Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE CK GUIDE .035 TFLN 635413

Facility

$72.85

Hospital Charge Code	270614881
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$10.93
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

WIRE CK GUIDE .035 TSCM35125-3

Facility

$60.85

Hospital Charge Code	270606106
Hospital Revenue Code	272
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

WIRE CK GUIDE .035 TSCM35125-3

Facility

$60.85

Hospital Charge Code	270606106
Hospital Revenue Code	272
Min. Negotiated Rate	$7.91
Max. Negotiated Rate	$30.43
Rate for Payer: Aetna Commercial	$18.25
Rate for Payer: Aetna Medicare Advantage	$18.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.52
Rate for Payer: Cigna Commercial	$30.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.91
Rate for Payer: Oxford Commercial	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$30.43

WIRE CK GUIDE STIFF LQT 256889

Facility

$333.65

Hospital Charge Code	270629601
Hospital Revenue Code	272
Min. Negotiated Rate	$43.37
Max. Negotiated Rate	$166.82
Rate for Payer: Aetna Commercial	$100.09
Rate for Payer: Aetna Medicare Advantage	$100.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.08
Rate for Payer: Cigna Commercial	$166.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.37
Rate for Payer: Oxford Commercial	$166.82
Rate for Payer: Qualcare PPO/HMO/WC	$50.05
Rate for Payer: UnitedHealthcare Commercial	$166.82

WIRE CK GUIDE STIFF LQT 256889

Facility

$333.65

Hospital Charge Code	270629601
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$50.05
Rate for Payer: Qualcare PPO/HMO/WC	$50.05

WIRE CK GUIDE TSCM-35-145-3

Facility

$106.45

Hospital Charge Code	270601489
Hospital Revenue Code	272
Min. Negotiated Rate	$15.97
Max. Negotiated Rate	$15.97
Rate for Payer: Qualcare PPO/HMO/WC	$15.97

WIRE CK GUIDE TSCM-35-145-3

Facility

$106.45

Hospital Charge Code	270601489
Hospital Revenue Code	272
Min. Negotiated Rate	$13.84
Max. Negotiated Rate	$53.23
Rate for Payer: Aetna Commercial	$31.93
Rate for Payer: Aetna Medicare Advantage	$31.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.14
Rate for Payer: Cigna Commercial	$53.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.84
Rate for Payer: Oxford Commercial	$53.23
Rate for Payer: Qualcare PPO/HMO/WC	$15.97
Rate for Payer: UnitedHealthcare Commercial	$53.23

WIRE CK GUIDE TSCM-38-145-3

Facility

$145.65

Hospital Charge Code	270601255
Hospital Revenue Code	272
Min. Negotiated Rate	$18.93
Max. Negotiated Rate	$72.83
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$43.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.14
Rate for Payer: Cigna Commercial	$72.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.93
Rate for Payer: Oxford Commercial	$72.83
Rate for Payer: Qualcare PPO/HMO/WC	$21.85
Rate for Payer: UnitedHealthcare Commercial	$72.83

WIRE CK GUIDE TSCM-38-145-3

Facility

$145.65

Hospital Charge Code	270601255
Hospital Revenue Code	272
Min. Negotiated Rate	$21.85
Max. Negotiated Rate	$21.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.85

WIRE CK GUIDE TSFB-35-145

Facility

$87.25

Hospital Charge Code	270601468
Hospital Revenue Code	272
Min. Negotiated Rate	$13.09
Max. Negotiated Rate	$13.09
Rate for Payer: Qualcare PPO/HMO/WC	$13.09

WIRE CK GUIDE TSFB-35-145

Facility

$87.25

Hospital Charge Code	270601468
Hospital Revenue Code	272
Min. Negotiated Rate	$11.34
Max. Negotiated Rate	$43.62
Rate for Payer: Aetna Commercial	$26.18
Rate for Payer: Aetna Medicare Advantage	$26.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.25
Rate for Payer: Cigna Commercial	$43.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.34
Rate for Payer: Oxford Commercial	$43.62
Rate for Payer: Qualcare PPO/HMO/WC	$13.09
Rate for Payer: UnitedHealthcare Commercial	$43.62

WIRE CLAMP

Facility

$1,145.00

Hospital Charge Code	270657015
Hospital Revenue Code	270
Min. Negotiated Rate	$171.75
Max. Negotiated Rate	$171.75
Rate for Payer: Qualcare PPO/HMO/WC	$171.75

