Heights University Hospital

All Charges

Charge

Type

Setting

Price

ACTIVE WOUND 20 CM OR LES

Facility

$411.00

Service Code	HCPCS 97597
Hospital Charge Code	94186085
Hospital Revenue Code	361
Min. Negotiated Rate	$53.43
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$123.30
Rate for Payer: Aetna Medicare Advantage	$123.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.81
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.43
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

ACTIVITY THERAPY

Facility

$165.80

Hospital Charge Code	50010
Hospital Revenue Code	904
Min. Negotiated Rate	$21.55
Max. Negotiated Rate	$82.90
Rate for Payer: Aetna Commercial	$49.74
Rate for Payer: Aetna Medicare Advantage	$49.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.28
Rate for Payer: Cigna Commercial	$82.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.55
Rate for Payer: Qualcare PPO/HMO/WC	$24.87

ACTIVITY THERAPY

Facility

$165.80

Hospital Charge Code	50010
Hospital Revenue Code	904
Min. Negotiated Rate	$24.87
Max. Negotiated Rate	$24.87
Rate for Payer: Qualcare PPO/HMO/WC	$24.87

ACTONEL 35MG

Facility

$27.00

Hospital Charge Code	60635501
Hospital Revenue Code	250
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

ACTONEL 35MG

Facility

$27.00

Hospital Charge Code	60635501
Hospital Revenue Code	250
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

ACTONEL 35MG TAB

Facility

$7.00

Hospital Charge Code	60635519
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

ACTONEL 35MG TAB

Facility

$7.00

Hospital Charge Code	60635519
Hospital Revenue Code	250
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

ACTONEL 5MG TAB

Facility

$3.00

Hospital Charge Code	60635400
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ACTONEL 5MG TAB

Facility

$3.00

Hospital Charge Code	60635400
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

ACULOC 2 STANDARD LONG PLATE R

Facility

$5,750.00

Hospital Charge Code	270656022
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$2,875.00
Rate for Payer: Aetna Commercial	$1,725.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$2,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

ACULOC 2 STANDARD LONG PLATE R

Facility

$5,750.00

Hospital Charge Code	270656022
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

ACULOC2-VNR-NARROW LONG PLT.

Facility

$6,335.00

Hospital Charge Code	270656021
Hospital Revenue Code	278
Min. Negotiated Rate	$950.25
Max. Negotiated Rate	$1,533.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,533.07
Rate for Payer: Qualcare PPO/HMO/WC	$950.25

ACULOC2-VNR-NARROW LONG PLT.

Facility

$6,335.00

Hospital Charge Code	270656021
Hospital Revenue Code	278
Min. Negotiated Rate	$950.25
Max. Negotiated Rate	$3,167.50
Rate for Payer: Aetna Commercial	$1,900.50
Rate for Payer: Aetna Medicare Advantage	$1,900.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,615.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,615.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,615.42
Rate for Payer: Cigna Commercial	$3,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,533.07
Rate for Payer: Qualcare PPO/HMO/WC	$950.25

ACUMATCH XLE LINER SZ G 32MM

Facility

$19,310.00

Service Code	HCPCS C1776
Hospital Charge Code	270691337
Hospital Revenue Code	278
Min. Negotiated Rate	$2,896.50
Max. Negotiated Rate	$9,655.00
Rate for Payer: Aetna Commercial	$5,793.00
Rate for Payer: Aetna Medicare Advantage	$5,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,924.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,924.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,924.05
Rate for Payer: Cigna Commercial	$9,655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,673.02
Rate for Payer: Qualcare PPO/HMO/WC	$2,896.50

ACUMATCH XLE LINER SZ G 32MM

Facility

$19,310.00

Service Code	HCPCS C1776
Hospital Charge Code	270691337
Hospital Revenue Code	278
Min. Negotiated Rate	$2,896.50
Max. Negotiated Rate	$4,673.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,862.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,673.02
Rate for Payer: Qualcare PPO/HMO/WC	$2,896.50

ACUPAC ADVANCED ALLOGRFT 2.5CC

Facility

$10,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270696752
Hospital Revenue Code	278
Min. Negotiated Rate	$1,593.75
Max. Negotiated Rate	$2,571.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,593.75

