Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLUE MAX BALLOON DIALTION

Facility

$813.00

Hospital Charge Code	270332340
Hospital Revenue Code	272
Min. Negotiated Rate	$105.69
Max. Negotiated Rate	$406.50
Rate for Payer: Aetna Commercial	$243.90
Rate for Payer: Aetna Medicare Advantage	$243.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.31
Rate for Payer: Cigna Commercial	$406.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.69
Rate for Payer: Oxford Commercial	$406.50
Rate for Payer: Qualcare PPO/HMO/WC	$121.95
Rate for Payer: UnitedHealthcare Commercial	$406.50

BLUE MAXI LOOPS

Facility

$15.00

Hospital Charge Code	270331579
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

BLUE MAXI LOOPS

Facility

$15.00

Hospital Charge Code	270331579
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

BLUNT 12MM STD THD ANCHOR

Facility

$695.52

Service Code	HCPCS C1713
Hospital Charge Code	270600096
Hospital Revenue Code	278
Min. Negotiated Rate	$104.33
Max. Negotiated Rate	$168.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.32
Rate for Payer: Qualcare PPO/HMO/WC	$104.33

BLUNT 12MM STD THD ANCHOR

Facility

$695.52

Service Code	HCPCS C1713
Hospital Charge Code	270600096
Hospital Revenue Code	278
Min. Negotiated Rate	$104.33
Max. Negotiated Rate	$347.76
Rate for Payer: Aetna Commercial	$208.66
Rate for Payer: Aetna Medicare Advantage	$208.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.36
Rate for Payer: Cigna Commercial	$347.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.32
Rate for Payer: Qualcare PPO/HMO/WC	$104.33

BLUNT OBTURATOR 5MM

Facility

$2,750.00

Hospital Charge Code	270664003
Hospital Revenue Code	270
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

BLUNT OBTURATOR 5MM

Facility

$2,750.00

Hospital Charge Code	270664003
Hospital Revenue Code	270
Min. Negotiated Rate	$357.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

BLUNT OBTURATOR 8MM

Facility

$2,750.00

Hospital Charge Code	27066397
Hospital Revenue Code	270
Min. Negotiated Rate	$357.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

BLUNT OBTURATOR 8MM

Facility

$2,750.00

Hospital Charge Code	27066397
Hospital Revenue Code	270
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

BLUNT OBTURATOR, LONG 8MM

Facility

$2,950.00

Hospital Charge Code	270663995
Hospital Revenue Code	272
Min. Negotiated Rate	$442.50
Max. Negotiated Rate	$442.50
Rate for Payer: Qualcare PPO/HMO/WC	$442.50

BLUNT OBTURATOR, LONG 8MM

Facility

$2,950.00

Hospital Charge Code	270663995
Hospital Revenue Code	272
Min. Negotiated Rate	$383.50
Max. Negotiated Rate	$1,475.00
Rate for Payer: Aetna Commercial	$885.00
Rate for Payer: Aetna Medicare Advantage	$885.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$752.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$752.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$752.25
Rate for Payer: Cigna Commercial	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.50
Rate for Payer: Oxford Commercial	$1,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$442.50
Rate for Payer: UnitedHealthcare Commercial	$1,475.00

BLUNT PIN 3.2MM

Facility

$265.00

Hospital Charge Code	270692840
Hospital Revenue Code	272
Min. Negotiated Rate	$39.75
Max. Negotiated Rate	$39.75
Rate for Payer: Qualcare PPO/HMO/WC	$39.75

BLUNT PIN 3.2MM

Facility

$265.00

Hospital Charge Code	270692840
Hospital Revenue Code	272
Min. Negotiated Rate	$34.45
Max. Negotiated Rate	$132.50
Rate for Payer: Aetna Commercial	$79.50
Rate for Payer: Aetna Medicare Advantage	$79.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.58
Rate for Payer: Cigna Commercial	$132.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.45
Rate for Payer: Oxford Commercial	$132.50
Rate for Payer: Qualcare PPO/HMO/WC	$39.75
Rate for Payer: UnitedHealthcare Commercial	$132.50

