$18.98
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

WIRE BD GUIDE PEG 000331

Facility

$873.65

Hospital Charge Code	270600920
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

WIRE BD GUIDE PEG 000331

Facility

$873.65

Hospital Charge Code	270600920
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

WIRE BD GUIDE PEG 28F 000731

Facility

$522.45

Hospital Charge Code	270612430
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$156.74
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

WIRE BD GUIDE PEG 28F 000731

Facility

$522.45

Hospital Charge Code	270612430
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$126.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

WIRE BMT GUIDE BALL 3.2 469060

Facility

$480.00

Hospital Charge Code	270610880
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$144.00
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

WIRE BMT GUIDE BALL 3.2 469060

Facility

$480.00

Hospital Charge Code	270610880
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$116.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

WIRE BMW II ANGIOPLASTY

Facility

$75.00

Hospital Charge Code	270651828
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

WIRE BMW II ANGIOPLASTY

Facility

$75.00

Hospital Charge Code	270651828
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

WIRE BOLT LONG LRF 1.5X2.0MM

Facility

$594.75

Service Code	HCPCS A4649
Hospital Charge Code	270674289
Hospital Revenue Code	272
Min. Negotiated Rate	$77.32
Max. Negotiated Rate	$297.38
Rate for Payer: Aetna Commercial	$178.43
Rate for Payer: Aetna Medicare Advantage	$178.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.66
Rate for Payer: Cigna Commercial	$297.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.32
Rate for Payer: Oxford Commercial	$297.38
Rate for Payer: Qualcare PPO/HMO/WC	$89.21
Rate for Payer: UnitedHealthcare Commercial	$297.38

WIRE BOLT LONG LRF 1.5X2.0MM

Facility

$594.75

Service Code	HCPCS A4649
Hospital Charge Code	270674289
Hospital Revenue Code	272
Min. Negotiated Rate	$89.21
Max. Negotiated Rate	$89.21
Rate for Payer: Qualcare PPO/HMO/WC	$89.21

Know your out-of-pocket cost for care.

All Charges