Heights University Hospital

All Charges

Charge

Type

Setting

Price

CHIP CANCELLOUS 5CC

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270682160
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

CHIP CANCELLOUS 5CC

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270682160
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

CHIPS CANC BONE 1.7-10 500150

Facility

$1,807.25

Hospital Charge Code	270614020
Hospital Revenue Code	278
Min. Negotiated Rate	$271.09
Max. Negotiated Rate	$903.62
Rate for Payer: Aetna Commercial	$542.17
Rate for Payer: Aetna Medicare Advantage	$542.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.85
Rate for Payer: Cigna Commercial	$903.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.35
Rate for Payer: Qualcare PPO/HMO/WC	$271.09

CHIPS CANC BONE 1.7-10 500150

Facility

$1,807.25

Hospital Charge Code	270614020
Hospital Revenue Code	278
Min. Negotiated Rate	$271.09
Max. Negotiated Rate	$437.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.35
Rate for Payer: Qualcare PPO/HMO/WC	$271.09

CHIPS CANC BONE 1.7-10M 100150

Facility

$2,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270618744
Hospital Revenue Code	278
Min. Negotiated Rate	$342.00
Max. Negotiated Rate	$1,140.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$684.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$581.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$581.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$581.40
Rate for Payer: Cigna Commercial	$1,140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$551.76
Rate for Payer: Qualcare PPO/HMO/WC	$342.00

CHIPS CANC BONE 1.7-10M 100150

Facility

$2,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270618744
Hospital Revenue Code	278
Min. Negotiated Rate	$342.00
Max. Negotiated Rate	$551.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$456.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$551.76
Rate for Payer: Qualcare PPO/HMO/WC	$342.00

CHIPS CANC BONE 1.7-10M 800150

Facility

$1,974.15

Hospital Charge Code	270622373
Hospital Revenue Code	278
Min. Negotiated Rate	$296.12
Max. Negotiated Rate	$477.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$394.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.74
Rate for Payer: Qualcare PPO/HMO/WC	$296.12

CHIPS CANC BONE 1.7-10M 800150

Facility

$1,974.15

Hospital Charge Code	270622373
Hospital Revenue Code	278
Min. Negotiated Rate	$296.12
Max. Negotiated Rate	$987.08
Rate for Payer: Aetna Commercial	$592.25
Rate for Payer: Aetna Medicare Advantage	$592.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$394.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.41
Rate for Payer: Cigna Commercial	$987.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.74
Rate for Payer: Qualcare PPO/HMO/WC	$296.12

CHIPS CANC BONE 4-10MM 500150

Facility

$2,647.25

Hospital Charge Code	270605437
Hospital Revenue Code	278
Min. Negotiated Rate	$397.09
Max. Negotiated Rate	$640.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$529.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$640.63
Rate for Payer: Qualcare PPO/HMO/WC	$397.09

CHIPS CANC BONE 4-10MM 500150

Facility

$2,647.25

Hospital Charge Code	270605437
Hospital Revenue Code	278
Min. Negotiated Rate	$397.09
Max. Negotiated Rate	$1,323.62
Rate for Payer: Aetna Commercial	$794.17
Rate for Payer: Aetna Medicare Advantage	$794.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$529.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.05
Rate for Payer: Cigna Commercial	$1,323.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$640.63
Rate for Payer: Qualcare PPO/HMO/WC	$397.09

CHIPS CRT BONE 1.7-10MM 100045

Facility

$2,916.00

Hospital Charge Code	270608952
Hospital Revenue Code	278
Min. Negotiated Rate	$437.40
Max. Negotiated Rate	$1,458.00
Rate for Payer: Aetna Commercial	$874.80
Rate for Payer: Aetna Medicare Advantage	$874.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$743.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$743.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$583.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$743.58
Rate for Payer: Cigna Commercial	$1,458.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$705.67
Rate for Payer: Qualcare PPO/HMO/WC	$437.40

CHIPS CRT BONE 1.7-10MM 100045

Facility

$2,916.00

Hospital Charge Code	270608952
Hospital Revenue Code	278
Min. Negotiated Rate	$437.40
Max. Negotiated Rate	$705.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$583.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$705.67
Rate for Payer: Qualcare PPO/HMO/WC	$437.40

