Heights University Hospital

All Charges

Charge

Type

Setting

Price

COLD AGGUTININS***

Facility

$42.00

Hospital Charge Code	3010840
Hospital Revenue Code	309
Min. Negotiated Rate	$5.46
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.60
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Commercial	$114.00

COLD HEMAGGLUTINATION

Facility

$55.45

Service Code	HCPCS 86157
Hospital Charge Code	39900195
Hospital Revenue Code	302
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$26.11
Rate for Payer: Aetna Medicare Advantage	$8.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.53
Rate for Payer: Cigna Commercial	$8.06
Rate for Payer: Cigna Medicare Advantage	$4.03
Rate for Payer: Clover Medicare Advantage	$7.66
Rate for Payer: EmblemHealth Commercial	$24.18
Rate for Payer: Humana Medicare Advantage	$8.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.21
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.32
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.54
Rate for Payer: Wellcare Medicare Advantage	$8.06

COLD HEMAGGLUTINATION

Facility

$55.45

Service Code	HCPCS 86157
Hospital Charge Code	39900195
Hospital Revenue Code	302
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$8.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.32

COLD HEMAGGLUTINS

Facility

$55.00

Hospital Charge Code	39708012
Hospital Revenue Code	302
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

COLD HEMAGGLUTINS

Facility

$55.00

Hospital Charge Code	39708012
Hospital Revenue Code	302
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

COLD KNIFE ROUND

Facility

$1,140.00

Hospital Charge Code	270684368
Hospital Revenue Code	272
Min. Negotiated Rate	$148.20
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.20
Rate for Payer: Oxford Commercial	$570.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Commercial	$570.00

COLD KNIFE ROUND

Facility

$1,140.00

Hospital Charge Code	270684368
Hospital Revenue Code	272
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

COLD KNIFE SACHSE STR

Facility

$1,140.00

Hospital Charge Code	270684366
Hospital Revenue Code	272
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

COLD KNIFE SACHSE STR

Facility

$1,140.00

Hospital Charge Code	270684366
Hospital Revenue Code	272
Min. Negotiated Rate	$148.20
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.20
Rate for Payer: Oxford Commercial	$570.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Commercial	$570.00

COLD PACK PERINEAL KWIK KOL

Facility

$3.02

Hospital Charge Code	270642518
Hospital Revenue Code	270
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

COLD PACK PERINEAL KWIK KOL

Facility

$3.02

Hospital Charge Code	270642518
Hospital Revenue Code	270
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.51
Rate for Payer: Aetna Commercial	$0.91
Rate for Payer: Aetna Medicare Advantage	$0.91
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	$1.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.51
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.51

COLD THERAPY UNIT ICEMAN CLEAR

Facility

$725.00

Hospital Charge Code	270678392
Hospital Revenue Code	270
Min. Negotiated Rate	$94.25
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$217.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$362.50
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$362.50

COLD THERAPY UNIT ICEMAN CLEAR

Facility

$725.00

Hospital Charge Code	270678392
Hospital Revenue Code	270
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

COLECTMY P W RESECT/MUCOFISTLA

Facility

$28,649.20

Service Code	HCPCS 44141
Hospital Charge Code	1600000444
Hospital Revenue Code	360
Min. Negotiated Rate	$1,845.18
Max. Negotiated Rate	$8,594.76
Rate for Payer: Aetna Commercial	$8,594.76
Rate for Payer: Aetna Medicare Advantage	$8,594.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,305.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,305.55
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	$7,305.55
Rate for Payer: Cigna Commercial	$1,845.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,724.40
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,297.38
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

COLECTMY P W RESECT/MUCOFISTLA

Facility

$28,649.20

Service Code	HCPCS 44141
Hospital Charge Code	1600000444
Hospital Revenue Code	360
Min. Negotiated Rate	$4,297.38
Max. Negotiated Rate	$4,297.38
Rate for Payer: Qualcare PPO/HMO/WC	$4,297.38

