Heights University Hospital

All Charges

Charge

Type

Setting

Price

CENTRALIZER BMT FEM 13 162713

Facility

$5,564.85

Hospital Charge Code	270617515
Hospital Revenue Code	278
Min. Negotiated Rate	$834.73
Max. Negotiated Rate	$1,346.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.69
Rate for Payer: Qualcare PPO/HMO/WC	$834.73

CENTRALIZER BMT FEM 13 162713

Facility

$5,564.85

Hospital Charge Code	270617515
Hospital Revenue Code	278
Min. Negotiated Rate	$834.73
Max. Negotiated Rate	$2,782.43
Rate for Payer: Aetna Commercial	$1,669.45
Rate for Payer: Aetna Medicare Advantage	$1,669.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,419.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,419.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,419.04
Rate for Payer: Cigna Commercial	$2,782.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.69
Rate for Payer: Qualcare PPO/HMO/WC	$834.73

CENTRALIZER DIST 17 OD 785917

Facility

$437.30

Hospital Charge Code	270638867
Hospital Revenue Code	278
Min. Negotiated Rate	$65.59
Max. Negotiated Rate	$218.65
Rate for Payer: Aetna Commercial	$131.19
Rate for Payer: Aetna Medicare Advantage	$131.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.51
Rate for Payer: Cigna Commercial	$218.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.83
Rate for Payer: Qualcare PPO/HMO/WC	$65.59

CENTRALIZER DIST 17 OD 785917

Facility

$437.30

Hospital Charge Code	270638867
Hospital Revenue Code	278
Min. Negotiated Rate	$65.59
Max. Negotiated Rate	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.83
Rate for Payer: Qualcare PPO/HMO/WC	$65.59

CENTRALIZER DISTAL 11MM

Facility

$775.00

Service Code	HCPCS C1776
Hospital Charge Code	270605408
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CENTRALIZER DISTAL 11MM

Facility

$775.00

Service Code	HCPCS C1776
Hospital Charge Code	270605408
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CENTRALIZER DISTAL 9mm 162656

Facility

$700.00

Service Code	HCPCS C1776
Hospital Charge Code	270625861
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CENTRALIZER DISTAL 9mm 162656

Facility

$700.00

Service Code	HCPCS C1776
Hospital Charge Code	270625861
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CENTRALIZER ZIM VS 10MM 785910

Facility

$769.65

Hospital Charge Code	270606002
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$186.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.26
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

CENTRALIZER ZIM VS 10MM 785910

Facility

$769.65

Hospital Charge Code	270606002
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$384.82
Rate for Payer: Aetna Commercial	$230.90
Rate for Payer: Aetna Medicare Advantage	$230.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.26
Rate for Payer: Cigna Commercial	$384.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.26
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

CENTRALIZER ZIM VS 11MM 785911

Facility

$769.65

Hospital Charge Code	270606809
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$384.82
Rate for Payer: Aetna Commercial	$230.90
Rate for Payer: Aetna Medicare Advantage	$230.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.26
Rate for Payer: Cigna Commercial	$384.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.26
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

CENTRALIZER ZIM VS 11MM 785911

Facility

$769.65

Hospital Charge Code	270606809
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$186.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.26
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

CENTRALIZER ZIM VS 12MM 785912

Facility

$420.50

Hospital Charge Code	270609817
Hospital Revenue Code	278
Min. Negotiated Rate	$63.08
Max. Negotiated Rate	$101.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.08

CENTRALIZER ZIM VS 12MM 785912

Facility

$420.50

Hospital Charge Code	270609817
Hospital Revenue Code	278
Min. Negotiated Rate	$63.08
Max. Negotiated Rate	$210.25
Rate for Payer: Aetna Commercial	$126.15
Rate for Payer: Aetna Medicare Advantage	$126.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.23
Rate for Payer: Cigna Commercial	$210.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.76
Rate for Payer: Qualcare PPO/HMO/WC	$63.08