CH IPTH

Facility

$281.55

Service Code	HCPCS 83970
Hospital Charge Code	394014002
Hospital Revenue Code	301
Min. Negotiated Rate	$42.23
Max. Negotiated Rate	$42.23
Rate for Payer: Qualcare PPO/HMO/WC	$42.23

CH IPTH

Facility

$281.55

Service Code	HCPCS 83970
Hospital Charge Code	394014002
Hospital Revenue Code	301
Min. Negotiated Rate	$20.64
Max. Negotiated Rate	$151.25
Rate for Payer: Aetna Commercial	$133.75
Rate for Payer: Aetna Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.25
Rate for Payer: Cigna Commercial	$41.28
Rate for Payer: Cigna Medicare Advantage	$20.64
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.23
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43.76
Rate for Payer: Wellcare Medicare Advantage	$41.28

CH IRON

Facility

$667.59

Service Code	HCPCS 83540
Hospital Charge Code	397073039
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CH IRON

Facility

$667.59

Service Code	HCPCS 83540
Hospital Charge Code	397073039
Hospital Revenue Code	301
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

CH IRON BIDDING CAPACITY

Facility

$296.00

Service Code	HCPCS 83550
Hospital Charge Code	397073003
Hospital Revenue Code	301
Min. Negotiated Rate	$44.40
Max. Negotiated Rate	$44.40
Rate for Payer: Qualcare PPO/HMO/WC	$44.40

CH IRON BIDDING CAPACITY

Facility

$296.00

Service Code	HCPCS 83550
Hospital Charge Code	397073003
Hospital Revenue Code	301
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.32
Rate for Payer: Aetna Medicare Advantage	$8.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.02
Rate for Payer: Cigna Commercial	$8.74
Rate for Payer: Cigna Medicare Advantage	$4.37
Rate for Payer: Clover Medicare Advantage	$8.30
Rate for Payer: EmblemHealth Commercial	$26.22
Rate for Payer: Humana Medicare Advantage	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.26
Rate for Payer: Wellcare Medicare Advantage	$8.74

CH IRON, RANDOM URINE

Facility

$254.00

Service Code	HCPCS 83540
Hospital Charge Code	397071398
Hospital Revenue Code	301
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

CH IRON, RANDOM URINE

Facility

$254.00

Service Code	HCPCS 83540
Hospital Charge Code	397071398
Hospital Revenue Code	301
Min. Negotiated Rate	$38.10
Max. Negotiated Rate	$38.10
Rate for Payer: Qualcare PPO/HMO/WC	$38.10

CHISEL TIP MINI EDGE BLADE

Facility

$19.82

Hospital Charge Code	270663412
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$9.91
Rate for Payer: Aetna Commercial	$5.95
Rate for Payer: Aetna Medicare Advantage	$5.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.05
Rate for Payer: Cigna Commercial	$9.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.58
Rate for Payer: Oxford Commercial	$9.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.97
Rate for Payer: UnitedHealthcare Commercial	$9.91

CHISEL TIP MINI EDGE BLADE

Facility

$19.82

Hospital Charge Code	270663412
Hospital Revenue Code	272
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$2.97
Rate for Payer: Qualcare PPO/HMO/WC	$2.97

CH ISLET CELL AB

Facility

$238.00

Service Code	HCPCS 86341
Hospital Charge Code	397072011
Hospital Revenue Code	302
Min. Negotiated Rate	$11.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$76.37
Rate for Payer: Aetna Medicare Advantage	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.36
Rate for Payer: Cigna Commercial	$23.57
Rate for Payer: Cigna Medicare Advantage	$11.79
Rate for Payer: Clover Medicare Advantage	$22.39
Rate for Payer: EmblemHealth Commercial	$70.71
Rate for Payer: Humana Medicare Advantage	$24.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.98
Rate for Payer: Wellcare Medicare Advantage	$23.57

CH ISLET CELL AB

Facility

$238.00

Service Code	HCPCS 86341
Hospital Charge Code	397072011
Hospital Revenue Code	302
Min. Negotiated Rate	$35.70
Max. Negotiated Rate	$35.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.70

CH ISOLATION

Facility

$72.00

Service Code	HCPCS 81240
Hospital Charge Code	397073572
Hospital Revenue Code	310
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

Know your out-of-pocket cost for care.

All Charges