Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE SYN K 1.0 285MM 292.11

Facility

$49.65

Hospital Charge Code	270604413
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

WIRE SYN K 1.25 150MM 292.12

Facility

$436.00

Hospital Charge Code	270601825
Hospital Revenue Code	274
Min. Negotiated Rate	$65.40
Max. Negotiated Rate	$105.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.51
Rate for Payer: Qualcare PPO/HMO/WC	$65.40

WIRE SYN K 1.25 150MM 292.12

Facility

$40.85

Hospital Charge Code	270604414
Hospital Revenue Code	272
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$6.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

WIRE SYN K 1.25 150MM 292.12

Facility

$436.00

Hospital Charge Code	270601825
Hospital Revenue Code	274
Min. Negotiated Rate	$65.40
Max. Negotiated Rate	$218.00
Rate for Payer: Aetna Commercial	$130.80
Rate for Payer: Aetna Medicare Advantage	$130.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.18
Rate for Payer: Cigna Commercial	$218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.51
Rate for Payer: Qualcare PPO/HMO/WC	$65.40

WIRE SYN K 1.25 150MM 292.12

Facility

$40.85

Hospital Charge Code	270604414
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
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) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.31
Rate for Payer: Oxford Commercial	$20.43
Rate for Payer: Qualcare PPO/HMO/WC	$6.13
Rate for Payer: UnitedHealthcare Commercial	$20.43

WIRE SYN K 1.25 285MM 292.13

Facility

$44.75

Hospital Charge Code	270604415
Hospital Revenue Code	272
Min. Negotiated Rate	$6.71
Max. Negotiated Rate	$6.71
Rate for Payer: Qualcare PPO/HMO/WC	$6.71

WIRE SYN K 1.25 285MM 292.13

Facility

$44.75

Hospital Charge Code	270604415
Hospital Revenue Code	272
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$22.38
Rate for Payer: Aetna Commercial	$13.43
Rate for Payer: Aetna Medicare Advantage	$13.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.41
Rate for Payer: Cigna Commercial	$22.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$22.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.71
Rate for Payer: UnitedHealthcare Commercial	$22.38

WIRE SYN K 1.6 150MM 292.16

Facility

$46.45

Hospital Charge Code	270601826
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 1.6 150MM 292.16

Facility

$40.85

Hospital Charge Code	270604416
Hospital Revenue Code	272
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$6.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

WIRE SYN K 1.6 150MM 292.16

Facility

$40.85

Hospital Charge Code	270604416
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
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) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.31
Rate for Payer: Oxford Commercial	$20.43
Rate for Payer: Qualcare PPO/HMO/WC	$6.13
Rate for Payer: UnitedHealthcare Commercial	$20.43

WIRE SYN K 1.6 150MM 292.16

Facility

$46.45

Hospital Charge Code	270601826
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 1.6 285MM 492.18

Facility

$49.65

Hospital Charge Code	270604417
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

WIRE SYN K 1.6 285MM 492.18

Facility

$49.65

Hospital Charge Code	270604417
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

WIRE SYN K 1.6 285MM 492.18

Facility

$56.00

Hospital Charge Code	270603557
Hospital Revenue Code	272
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

WIRE SYN K 1.6 285MM 492.18

Facility

$56.00

Hospital Charge Code	270603557
Hospital Revenue Code	272
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$28.00
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$28.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$28.00

WIRE SYN K 1.6 70MM 292.71

Facility

$741.65

Hospital Charge Code	270604427
Hospital Revenue Code	272
Min. Negotiated Rate	$111.25
Max. Negotiated Rate	$111.25
Rate for Payer: Qualcare PPO/HMO/WC	$111.25

WIRE SYN K 1.6 70MM 292.71

Facility

$741.65

Hospital Charge Code	270604427
Hospital Revenue Code	272
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$370.82
Rate for Payer: Aetna Commercial	$222.50
Rate for Payer: Aetna Medicare Advantage	$222.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.12
Rate for Payer: Cigna Commercial	$370.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.41
Rate for Payer: Oxford Commercial	$370.82
Rate for Payer: Qualcare PPO/HMO/WC	$111.25
Rate for Payer: UnitedHealthcare Commercial	$370.82

WIRE SYN K 2.0 150MM 292.20

Facility

$40.85

Hospital Charge Code	270601827
Hospital Revenue Code	272
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$6.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

WIRE SYN K 2.0 150MM 292.20

Facility

$40.85

Hospital Charge Code	270604418
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
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) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.31
Rate for Payer: Oxford Commercial	$20.43
Rate for Payer: Qualcare PPO/HMO/WC	$6.13
Rate for Payer: UnitedHealthcare Commercial	$20.43

WIRE SYN K 2.0 150MM 292.20

Facility

$40.85

Hospital Charge Code	270601827
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
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) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.31
Rate for Payer: Oxford Commercial	$20.43
Rate for Payer: Qualcare PPO/HMO/WC	$6.13
Rate for Payer: UnitedHealthcare Commercial	$20.43

WIRE SYN K 2.0 150MM 292.20

Facility

$40.85

Hospital Charge Code	270604418
Hospital Revenue Code	272
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$6.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

WIRE SYN K 2.0 150MM 292.58

Facility

$43.25

Hospital Charge Code	270604433
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 2.0 150MM 292.58

Facility

$43.25

Hospital Charge Code	270604433
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 2.0 285MM 292.21

Facility

$49.65

Hospital Charge Code	270604419
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

WIRE SYN K 2.0 285MM 292.21

Facility

$49.65

Hospital Charge Code	270604419
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

Know your out-of-pocket cost for care.

All Charges