BLUNTPORT

Facility

$611.00

Hospital Charge Code	270335150
Hospital Revenue Code	272
Min. Negotiated Rate	$91.65
Max. Negotiated Rate	$91.65
Rate for Payer: Qualcare PPO/HMO/WC	$91.65

BLUNTPORT

Facility

$611.00

Hospital Charge Code	270335150
Hospital Revenue Code	272
Min. Negotiated Rate	$79.43
Max. Negotiated Rate	$305.50
Rate for Payer: Aetna Commercial	$183.30
Rate for Payer: Aetna Medicare Advantage	$183.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.81
Rate for Payer: Cigna Commercial	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.43
Rate for Payer: Oxford Commercial	$305.50
Rate for Payer: Qualcare PPO/HMO/WC	$91.65
Rate for Payer: UnitedHealthcare Commercial	$305.50

BLUNTPORT 11.5 *******

Facility

$434.00

Hospital Charge Code	1603232
Hospital Revenue Code	272
Min. Negotiated Rate	$65.10
Max. Negotiated Rate	$65.10
Rate for Payer: Qualcare PPO/HMO/WC	$65.10

BLUNTPORT 11.5 *******

Facility

$434.00

Hospital Charge Code	1603232
Hospital Revenue Code	272
Min. Negotiated Rate	$56.42
Max. Negotiated Rate	$217.00
Rate for Payer: Aetna Commercial	$130.20
Rate for Payer: Aetna Medicare Advantage	$130.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.67
Rate for Payer: Cigna Commercial	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.42
Rate for Payer: Oxford Commercial	$217.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.10
Rate for Payer: UnitedHealthcare Commercial	$217.00

BLUNTPORT TROCAR 11.5MM *****

Facility

$459.00

Hospital Charge Code	1605864
Hospital Revenue Code	272
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$68.85
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

BLUNTPORT TROCAR 11.5MM *****

Facility

$459.00

Hospital Charge Code	1605864
Hospital Revenue Code	272
Min. Negotiated Rate	$59.67
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$137.70
Rate for Payer: Aetna Medicare Advantage	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.05
Rate for Payer: Cigna Commercial	$229.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.67
Rate for Payer: Oxford Commercial	$229.50
Rate for Payer: Qualcare PPO/HMO/WC	$68.85
Rate for Payer: UnitedHealthcare Commercial	$229.50

BLUNT TROCAR 10MM

Facility

$128.00

Hospital Charge Code	270338716
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

BLUNT TROCAR 10MM

Facility

$128.00

Hospital Charge Code	270338716
Hospital Revenue Code	272
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$64.00

BLUNT TROCAR & SYRINGE

Facility

$554.00

Hospital Charge Code	270332619
Hospital Revenue Code	272
Min. Negotiated Rate	$72.02
Max. Negotiated Rate	$277.00
Rate for Payer: Aetna Commercial	$166.20
Rate for Payer: Aetna Medicare Advantage	$166.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.27
Rate for Payer: Cigna Commercial	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.02
Rate for Payer: Oxford Commercial	$277.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.10
Rate for Payer: UnitedHealthcare Commercial	$277.00

BLUNT TROCAR & SYRINGE

Facility

$554.00

Hospital Charge Code	270332619
Hospital Revenue Code	272
Min. Negotiated Rate	$83.10
Max. Negotiated Rate	$83.10
Rate for Payer: Qualcare PPO/HMO/WC	$83.10

BMAC

Facility

$4,900.00

Hospital Charge Code	270686679
Hospital Revenue Code	272
Min. Negotiated Rate	$637.00
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,470.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.00
Rate for Payer: Oxford Commercial	$2,450.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Commercial	$2,450.00

BMAC

Facility

$4,900.00

Hospital Charge Code	270686678
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$735.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

Know your out-of-pocket cost for care.

All Charges