Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE STIFF 0.035/260C

Facility

$169.95

Service Code	HCPCS C1769
Hospital Charge Code	270662309S
Hospital Revenue Code	278
Min. Negotiated Rate	$25.49
Max. Negotiated Rate	$84.97
Rate for Payer: Aetna Commercial	$50.98
Rate for Payer: Aetna Medicare Advantage	$50.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.34
Rate for Payer: Cigna Commercial	$84.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$25.49

WIRE STIFF 0.035/260C

Facility

$169.95

Service Code	HCPCS C1769
Hospital Charge Code	270662309S
Hospital Revenue Code	278
Min. Negotiated Rate	$25.49
Max. Negotiated Rate	$41.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$25.49

WIRE STIFF 0.035/260C

Facility

$169.95

Service Code	HCPCS C1769
Hospital Charge Code	270662309
Hospital Revenue Code	278
Min. Negotiated Rate	$25.49
Max. Negotiated Rate	$84.97
Rate for Payer: Aetna Commercial	$50.98
Rate for Payer: Aetna Medicare Advantage	$50.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.34
Rate for Payer: Cigna Commercial	$84.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$25.49

WIRE STIFF 0.035/260C

Facility

$169.95

Service Code	HCPCS C1769
Hospital Charge Code	270662309
Hospital Revenue Code	278
Min. Negotiated Rate	$25.49
Max. Negotiated Rate	$41.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$25.49

WIRE STIFF 0.035/260C

Facility

$280.00

Service Code	HCPCS C1769
Hospital Charge Code	270662309N
Hospital Revenue Code	278
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

WIRE STIFF 0.035/260C

Facility

$280.00

Service Code	HCPCS C1769
Hospital Charge Code	270662309N
Hospital Revenue Code	278
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

WIRE STRY K 3.2 150 12106450S

Facility

$341.65

Hospital Charge Code	270622042
Hospital Revenue Code	278
Min. Negotiated Rate	$51.25
Max. Negotiated Rate	$82.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.68
Rate for Payer: Qualcare PPO/HMO/WC	$51.25

WIRE STRY K 3.2 150 12106450S

Facility

$341.65

Hospital Charge Code	270622042
Hospital Revenue Code	278
Min. Negotiated Rate	$51.25
Max. Negotiated Rate	$170.82
Rate for Payer: Aetna Commercial	$102.50
Rate for Payer: Aetna Medicare Advantage	$102.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.12
Rate for Payer: Cigna Commercial	$170.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.68
Rate for Payer: Qualcare PPO/HMO/WC	$51.25

WIRE SUPER STIFF .035 X 260 MM

Facility

$750.00

Service Code	HCPCS C1874
Hospital Charge Code	270688532
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

WIRE SUPER STIFF .035 X 260 MM

Facility

$750.00

Service Code	HCPCS C1874
Hospital Charge Code	270688532
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

WIRE SWAN-GANZ WIRE .025 x 1

Facility

$40.50

Hospital Charge Code	270664783
Hospital Revenue Code	270
Min. Negotiated Rate	$6.08
Max. Negotiated Rate	$6.08
Rate for Payer: Qualcare PPO/HMO/WC	$6.08

WIRE SWAN-GANZ WIRE .025 x 1

Facility

$40.50

Hospital Charge Code	270664783
Hospital Revenue Code	270
Min. Negotiated Rate	$5.26
Max. Negotiated Rate	$20.25
Rate for Payer: Aetna Commercial	$12.15
Rate for Payer: Aetna Medicare Advantage	$12.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.33
Rate for Payer: Cigna Commercial	$20.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.26
Rate for Payer: Oxford Commercial	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.08
Rate for Payer: UnitedHealthcare Commercial	$20.25

WIRE SYN GUIDE 1.25 150 292.62

Facility

$40.85

Hospital Charge Code	270622123
Hospital Revenue Code	278
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$20.43
Rate for Payer: Aetna Commercial	$12.26
Rate for Payer: Aetna Medicare Advantage	$12.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

WIRE SYN GUIDE 1.25 150 292.62

Facility

$40.85

Hospital Charge Code	270622123
Hospital Revenue Code	278
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

WIRE SYN GUIDE 3.2 292.69

Facility

$362.50

Service Code	HCPCS C1769
Hospital Charge Code	270611969
Hospital Revenue Code	278
Min. Negotiated Rate	$54.38
Max. Negotiated Rate	$87.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$54.38

WIRE SYN GUIDE 3.2 292.69

Facility

$362.50

Service Code	HCPCS C1769
Hospital Charge Code	270611969
Hospital Revenue Code	278
Min. Negotiated Rate	$54.38
Max. Negotiated Rate	$181.25
Rate for Payer: Aetna Commercial	$108.75
Rate for Payer: Aetna Medicare Advantage	$108.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.44
Rate for Payer: Cigna Commercial	$181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$54.38

WIRE SYN K 0.6 70MM 292.46

Facility

$43.25

Hospital Charge Code	270604429
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

WIRE SYN K 0.6 70MM 292.46

Facility

$43.25

Hospital Charge Code	270604429
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

WIRE SYN K 0.8 70MM 292.48

Facility

$43.25

Hospital Charge Code	270604430
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

WIRE SYN K 0.8 70MM 292.48

Facility

$43.25

Hospital Charge Code	270604430
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

WIRE SYN K 1.0 150MM 292.50

Facility

$43.25

Hospital Charge Code	270604431
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

WIRE SYN K 1.0 150MM 292.50

Facility

$43.25

Hospital Charge Code	270604431
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

WIRE SYN K 1.0 150MM 492.10

Facility

$46.45

Hospital Charge Code	270603554
Hospital Revenue Code	272
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$23.23
Rate for Payer: Aetna Commercial	$13.94
Rate for Payer: Aetna Medicare Advantage	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.84
Rate for Payer: Cigna Commercial	$23.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.04
Rate for Payer: Oxford Commercial	$23.23
Rate for Payer: Qualcare PPO/HMO/WC	$6.97
Rate for Payer: UnitedHealthcare Commercial	$23.23

WIRE SYN K 1.0 150MM 492.10

Facility

$46.45

Hospital Charge Code	270603554
Hospital Revenue Code	272
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$6.97
Rate for Payer: Qualcare PPO/HMO/WC	$6.97

WIRE SYN K 1.0 285MM 292.11

Facility

$49.65

Hospital Charge Code	270604413
Hospital Revenue Code	272
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$24.82
Rate for Payer: Aetna Commercial	$14.89
Rate for Payer: Aetna Medicare Advantage	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.66
Rate for Payer: Cigna Commercial	$24.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.45
Rate for Payer: Oxford Commercial	$24.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.45
Rate for Payer: UnitedHealthcare Commercial	$24.82

Know your out-of-pocket cost for care.

All Charges