Heights University Hospital

All Charges

Charge

Type

Setting

Price

DEL HYSTERECTOMY

Facility

$9,448.60

Service Code	HCPCS 59525
Hospital Charge Code	73190045
Hospital Revenue Code	361
Min. Negotiated Rate	$1,417.29
Max. Negotiated Rate	$1,417.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.29

DEL HYSTERECTOMY

Facility

$9,448.60

Service Code	HCPCS 59525
Hospital Charge Code	73190045
Hospital Revenue Code	361
Min. Negotiated Rate	$459.23
Max. Negotiated Rate	$2,834.58
Rate for Payer: Aetna Commercial	$2,834.58
Rate for Payer: Aetna Medicare Advantage	$2,834.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,409.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,409.39
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	$2,409.39
Rate for Payer: Cigna Commercial	$459.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,228.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.29

DELIVERY CANNULA&TAMP 8G 10CM

Facility

$267.30

Hospital Charge Code	270645740
Hospital Revenue Code	272
Min. Negotiated Rate	$40.09
Max. Negotiated Rate	$40.09
Rate for Payer: Qualcare PPO/HMO/WC	$40.09

DELIVERY CANNULA&TAMP 8G 10CM

Facility

$267.30

Hospital Charge Code	270645740
Hospital Revenue Code	272
Min. Negotiated Rate	$34.75
Max. Negotiated Rate	$133.65
Rate for Payer: Aetna Commercial	$80.19
Rate for Payer: Aetna Medicare Advantage	$80.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.16
Rate for Payer: Cigna Commercial	$133.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.75
Rate for Payer: Oxford Commercial	$133.65
Rate for Payer: Qualcare PPO/HMO/WC	$40.09
Rate for Payer: UnitedHealthcare Commercial	$133.65

DELIVERY FEE

Facility

$245.00

Hospital Charge Code	270657510
Hospital Revenue Code	270
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

DELIVERY FEE

Facility

$245.00

Hospital Charge Code	270657510
Hospital Revenue Code	270
Min. Negotiated Rate	$31.85
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.85
Rate for Payer: Oxford Commercial	$122.50
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$122.50

DELIVERY NEEDLES, STERILE

Facility

$235.50

Hospital Charge Code	270659780
Hospital Revenue Code	272
Min. Negotiated Rate	$35.33
Max. Negotiated Rate	$35.33
Rate for Payer: Qualcare PPO/HMO/WC	$35.33

DELIVERY NEEDLES, STERILE

Facility

$235.50

Hospital Charge Code	270659780
Hospital Revenue Code	272
Min. Negotiated Rate	$30.61
Max. Negotiated Rate	$117.75
Rate for Payer: Aetna Commercial	$70.65
Rate for Payer: Aetna Medicare Advantage	$70.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.05
Rate for Payer: Cigna Commercial	$117.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.61
Rate for Payer: Oxford Commercial	$117.75
Rate for Payer: Qualcare PPO/HMO/WC	$35.33
Rate for Payer: UnitedHealthcare Commercial	$117.75

DELIVERY ROOM

Facility

$3,775.00

Hospital Charge Code	1800010
Hospital Revenue Code	722
Min. Negotiated Rate	$566.25
Max. Negotiated Rate	$566.25
Rate for Payer: Qualcare PPO/HMO/WC	$566.25

DELIVERY ROOM

Facility

$3,775.00

Hospital Charge Code	1800010
Hospital Revenue Code	722
Min. Negotiated Rate	$490.75
Max. Negotiated Rate	$2,979.00
Rate for Payer: Aetna Commercial	$1,132.50
Rate for Payer: Aetna Medicare Advantage	$1,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$962.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$962.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$962.62
Rate for Payer: Cigna Commercial	$1,887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.75
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$566.25
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DELIVERY SYSTEM FMT LOWER

Facility

$2,425.00

Hospital Charge Code	270683731
Hospital Revenue Code	272
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$363.75
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

DELIVERY SYSTEM FMT LOWER

Facility

$2,425.00

Hospital Charge Code	270683731
Hospital Revenue Code	272
Min. Negotiated Rate	$315.25
Max. Negotiated Rate	$1,212.50
Rate for Payer: Aetna Commercial	$727.50
Rate for Payer: Aetna Medicare Advantage	$727.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.38
Rate for Payer: Cigna Commercial	$1,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.25
Rate for Payer: Oxford Commercial	$1,212.50
Rate for Payer: Qualcare PPO/HMO/WC	$363.75
Rate for Payer: UnitedHealthcare Commercial	$1,212.50

DELIVERY SYSTEM FMT UPPER

Facility

$2,425.00

Hospital Charge Code	270683732
Hospital Revenue Code	272
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$363.75
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

