Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA ATX TWST 8.25 9 AR6540

Facility

$211.25

Hospital Charge Code	270623032
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 BD BIL SHT TIP 050330

Facility

$332.00

Hospital Charge Code	270601177
Hospital Revenue Code	272
Min. Negotiated Rate	$43.16
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$99.60
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.16
Rate for Payer: Oxford Commercial	$166.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.80
Rate for Payer: UnitedHealthcare Commercial	$166.00

CANNULA BD BIL SHT TIP 050330

Facility

$332.00

Hospital Charge Code	270601177
Hospital Revenue Code	272
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$49.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

CANNULA BD RADPQ ERCP 050310

Facility

$332.00

Hospital Charge Code	270600925
Hospital Revenue Code	272
Min. Negotiated Rate	$43.16
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$99.60
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.16
Rate for Payer: Oxford Commercial	$166.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.80
Rate for Payer: UnitedHealthcare Commercial	$166.00

CANNULA BD RADPQ ERCP 050310

Facility

$332.00

Hospital Charge Code	270600925
Hospital Revenue Code	272
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$49.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

CANNULA BD RADPQ ERCP 050320

Facility

$412.85

Hospital Charge Code	270600923
Hospital Revenue Code	272
Min. Negotiated Rate	$61.93
Max. Negotiated Rate	$61.93
Rate for Payer: Qualcare PPO/HMO/WC	$61.93

CANNULA BD RADPQ ERCP 050320

Facility

$412.85

Hospital Charge Code	270600923
Hospital Revenue Code	272
Min. Negotiated Rate	$53.67
Max. Negotiated Rate	$206.43
Rate for Payer: Aetna Commercial	$123.86
Rate for Payer: Aetna Medicare Advantage	$123.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.28
Rate for Payer: Cigna Commercial	$206.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.67
Rate for Payer: Oxford Commercial	$206.43
Rate for Payer: Qualcare PPO/HMO/WC	$61.93
Rate for Payer: UnitedHealthcare Commercial	$206.43

CANNULA BERKELEY 11MM

Facility

$321.00

Hospital Charge Code	270657432
Hospital Revenue Code	272
Min. Negotiated Rate	$41.73
Max. Negotiated Rate	$160.50
Rate for Payer: Aetna Commercial	$96.30
Rate for Payer: Aetna Medicare Advantage	$96.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.86
Rate for Payer: Cigna Commercial	$160.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.73
Rate for Payer: Oxford Commercial	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.15
Rate for Payer: UnitedHealthcare Commercial	$160.50

CANNULA BERKELEY 11MM

Facility

$321.00

Hospital Charge Code	270657432
Hospital Revenue Code	272
Min. Negotiated Rate	$48.15
Max. Negotiated Rate	$48.15
Rate for Payer: Qualcare PPO/HMO/WC	$48.15

CANNULA BERKELEY CURVED VCURET

Facility

$478.95

Hospital Charge Code	270651734
Hospital Revenue Code	272
Min. Negotiated Rate	$62.26
Max. Negotiated Rate	$239.47
Rate for Payer: Aetna Commercial	$143.69
Rate for Payer: Aetna Medicare Advantage	$143.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.13
Rate for Payer: Cigna Commercial	$239.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.26
Rate for Payer: Oxford Commercial	$239.47
Rate for Payer: Qualcare PPO/HMO/WC	$71.84
Rate for Payer: UnitedHealthcare Commercial	$239.47

CANNULA BERKELEY CURVED VCURET

Facility

$478.95

Hospital Charge Code	270651734
Hospital Revenue Code	272
Min. Negotiated Rate	$71.84
Max. Negotiated Rate	$71.84
Rate for Payer: Qualcare PPO/HMO/WC	$71.84

CANNULA BIO DELIVERY

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270701780
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$937.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

CANNULA BIO DELIVERY

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270701780
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

