Heights University Hospital

All Charges

Charge

Type

Setting

Price

BOWER PEG KIT 20FR

Facility

$744.00

Hospital Charge Code	270332542
Hospital Revenue Code	272
Min. Negotiated Rate	$96.72
Max. Negotiated Rate	$372.00
Rate for Payer: Aetna Commercial	$223.20
Rate for Payer: Aetna Medicare Advantage	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.72
Rate for Payer: Cigna Commercial	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.72
Rate for Payer: Oxford Commercial	$372.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.60
Rate for Payer: UnitedHealthcare Commercial	$372.00

BOWL MIXING ADVANCED CEMENT

Facility

$419.75

Hospital Charge Code	270651658
Hospital Revenue Code	272
Min. Negotiated Rate	$54.57
Max. Negotiated Rate	$209.88
Rate for Payer: Aetna Commercial	$125.92
Rate for Payer: Aetna Medicare Advantage	$125.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.04
Rate for Payer: Cigna Commercial	$209.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.57
Rate for Payer: Oxford Commercial	$209.88
Rate for Payer: Qualcare PPO/HMO/WC	$62.96
Rate for Payer: UnitedHealthcare Commercial	$209.88

BOWL MIXING ADVANCED CEMENT

Facility

$419.75

Hospital Charge Code	270651658
Hospital Revenue Code	272
Min. Negotiated Rate	$62.96
Max. Negotiated Rate	$62.96
Rate for Payer: Qualcare PPO/HMO/WC	$62.96

BOWL MIXING ORTHO DISP ******

Facility

$26.35

Hospital Charge Code	1601616
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$3.95
Rate for Payer: Qualcare PPO/HMO/WC	$3.95

BOWL MIXING ORTHO DISP ******

Facility

$26.35

Hospital Charge Code	1601616
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$13.18
Rate for Payer: Aetna Commercial	$7.91
Rate for Payer: Aetna Medicare Advantage	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.72
Rate for Payer: Cigna Commercial	$13.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.43
Rate for Payer: Oxford Commercial	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.95
Rate for Payer: UnitedHealthcare Commercial	$13.18

BOWL MIXING OSTEOBOND 5049-91

Facility

$864.85

Hospital Charge Code	270600357
Hospital Revenue Code	272
Min. Negotiated Rate	$112.43
Max. Negotiated Rate	$432.43
Rate for Payer: Aetna Commercial	$259.45
Rate for Payer: Aetna Medicare Advantage	$259.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.54
Rate for Payer: Cigna Commercial	$432.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.43
Rate for Payer: Oxford Commercial	$432.43
Rate for Payer: Qualcare PPO/HMO/WC	$129.73
Rate for Payer: UnitedHealthcare Commercial	$432.43

BOWL MIXING OSTEOBOND 5049-91

Facility

$864.85

Hospital Charge Code	270600357
Hospital Revenue Code	272
Min. Negotiated Rate	$129.73
Max. Negotiated Rate	$129.73
Rate for Payer: Qualcare PPO/HMO/WC	$129.73

BOWL PROCES ELECTA 55ML ESOR55

Facility

$332.40

Hospital Charge Code	270635592
Hospital Revenue Code	272
Min. Negotiated Rate	$49.86
Max. Negotiated Rate	$49.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.86

BOWL PROCES ELECTA 55ML ESOR55

Facility

$332.40

Hospital Charge Code	270635592
Hospital Revenue Code	272
Min. Negotiated Rate	$43.21
Max. Negotiated Rate	$166.20
Rate for Payer: Aetna Commercial	$99.72
Rate for Payer: Aetna Medicare Advantage	$99.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.76
Rate for Payer: Cigna Commercial	$166.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.21
Rate for Payer: Oxford Commercial	$166.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.86
Rate for Payer: UnitedHealthcare Commercial	$166.20

BOWL PROCESSING 125ml ESOR125

Facility

$348.75

Hospital Charge Code	270640211
Hospital Revenue Code	270
Min. Negotiated Rate	$45.34
Max. Negotiated Rate	$174.38
Rate for Payer: Aetna Commercial	$104.62
Rate for Payer: Aetna Medicare Advantage	$104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.93
Rate for Payer: Cigna Commercial	$174.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.34
Rate for Payer: Oxford Commercial	$174.38
Rate for Payer: Qualcare PPO/HMO/WC	$52.31
Rate for Payer: UnitedHealthcare Commercial	$174.38

