Heights University Hospital

All Charges

Charge

Type

Setting

Price

CROSSPIN ATK ACL 50 905855

Facility

$2,018.75

Hospital Charge Code	270627984
Hospital Revenue Code	272
Min. Negotiated Rate	$302.81
Max. Negotiated Rate	$302.81
Rate for Payer: Qualcare PPO/HMO/WC	$302.81

CROSSPIN ATK ACL 50 905855

Facility

$2,018.75

Hospital Charge Code	270627984
Hospital Revenue Code	272
Min. Negotiated Rate	$262.44
Max. Negotiated Rate	$1,009.38
Rate for Payer: Aetna Commercial	$605.62
Rate for Payer: Aetna Medicare Advantage	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$514.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$514.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$514.78
Rate for Payer: Cigna Commercial	$1,009.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.44
Rate for Payer: Oxford Commercial	$1,009.38
Rate for Payer: Qualcare PPO/HMO/WC	$302.81
Rate for Payer: UnitedHealthcare Commercial	$1,009.38

CROTAMITON 10% LOTION

Facility

$437.85

Hospital Charge Code	60628348
Hospital Revenue Code	250
Min. Negotiated Rate	$56.92
Max. Negotiated Rate	$218.93
Rate for Payer: Aetna Commercial	$131.35
Rate for Payer: Aetna Medicare Advantage	$131.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.65
Rate for Payer: Cigna Commercial	$218.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.92
Rate for Payer: Oxford Commercial	$218.93
Rate for Payer: Qualcare PPO/HMO/WC	$65.68
Rate for Payer: UnitedHealthcare Commercial	$218.93

CROTAMITON 10% LOTION

Facility

$437.85

Hospital Charge Code	60628348
Hospital Revenue Code	250
Min. Negotiated Rate	$65.68
Max. Negotiated Rate	$65.68
Rate for Payer: Qualcare PPO/HMO/WC	$65.68

CROTAMITON TOP 10% 60ML

Facility

$82.60

Hospital Charge Code	6001440
Hospital Revenue Code	252
Min. Negotiated Rate	$12.39
Max. Negotiated Rate	$12.39
Rate for Payer: Qualcare PPO/HMO/WC	$12.39

CROTAMITON TOP 10% 60ML

Facility

$82.60

Hospital Charge Code	6001440
Hospital Revenue Code	252
Min. Negotiated Rate	$10.74
Max. Negotiated Rate	$41.30
Rate for Payer: Aetna Commercial	$24.78
Rate for Payer: Aetna Medicare Advantage	$24.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.06
Rate for Payer: Cigna Commercial	$41.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.74
Rate for Payer: Oxford Commercial	$41.30
Rate for Payer: Qualcare PPO/HMO/WC	$12.39
Rate for Payer: UnitedHealthcare Commercial	$41.30

CROUCH CORNEAL PROTECTOR

Facility

$77.00

Hospital Charge Code	270332125
Hospital Revenue Code	272
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$11.55
Rate for Payer: Qualcare PPO/HMO/WC	$11.55

CROUCH CORNEAL PROTECTOR

Facility

$77.00

Hospital Charge Code	270332125
Hospital Revenue Code	272
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$38.50
Rate for Payer: Aetna Commercial	$23.10
Rate for Payer: Aetna Medicare Advantage	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.64
Rate for Payer: Cigna Commercial	$38.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.01
Rate for Payer: Oxford Commercial	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.55
Rate for Payer: UnitedHealthcare Commercial	$38.50

CROUPETTE

Facility

$94.54

Hospital Charge Code	270655477
Hospital Revenue Code	270
Min. Negotiated Rate	$12.29
Max. Negotiated Rate	$47.27
Rate for Payer: Aetna Commercial	$28.36
Rate for Payer: Aetna Medicare Advantage	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.11
Rate for Payer: Cigna Commercial	$47.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.29
Rate for Payer: Oxford Commercial	$47.27
Rate for Payer: Qualcare PPO/HMO/WC	$14.18
Rate for Payer: UnitedHealthcare Commercial	$47.27

CROUPETTE

Facility

$94.54

Hospital Charge Code	270655477
Hospital Revenue Code	270
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$14.18
Rate for Payer: Qualcare PPO/HMO/WC	$14.18