DELIVERY SYSTEM FMT UPPER

Facility

$2,425.00

Hospital Charge Code	270683732
Hospital Revenue Code	272
Min. Negotiated Rate	$315.25
Max. Negotiated Rate	$1,212.50
Rate for Payer: Aetna Commercial	$727.50
Rate for Payer: Aetna Medicare Advantage	$727.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.38
Rate for Payer: Cigna Commercial	$1,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.25
Rate for Payer: Oxford Commercial	$1,212.50
Rate for Payer: Qualcare PPO/HMO/WC	$363.75
Rate for Payer: UnitedHealthcare Commercial	$1,212.50

DELIVERY SYST RX BILIARY

Facility

$399.25

Hospital Charge Code	270677724
Hospital Revenue Code	272
Min. Negotiated Rate	$51.90
Max. Negotiated Rate	$199.62
Rate for Payer: Aetna Commercial	$119.78
Rate for Payer: Aetna Medicare Advantage	$119.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.81
Rate for Payer: Cigna Commercial	$199.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.90
Rate for Payer: Oxford Commercial	$199.62
Rate for Payer: Qualcare PPO/HMO/WC	$59.89
Rate for Payer: UnitedHealthcare Commercial	$199.62

DELIVERY SYST RX BILIARY

Facility

$399.25

Hospital Charge Code	270677724
Hospital Revenue Code	272
Min. Negotiated Rate	$59.89
Max. Negotiated Rate	$59.89
Rate for Payer: Qualcare PPO/HMO/WC	$59.89

DEL IV HYDRA 31-90 INITL AVS

Facility

$1,326.52

Service Code	HCPCS 9636059
Hospital Charge Code	73190087
Hospital Revenue Code	260
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$397.96
Rate for Payer: Aetna Medicare Advantage	$397.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.26
Rate for Payer: Cigna Commercial	$663.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.45
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.98
Rate for Payer: UnitedHealthcare Commercial	$802.00

DEL IV HYDRA 31-90 INITL AVS

Facility

$1,326.52

Service Code	HCPCS 9636059
Hospital Charge Code	73190087
Hospital Revenue Code	260
Min. Negotiated Rate	$198.98
Max. Negotiated Rate	$198.98
Rate for Payer: Qualcare PPO/HMO/WC	$198.98

DEL IV HYDRA 31-90 NOT INITL

Facility

$320.48

Service Code	HCPCS 96361
Hospital Charge Code	73190089
Hospital Revenue Code	260
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$96.14
Rate for Payer: Aetna Medicare Advantage	$96.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.72
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.66
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.07
Rate for Payer: UnitedHealthcare Commercial	$802.00

DEL IV HYDRA 31-90 NOT INITL

Facility

$320.48

Service Code	HCPCS 96361
Hospital Charge Code	73190089
Hospital Revenue Code	260
Min. Negotiated Rate	$48.07
Max. Negotiated Rate	$48.07
Rate for Payer: Qualcare PPO/HMO/WC	$48.07

DEL IV INF 1STMED16-90 INIAVS

Facility

$1,405.77

Service Code	HCPCS 9636559
Hospital Charge Code	73190095
Hospital Revenue Code	260
Min. Negotiated Rate	$182.75
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$421.73
Rate for Payer: Aetna Medicare Advantage	$421.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.47
Rate for Payer: Cigna Commercial	$702.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.75
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.87
Rate for Payer: UnitedHealthcare Commercial	$802.00

DEL IV INF 1STMED16-90 INIAVS

Facility

$1,405.77

Service Code	HCPCS 9636559
Hospital Charge Code	73190095
Hospital Revenue Code	260
Min. Negotiated Rate	$210.87
Max. Negotiated Rate	$210.87
Rate for Payer: Qualcare PPO/HMO/WC	$210.87

DEL IV PUSH-1ST MED INITL AVS

Facility

$394.88

Service Code	HCPCS 9637459
Hospital Charge Code	73190109
Hospital Revenue Code	260
Min. Negotiated Rate	$59.23
Max. Negotiated Rate	$59.23
Rate for Payer: Qualcare PPO/HMO/WC	$59.23

DEL IV PUSH-1ST MED INITL AVS

Facility

$394.88

Service Code	HCPCS 9637459
Hospital Charge Code	73190109
Hospital Revenue Code	260
Min. Negotiated Rate	$51.33
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$118.46
Rate for Payer: Aetna Medicare Advantage	$118.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.69
Rate for Payer: Cigna Commercial	$197.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.33
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.23
Rate for Payer: UnitedHealthcare Commercial	$802.00

DEL L & D NURSE LOC W/NO PROC

Facility

$10,100.00

Service Code	HCPCS 99211
Hospital Charge Code	73190115
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

Know your out-of-pocket cost for care.

All Charges