CANNULA BIO-MEDICUS 15FR EA

Facility

$1,594.00

Hospital Charge Code	2703110I
Hospital Revenue Code	272
Min. Negotiated Rate	$207.22
Max. Negotiated Rate	$797.00
Rate for Payer: Aetna Commercial	$478.20
Rate for Payer: Aetna Medicare Advantage	$478.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.47
Rate for Payer: Cigna Commercial	$797.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.22
Rate for Payer: Oxford Commercial	$797.00
Rate for Payer: Qualcare PPO/HMO/WC	$239.10
Rate for Payer: UnitedHealthcare Commercial	$797.00

CANNULA BIO-MEDICUS 15FR EA

Facility

$1,594.00

Hospital Charge Code	2703110I
Hospital Revenue Code	272
Min. Negotiated Rate	$239.10
Max. Negotiated Rate	$239.10
Rate for Payer: Qualcare PPO/HMO/WC	$239.10

CANNULA BIO-MEDICUS 17FR EA

Facility

$1,594.00

Hospital Charge Code	2703110J
Hospital Revenue Code	272
Min. Negotiated Rate	$207.22
Max. Negotiated Rate	$797.00
Rate for Payer: Aetna Commercial	$478.20
Rate for Payer: Aetna Medicare Advantage	$478.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.47
Rate for Payer: Cigna Commercial	$797.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.22
Rate for Payer: Oxford Commercial	$797.00
Rate for Payer: Qualcare PPO/HMO/WC	$239.10
Rate for Payer: UnitedHealthcare Commercial	$797.00

CANNULA BIO-MEDICUS 17FR EA

Facility

$1,594.00

Hospital Charge Code	2703110J
Hospital Revenue Code	272
Min. Negotiated Rate	$239.10
Max. Negotiated Rate	$239.10
Rate for Payer: Qualcare PPO/HMO/WC	$239.10

CANNULABIO-MEDICUS 17FR EA

Facility

$1,894.00

Hospital Charge Code	2703110D
Hospital Revenue Code	272
Min. Negotiated Rate	$246.22
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$568.20
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.22
Rate for Payer: Oxford Commercial	$947.00
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$947.00

CANNULABIO-MEDICUS 17FR EA

Facility

$1,894.00

Hospital Charge Code	2703110D
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

CANNULABIO-MEDICUS 19FR EA

Facility

$1,894.00

Hospital Charge Code	2703110E
Hospital Revenue Code	272
Min. Negotiated Rate	$246.22
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$568.20
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.22
Rate for Payer: Oxford Commercial	$947.00
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$947.00

CANNULABIO-MEDICUS 19FR EA

Facility

$1,894.00

Hospital Charge Code	2703110E
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

CANNULA, BIO-MEDICUS 21FR

Facility

$2,114.00

Hospital Charge Code	2703110K
Hospital Revenue Code	272
Min. Negotiated Rate	$317.10
Max. Negotiated Rate	$317.10
Rate for Payer: Qualcare PPO/HMO/WC	$317.10

CANNULA, BIO-MEDICUS 21FR

Facility

$2,114.00

Hospital Charge Code	2703110K
Hospital Revenue Code	272
Min. Negotiated Rate	$274.82
Max. Negotiated Rate	$1,057.00
Rate for Payer: Aetna Commercial	$634.20
Rate for Payer: Aetna Medicare Advantage	$634.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.07
Rate for Payer: Cigna Commercial	$1,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.82
Rate for Payer: Oxford Commercial	$1,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$317.10
Rate for Payer: UnitedHealthcare Commercial	$1,057.00

CANNULABIO-MEDICUS 21FR EA

Facility

$1,894.00

Hospital Charge Code	2703110F
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

CANNULABIO-MEDICUS 21FR EA

Facility

$1,894.00

Hospital Charge Code	2703110F
Hospital Revenue Code	272
Min. Negotiated Rate	$246.22
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$568.20
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.22
Rate for Payer: Oxford Commercial	$947.00
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$947.00

Know your out-of-pocket cost for care.

All Charges