Heights University Hospital

All Charges

Charge

Type

Setting

Price

ACCESSORY BLOOD PRESSURE KIT

Facility

$3,875.00

Hospital Charge Code	270656966
Hospital Revenue Code	272
Min. Negotiated Rate	$503.75
Max. Negotiated Rate	$1,937.50
Rate for Payer: Aetna Commercial	$1,162.50
Rate for Payer: Aetna Medicare Advantage	$1,162.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$988.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$988.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$988.12
Rate for Payer: Cigna Commercial	$1,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.75
Rate for Payer: Oxford Commercial	$1,937.50
Rate for Payer: Qualcare PPO/HMO/WC	$581.25
Rate for Payer: UnitedHealthcare Commercial	$1,937.50

ACCESSORY COMPONENT KIT

Facility

$2,275.00

Hospital Charge Code	270645661
Hospital Revenue Code	270
Min. Negotiated Rate	$295.75
Max. Negotiated Rate	$1,137.50
Rate for Payer: Aetna Commercial	$682.50
Rate for Payer: Aetna Medicare Advantage	$682.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$580.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$580.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$580.12
Rate for Payer: Cigna Commercial	$1,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.75
Rate for Payer: Oxford Commercial	$1,137.50
Rate for Payer: Qualcare PPO/HMO/WC	$341.25
Rate for Payer: UnitedHealthcare Commercial	$1,137.50

ACCESSORY COMPONENT KIT

Facility

$2,275.00

Hospital Charge Code	270645661
Hospital Revenue Code	270
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$341.25
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

ACCESSORY KIT

Facility

$275.00

Hospital Charge Code	270682039N
Hospital Revenue Code	272
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$137.50

ACCESSORY KIT

Facility

$275.00

Hospital Charge Code	270682039
Hospital Revenue Code	272
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$137.50

ACCESSORY KIT

Facility

$275.00

Hospital Charge Code	270682039N
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

ACCESSORY KIT

Facility

$275.00

Hospital Charge Code	270682039
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

ACCESSORY TENACIO AMS700

Facility

$4,049.40

Hospital Charge Code	270702097
Hospital Revenue Code	272
Min. Negotiated Rate	$526.42
Max. Negotiated Rate	$2,024.70
Rate for Payer: Aetna Commercial	$1,214.82
Rate for Payer: Aetna Medicare Advantage	$1,214.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,032.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,032.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,032.60
Rate for Payer: Cigna Commercial	$2,024.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.42
Rate for Payer: Oxford Commercial	$2,024.70
Rate for Payer: Qualcare PPO/HMO/WC	$607.41
Rate for Payer: UnitedHealthcare Commercial	$2,024.70

ACCESSORY TENACIO AMS700

Facility

$4,049.40

Hospital Charge Code	270702097
Hospital Revenue Code	272
Min. Negotiated Rate	$607.41
Max. Negotiated Rate	$607.41
Rate for Payer: Qualcare PPO/HMO/WC	$607.41

ACCESS PORT NEEDLE

Facility

$105.00

Hospital Charge Code	270338728
Hospital Revenue Code	272
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

ACCESS PORT NEEDLE

Facility

$105.00

Hospital Charge Code	270338728
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

ACCESS QUICK RELEASE DRL 15/64

Facility

$690.00

Hospital Charge Code	270690418
Hospital Revenue Code	272
Min. Negotiated Rate	$89.70
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$207.00
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.70
Rate for Payer: Oxford Commercial	$345.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Commercial	$345.00

ACCESS QUICK RELEASE DRL 15/64

Facility

$690.00

Hospital Charge Code	270690418
Hospital Revenue Code	272
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

ACCLARENT AERA WITH VENT CAP

Facility

$2,010.00

Hospital Charge Code	270683379
Hospital Revenue Code	272
Min. Negotiated Rate	$301.50
Max. Negotiated Rate	$301.50
Rate for Payer: Qualcare PPO/HMO/WC	$301.50

