Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA JABCZENSKI DUCTOGRAM

Facility

$130.90

Hospital Charge Code	270678969R
Hospital Revenue Code	272
Min. Negotiated Rate	$17.02
Max. Negotiated Rate	$65.45
Rate for Payer: Aetna Commercial	$39.27
Rate for Payer: Aetna Medicare Advantage	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.38
Rate for Payer: Cigna Commercial	$65.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.02
Rate for Payer: Oxford Commercial	$65.45
Rate for Payer: Qualcare PPO/HMO/WC	$19.64
Rate for Payer: UnitedHealthcare Commercial	$65.45

CANNULA J-SHAPED

Facility

$27.00

Hospital Charge Code	1608264
Hospital Revenue Code	251
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

CANNULA J-SHAPED

Facility

$27.00

Hospital Charge Code	1608264
Hospital Revenue Code	251
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$8.10
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$13.50

CANNULA KNEE SCP ACCUPORT

Facility

$21,825.00

Hospital Charge Code	270688752
Hospital Revenue Code	272
Min. Negotiated Rate	$2,837.25
Max. Negotiated Rate	$10,912.50
Rate for Payer: Aetna Commercial	$6,547.50
Rate for Payer: Aetna Medicare Advantage	$6,547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,565.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,565.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,565.38
Rate for Payer: Cigna Commercial	$10,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.25
Rate for Payer: Oxford Commercial	$10,912.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,273.75
Rate for Payer: UnitedHealthcare Commercial	$10,912.50

CANNULA KNEE SCP ACCUPORT

Facility

$21,825.00

Hospital Charge Code	270688752
Hospital Revenue Code	272
Min. Negotiated Rate	$3,273.75
Max. Negotiated Rate	$3,273.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,273.75

CANNULA LIPIVAGE HARVESTER

Facility

$950.00

Service Code	HCPCS A4649
Hospital Charge Code	270699918
Hospital Revenue Code	272
Min. Negotiated Rate	$123.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$475.00

CANNULA LIPIVAGE HARVESTER

Facility

$950.00

Service Code	HCPCS A4649
Hospital Charge Code	270699918
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

CANNULA LK 3.0-11.5 BEVEL TIP

Facility

$1,099.15

Hospital Charge Code	270670668
Hospital Revenue Code	272
Min. Negotiated Rate	$164.87
Max. Negotiated Rate	$164.87
Rate for Payer: Qualcare PPO/HMO/WC	$164.87

CANNULA LK 3.0-11.5 BEVEL TIP

Facility

$1,099.15

Hospital Charge Code	270670668
Hospital Revenue Code	272
Min. Negotiated Rate	$142.89
Max. Negotiated Rate	$549.58
Rate for Payer: Aetna Commercial	$329.75
Rate for Payer: Aetna Medicare Advantage	$329.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.28
Rate for Payer: Cigna Commercial	$549.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.89
Rate for Payer: Oxford Commercial	$549.58
Rate for Payer: Qualcare PPO/HMO/WC	$164.87
Rate for Payer: UnitedHealthcare Commercial	$549.58

CANNULA LOCKING 3 DMD TIP LNG

Facility

$1,099.15

Hospital Charge Code	270670672
Hospital Revenue Code	272
Min. Negotiated Rate	$142.89
Max. Negotiated Rate	$549.58
Rate for Payer: Aetna Commercial	$329.75
Rate for Payer: Aetna Medicare Advantage	$329.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.28
Rate for Payer: Cigna Commercial	$549.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.89
Rate for Payer: Oxford Commercial	$549.58
Rate for Payer: Qualcare PPO/HMO/WC	$164.87
Rate for Payer: UnitedHealthcare Commercial	$549.58

CANNULA LOCKING 3 DMD TIP LNG

Facility

$1,099.15

Hospital Charge Code	270670672
Hospital Revenue Code	272
Min. Negotiated Rate	$164.87
Max. Negotiated Rate	$164.87
Rate for Payer: Qualcare PPO/HMO/WC	$164.87

CANNULA MCV CONTOUR 5 3085

Facility

$433.65

Hospital Charge Code	270604748
Hospital Revenue Code	272
Min. Negotiated Rate	$65.05
Max. Negotiated Rate	$65.05
Rate for Payer: Qualcare PPO/HMO/WC	$65.05

CANNULA MCV CONTOUR 5 3085

Facility

$433.65

Hospital Charge Code	270604748
Hospital Revenue Code	272
Min. Negotiated Rate	$56.37
Max. Negotiated Rate	$216.82
Rate for Payer: Aetna Commercial	$130.09
Rate for Payer: Aetna Medicare Advantage	$130.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.58
Rate for Payer: Cigna Commercial	$216.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.37
Rate for Payer: Oxford Commercial	$216.82
Rate for Payer: Qualcare PPO/HMO/WC	$65.05
Rate for Payer: UnitedHealthcare Commercial	$216.82

