Heights University Hospital

All Charges

Charge

Type

Setting

Price

CIRCUIT VENT ADULT CROSS DISP

Facility

$103.35

Hospital Charge Code	270668502
Hospital Revenue Code	270
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$15.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.50

CIRCUIT VENT ADULT CROSS DISP

Facility

$103.35

Hospital Charge Code	270668502
Hospital Revenue Code	270
Min. Negotiated Rate	$13.44
Max. Negotiated Rate	$51.67
Rate for Payer: Aetna Commercial	$31.00
Rate for Payer: Aetna Medicare Advantage	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.35
Rate for Payer: Cigna Commercial	$51.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.44
Rate for Payer: Oxford Commercial	$51.67
Rate for Payer: Qualcare PPO/HMO/WC	$15.50
Rate for Payer: UnitedHealthcare Commercial	$51.67

CIRCUIT VENTED UNIVERSAL

Facility

$60.00

Hospital Charge Code	270331646
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

CIRCUIT VENTED UNIVERSAL

Facility

$60.00

Hospital Charge Code	270331646
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

CIRCUIT VENTILATOR***

Facility

$19.00

Hospital Charge Code	9501149
Hospital Revenue Code	279
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.85

CIRCUIT VENTILATOR***

Facility

$19.00

Hospital Charge Code	9501149
Hospital Revenue Code	279
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$9.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.84
Rate for Payer: Cigna Commercial	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.47
Rate for Payer: Oxford Commercial	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.85
Rate for Payer: UnitedHealthcare Commercial	$9.50

CIRCUIT VENTILATOR ADULT WIRE

Facility

$128.66

Hospital Charge Code	270655447
Hospital Revenue Code	270
Min. Negotiated Rate	$19.30
Max. Negotiated Rate	$19.30
Rate for Payer: Qualcare PPO/HMO/WC	$19.30

CIRCUIT VENTILATOR ADULT WIRE

Facility

$128.66

Hospital Charge Code	270655447
Hospital Revenue Code	270
Min. Negotiated Rate	$16.73
Max. Negotiated Rate	$64.33
Rate for Payer: Aetna Commercial	$38.60
Rate for Payer: Aetna Medicare Advantage	$38.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.81
Rate for Payer: Cigna Commercial	$64.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.73
Rate for Payer: Oxford Commercial	$64.33
Rate for Payer: Qualcare PPO/HMO/WC	$19.30
Rate for Payer: UnitedHealthcare Commercial	$64.33

CIRCUIT VENTILATOR BIPAP

Facility

$33.45

Hospital Charge Code	270655449
Hospital Revenue Code	270
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$16.73
Rate for Payer: Aetna Commercial	$10.04
Rate for Payer: Aetna Medicare Advantage	$10.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.53
Rate for Payer: Cigna Commercial	$16.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.35
Rate for Payer: Oxford Commercial	$16.73
Rate for Payer: Qualcare PPO/HMO/WC	$5.02
Rate for Payer: UnitedHealthcare Commercial	$16.73

CIRCUIT VENTILATOR BIPAP

Facility

$33.45

Hospital Charge Code	270655449
Hospital Revenue Code	270
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$5.02
Rate for Payer: Qualcare PPO/HMO/WC	$5.02

CIRCUIT VENTILATOR PEDIATRIC

Facility

$41.13

Hospital Charge Code	270643263
Hospital Revenue Code	270
Min. Negotiated Rate	$5.35
Max. Negotiated Rate	$20.57
Rate for Payer: Aetna Commercial	$12.34
Rate for Payer: Aetna Medicare Advantage	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.49
Rate for Payer: Cigna Commercial	$20.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.35
Rate for Payer: Oxford Commercial	$20.57
Rate for Payer: Qualcare PPO/HMO/WC	$6.17
Rate for Payer: UnitedHealthcare Commercial	$20.57

CIRCUIT VENTILATOR PEDIATRIC

Facility

$41.13

Hospital Charge Code	270643263
Hospital Revenue Code	270
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$6.17
Rate for Payer: Qualcare PPO/HMO/WC	$6.17

CIRCUIT VENTILATOR PORT 003764

Facility

$267.90

Hospital Charge Code	270636549
Hospital Revenue Code	272
Min. Negotiated Rate	$34.83
Max. Negotiated Rate	$133.95
Rate for Payer: Aetna Commercial	$80.37
Rate for Payer: Aetna Medicare Advantage	$80.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.31
Rate for Payer: Cigna Commercial	$133.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.83
Rate for Payer: Oxford Commercial	$133.95
Rate for Payer: Qualcare PPO/HMO/WC	$40.19
Rate for Payer: UnitedHealthcare Commercial	$133.95

