Heights University Hospital

All Charges

Charge

Type

Setting

Price

CUTTING WHEEL

Facility

$351.00

Hospital Charge Code	270335566
Hospital Revenue Code	270
Min. Negotiated Rate	$52.65
Max. Negotiated Rate	$52.65
Rate for Payer: Qualcare PPO/HMO/WC	$52.65

CUTTING WHEEL

Facility

$351.00

Hospital Charge Code	270335566
Hospital Revenue Code	270
Min. Negotiated Rate	$45.63
Max. Negotiated Rate	$175.50
Rate for Payer: Aetna Commercial	$105.30
Rate for Payer: Aetna Medicare Advantage	$105.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.50
Rate for Payer: Cigna Commercial	$175.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.63
Rate for Payer: Oxford Commercial	$175.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.65
Rate for Payer: UnitedHealthcare Commercial	$175.50

CUVETTE CLOTTING TIME TEST

Facility

$18.56

Hospital Charge Code	270632189
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.78

CUVETTE CLOTTING TIME TEST

Facility

$18.56

Hospital Charge Code	270632189S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.78

CUVETTE CLOTTING TIME TEST

Facility

$18.56

Hospital Charge Code	270632189S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$9.28
Rate for Payer: Aetna Commercial	$5.57
Rate for Payer: Aetna Medicare Advantage	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.73
Rate for Payer: Cigna Commercial	$9.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.41
Rate for Payer: Oxford Commercial	$9.28
Rate for Payer: Qualcare PPO/HMO/WC	$2.78
Rate for Payer: UnitedHealthcare Commercial	$9.28

CUVETTE CLOTTING TIME TEST

Facility

$18.56

Hospital Charge Code	270632189
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$9.28
Rate for Payer: Aetna Commercial	$5.57
Rate for Payer: Aetna Medicare Advantage	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.73
Rate for Payer: Cigna Commercial	$9.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.41
Rate for Payer: Oxford Commercial	$9.28
Rate for Payer: Qualcare PPO/HMO/WC	$2.78
Rate for Payer: UnitedHealthcare Commercial	$9.28

CUVETTE CLOTTING TIME TEST

Facility

$19.74

Hospital Charge Code	270632189N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.96

CUVETTE CLOTTING TIME TEST

Facility

$19.74

Hospital Charge Code	270632189N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$9.87
Rate for Payer: Aetna Commercial	$5.92
Rate for Payer: Aetna Medicare Advantage	$5.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.03
Rate for Payer: Cigna Commercial	$9.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.57
Rate for Payer: Oxford Commercial	$9.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.96
Rate for Payer: UnitedHealthcare Commercial	$9.87

CUVETTES

Facility

$1,955.00

Hospital Charge Code	270655423
Hospital Revenue Code	270
Min. Negotiated Rate	$293.25
Max. Negotiated Rate	$293.25
Rate for Payer: Qualcare PPO/HMO/WC	$293.25

CUVETTES

Facility

$1,955.00

Hospital Charge Code	270655423S
Hospital Revenue Code	270
Min. Negotiated Rate	$293.25
Max. Negotiated Rate	$293.25
Rate for Payer: Qualcare PPO/HMO/WC	$293.25

CUVETTES

Facility

$169.06

Hospital Charge Code	270655423N
Hospital Revenue Code	270
Min. Negotiated Rate	$21.98
Max. Negotiated Rate	$84.53
Rate for Payer: Aetna Commercial	$50.72
Rate for Payer: Aetna Medicare Advantage	$50.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.11
Rate for Payer: Cigna Commercial	$84.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.98
Rate for Payer: Oxford Commercial	$84.53
Rate for Payer: Qualcare PPO/HMO/WC	$25.36
Rate for Payer: UnitedHealthcare Commercial	$84.53

CUVETTES

Facility

$845.30

Hospital Charge Code	2707500012
Hospital Revenue Code	272
Min. Negotiated Rate	$109.89
Max. Negotiated Rate	$422.65
Rate for Payer: Aetna Commercial	$253.59
Rate for Payer: Aetna Medicare Advantage	$253.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.55
Rate for Payer: Cigna Commercial	$422.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.89
Rate for Payer: Oxford Commercial	$422.65
Rate for Payer: Qualcare PPO/HMO/WC	$126.80
Rate for Payer: UnitedHealthcare Commercial	$422.65