CANNULA MCV CONTOUR 6****

Facility

$168.00

Hospital Charge Code	270604749
Hospital Revenue Code	279
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

CANNULA MCV CONTOUR 6****

Facility

$168.00

Hospital Charge Code	270604749
Hospital Revenue Code	279
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$50.40
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$84.00

CANNULA MCV CONTOUR 7 3087

Facility

$227.45

Hospital Charge Code	270604750
Hospital Revenue Code	272
Min. Negotiated Rate	$29.57
Max. Negotiated Rate	$113.72
Rate for Payer: Aetna Commercial	$68.23
Rate for Payer: Aetna Medicare Advantage	$68.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.00
Rate for Payer: Cigna Commercial	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.57
Rate for Payer: Oxford Commercial	$113.72
Rate for Payer: Qualcare PPO/HMO/WC	$34.12
Rate for Payer: UnitedHealthcare Commercial	$113.72

CANNULA MCV CONTOUR 7 3087

Facility

$227.45

Hospital Charge Code	270604750
Hospital Revenue Code	272
Min. Negotiated Rate	$34.12
Max. Negotiated Rate	$34.12
Rate for Payer: Qualcare PPO/HMO/WC	$34.12

CANNULA MCV CONTOUR 9 3089

Facility

$433.65

Hospital Charge Code	270604752
Hospital Revenue Code	272
Min. Negotiated Rate	$56.37
Max. Negotiated Rate	$216.82
Rate for Payer: Aetna Commercial	$130.09
Rate for Payer: Aetna Medicare Advantage	$130.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.58
Rate for Payer: Cigna Commercial	$216.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.37
Rate for Payer: Oxford Commercial	$216.82
Rate for Payer: Qualcare PPO/HMO/WC	$65.05
Rate for Payer: UnitedHealthcare Commercial	$216.82

CANNULA MCV CONTOUR 9 3089

Facility

$433.65

Hospital Charge Code	270604752
Hospital Revenue Code	272
Min. Negotiated Rate	$65.05
Max. Negotiated Rate	$65.05
Rate for Payer: Qualcare PPO/HMO/WC	$65.05

CANNULA MCV CONTOUR ERCP 5528

Facility

$544.85

Hospital Charge Code	270600936
Hospital Revenue Code	272
Min. Negotiated Rate	$70.83
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$163.46
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.83
Rate for Payer: Oxford Commercial	$272.43
Rate for Payer: Qualcare PPO/HMO/WC	$81.73
Rate for Payer: UnitedHealthcare Commercial	$272.43

CANNULA MCV CONTOUR ERCP 5528

Facility

$544.85

Hospital Charge Code	270600936
Hospital Revenue Code	272
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$81.73
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

CANNULA MCV CONTOUR TPR 308610

Facility

$365.65

Hospital Charge Code	270610582
Hospital Revenue Code	272
Min. Negotiated Rate	$47.53
Max. Negotiated Rate	$182.82
Rate for Payer: Aetna Commercial	$109.69
Rate for Payer: Aetna Medicare Advantage	$109.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.24
Rate for Payer: Cigna Commercial	$182.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.53
Rate for Payer: Oxford Commercial	$182.82
Rate for Payer: Qualcare PPO/HMO/WC	$54.85
Rate for Payer: UnitedHealthcare Commercial	$182.82

CANNULA MCV CONTOUR TPR 308610

Facility

$365.65

Hospital Charge Code	270610582
Hospital Revenue Code	272
Min. Negotiated Rate	$54.85
Max. Negotiated Rate	$54.85
Rate for Payer: Qualcare PPO/HMO/WC	$54.85

CANNULA MCV CONTOUR U-TPR

Facility

$326.45

Hospital Charge Code	270608076
Hospital Revenue Code	272
Min. Negotiated Rate	$42.44
Max. Negotiated Rate	$163.22
Rate for Payer: Aetna Commercial	$97.94
Rate for Payer: Aetna Medicare Advantage	$97.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.24
Rate for Payer: Cigna Commercial	$163.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.44
Rate for Payer: Oxford Commercial	$163.22
Rate for Payer: Qualcare PPO/HMO/WC	$48.97
Rate for Payer: UnitedHealthcare Commercial	$163.22

CANNULA MCV CONTOUR U-TPR

Facility

$326.45

Hospital Charge Code	270608076
Hospital Revenue Code	272
Min. Negotiated Rate	$48.97
Max. Negotiated Rate	$48.97
Rate for Payer: Qualcare PPO/HMO/WC	$48.97

Know your out-of-pocket cost for care.

All Charges