Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA BIO-MEDICUS 23FR EA

Facility

$1,894.00

Hospital Charge Code	2703110G
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 23FR EA

Facility

$1,894.00

Hospital Charge Code	2703110G
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

CANNULA, BIO-MEDICUS 25FR

Facility

$2,114.00

Hospital Charge Code	2703110IL
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

CANNULA, BIO-MEDICUS 25FR

Facility

$2,114.00

Hospital Charge Code	2703110IL
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 25FR EA

Facility

$1,894.00

Hospital Charge Code	2703110H
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 25FR EA

Facility

$1,894.00

Hospital Charge Code	2703110H
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

CANNULA BLADELESS 7/8 MM

Facility

$693.06

Hospital Charge Code	270692851
Hospital Revenue Code	272
Min. Negotiated Rate	$103.96
Max. Negotiated Rate	$103.96
Rate for Payer: Qualcare PPO/HMO/WC	$103.96

CANNULA BLADELESS 7/8 MM

Facility

$693.06

Hospital Charge Code	270692851
Hospital Revenue Code	272
Min. Negotiated Rate	$90.10
Max. Negotiated Rate	$346.53
Rate for Payer: Aetna Commercial	$207.92
Rate for Payer: Aetna Medicare Advantage	$207.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.73
Rate for Payer: Cigna Commercial	$346.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.10
Rate for Payer: Oxford Commercial	$346.53
Rate for Payer: Qualcare PPO/HMO/WC	$103.96
Rate for Payer: UnitedHealthcare Commercial	$346.53

CANNULA CAPS LOCK 70MMX8.6MM

Facility

$162.50

Hospital Charge Code	270669993
Hospital Revenue Code	272
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$81.25
Rate for Payer: Aetna Commercial	$48.75
Rate for Payer: Aetna Medicare Advantage	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.44
Rate for Payer: Cigna Commercial	$81.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.12
Rate for Payer: Oxford Commercial	$81.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.38
Rate for Payer: UnitedHealthcare Commercial	$81.25

CANNULA CAPS LOCK 70MMX8.6MM

Facility

$162.50

Hospital Charge Code	270669993
Hospital Revenue Code	272
Min. Negotiated Rate	$24.38
Max. Negotiated Rate	$24.38
Rate for Payer: Qualcare PPO/HMO/WC	$24.38

CANNULA CONTOUR ERCP****

Facility

$106.00

Hospital Charge Code	279600936
Hospital Revenue Code	279
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.90

CANNULA CONTOUR ERCP****

Facility

$106.00

Hospital Charge Code	279600936
Hospital Revenue Code	279
Min. Negotiated Rate	$13.78
Max. Negotiated Rate	$53.00
Rate for Payer: Aetna Commercial	$31.80
Rate for Payer: Aetna Medicare Advantage	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.03
Rate for Payer: Cigna Commercial	$53.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.78
Rate for Payer: Oxford Commercial	$53.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.90
Rate for Payer: UnitedHealthcare Commercial	$53.00

CANNULA CRYSTAL

Facility

$180.00

Hospital Charge Code	270690874
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

CANNULA CRYSTAL

Facility

$180.00

Hospital Charge Code	270690874
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

CANNULA CURVED FLAIR TIP W/7

Facility

$77.80

Hospital Charge Code	270651733
Hospital Revenue Code	272
Min. Negotiated Rate	$10.11
Max. Negotiated Rate	$38.90
Rate for Payer: Aetna Commercial	$23.34
Rate for Payer: Aetna Medicare Advantage	$23.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.84
Rate for Payer: Cigna Commercial	$38.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.11
Rate for Payer: Oxford Commercial	$38.90
Rate for Payer: Qualcare PPO/HMO/WC	$11.67
Rate for Payer: UnitedHealthcare Commercial	$38.90

CANNULA CURVED FLAIR TIP W/7

Facility

$77.80

Hospital Charge Code	270651733
Hospital Revenue Code	272
Min. Negotiated Rate	$11.67
Max. Negotiated Rate	$11.67
Rate for Payer: Qualcare PPO/HMO/WC	$11.67

CANNULA CURVED W/7IN FLAIRTIP

Facility

$77.80

Hospital Charge Code	270657354
Hospital Revenue Code	278
Min. Negotiated Rate	$11.67
Max. Negotiated Rate	$38.90
Rate for Payer: Aetna Medicare Advantage	$23.34
Rate for Payer: Aetna Commercial	$23.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.84
Rate for Payer: Cigna Commercial	$38.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.67

CANNULA CURVED W/7IN FLAIRTIP

Facility

$77.80

Hospital Charge Code	270657354
Hospital Revenue Code	278
Min. Negotiated Rate	$11.67
Max. Negotiated Rate	$18.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.67

CANNULA CUT FLEX

Facility

$325.00

Hospital Charge Code	270677468
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

CANNULA CUT FLEX

Facility

$325.00

Hospital Charge Code	270677468
Hospital Revenue Code	272
Min. Negotiated Rate	$42.25
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$97.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$162.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$162.50

CANNULA DRI-LOK 8.0m3910075800

Facility

$127.75

Hospital Charge Code	270641989
Hospital Revenue Code	272
Min. Negotiated Rate	$16.61
Max. Negotiated Rate	$63.88
Rate for Payer: Aetna Commercial	$38.33
Rate for Payer: Aetna Medicare Advantage	$38.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.58
Rate for Payer: Cigna Commercial	$63.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.61
Rate for Payer: Oxford Commercial	$63.88
Rate for Payer: Qualcare PPO/HMO/WC	$19.16
Rate for Payer: UnitedHealthcare Commercial	$63.88

CANNULA DRI-LOK 8.0m3910075800

Facility

$127.75

Hospital Charge Code	270641989
Hospital Revenue Code	272
Min. Negotiated Rate	$19.16
Max. Negotiated Rate	$19.16
Rate for Payer: Qualcare PPO/HMO/WC	$19.16

CANNULA DRI-LOK 8mm3910075501

Facility

$127.75

Hospital Charge Code	270641988
Hospital Revenue Code	272
Min. Negotiated Rate	$16.61
Max. Negotiated Rate	$63.88
Rate for Payer: Aetna Commercial	$38.33
Rate for Payer: Aetna Medicare Advantage	$38.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.58
Rate for Payer: Cigna Commercial	$63.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.61
Rate for Payer: Oxford Commercial	$63.88
Rate for Payer: Qualcare PPO/HMO/WC	$19.16
Rate for Payer: UnitedHealthcare Commercial	$63.88

CANNULA DRI-LOK 8mm3910075501

Facility

$127.75

Hospital Charge Code	270641988
Hospital Revenue Code	272
Min. Negotiated Rate	$19.16
Max. Negotiated Rate	$19.16
Rate for Payer: Qualcare PPO/HMO/WC	$19.16

CANNULA ENDOPATH XCEL 11x100MM

Facility

$90.00

Hospital Charge Code	270671543
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

Know your out-of-pocket cost for care.

All Charges