BOWL PROCESSING 125ml ESOR125

Facility

$348.75

Hospital Charge Code	270640211
Hospital Revenue Code	270
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$52.31
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

BOWL PROCESSING SOR 175 SOR175

Facility

$340.00

Hospital Charge Code	270619103
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

BOWL PROCESSING SOR 175 SOR175

Facility

$340.00

Hospital Charge Code	270619103
Hospital Revenue Code	272
Min. Negotiated Rate	$44.20
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.20
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$170.00

BOWL PROCESSING SOR 225 SOR225

Facility

$340.00

Hospital Charge Code	270619102
Hospital Revenue Code	272
Min. Negotiated Rate	$44.20
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.20
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$170.00

BOWL PROCESSING SOR 225 SOR225

Facility

$340.00

Hospital Charge Code	270619102
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

BOWL PROCESSING SORIN 55 SOR55

Facility

$340.00

Hospital Charge Code	270619038
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

BOWL PROCESSING SORIN 55 SOR55

Facility

$340.00

Hospital Charge Code	270619038
Hospital Revenue Code	272
Min. Negotiated Rate	$44.20
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.20
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$170.00

BOWL ZIM MIX QUIKVAC 50490110

Facility

$337.26

Hospital Charge Code	270616932
Hospital Revenue Code	272
Min. Negotiated Rate	$50.59
Max. Negotiated Rate	$50.59
Rate for Payer: Qualcare PPO/HMO/WC	$50.59

BOWL ZIM MIX QUIKVAC 50490110

Facility

$337.26

Hospital Charge Code	270616932
Hospital Revenue Code	272
Min. Negotiated Rate	$43.84
Max. Negotiated Rate	$168.63
Rate for Payer: Aetna Commercial	$101.18
Rate for Payer: Aetna Medicare Advantage	$101.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.00
Rate for Payer: Cigna Commercial	$168.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.84
Rate for Payer: Oxford Commercial	$168.63
Rate for Payer: Qualcare PPO/HMO/WC	$50.59
Rate for Payer: UnitedHealthcare Commercial	$168.63

BPAGE AFF PLUS 4000

Facility

$342.25

Hospital Charge Code	270692363
Hospital Revenue Code	272
Min. Negotiated Rate	$51.34
Max. Negotiated Rate	$51.34
Rate for Payer: Qualcare PPO/HMO/WC	$51.34

BPAGE AFF PLUS 4000

Facility

$342.25

Hospital Charge Code	270692363
Hospital Revenue Code	272
Min. Negotiated Rate	$44.49
Max. Negotiated Rate	$171.12
Rate for Payer: Aetna Commercial	$102.67
Rate for Payer: Aetna Medicare Advantage	$102.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.27
Rate for Payer: Cigna Commercial	$171.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.49
Rate for Payer: Oxford Commercial	$171.12
Rate for Payer: Qualcare PPO/HMO/WC	$51.34
Rate for Payer: UnitedHealthcare Commercial	$171.12

B/P BLADDER REPAIR ADULT

Facility

$93.65

Hospital Charge Code	270300111
Hospital Revenue Code	270
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

B/P BLADDER REPAIR ADULT

Facility

$93.65

Hospital Charge Code	270300111
Hospital Revenue Code	270
Min. Negotiated Rate	$12.17
Max. Negotiated Rate	$46.83
Rate for Payer: Aetna Commercial	$28.09
Rate for Payer: Aetna Medicare Advantage	$28.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.88
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.17
Rate for Payer: Oxford Commercial	$46.83
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$46.83

BP CUFF ADULT

Facility

$135.05

Hospital Charge Code	270665801
Hospital Revenue Code	270
Min. Negotiated Rate	$20.26
Max. Negotiated Rate	$20.26
Rate for Payer: Qualcare PPO/HMO/WC	$20.26

BP CUFF ADULT

Facility

$135.05

Hospital Charge Code	270665801
Hospital Revenue Code	270
Min. Negotiated Rate	$17.56
Max. Negotiated Rate	$67.53
Rate for Payer: Aetna Commercial	$40.52
Rate for Payer: Aetna Medicare Advantage	$40.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.44
Rate for Payer: Cigna Commercial	$67.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.56
Rate for Payer: Oxford Commercial	$67.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.26
Rate for Payer: UnitedHealthcare Commercial	$67.53

Know your out-of-pocket cost for care.

All Charges