COLECTMY P,W RESECT/MUCOFISTLA

Facility

$21,300.62

Service Code	HCPCS 44144
Hospital Charge Code	1600000849
Hospital Revenue Code	360
Min. Negotiated Rate	$1,780.14
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$6,390.19
Rate for Payer: Aetna Medicare Advantage	$6,390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,431.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,431.66
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	$5,431.66
Rate for Payer: Cigna Commercial	$1,780.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,769.08
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,195.09
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

COLECTMY P,W RESECT/MUCOFISTLA

Facility

$21,300.62

Service Code	HCPCS 44144
Hospital Charge Code	1600000849
Hospital Revenue Code	360
Min. Negotiated Rate	$3,195.09
Max. Negotiated Rate	$3,195.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,195.09

COLECTOMY PARTIAL,W ANASTOMOSI

Facility

$14,894.10

Service Code	HCPCS 44140
Hospital Charge Code	16000642
Hospital Revenue Code	360
Min. Negotiated Rate	$2,234.11
Max. Negotiated Rate	$2,234.11
Rate for Payer: Qualcare PPO/HMO/WC	$2,234.11

COLECTOMY PARTIAL,W ANASTOMOSI

Facility

$14,894.10

Service Code	HCPCS 44140
Hospital Charge Code	16000642
Hospital Revenue Code	360
Min. Negotiated Rate	$1,362.26
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,468.23
Rate for Payer: Aetna Medicare Advantage	$4,468.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,798.00
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	$3,798.00
Rate for Payer: Cigna Commercial	$1,362.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.23
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,234.11
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

COLISTIMETHATE 150 MG REC

Facility

$381.90

Service Code	HCPCS J0770
Hospital Charge Code	60629961
Hospital Revenue Code	636
Min. Negotiated Rate	$14.27
Max. Negotiated Rate	$114.57
Rate for Payer: Aetna Commercial	$114.57
Rate for Payer: Aetna Medicare Advantage	$114.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.38
Rate for Payer: Cigna Commercial	$14.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.42
Rate for Payer: Qualcare PPO/HMO/WC	$57.28

COLISTIMETHATE 150 MG REC

Facility

$381.90

Service Code	HCPCS J0770
Hospital Charge Code	60629961
Hospital Revenue Code	636
Min. Negotiated Rate	$57.28
Max. Negotiated Rate	$92.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.42
Rate for Payer: Qualcare PPO/HMO/WC	$57.28

COLISTIN INJ 150MG

Facility

$37.00

Hospital Charge Code	60635473
Hospital Revenue Code	636
Min. Negotiated Rate	$5.55
Max. Negotiated Rate	$18.50
Rate for Payer: Aetna Commercial	$11.10
Rate for Payer: Aetna Medicare Advantage	$11.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.44
Rate for Payer: Cigna Commercial	$18.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.55

COLISTIN INJ 150MG

Facility

$37.00

Hospital Charge Code	60635473
Hospital Revenue Code	636
Min. Negotiated Rate	$5.55
Max. Negotiated Rate	$8.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.55

COLLAGEN ABSORB SPONGE 3X4

Facility

$379.55

Hospital Charge Code	6006365
Hospital Revenue Code	250
Min. Negotiated Rate	$56.93
Max. Negotiated Rate	$56.93
Rate for Payer: Qualcare PPO/HMO/WC	$56.93

COLLAGEN ABSORB SPONGE 3X4

Facility

$379.55

Hospital Charge Code	6006365
Hospital Revenue Code	250
Min. Negotiated Rate	$49.34
Max. Negotiated Rate	$189.78
Rate for Payer: Aetna Commercial	$113.86
Rate for Payer: Aetna Medicare Advantage	$113.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.79
Rate for Payer: Cigna Commercial	$189.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.34
Rate for Payer: Oxford Commercial	$189.78
Rate for Payer: Qualcare PPO/HMO/WC	$56.93
Rate for Payer: UnitedHealthcare Commercial	$189.78

Know your out-of-pocket cost for care.

All Charges