Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE PACING SETROX S 53

Facility

$197.08

Service Code	HCPCS C1898
Hospital Charge Code	270673068
Hospital Revenue Code	278
Min. Negotiated Rate	$29.56
Max. Negotiated Rate	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.69
Rate for Payer: Qualcare PPO/HMO/WC	$29.56

WIRE PACING SETROX S 53

Facility

$197.08

Service Code	HCPCS C1898
Hospital Charge Code	270673068
Hospital Revenue Code	278
Min. Negotiated Rate	$29.56
Max. Negotiated Rate	$98.54
Rate for Payer: Aetna Commercial	$59.12
Rate for Payer: Aetna Medicare Advantage	$59.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.26
Rate for Payer: Cigna Commercial	$98.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.69
Rate for Payer: Qualcare PPO/HMO/WC	$29.56

WIRE PASS DRILL 1.5X19MM MED

Facility

$85.50

Hospital Charge Code	270638986
Hospital Revenue Code	272
Min. Negotiated Rate	$12.82
Max. Negotiated Rate	$12.82
Rate for Payer: Qualcare PPO/HMO/WC	$12.82

WIRE PASS DRILL 1.5X19MM MED

Facility

$85.50

Hospital Charge Code	270638987
Hospital Revenue Code	272
Min. Negotiated Rate	$12.82
Max. Negotiated Rate	$12.82
Rate for Payer: Qualcare PPO/HMO/WC	$12.82

WIRE PASS DRILL 1.5X19MM MED

Facility

$85.50

Hospital Charge Code	270638986
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$42.75
Rate for Payer: Aetna Commercial	$25.65
Rate for Payer: Aetna Medicare Advantage	$25.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.80
Rate for Payer: Cigna Commercial	$42.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.12
Rate for Payer: Oxford Commercial	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.82
Rate for Payer: UnitedHealthcare Commercial	$42.75

WIRE PASS DRILL 1.5X19MM MED

Facility

$85.50

Hospital Charge Code	270638987
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$42.75
Rate for Payer: Aetna Commercial	$25.65
Rate for Payer: Aetna Medicare Advantage	$25.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.80
Rate for Payer: Cigna Commercial	$42.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.12
Rate for Payer: Oxford Commercial	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.82
Rate for Payer: UnitedHealthcare Commercial	$42.75

WIRE PASS DRILL 2X19MM MEDIUM

Facility

$85.50

Hospital Charge Code	270638988
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$42.75
Rate for Payer: Aetna Commercial	$25.65
Rate for Payer: Aetna Medicare Advantage	$25.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.80
Rate for Payer: Cigna Commercial	$42.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.12
Rate for Payer: Oxford Commercial	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.82
Rate for Payer: UnitedHealthcare Commercial	$42.75

WIRE PASS DRILL 2X19MM MEDIUM

Facility

$85.50

Hospital Charge Code	270638988
Hospital Revenue Code	272
Min. Negotiated Rate	$12.82
Max. Negotiated Rate	$12.82
Rate for Payer: Qualcare PPO/HMO/WC	$12.82

WIRE-PASS M 1.1x5MM

Facility

$490.00

Hospital Charge Code	270674532
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS M 1.1x5MM

Facility

$490.00

Hospital Charge Code	270674532
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

WIRE-PASS M 1.5x7MM

Facility

$490.00

Hospital Charge Code	270674534
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS M 1.5x7MM

Facility

$490.00

Hospital Charge Code	270674534
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

WIRE-PASS M 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674536
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS M 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674536
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

WIRE-PASS S 1.1x5MM

Facility

$490.00

Hospital Charge Code	270674531
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS S 1.1x5MM

Facility

$490.00

Hospital Charge Code	270674531
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

WIRE-PASS S 1.5x7MM

Facility

$490.00

Hospital Charge Code	270674533
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

WIRE-PASS S 1.5x7MM

Facility

$490.00

Hospital Charge Code	270674533
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS S 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674535
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS S 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674535
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

WIRE PEDAL

Facility

$950.00

Hospital Charge Code	270671234
Hospital Revenue Code	272
Min. Negotiated Rate	$123.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$475.00

WIRE PEDAL

Facility

$950.00

Hospital Charge Code	270671234
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

WIRE PILOT

Facility

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	270671577
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

WIRE PILOT

Facility

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	270671577
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

WIRE PLATE RED SM 1.25mmx150mm

Facility

$729.25

Service Code	HCPCS C1713
Hospital Charge Code	270678591
Hospital Revenue Code	278
Min. Negotiated Rate	$109.39
Max. Negotiated Rate	$176.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.48
Rate for Payer: Qualcare PPO/HMO/WC	$109.39

Know your out-of-pocket cost for care.

All Charges