Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA 8MM LENGTH 7,8,9

Facility

$445.25

Hospital Charge Code	270673919
Hospital Revenue Code	272
Min. Negotiated Rate	$57.88
Max. Negotiated Rate	$222.62
Rate for Payer: Aetna Commercial	$133.57
Rate for Payer: Aetna Medicare Advantage	$133.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.54
Rate for Payer: Cigna Commercial	$222.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.88
Rate for Payer: Oxford Commercial	$222.62
Rate for Payer: Qualcare PPO/HMO/WC	$66.79
Rate for Payer: UnitedHealthcare Commercial	$222.62

CANNULA 8MM LENGTH 7,8,9

Facility

$445.25

Hospital Charge Code	270673919
Hospital Revenue Code	272
Min. Negotiated Rate	$66.79
Max. Negotiated Rate	$66.79
Rate for Payer: Qualcare PPO/HMO/WC	$66.79

CANNULA 8 MM PIVOT LENGTH

Facility

$74.21

Hospital Charge Code	270688334
Hospital Revenue Code	272
Min. Negotiated Rate	$11.13
Max. Negotiated Rate	$11.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.13

CANNULA 8 MM PIVOT LENGTH

Facility

$74.21

Hospital Charge Code	270688334
Hospital Revenue Code	272
Min. Negotiated Rate	$9.65
Max. Negotiated Rate	$37.10
Rate for Payer: Aetna Commercial	$22.26
Rate for Payer: Aetna Medicare Advantage	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.92
Rate for Payer: Cigna Commercial	$37.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.65
Rate for Payer: Oxford Commercial	$37.10
Rate for Payer: Qualcare PPO/HMO/WC	$11.13
Rate for Payer: UnitedHealthcare Commercial	$37.10

CANNULA ACCUPORT 15GA X 60MM

Facility

$2,575.00

Hospital Charge Code	270688007
Hospital Revenue Code	272
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$386.25
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

CANNULA ACCUPORT 15GA X 60MM

Facility

$2,575.00

Hospital Charge Code	270688007
Hospital Revenue Code	272
Min. Negotiated Rate	$334.75
Max. Negotiated Rate	$1,287.50
Rate for Payer: Aetna Commercial	$772.50
Rate for Payer: Aetna Medicare Advantage	$772.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.62
Rate for Payer: Cigna Commercial	$1,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.75
Rate for Payer: Oxford Commercial	$1,287.50
Rate for Payer: Qualcare PPO/HMO/WC	$386.25
Rate for Payer: UnitedHealthcare Commercial	$1,287.50

CANNULA ACCUPORT 15 X 60 MM

Facility

$2,575.00

Hospital Charge Code	270688038
Hospital Revenue Code	272
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$386.25
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

CANNULA ACCUPORT 15 X 60 MM

Facility

$2,575.00

Hospital Charge Code	270688038
Hospital Revenue Code	272
Min. Negotiated Rate	$334.75
Max. Negotiated Rate	$1,287.50
Rate for Payer: Aetna Commercial	$772.50
Rate for Payer: Aetna Medicare Advantage	$772.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.62
Rate for Payer: Cigna Commercial	$1,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.75
Rate for Payer: Oxford Commercial	$1,287.50
Rate for Payer: Qualcare PPO/HMO/WC	$386.25
Rate for Payer: UnitedHealthcare Commercial	$1,287.50

CANNULA ACCUPORT SIDE

Facility

$2,475.00

Hospital Charge Code	270678977
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

CANNULA ACCUPORT SIDE

Facility

$2,475.00

Hospital Charge Code	270678977
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.75
Rate for Payer: Oxford Commercial	$1,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$1,237.50

CANNULA ADULT SALTER DIVIDED

Facility

$11.26

Hospital Charge Code	270618587
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CANNULA ADULT SALTER DIVIDED

Facility

$11.26

Hospital Charge Code	270618587
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.63
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.63

CANNULA AIR INJECTION 27G

Facility

$115.00

Hospital Charge Code	270655980
Hospital Revenue Code	272
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$57.50

CANNULA AIR INJECTION 27G

Facility

$115.00

Hospital Charge Code	270655980
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

CANNULA AIR INJECTOR 30G

Facility

$99.00

Hospital Charge Code	270332095
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

CANNULA AIR INJECTOR 30G

Facility

$99.00

Hospital Charge Code	270332095
Hospital Revenue Code	272
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$29.70
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.87
Rate for Payer: Oxford Commercial	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$49.50

CANNULA ALCON J-SHAPED

Facility

$71.25

Hospital Charge Code	270600209
Hospital Revenue Code	272
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

CANNULA ALCON J-SHAPED

Facility

$71.25

Hospital Charge Code	270600209
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$35.62

CANNULA ANTERIOR CHAMBER 25G

Facility

$40.00

Hospital Charge Code	270331006
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CANNULA ANTERIOR CHAMBER 25G

Facility

$40.00

Hospital Charge Code	270331006
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

CANNULA ATX TWST 6.0 7 AR6535

Facility

$211.25

Hospital Charge Code	270623033
Hospital Revenue Code	272
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$31.69
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

CANNULA ATX TWST 6.0 7 AR6535

Facility

$211.25

Hospital Charge Code	270623033
Hospital Revenue Code	272
Min. Negotiated Rate	$27.46
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$63.38
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.46
Rate for Payer: Oxford Commercial	$105.62
Rate for Payer: Qualcare PPO/HMO/WC	$31.69
Rate for Payer: UnitedHealthcare Commercial	$105.62

CANNULA ATX TWST 8.25 7 AR6530

Facility

$211.25

Hospital Charge Code	270622382
Hospital Revenue Code	272
Min. Negotiated Rate	$27.46
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$63.38
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.46
Rate for Payer: Oxford Commercial	$105.62
Rate for Payer: Qualcare PPO/HMO/WC	$31.69
Rate for Payer: UnitedHealthcare Commercial	$105.62

CANNULA ATX TWST 8.25 7 AR6530

Facility

$211.25

Hospital Charge Code	270622382
Hospital Revenue Code	272
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$31.69
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

CANNULA ATX TWST 8.25 9 AR6540

Facility

$211.25

Hospital Charge Code	270623032
Hospital Revenue Code	272
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$31.69
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

Know your out-of-pocket cost for care.

All Charges