Heights University Hospital

All Charges

Charge

Type

Setting

Price

BRUSH DISPOSABLE CYTOLOGY

Facility

$79.54

Hospital Charge Code	270655058
Hospital Revenue Code	272
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$11.93
Rate for Payer: Qualcare PPO/HMO/WC	$11.93

BRUSH DISPOSABLE CYTOLOGY

Facility

$79.54

Hospital Charge Code	270655058
Hospital Revenue Code	272
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$39.77
Rate for Payer: Aetna Commercial	$23.86
Rate for Payer: Aetna Medicare Advantage	$23.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.28
Rate for Payer: Cigna Commercial	$39.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.34
Rate for Payer: Oxford Commercial	$39.77
Rate for Payer: Qualcare PPO/HMO/WC	$11.93
Rate for Payer: UnitedHealthcare Commercial	$39.77

BRUSH ENDO 5MM CHANNEL 2-4MM

Facility

$12.88

Hospital Charge Code	270677794
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

BRUSH ENDO 5MM CHANNEL 2-4MM

Facility

$12.88

Hospital Charge Code	270677794
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$6.44
Rate for Payer: Aetna Commercial	$3.86
Rate for Payer: Aetna Medicare Advantage	$3.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.67
Rate for Payer: Oxford Commercial	$6.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$6.44

BRUSH ENDO CLEANING 000639

Facility

$16.85

Hospital Charge Code	270600924
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

BRUSH ENDO CLEANING 000639

Facility

$16.85

Hospital Charge Code	270600924
Hospital Revenue Code	270
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

BRUSHES CLEANING

Facility

$125.25

Hospital Charge Code	270665251
Hospital Revenue Code	270
Min. Negotiated Rate	$18.79
Max. Negotiated Rate	$18.79
Rate for Payer: Qualcare PPO/HMO/WC	$18.79

BRUSHES CLEANING

Facility

$125.25

Hospital Charge Code	270665251
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$62.62
Rate for Payer: Aetna Commercial	$37.58
Rate for Payer: Aetna Medicare Advantage	$37.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.94
Rate for Payer: Cigna Commercial	$62.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.28
Rate for Payer: Oxford Commercial	$62.62
Rate for Payer: Qualcare PPO/HMO/WC	$18.79
Rate for Payer: UnitedHealthcare Commercial	$62.62

BRUSHES CLEANING

Facility

$29.00

Hospital Charge Code	270665252
Hospital Revenue Code	270
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.77
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$14.50

BRUSHES CLEANING

Facility

$29.00

Hospital Charge Code	270665252
Hospital Revenue Code	270
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

BRUSH EUS RADIAL DBL HEAD COMB

Facility

$437.50

Hospital Charge Code	270684737
Hospital Revenue Code	272
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$218.75
Rate for Payer: Aetna Commercial	$131.25
Rate for Payer: Aetna Medicare Advantage	$131.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.56
Rate for Payer: Cigna Commercial	$218.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.88
Rate for Payer: Oxford Commercial	$218.75
Rate for Payer: Qualcare PPO/HMO/WC	$65.62
Rate for Payer: UnitedHealthcare Commercial	$218.75

BRUSH EUS RADIAL DBL HEAD COMB

Facility

$437.50

Hospital Charge Code	270684737
Hospital Revenue Code	272
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$65.62

BRUSH EZ SCRUB ULTRADEX

Facility

$2.81

Hospital Charge Code	270601067C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$1.41
Rate for Payer: Aetna Commercial	$0.84
Rate for Payer: Aetna Medicare Advantage	$0.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.72
Rate for Payer: Cigna Commercial	$1.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.37
Rate for Payer: Oxford Commercial	$1.41
Rate for Payer: Qualcare PPO/HMO/WC	$0.42
Rate for Payer: UnitedHealthcare Commercial	$1.41

BRUSH EZ SCRUB ULTRADEX

Facility

$2.81

Hospital Charge Code	270601067C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$0.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.42

BRUSH FEMORAL BONE *******

Facility

$75.00

Hospital Charge Code	1601640
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

BRUSH FEMORAL BONE *******

Facility

$75.00

Hospital Charge Code	1601640
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

BRUSH FEMORAL BONE 5059-13

Facility

$121.65

Hospital Charge Code	270600345
Hospital Revenue Code	272
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

BRUSH FEMORAL BONE 5059-13

Facility

$121.65

Hospital Charge Code	270600345
Hospital Revenue Code	272
Min. Negotiated Rate	$15.81
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$36.49
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.81
Rate for Payer: Oxford Commercial	$60.83
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$60.83

BRUSHING CLEANING ENDOSCOPE

Facility

$10.75

Hospital Charge Code	270651669
Hospital Revenue Code	272
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$5.38
Rate for Payer: Aetna Commercial	$3.23
Rate for Payer: Aetna Medicare Advantage	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.74
Rate for Payer: Cigna Commercial	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.40
Rate for Payer: Oxford Commercial	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.61
Rate for Payer: UnitedHealthcare Commercial	$5.38

BRUSHING CLEANING ENDOSCOPE

Facility

$10.75

Hospital Charge Code	270651669
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$1.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.61

BRUSH JUMBO BX 7-9MM 00711606

Facility

$62.50

Hospital Charge Code	270643556
Hospital Revenue Code	272
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$18.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.12
Rate for Payer: Oxford Commercial	$31.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$31.25

BRUSH JUMBO BX 7-9MM 00711606

Facility

$62.50

Hospital Charge Code	270643556
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.38

BRUSH MCV CATH CYTOL 1601

Facility

$56.00

Hospital Charge Code	270611113
Hospital Revenue Code	272
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

BRUSH MCV CATH CYTOL 1601

Facility

$56.00

Hospital Charge Code	270611113
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

BRUSH MCV CMBO CATH CYTOL 1635

Facility

$842.45

Hospital Charge Code	270601178
Hospital Revenue Code	272
Min. Negotiated Rate	$109.52
Max. Negotiated Rate	$421.23
Rate for Payer: Aetna Commercial	$252.74
Rate for Payer: Aetna Medicare Advantage	$252.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.82
Rate for Payer: Cigna Commercial	$421.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.52
Rate for Payer: Oxford Commercial	$421.23
Rate for Payer: Qualcare PPO/HMO/WC	$126.37
Rate for Payer: UnitedHealthcare Commercial	$421.23

Know your out-of-pocket cost for care.

All Charges