CUVETTES

Facility

$1,955.00

Hospital Charge Code	270655423
Hospital Revenue Code	270
Min. Negotiated Rate	$254.15
Max. Negotiated Rate	$977.50
Rate for Payer: Aetna Commercial	$586.50
Rate for Payer: Aetna Medicare Advantage	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$498.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$498.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$498.52
Rate for Payer: Cigna Commercial	$977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.15
Rate for Payer: Oxford Commercial	$977.50
Rate for Payer: Qualcare PPO/HMO/WC	$293.25
Rate for Payer: UnitedHealthcare Commercial	$977.50

CUVETTES

Facility

$169.06

Hospital Charge Code	270655423N
Hospital Revenue Code	270
Min. Negotiated Rate	$25.36
Max. Negotiated Rate	$25.36
Rate for Payer: Qualcare PPO/HMO/WC	$25.36

CUVETTES

Facility

$1,955.00

Hospital Charge Code	270655423S
Hospital Revenue Code	270
Min. Negotiated Rate	$254.15
Max. Negotiated Rate	$977.50
Rate for Payer: Aetna Commercial	$586.50
Rate for Payer: Aetna Medicare Advantage	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$498.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$498.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$498.52
Rate for Payer: Cigna Commercial	$977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.15
Rate for Payer: Oxford Commercial	$977.50
Rate for Payer: Qualcare PPO/HMO/WC	$293.25
Rate for Payer: UnitedHealthcare Commercial	$977.50

CUVETTES

Facility

$845.30

Hospital Charge Code	2707500012
Hospital Revenue Code	272
Min. Negotiated Rate	$126.80
Max. Negotiated Rate	$126.80
Rate for Payer: Qualcare PPO/HMO/WC	$126.80

CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$10,631.13

Service Code	APR-DRG 0451
Min. Negotiated Rate	$7,139.33
Max. Negotiated Rate	$10,631.13
Rate for Payer: Aetna Better Health Medicaid	$10,422.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,631.13
Rate for Payer: Wellpoint Medicaid Managed Care	$7,139.33

CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$17,724.67

Service Code	APR-DRG 0453
Min. Negotiated Rate	$12,494.39
Max. Negotiated Rate	$17,724.67
Rate for Payer: Aetna Better Health Medicaid	$17,377.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,724.67
Rate for Payer: Wellpoint Medicaid Managed Care	$12,494.39

CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$13,196.97

Service Code	APR-DRG 0452
Min. Negotiated Rate	$8,665.28
Max. Negotiated Rate	$13,196.97
Rate for Payer: Aetna Better Health Medicaid	$12,938.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,196.97
Rate for Payer: Wellpoint Medicaid Managed Care	$8,665.28

CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$27,216.92

Service Code	APR-DRG 0454
Min. Negotiated Rate	$26,008.48
Max. Negotiated Rate	$27,216.92
Rate for Payer: Aetna Better Health Medicaid	$26,683.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,216.92
Rate for Payer: Wellpoint Medicaid Managed Care	$26,008.48

CVP INTRAFUSOR ********

Facility

$41.00

Hospital Charge Code	7000573
Hospital Revenue Code	279
Min. Negotiated Rate	$6.15
Max. Negotiated Rate	$6.15
Rate for Payer: Qualcare PPO/HMO/WC	$6.15

CVP INTRAFUSOR ********

Facility

$41.00

Hospital Charge Code	7000573
Hospital Revenue Code	279
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$20.50
Rate for Payer: Aetna Commercial	$12.30
Rate for Payer: Aetna Medicare Advantage	$12.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.46
Rate for Payer: Cigna Commercial	$20.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.33
Rate for Payer: Oxford Commercial	$20.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.15
Rate for Payer: UnitedHealthcare Commercial	$20.50

CVP MONITOR *******

Facility

$33.00

Hospital Charge Code	7000607
Hospital Revenue Code	279
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

CVP MONITOR *******

Facility

$33.00

Hospital Charge Code	7000607
Hospital Revenue Code	279
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$9.90
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.29
Rate for Payer: Oxford Commercial	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$16.50

CWS 400 KIT DRAIN 3/16

Facility

$207.00

Hospital Charge Code	270331370
Hospital Revenue Code	272
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

Know your out-of-pocket cost for care.

All Charges