Heights University Hospital

All Charges

Charge

Type

Setting

Price

CABLE OR

Facility

$750.00

Hospital Charge Code	270673088
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CABLE OR 2x8

Facility

$750.00

Hospital Charge Code	270673090
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CABLE OR 2x8

Facility

$750.00

Hospital Charge Code	270673090
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

CABLE PACING EXT DISP 4051L

Facility

$65.40

Hospital Charge Code	270648892C
Hospital Revenue Code	272
Min. Negotiated Rate	$9.81
Max. Negotiated Rate	$9.81
Rate for Payer: Qualcare PPO/HMO/WC	$9.81

CABLE PACING EXT DISP 4051L

Facility

$65.40

Hospital Charge Code	270648892C
Hospital Revenue Code	272
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$32.70
Rate for Payer: Aetna Commercial	$19.62
Rate for Payer: Aetna Medicare Advantage	$19.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.68
Rate for Payer: Cigna Commercial	$32.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.50
Rate for Payer: Oxford Commercial	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$9.81
Rate for Payer: UnitedHealthcare Commercial	$32.70

CABLE PUCK TRAIL

Facility

$1,250.00

Hospital Charge Code	270683891
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

CABLE PUCK TRAIL

Facility

$1,250.00

Hospital Charge Code	270683891
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CABLE PULSE OX

Facility

$584.00

Hospital Charge Code	270665807
Hospital Revenue Code	270
Min. Negotiated Rate	$75.92
Max. Negotiated Rate	$292.00
Rate for Payer: Aetna Commercial	$175.20
Rate for Payer: Aetna Medicare Advantage	$175.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.92
Rate for Payer: Cigna Commercial	$292.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.92
Rate for Payer: Oxford Commercial	$292.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.60
Rate for Payer: UnitedHealthcare Commercial	$292.00

CABLE PULSE OX

Facility

$584.00

Hospital Charge Code	270665807
Hospital Revenue Code	270
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$87.60
Rate for Payer: Qualcare PPO/HMO/WC	$87.60

CABLE RDY CABLE ASSY 1.8MMX635

Facility

$2,112.50

Hospital Charge Code	270683823
Hospital Revenue Code	278
Min. Negotiated Rate	$316.88
Max. Negotiated Rate	$1,056.25
Rate for Payer: Aetna Commercial	$633.75
Rate for Payer: Aetna Medicare Advantage	$633.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.69
Rate for Payer: Cigna Commercial	$1,056.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$316.88

CABLE RDY CABLE ASSY 1.8MMX635

Facility

$2,112.50

Hospital Charge Code	270683823
Hospital Revenue Code	278
Min. Negotiated Rate	$316.88
Max. Negotiated Rate	$511.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$316.88

CABLE READY GTR 1.8MM X 635MM

Facility

$1,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270688598
Hospital Revenue Code	278
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$369.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

CABLE READY GTR 1.8MM X 635MM

Facility

$1,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270688598
Hospital Revenue Code	278
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$457.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

CABLE SILICONE BIPOLAR

Facility

$775.00

Hospital Charge Code	270665573
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

CABLE SILICONE BIPOLAR

Facility

$775.00

Hospital Charge Code	270665573
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CABLES INTEGRAL LONG GTR 23X12

Facility

$13,520.00

Service Code	HCPCS C1713
Hospital Charge Code	270690781
Hospital Revenue Code	278
Min. Negotiated Rate	$2,028.00
Max. Negotiated Rate	$6,760.00
Rate for Payer: Aetna Commercial	$4,056.00
Rate for Payer: Aetna Medicare Advantage	$4,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,447.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,447.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,704.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,447.60
Rate for Payer: Cigna Commercial	$6,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,271.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,028.00

CABLES INTEGRAL LONG GTR 23X12

Facility

$13,520.00

Service Code	HCPCS C1713
Hospital Charge Code	270690781
Hospital Revenue Code	278
Min. Negotiated Rate	$2,028.00
Max. Negotiated Rate	$3,271.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,704.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,271.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,028.00

CABLE SLEEVE 3.0MM

Facility

$5,050.00

Hospital Charge Code	270662021
Hospital Revenue Code	278
Min. Negotiated Rate	$757.50
Max. Negotiated Rate	$2,525.00
Rate for Payer: Aetna Commercial	$1,515.00
Rate for Payer: Aetna Medicare Advantage	$1,515.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,287.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,287.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,287.75
Rate for Payer: Cigna Commercial	$2,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,222.10
Rate for Payer: Qualcare PPO/HMO/WC	$757.50

CABLE SLEEVE 3.0MM

Facility

$5,050.00

Hospital Charge Code	270662021
Hospital Revenue Code	278
Min. Negotiated Rate	$757.50
Max. Negotiated Rate	$1,222.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,222.10
Rate for Payer: Qualcare PPO/HMO/WC	$757.50

CABLE SLEEVE SET 1.6MM BEADED

Facility

$2,205.00

Hospital Charge Code	270669190
Hospital Revenue Code	272
Min. Negotiated Rate	$330.75
Max. Negotiated Rate	$330.75
Rate for Payer: Qualcare PPO/HMO/WC	$330.75

CABLE SLEEVE SET 1.6MM BEADED

Facility

$2,205.00

Hospital Charge Code	270669190
Hospital Revenue Code	272
Min. Negotiated Rate	$286.65
Max. Negotiated Rate	$1,102.50
Rate for Payer: Aetna Commercial	$661.50
Rate for Payer: Aetna Medicare Advantage	$661.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$562.27
Rate for Payer: Cigna Commercial	$1,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.65
Rate for Payer: Oxford Commercial	$1,102.50
Rate for Payer: Qualcare PPO/HMO/WC	$330.75
Rate for Payer: UnitedHealthcare Commercial	$1,102.50

CABLE SMART GS CORE

Facility

$12,250.00

Hospital Charge Code	270691740
Hospital Revenue Code	272
Min. Negotiated Rate	$1,592.50
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$3,675.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,592.50
Rate for Payer: Oxford Commercial	$6,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Commercial	$6,125.00

CABLE SMART GS CORE

Facility

$12,250.00

Hospital Charge Code	270691740
Hospital Revenue Code	272
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$1,837.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

CABLE STERILE CONNECTOR PUMP

Facility

$2,000.00

Hospital Charge Code	270681571
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

CABLE STERILE CONNECTOR PUMP

Facility

$2,000.00

Hospital Charge Code	270681571
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

Know your out-of-pocket cost for care.

All Charges