Heights University Hospital

All Charges

Charge

Type

Setting

Price

AG INDIRECT BCNJ

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100527
Hospital Revenue Code	309
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$13.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

AHMED GLAUCOMA VALVE

Facility

$3,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270678561
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

AHMED GLAUCOMA VALVE

Facility

$3,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270678561
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

A-HYDROCORT/1000MG

Facility

$210.00

Hospital Charge Code	60632379
Hospital Revenue Code	250
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

A-HYDROCORT/1000MG

Facility

$210.00

Hospital Charge Code	60632379
Hospital Revenue Code	250
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$63.00
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$105.00

A-HYDROCORT/100MG

Facility

$18.00

Hospital Charge Code	60632380
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

A-HYDROCORT/100MG

Facility

$18.00

Hospital Charge Code	60632380
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

A-HYDROCORT INJ/250MG/VIA

Facility

$24.00

Hospital Charge Code	60634281
Hospital Revenue Code	250
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

A-HYDROCORT INJ/250MG/VIA

Facility

$24.00

Hospital Charge Code	60634281
Hospital Revenue Code	250
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

A-HYDROCORT INJ/500MG/VIA

Facility

$30.00

Hospital Charge Code	60634282
Hospital Revenue Code	250
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

A-HYDROCORT INJ/500MG/VIA

Facility

$30.00

Hospital Charge Code	60634282
Hospital Revenue Code	250
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

AICD GENERATOR PROCEDURES

Facility

$153,843.59

Service Code	MSDRG 245
Min. Negotiated Rate	$45,678.94
Max. Negotiated Rate	$153,843.59
Rate for Payer: Aetna Commercial	$153,843.59
Rate for Payer: Aetna Medicare Advantage	$49,787.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124,878.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124,878.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,083.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124,878.51
Rate for Payer: Cigna Commercial	$98,187.41
Rate for Payer: Cigna Medicare Advantage	$48,083.09
Rate for Payer: Clover Medicare Advantage	$45,678.94
Rate for Payer: EmblemHealth Commercial	$144,249.27
Rate for Payer: Humana Medicare Advantage	$49,525.58
Rate for Payer: Oxford Commercial	$61,364.28
Rate for Payer: UnitedHealthcare Commercial	$69,654.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,083.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50,968.08
Rate for Payer: Wellcare Medicare Advantage	$48,083.09

AICD LEAD PROCEDURES

Facility

$122,005.28

Service Code	MSDRG 265
Min. Negotiated Rate	$37,000.33
Max. Negotiated Rate	$122,005.28
Rate for Payer: Aetna Commercial	$122,005.28
Rate for Payer: Aetna Medicare Advantage	$39,483.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97,311.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97,311.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,947.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97,311.51
Rate for Payer: Cigna Commercial	$77,867.28
Rate for Payer: Cigna Medicare Advantage	$38,947.72
Rate for Payer: Clover Medicare Advantage	$37,000.33
Rate for Payer: EmblemHealth Commercial	$116,843.16
Rate for Payer: Humana Medicare Advantage	$40,116.15
Rate for Payer: Oxford Commercial	$48,664.79
Rate for Payer: UnitedHealthcare Commercial	$55,239.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,947.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$41,284.58
Rate for Payer: Wellcare Medicare Advantage	$38,947.72

AID BUTTON/ZIPPER A923-1

Facility

$65.65

Hospital Charge Code	270608453
Hospital Revenue Code	279
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$19.70
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$32.83
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$32.83

AID BUTTON/ZIPPER A923-1

Facility

$65.65

Hospital Charge Code	270608453
Hospital Revenue Code	279
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

AID SHOE HORN

Facility

$22.45

Hospital Charge Code	270611383
Hospital Revenue Code	279
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

AID SHOE HORN

Facility

$22.45

Hospital Charge Code	270611383
Hospital Revenue Code	279
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$6.74
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$11.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$11.22

AID SHOELACES

Facility

$24.85

Hospital Charge Code	270613433
Hospital Revenue Code	279
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

AID SHOELACES

Facility

$24.85

Hospital Charge Code	270613433
Hospital Revenue Code	279
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$12.43
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.23
Rate for Payer: Oxford Commercial	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$12.43

AID SOCK W/HANDLES A754-21

Facility

$65.65

Hospital Charge Code	270612328
Hospital Revenue Code	279
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

AID SOCK W/HANDLES A754-21

Facility

$65.65

Hospital Charge Code	270612328
Hospital Revenue Code	279
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$19.70
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$32.83
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$32.83

AILERON POST FUS SYST SCREW

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697662
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

AILERON POST FUS SYST SCREW

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697662
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

AILERON TRX EXP IMP CORE MED

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697663
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$4,500.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

AILERON TRX EXP IMP CORE MED

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697663
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

Know your out-of-pocket cost for care.

All Charges