CENTRALIZER ZIM VS 13MM 785913

Facility

$525.65

Hospital Charge Code	270615367
Hospital Revenue Code	278
Min. Negotiated Rate	$78.85
Max. Negotiated Rate	$262.82
Rate for Payer: Aetna Commercial	$157.69
Rate for Payer: Aetna Medicare Advantage	$157.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.04
Rate for Payer: Cigna Commercial	$262.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.21
Rate for Payer: Qualcare PPO/HMO/WC	$78.85

CENTRALIZER ZIM VS 13MM 785913

Facility

$525.65

Hospital Charge Code	270615367
Hospital Revenue Code	278
Min. Negotiated Rate	$78.85
Max. Negotiated Rate	$127.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.21
Rate for Payer: Qualcare PPO/HMO/WC	$78.85

CENTRALIZER ZIM VS 14MM 785514

Facility

$346.45

Hospital Charge Code	270610797
Hospital Revenue Code	278
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$173.22
Rate for Payer: Aetna Commercial	$103.94
Rate for Payer: Aetna Medicare Advantage	$103.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.34
Rate for Payer: Cigna Commercial	$173.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.84
Rate for Payer: Qualcare PPO/HMO/WC	$51.97

CENTRALIZER ZIM VS 14MM 785514

Facility

$346.45

Hospital Charge Code	270610797
Hospital Revenue Code	278
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$83.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.84
Rate for Payer: Qualcare PPO/HMO/WC	$51.97

CENTRALIZER ZIM VS 14MM 785914

Facility

$461.65

Hospital Charge Code	270612221
Hospital Revenue Code	278
Min. Negotiated Rate	$69.25
Max. Negotiated Rate	$230.82
Rate for Payer: Aetna Commercial	$138.50
Rate for Payer: Aetna Medicare Advantage	$138.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.72
Rate for Payer: Cigna Commercial	$230.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.72
Rate for Payer: Qualcare PPO/HMO/WC	$69.25

CENTRALIZER ZIM VS 14MM 785914

Facility

$461.65

Hospital Charge Code	270612221
Hospital Revenue Code	278
Min. Negotiated Rate	$69.25
Max. Negotiated Rate	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.72
Rate for Payer: Qualcare PPO/HMO/WC	$69.25

CENTRALIZER ZIM VS 15MM 785915

Facility

$769.65

Hospital Charge Code	270608928
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$384.82
Rate for Payer: Aetna Commercial	$230.90
Rate for Payer: Aetna Medicare Advantage	$230.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.26
Rate for Payer: Cigna Commercial	$384.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.26
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

CENTRALIZER ZIM VS 15MM 785915

Facility

$769.65

Hospital Charge Code	270608928
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$186.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.26
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

CENTRALIZER ZIM VS 16MM 785916

Facility

$568.00

Hospital Charge Code	270619569
Hospital Revenue Code	278
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$284.00
Rate for Payer: Aetna Commercial	$170.40
Rate for Payer: Aetna Medicare Advantage	$170.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.84
Rate for Payer: Cigna Commercial	$284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

CENTRALIZER ZIM VS 16MM 785916

Facility

$568.00

Hospital Charge Code	270619569
Hospital Revenue Code	278
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$137.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

CENTRAL PARENTERAL NUTRITION

Facility

$851.25

Hospital Charge Code	6007116
Hospital Revenue Code	250
Min. Negotiated Rate	$110.66
Max. Negotiated Rate	$425.62
Rate for Payer: Aetna Commercial	$255.38
Rate for Payer: Aetna Medicare Advantage	$255.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.07
Rate for Payer: Cigna Commercial	$425.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.66
Rate for Payer: Oxford Commercial	$425.62
Rate for Payer: Qualcare PPO/HMO/WC	$127.69
Rate for Payer: UnitedHealthcare Commercial	$425.62

Know your out-of-pocket cost for care.

All Charges