Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA SIZE 8.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690817
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 8.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690817
Hospital Revenue Code	272
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$87.25
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.81
Rate for Payer: Oxford Commercial	$145.43
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$145.43

CANNULA SIZE 8 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690816
Hospital Revenue Code	272
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$87.25
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.81
Rate for Payer: Oxford Commercial	$145.43
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$145.43

CANNULA SIZE 8 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690816
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 9 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690818
Hospital Revenue Code	272
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$87.25
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.81
Rate for Payer: Oxford Commercial	$145.43
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$145.43

CANNULA SIZE 9 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690818
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SLOTTED

Facility

$2,635.00

Hospital Charge Code	270649463
Hospital Revenue Code	272
Min. Negotiated Rate	$395.25
Max. Negotiated Rate	$395.25
Rate for Payer: Qualcare PPO/HMO/WC	$395.25

CANNULA SLOTTED

Facility

$2,635.00

Hospital Charge Code	270649463
Hospital Revenue Code	272
Min. Negotiated Rate	$342.55
Max. Negotiated Rate	$1,317.50
Rate for Payer: Aetna Commercial	$790.50
Rate for Payer: Aetna Medicare Advantage	$790.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$671.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$671.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$671.92
Rate for Payer: Cigna Commercial	$1,317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.55
Rate for Payer: Oxford Commercial	$1,317.50
Rate for Payer: Qualcare PPO/HMO/WC	$395.25
Rate for Payer: UnitedHealthcare Commercial	$1,317.50

CANNULA SMOOTH 7X75 214114

Facility

$640.00

Hospital Charge Code	270641923
Hospital Revenue Code	272
Min. Negotiated Rate	$83.20
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$192.00
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.20
Rate for Payer: Oxford Commercial	$320.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00
Rate for Payer: UnitedHealthcare Commercial	$320.00

CANNULA SMOOTH 7X75 214114

Facility

$640.00

Hospital Charge Code	270641923
Hospital Revenue Code	272
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

CANNULA STAPLER 12 MM

Facility

$6,250.00

Hospital Charge Code	270691090
Hospital Revenue Code	272
Min. Negotiated Rate	$812.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$3,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$3,125.00

CANNULA STAPLER 12 MM

Facility

$6,250.00

Hospital Charge Code	270691090
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

CANNULA STR RF 5CM 2MM 21G

Facility

$77.50

Hospital Charge Code	270657280
Hospital Revenue Code	272
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$11.62

CANNULA STR RF 5CM 2MM 21G

Facility

$77.50

Hospital Charge Code	270657280
Hospital Revenue Code	272
Min. Negotiated Rate	$10.07
Max. Negotiated Rate	$38.75
Rate for Payer: Aetna Commercial	$23.25
Rate for Payer: Aetna Medicare Advantage	$23.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.76
Rate for Payer: Cigna Commercial	$38.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.07
Rate for Payer: Oxford Commercial	$38.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.62
Rate for Payer: UnitedHealthcare Commercial	$38.75

CANNULA STRY 6.5 275900001

Facility

$99.25

Hospital Charge Code	270624902
Hospital Revenue Code	272
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$29.77
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.90
Rate for Payer: Oxford Commercial	$49.62
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$49.62

CANNULA STRY 6.5 275900001

Facility

$99.25

Hospital Charge Code	270624902
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

CANNULA SZ 6 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690813
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SZ 6 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690813
Hospital Revenue Code	272
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$87.25
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.81
Rate for Payer: Oxford Commercial	$145.43
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$145.43

CANNULA T15 HEXALOBE

Facility

$975.00

Hospital Charge Code	270691764
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

CANNULA T15 HEXALOBE

Facility

$975.00

Hospital Charge Code	270691764
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CANNULATED DRILL 3MM

Facility

$1,262.25

Hospital Charge Code	270705562
Hospital Revenue Code	279
Min. Negotiated Rate	$164.09
Max. Negotiated Rate	$631.12
Rate for Payer: Aetna Commercial	$378.68
Rate for Payer: Aetna Medicare Advantage	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.87
Rate for Payer: Cigna Commercial	$631.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.09
Rate for Payer: Oxford Commercial	$631.12
Rate for Payer: Qualcare PPO/HMO/WC	$189.34
Rate for Payer: UnitedHealthcare Commercial	$631.12

CANNULATED DRILL 3MM

Facility

$1,262.25

Hospital Charge Code	270705562
Hospital Revenue Code	279
Min. Negotiated Rate	$189.34
Max. Negotiated Rate	$189.34
Rate for Payer: Qualcare PPO/HMO/WC	$189.34

CANNULATED DRILL 4.5 MM

Facility

$975.00

Hospital Charge Code	270684324
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

CANNULATED DRILL 4.5 MM

Facility

$975.00

Hospital Charge Code	270684324
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CANNULATED DRILL 7MM X 200MM

Facility

$1,180.00

Hospital Charge Code	270659841
Hospital Revenue Code	272
Min. Negotiated Rate	$153.40
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.40
Rate for Payer: Oxford Commercial	$590.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$590.00

Know your out-of-pocket cost for care.

All Charges