WIRE CLAMP

Facility

$1,145.00

Hospital Charge Code	270657015
Hospital Revenue Code	270
Min. Negotiated Rate	$148.85
Max. Negotiated Rate	$572.50
Rate for Payer: Aetna Commercial	$343.50
Rate for Payer: Aetna Medicare Advantage	$343.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.98
Rate for Payer: Cigna Commercial	$572.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.85
Rate for Payer: Oxford Commercial	$572.50
Rate for Payer: Qualcare PPO/HMO/WC	$171.75
Rate for Payer: UnitedHealthcare Commercial	$572.50

WIRE COMP 2.8x20MM/200MM

Facility

$253.00

Service Code	HCPCS C1713
Hospital Charge Code	270683073
Hospital Revenue Code	278
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$61.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.23
Rate for Payer: Qualcare PPO/HMO/WC	$37.95

WIRE COMP 2.8x20MM/200MM

Facility

$253.00

Service Code	HCPCS C1713
Hospital Charge Code	270683073
Hospital Revenue Code	278
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$126.50
Rate for Payer: Aetna Commercial	$75.90
Rate for Payer: Aetna Medicare Advantage	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.52
Rate for Payer: Cigna Commercial	$126.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.23
Rate for Payer: Qualcare PPO/HMO/WC	$37.95

WIRE COMPR 10MM THD 1.6x150MM

Facility

$189.00

Hospital Charge Code	270677233
Hospital Revenue Code	272
Min. Negotiated Rate	$24.57
Max. Negotiated Rate	$94.50
Rate for Payer: Aetna Commercial	$56.70
Rate for Payer: Aetna Medicare Advantage	$56.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.20
Rate for Payer: Cigna Commercial	$94.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.57
Rate for Payer: Oxford Commercial	$94.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.35
Rate for Payer: UnitedHealthcare Commercial	$94.50

WIRE COMPR 10MM THD 1.6x150MM

Facility

$189.00

Hospital Charge Code	270677233
Hospital Revenue Code	272
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$28.35
Rate for Payer: Qualcare PPO/HMO/WC	$28.35

WIRE COMPR 15MM THD 150MM

Facility

$200.50

Hospital Charge Code	270675951
Hospital Revenue Code	272
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$30.07
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

WIRE COMPR 15MM THD 150MM

Facility

$200.50

Hospital Charge Code	270675951
Hospital Revenue Code	272
Min. Negotiated Rate	$26.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.07
Rate for Payer: Oxford Commercial	$100.25
Rate for Payer: Qualcare PPO/HMO/WC	$30.07
Rate for Payer: UnitedHealthcare Commercial	$100.25

WIRE COMPR 1.6MM 30x150MM

Facility

$223.60

Hospital Charge Code	270677509
Hospital Revenue Code	272
Min. Negotiated Rate	$33.54
Max. Negotiated Rate	$33.54
Rate for Payer: Qualcare PPO/HMO/WC	$33.54

WIRE COMPR 1.6MM 30x150MM

Facility

$223.60

Hospital Charge Code	270677509
Hospital Revenue Code	272
Min. Negotiated Rate	$29.07
Max. Negotiated Rate	$111.80
Rate for Payer: Aetna Commercial	$67.08
Rate for Payer: Aetna Medicare Advantage	$67.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.02
Rate for Payer: Cigna Commercial	$111.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.07
Rate for Payer: Oxford Commercial	$111.80
Rate for Payer: Qualcare PPO/HMO/WC	$33.54
Rate for Payer: UnitedHealthcare Commercial	$111.80

WIRE COMPR 20MM THD 1.6x150MM

Facility

$200.50

Hospital Charge Code	270675217
Hospital Revenue Code	272
Min. Negotiated Rate	$26.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.07
Rate for Payer: Oxford Commercial	$100.25
Rate for Payer: Qualcare PPO/HMO/WC	$30.07
Rate for Payer: UnitedHealthcare Commercial	$100.25

WIRE COMPR 20MM THD 1.6x150MM

Facility

$200.50

Hospital Charge Code	270675217
Hospital Revenue Code	272
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$30.07
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

WIRE COMPR 25MM THD 1.6x150MM

Facility

$189.00

Hospital Charge Code	270676223
Hospital Revenue Code	272
Min. Negotiated Rate	$24.57
Max. Negotiated Rate	$94.50
Rate for Payer: Aetna Commercial	$56.70
Rate for Payer: Aetna Medicare Advantage	$56.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.20
Rate for Payer: Cigna Commercial	$94.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.57
Rate for Payer: Oxford Commercial	$94.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.35
Rate for Payer: UnitedHealthcare Commercial	$94.50

WIRE COMPR 25MM THD 1.6x150MM

Facility

$189.00

Hospital Charge Code	270676223
Hospital Revenue Code	272
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$28.35
Rate for Payer: Qualcare PPO/HMO/WC	$28.35

Know your out-of-pocket cost for care.

All Charges