Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE NITIROL 1.0mm 234-030-027

Facility

$128.85

Hospital Charge Code	270626965
Hospital Revenue Code	278
Min. Negotiated Rate	$19.33
Max. Negotiated Rate	$64.42
Rate for Payer: Aetna Commercial	$38.66
Rate for Payer: Aetna Medicare Advantage	$38.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.86
Rate for Payer: Cigna Commercial	$64.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.18
Rate for Payer: Qualcare PPO/HMO/WC	$19.33

WIRE NITREX GUIDEWIRED STIFF

Facility

$233.33

Hospital Charge Code	270653899R
Hospital Revenue Code	272
Min. Negotiated Rate	$30.33
Max. Negotiated Rate	$116.67
Rate for Payer: Aetna Commercial	$70.00
Rate for Payer: Aetna Medicare Advantage	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.50
Rate for Payer: Cigna Commercial	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.33
Rate for Payer: Oxford Commercial	$116.67
Rate for Payer: Qualcare PPO/HMO/WC	$35.00
Rate for Payer: UnitedHealthcare Commercial	$116.67

WIRE NITREX GUIDEWIRED STIFF

Facility

$233.33

Hospital Charge Code	270653899N
Hospital Revenue Code	272
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.00

WIRE NITREX GUIDEWIRED STIFF

Facility

$233.33

Hospital Charge Code	270653899
Hospital Revenue Code	272
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.00

WIRE NITREX GUIDEWIRED STIFF

Facility

$233.33

Hospital Charge Code	270653899
Hospital Revenue Code	272
Min. Negotiated Rate	$30.33
Max. Negotiated Rate	$116.67
Rate for Payer: Aetna Commercial	$70.00
Rate for Payer: Aetna Medicare Advantage	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.50
Rate for Payer: Cigna Commercial	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.33
Rate for Payer: Oxford Commercial	$116.67
Rate for Payer: Qualcare PPO/HMO/WC	$35.00
Rate for Payer: UnitedHealthcare Commercial	$116.67

WIRE NITREX GUIDEWIRED STIFF

Facility

$233.33

Hospital Charge Code	270653899S
Hospital Revenue Code	272
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.00

WIRE NITREX GUIDEWIRED STIFF

Facility

$233.33

Hospital Charge Code	270653899N
Hospital Revenue Code	272
Min. Negotiated Rate	$30.33
Max. Negotiated Rate	$116.67
Rate for Payer: Aetna Commercial	$70.00
Rate for Payer: Aetna Medicare Advantage	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.50
Rate for Payer: Cigna Commercial	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.33
Rate for Payer: Oxford Commercial	$116.67
Rate for Payer: Qualcare PPO/HMO/WC	$35.00
Rate for Payer: UnitedHealthcare Commercial	$116.67

WIRE NITREX GUIDEWIRED STIFF

Facility

$233.33

Hospital Charge Code	270653899S
Hospital Revenue Code	272
Min. Negotiated Rate	$30.33
Max. Negotiated Rate	$116.67
Rate for Payer: Aetna Commercial	$70.00
Rate for Payer: Aetna Medicare Advantage	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.50
Rate for Payer: Cigna Commercial	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.33
Rate for Payer: Oxford Commercial	$116.67
Rate for Payer: Qualcare PPO/HMO/WC	$35.00
Rate for Payer: UnitedHealthcare Commercial	$116.67

WIRE NITREX GUIDEWIRED STIFF

Facility

$233.33

Hospital Charge Code	270653899R
Hospital Revenue Code	272
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.00

WIRE OLIVE

Facility

$920.00

Hospital Charge Code	270661007
Hospital Revenue Code	279
Min. Negotiated Rate	$119.60
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$276.00
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.60
Rate for Payer: Oxford Commercial	$460.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$460.00

WIRE OLIVE

Facility

$920.00

Hospital Charge Code	270661007
Hospital Revenue Code	279
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

WIRE OLIVE, 1.1MM

Facility

$150.00

Hospital Charge Code	270657194
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$75.00

WIRE OLIVE, 1.1MM

Facility

$150.00

Hospital Charge Code	270657194
Hospital Revenue Code	272
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

WIRE OLIVE 1.25 MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270692341
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 OLIVE 1.25 MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270692341
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 OLIVE 1.25MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270695537
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 OLIVE 1.25MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270695537
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 OLIVE SALVATION 2MM

Facility

$875.00

Hospital Charge Code	270684457
Hospital Revenue Code	272
Min. Negotiated Rate	$113.75
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) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

WIRE OLIVE SALVATION 2MM

Facility

$875.00

Hospital Charge Code	270684457
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

WIRE OLIVE SMOOTH 1.6MM

Facility

$430.00

Hospital Charge Code	270698549
Hospital Revenue Code	272
Min. Negotiated Rate	$55.90
Max. Negotiated Rate	$215.00
Rate for Payer: Aetna Commercial	$129.00
Rate for Payer: Aetna Medicare Advantage	$129.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.65
Rate for Payer: Cigna Commercial	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$64.50
Rate for Payer: UnitedHealthcare Commercial	$215.00

WIRE OLIVE SMOOTH 1.6MM

Facility

$430.00

Hospital Charge Code	270698549
Hospital Revenue Code	272
Min. Negotiated Rate	$64.50
Max. Negotiated Rate	$64.50
Rate for Payer: Qualcare PPO/HMO/WC	$64.50

WIRE OLIVE THREADED 1.6MM

Facility

$1,100.00

Hospital Charge Code	270698548
Hospital Revenue Code	272
Min. Negotiated Rate	$143.00
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$330.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Commercial	$550.00

WIRE OLIVE THREADED 1.6MM

Facility

$1,100.00

Hospital Charge Code	270698548
Hospital Revenue Code	272
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

WIRE OLIVE THREADED 2.5MM

Facility

$1,070.00

Hospital Charge Code	270698461
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

WIRE OLIVE THREADED 2.5MM

Facility

$1,070.00

Hospital Charge Code	270698461
Hospital Revenue Code	272
Min. Negotiated Rate	$139.10
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$321.00
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.10
Rate for Payer: Oxford Commercial	$535.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$535.00

Know your out-of-pocket cost for care.

All Charges