CRP CARD

Facility

$33.65

Service Code	HCPCS 86141
Hospital Charge Code	3004729
Hospital Revenue Code	302
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.96
Rate for Payer: Aetna Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.45
Rate for Payer: Cigna Commercial	$12.95
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.73
Rate for Payer: Wellcare Medicare Advantage	$12.95

CRP CARD

Facility

$33.65

Service Code	HCPCS 86141
Hospital Charge Code	3004729
Hospital Revenue Code	302
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

CRP,CARDIO,HIGH-SENSITIVE

Facility

$93.00

Service Code	HCPCS 86141
Hospital Charge Code	38476300
Hospital Revenue Code	302
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.96
Rate for Payer: Aetna Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.45
Rate for Payer: Cigna Commercial	$12.95
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.73
Rate for Payer: Wellcare Medicare Advantage	$12.95

CRP,CARDIO,HIGH-SENSITIVE

Facility

$93.00

Service Code	HCPCS 86141
Hospital Charge Code	38476300
Hospital Revenue Code	302
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

CRSIS PSYCH EACH ADD 30MIN

Facility

$1,879.97

Service Code	HCPCS 90840
Hospital Charge Code	94810185
Hospital Revenue Code	914
Min. Negotiated Rate	$66.85
Max. Negotiated Rate	$563.99
Rate for Payer: Aetna Commercial	$563.99
Rate for Payer: Aetna Medicare Advantage	$563.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.39
Rate for Payer: Cigna Commercial	$66.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.40
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

CRSIS PSYCH EACH ADD 30MIN

Facility

$1,879.97

Service Code	HCPCS 90840
Hospital Charge Code	94810185
Hospital Revenue Code	914
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$282.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

CRSIS PSYCH EACH ADD 30MIN

Facility

$1,879.97

Service Code	HCPCS 90840
Hospital Charge Code	94810150
Hospital Revenue Code	914
Min. Negotiated Rate	$66.85
Max. Negotiated Rate	$563.99
Rate for Payer: Aetna Commercial	$563.99
Rate for Payer: Aetna Medicare Advantage	$563.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.39
Rate for Payer: Cigna Commercial	$66.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.40
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

CRSIS PSYCH EACH ADD 30MIN

Facility

$1,879.97

Service Code	HCPCS 90840
Hospital Charge Code	94810150
Hospital Revenue Code	914
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$282.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

CRT PECARDIAL WNDW/PARTL RESEC

Facility

$9,005.00

Service Code	HCPCS 33025
Hospital Charge Code	16000934
Hospital Revenue Code	360
Min. Negotiated Rate	$807.12
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$2,701.50
Rate for Payer: Aetna Medicare Advantage	$2,701.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,296.28
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	$2,296.28
Rate for Payer: Cigna Commercial	$807.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.65
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.75
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CRT PECARDIAL WNDW/PARTL RESEC

Facility

$9,005.00

Service Code	HCPCS 33025
Hospital Charge Code	16000934
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.75
Max. Negotiated Rate	$1,350.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.75

CRUCIATE RETAIN FEMORAL SZ4 RT

Facility

$11,055.90

Service Code	HCPCS C1776
Hospital Charge Code	270690856
Hospital Revenue Code	278
Min. Negotiated Rate	$1,658.38
Max. Negotiated Rate	$5,527.95
Rate for Payer: Aetna Commercial	$3,316.77
Rate for Payer: Aetna Medicare Advantage	$3,316.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,819.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,819.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,211.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,819.25
Rate for Payer: Cigna Commercial	$5,527.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,675.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,658.38

CRUCIATE RETAIN FEMORAL SZ4 RT

Facility

$11,055.90

Service Code	HCPCS C1776
Hospital Charge Code	270690856
Hospital Revenue Code	278
Min. Negotiated Rate	$1,658.38
Max. Negotiated Rate	$2,675.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,211.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,675.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,658.38

CRUSH MIX 1CC

Facility

$1,975.00

Service Code	HCPCS C1765
Hospital Charge Code	270704511
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CRUSH MIX 1CC

Facility

$1,975.00

Service Code	HCPCS C1765
Hospital Charge Code	270704511
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CRUTCHES

Facility

$211.00

Hospital Charge Code	84202105
Hospital Revenue Code	270
Min. Negotiated Rate	$31.65
Max. Negotiated Rate	$31.65
Rate for Payer: Qualcare PPO/HMO/WC	$31.65

Know your out-of-pocket cost for care.

All Charges