ACCLARENT AERA WITH VENT CAP

Facility

$2,010.00

Hospital Charge Code	270683379
Hospital Revenue Code	272
Min. Negotiated Rate	$261.30
Max. Negotiated Rate	$1,005.00
Rate for Payer: Aetna Commercial	$603.00
Rate for Payer: Aetna Medicare Advantage	$603.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.55
Rate for Payer: Cigna Commercial	$1,005.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.30
Rate for Payer: Oxford Commercial	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$301.50
Rate for Payer: UnitedHealthcare Commercial	$1,005.00

ACCLARENT SE INFLATION DEVICE

Facility

$447.30

Hospital Charge Code	270683378
Hospital Revenue Code	272
Min. Negotiated Rate	$58.15
Max. Negotiated Rate	$223.65
Rate for Payer: Aetna Commercial	$134.19
Rate for Payer: Aetna Medicare Advantage	$134.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.06
Rate for Payer: Cigna Commercial	$223.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.15
Rate for Payer: Oxford Commercial	$223.65
Rate for Payer: Qualcare PPO/HMO/WC	$67.09
Rate for Payer: UnitedHealthcare Commercial	$223.65

ACCLARENT SE INFLATION DEVICE

Facility

$447.30

Hospital Charge Code	270683378
Hospital Revenue Code	272
Min. Negotiated Rate	$67.09
Max. Negotiated Rate	$67.09
Rate for Payer: Qualcare PPO/HMO/WC	$67.09

ACCO127CEMSTEMSZ5TPRV4037X145

Facility

$10,655.40

Service Code	HCPCS C1776
Hospital Charge Code	270691242
Hospital Revenue Code	278
Min. Negotiated Rate	$1,598.31
Max. Negotiated Rate	$5,327.70
Rate for Payer: Aetna Commercial	$3,196.62
Rate for Payer: Aetna Medicare Advantage	$3,196.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,717.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,717.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,131.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,717.13
Rate for Payer: Cigna Commercial	$5,327.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,578.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,598.31

ACCO127CEMSTEMSZ5TPRV4037X145

Facility

$10,655.40

Service Code	HCPCS C1776
Hospital Charge Code	270691242
Hospital Revenue Code	278
Min. Negotiated Rate	$1,598.31
Max. Negotiated Rate	$2,578.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,131.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,578.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,598.31

ACCOLADE DISTAL SPACER SZ.SM

Facility

$930.00

Hospital Charge Code	270656474
Hospital Revenue Code	271
Min. Negotiated Rate	$120.90
Max. Negotiated Rate	$465.00
Rate for Payer: Aetna Commercial	$279.00
Rate for Payer: Aetna Medicare Advantage	$279.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.15
Rate for Payer: Cigna Commercial	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.90
Rate for Payer: Oxford Commercial	$465.00
Rate for Payer: Qualcare PPO/HMO/WC	$139.50
Rate for Payer: UnitedHealthcare Commercial	$465.00

ACCOLADE DISTAL SPACER SZ.SM

Facility

$930.00

Hospital Charge Code	270656474
Hospital Revenue Code	271
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$139.50
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

ACCOLADE DIST SPACERMEDOD14MM

Facility

$460.85

Service Code	HCPCS C1713
Hospital Charge Code	270691244
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$138.25
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

ACCOLADE DIST SPACERMEDOD14MM

Facility

$460.85

Service Code	HCPCS C1713
Hospital Charge Code	270691244
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$111.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

Accolade MRI DR

Facility

$51,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270686184
Hospital Revenue Code	278
Min. Negotiated Rate	$7,725.00
Max. Negotiated Rate	$12,463.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,463.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,725.00

Accolade MRI DR

Facility

$51,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270686184
Hospital Revenue Code	278
Min. Negotiated Rate	$7,725.00
Max. Negotiated Rate	$25,750.00
Rate for Payer: Aetna Commercial	$15,450.00
Rate for Payer: Aetna Medicare Advantage	$15,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,132.50
Rate for Payer: Cigna Commercial	$25,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,463.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,725.00

Know your out-of-pocket cost for care.

All Charges