CIRCUIT VENTILATOR PORT 003764

Facility

$267.90

Hospital Charge Code	270636549
Hospital Revenue Code	272
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$40.19
Rate for Payer: Qualcare PPO/HMO/WC	$40.19

CIRCUIT VENTILATOR SET-UP

Facility

$11.87

Hospital Charge Code	270604475
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$5.93
Rate for Payer: Aetna Commercial	$3.56
Rate for Payer: Aetna Medicare Advantage	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.03
Rate for Payer: Cigna Commercial	$5.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.54
Rate for Payer: Oxford Commercial	$5.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$5.93

CIRCUIT VENTILATOR SET-UP

Facility

$11.87

Hospital Charge Code	270604475
Hospital Revenue Code	270
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

CIRCUIT VENT MRI 20FT DISPOSE

Facility

$396.85

Hospital Charge Code	270636410
Hospital Revenue Code	272
Min. Negotiated Rate	$51.59
Max. Negotiated Rate	$198.43
Rate for Payer: Aetna Commercial	$119.06
Rate for Payer: Aetna Medicare Advantage	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.20
Rate for Payer: Cigna Commercial	$198.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.59
Rate for Payer: Oxford Commercial	$198.43
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Commercial	$198.43

CIRCUIT VENT MRI 20FT DISPOSE

Facility

$396.85

Hospital Charge Code	270636410
Hospital Revenue Code	272
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$59.53
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

CIRCUIT VENT PEDS DISPOSABLE

Facility

$52.15

Hospital Charge Code	270636411
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.82

CIRCUIT VENT PEDS DISPOSABLE

Facility

$52.15

Hospital Charge Code	270636411
Hospital Revenue Code	272
Min. Negotiated Rate	$6.78
Max. Negotiated Rate	$26.07
Rate for Payer: Aetna Commercial	$15.64
Rate for Payer: Aetna Medicare Advantage	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.30
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Oxford Commercial	$26.07
Rate for Payer: Qualcare PPO/HMO/WC	$7.82
Rate for Payer: UnitedHealthcare Commercial	$26.07

CIRCULATING ANTICOAGULANT

Facility

$268.00

Service Code	HCPCS 85300
Hospital Charge Code	38478072
Hospital Revenue Code	305
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

CIRCULATING ANTICOAGULANT

Facility

$268.00

Service Code	HCPCS 85300
Hospital Charge Code	38478072
Hospital Revenue Code	305
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.39
Rate for Payer: Aetna Medicare Advantage	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.42
Rate for Payer: Cigna Commercial	$11.85
Rate for Payer: Cigna Medicare Advantage	$5.92
Rate for Payer: Clover Medicare Advantage	$11.26
Rate for Payer: EmblemHealth Commercial	$35.55
Rate for Payer: Humana Medicare Advantage	$12.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.56
Rate for Payer: Wellcare Medicare Advantage	$11.85

CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC

Facility

$76,050.39

Service Code	MSDRG 286
Min. Negotiated Rate	$24,082.62
Max. Negotiated Rate	$76,050.39
Rate for Payer: Aetna Commercial	$74,615.34
Rate for Payer: Aetna Medicare Advantage	$24,147.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59,544.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59,544.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,350.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59,544.72
Rate for Payer: Cigna Commercial	$47,621.67
Rate for Payer: Cigna Medicare Advantage	$25,350.13
Rate for Payer: Clover Medicare Advantage	$24,082.62
Rate for Payer: EmblemHealth Commercial	$76,050.39
Rate for Payer: Humana Medicare Advantage	$26,110.63
Rate for Payer: Oxford Commercial	$29,762.16
Rate for Payer: UnitedHealthcare Commercial	$33,782.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,350.13
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,871.14
Rate for Payer: Wellcare Medicare Advantage	$25,350.13

CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC

Facility

$42,882.66

Service Code	MSDRG 287
Min. Negotiated Rate	$11,677.55
Max. Negotiated Rate	$42,882.66
Rate for Payer: Aetna Commercial	$36,083.63
Rate for Payer: Aetna Medicare Advantage	$11,677.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,772.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,772.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,294.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,772.36
Rate for Payer: Cigna Commercial	$23,029.62
Rate for Payer: Cigna Medicare Advantage	$14,294.22
Rate for Payer: Clover Medicare Advantage	$13,579.51
Rate for Payer: EmblemHealth Commercial	$42,882.66
Rate for Payer: Humana Medicare Advantage	$14,723.05
Rate for Payer: Oxford Commercial	$14,392.84
Rate for Payer: UnitedHealthcare Commercial	$16,337.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,294.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,151.87
Rate for Payer: Wellcare Medicare Advantage	$14,294.22

CIRCUMCISION

Facility

$160.00

Hospital Charge Code	1800028
Hospital Revenue Code	361
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
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	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

Know your out-of-pocket cost for care.

All Charges