Heights University Hospital

All Charges

Charge

Type

Setting

Price

CONTAINER SPEC W/LID 165 OZ

Facility

$16.85

Hospital Charge Code	270300736
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

CONTAINER SPEC W/LID 165 OZ

Facility

$16.85

Hospital Charge Code	270300736
Hospital Revenue Code	270
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

CONTAINER SPEC W/LID 16 OZ

Facility

$4.00

Hospital Charge Code	270300732
Hospital Revenue Code	270
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

CONTAINER SPEC W/LID 16 OZ

Facility

$4.00

Hospital Charge Code	270300732
Hospital Revenue Code	270
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CONTAINER SPEC W/LID 32 OZ

Facility

$5.65

Hospital Charge Code	270300733
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

CONTAINER SPEC W/LID 32 OZ

Facility

$5.65

Hospital Charge Code	270300733
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

CONTAINER SPEC W/LID 86 OZ

Facility

$11.25

Hospital Charge Code	270300734
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CONTAINER SPEC W/LID 86 OZ

Facility

$11.25

Hospital Charge Code	270300734
Hospital Revenue Code	270
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

CONTIGEN COLLAGEN IMPLANT

Facility

$1,749.75

Hospital Charge Code	270658487
Hospital Revenue Code	278
Min. Negotiated Rate	$262.46
Max. Negotiated Rate	$874.88
Rate for Payer: Aetna Commercial	$524.92
Rate for Payer: Aetna Medicare Advantage	$524.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.19
Rate for Payer: Cigna Commercial	$874.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.44
Rate for Payer: Qualcare PPO/HMO/WC	$262.46

CONTIGEN COLLAGEN IMPLANT

Facility

$1,749.75

Hospital Charge Code	270658487
Hospital Revenue Code	278
Min. Negotiated Rate	$262.46
Max. Negotiated Rate	$423.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.44
Rate for Payer: Qualcare PPO/HMO/WC	$262.46

CONT INHL TMT W/AERO MED ACUTE

Facility

$278.20

Service Code	HCPCS 94644
Hospital Charge Code	93950210
Hospital Revenue Code	410
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$83.46
Rate for Payer: Aetna Medicare Advantage	$83.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.94
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.17
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.73
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CONT INHL TMT W/AERO MED ACUTE

Facility

$278.20

Service Code	HCPCS 94644
Hospital Charge Code	93950210
Hospital Revenue Code	410
Min. Negotiated Rate	$41.73
Max. Negotiated Rate	$41.73
Rate for Payer: Qualcare PPO/HMO/WC	$41.73

CONTINUOUS*******

Facility

$24.00

Hospital Charge Code	9500323
Hospital Revenue Code	279
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

CONTINUOUS*******

Facility

$24.00

Hospital Charge Code	9500323
Hospital Revenue Code	279
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

CONTINUOUS AEROSOL THERAPY 1ST

Facility

$50.00

Service Code	HCPCS 94644
Hospital Charge Code	9500497
Hospital Revenue Code	410
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CONTINUOUS AEROSOL THERAPY 1ST

Facility

$50.00

Service Code	HCPCS 94644
Hospital Charge Code	9500497
Hospital Revenue Code	410
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CONTOUR STAPLER

Facility

$633.00

Hospital Charge Code	270337852
Hospital Revenue Code	272
Min. Negotiated Rate	$94.95
Max. Negotiated Rate	$94.95
Rate for Payer: Qualcare PPO/HMO/WC	$94.95

CONTOUR STAPLER

Facility

$633.00

Hospital Charge Code	270337852
Hospital Revenue Code	272
Min. Negotiated Rate	$82.29
Max. Negotiated Rate	$316.50
Rate for Payer: Aetna Commercial	$189.90
Rate for Payer: Aetna Medicare Advantage	$189.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.41
Rate for Payer: Cigna Commercial	$316.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.29
Rate for Payer: Oxford Commercial	$316.50
Rate for Payer: Qualcare PPO/HMO/WC	$94.95
Rate for Payer: UnitedHealthcare Commercial	$316.50

CONTOUR STAPLER RELOADS

Facility

$311.00

Hospital Charge Code	270337853
Hospital Revenue Code	272
Min. Negotiated Rate	$40.43
Max. Negotiated Rate	$155.50
Rate for Payer: Aetna Commercial	$93.30
Rate for Payer: Aetna Medicare Advantage	$93.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.31
Rate for Payer: Cigna Commercial	$155.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.43
Rate for Payer: Oxford Commercial	$155.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.65
Rate for Payer: UnitedHealthcare Commercial	$155.50

CONTOUR STAPLER RELOADS

Facility

$311.00

Hospital Charge Code	270337853
Hospital Revenue Code	272
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$46.65
Rate for Payer: Qualcare PPO/HMO/WC	$46.65

CONTOUR VL STENT

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270652854S
Hospital Revenue Code	278
Min. Negotiated Rate	$152.96
Max. Negotiated Rate	$509.85
Rate for Payer: Aetna Commercial	$305.91
Rate for Payer: Aetna Medicare Advantage	$305.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.02
Rate for Payer: Cigna Commercial	$509.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: Qualcare PPO/HMO/WC	$152.96

CONTOUR VL STENT

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270652854
Hospital Revenue Code	278
Min. Negotiated Rate	$152.96
Max. Negotiated Rate	$246.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: Qualcare PPO/HMO/WC	$152.96

CONTOUR VL STENT

Facility

$1,034.70

Service Code	HCPCS C2617
Hospital Charge Code	270652854N
Hospital Revenue Code	278
Min. Negotiated Rate	$155.21
Max. Negotiated Rate	$250.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.40
Rate for Payer: Qualcare PPO/HMO/WC	$155.21

CONTOUR VL STENT

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270652854
Hospital Revenue Code	278
Min. Negotiated Rate	$152.96
Max. Negotiated Rate	$509.85
Rate for Payer: Aetna Commercial	$305.91
Rate for Payer: Aetna Medicare Advantage	$305.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.02
Rate for Payer: Cigna Commercial	$509.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: Qualcare PPO/HMO/WC	$152.96

CONTOUR VL STENT

Facility

$1,034.70

Service Code	HCPCS C2617
Hospital Charge Code	270652854N
Hospital Revenue Code	278
Min. Negotiated Rate	$155.21
Max. Negotiated Rate	$517.35
Rate for Payer: Aetna Commercial	$310.41
Rate for Payer: Aetna Medicare Advantage	$310.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.85
Rate for Payer: Cigna Commercial	$517.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.40
Rate for Payer: Qualcare PPO/HMO/WC	$155.21

Know your out-of-pocket cost for care.

All Charges