ACUPAC ADVANCED ALLOGRFT 2.5CC

Facility

$10,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270696752
Hospital Revenue Code	278
Min. Negotiated Rate	$1,593.75
Max. Negotiated Rate	$5,312.50
Rate for Payer: Aetna Commercial	$3,187.50
Rate for Payer: Aetna Medicare Advantage	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,709.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,709.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,709.38
Rate for Payer: Cigna Commercial	$5,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,593.75

ACUSNARE POLYPECTOMY

Facility

$58.00

Hospital Charge Code	270325601
Hospital Revenue Code	272
Min. Negotiated Rate	$7.54
Max. Negotiated Rate	$29.00
Rate for Payer: Aetna Commercial	$17.40
Rate for Payer: Aetna Medicare Advantage	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.79
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.54
Rate for Payer: Oxford Commercial	$29.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$29.00

ACUSNARE POLYPECTOMY

Facility

$58.00

Hospital Charge Code	270325601
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION

Facility

$39,692.73

Service Code	MSDRG 880
Min. Negotiated Rate	$10,478.26
Max. Negotiated Rate	$39,692.73
Rate for Payer: Aetna Commercial	$32,377.82
Rate for Payer: Aetna Medicare Advantage	$10,478.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,188.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,188.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,230.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,188.65
Rate for Payer: Cigna Commercial	$20,664.46
Rate for Payer: Cigna Medicare Advantage	$13,230.91
Rate for Payer: Clover Medicare Advantage	$12,569.36
Rate for Payer: EmblemHealth Commercial	$39,692.73
Rate for Payer: Humana Medicare Advantage	$13,627.84
Rate for Payer: Oxford Commercial	$12,914.69
Rate for Payer: UnitedHealthcare Commercial	$14,659.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,230.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,024.76
Rate for Payer: Wellcare Medicare Advantage	$13,230.91

ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$30,216.69

Service Code	APR-DRG 1934
Min. Negotiated Rate	$28,906.04
Max. Negotiated Rate	$30,216.69
Rate for Payer: Aetna Better Health Medicaid	$29,624.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,216.69
Rate for Payer: Wellpoint Medicaid Managed Care	$28,906.04

ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$10,659.23

Service Code	APR-DRG 1931
Min. Negotiated Rate	$9,039.10
Max. Negotiated Rate	$10,659.23
Rate for Payer: Aetna Better Health Medicaid	$10,450.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,659.23
Rate for Payer: Wellpoint Medicaid Managed Care	$9,039.10

ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$14,755.83

Service Code	APR-DRG 1932
Min. Negotiated Rate	$11,742.82
Max. Negotiated Rate	$14,755.83
Rate for Payer: Aetna Better Health Medicaid	$14,466.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,755.83
Rate for Payer: Wellpoint Medicaid Managed Care	$11,742.82

ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$19,714.69

Service Code	APR-DRG 1933
Min. Negotiated Rate	$17,547.14
Max. Negotiated Rate	$19,714.69
Rate for Payer: Aetna Better Health Medicaid	$19,328.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,714.69
Rate for Payer: Wellpoint Medicaid Managed Care	$17,547.14

ACUTE AND SUBACUTE ENDOCARDITIS WITH CC

Facility

$61,366.26

Service Code	MSDRG 289
Min. Negotiated Rate	$18,626.69
Max. Negotiated Rate	$61,366.26
Rate for Payer: Aetna Commercial	$57,556.47
Rate for Payer: Aetna Medicare Advantage	$18,626.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,799.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,799.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,455.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,799.16
Rate for Payer: Cigna Commercial	$36,734.19
Rate for Payer: Cigna Medicare Advantage	$20,455.42
Rate for Payer: Clover Medicare Advantage	$19,432.65
Rate for Payer: EmblemHealth Commercial	$61,366.26
Rate for Payer: Humana Medicare Advantage	$21,069.08
Rate for Payer: Oxford Commercial	$22,957.81
Rate for Payer: UnitedHealthcare Commercial	$26,059.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,455.42
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,682.75
Rate for Payer: Wellcare Medicare Advantage	$20,455.42

Know your out-of-pocket cost for care.

All Charges