Heights University Hospital

All Charges

Charge

Type

Setting

Price

DIALYSIS

Facility

$797.45

Hospital Charge Code	270606376
Hospital Revenue Code	820
Min. Negotiated Rate	$103.67
Max. Negotiated Rate	$2,892.00
Rate for Payer: Aetna Commercial	$239.24
Rate for Payer: Aetna Medicare Advantage	$239.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.35
Rate for Payer: Cigna Commercial	$398.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.67
Rate for Payer: Oxford Commercial	$2,546.00
Rate for Payer: Qualcare PPO/HMO/WC	$119.62
Rate for Payer: UnitedHealthcare Commercial	$2,892.00

DIALYSIS

Facility

$96.00

Hospital Charge Code	27059765
Hospital Revenue Code	271
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

DIALYSIS

Facility

$46.25

Hospital Charge Code	260120
Hospital Revenue Code	771
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$103.00
Rate for Payer: Aetna Commercial	$13.88
Rate for Payer: Aetna Medicare Advantage	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.79
Rate for Payer: Cigna Commercial	$23.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.01
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.94
Rate for Payer: UnitedHealthcare Commercial	$103.00

DIALYSIS

Facility

$185.00

Hospital Charge Code	270605310
Hospital Revenue Code	270
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

DIALYSIS

Facility

$96.00

Hospital Charge Code	27059765
Hospital Revenue Code	271
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$48.00
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.48
Rate for Payer: Cigna Commercial	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.48
Rate for Payer: Oxford Commercial	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$48.00

DIALYSIS

Facility

$1,035.25

Service Code	HCPCS 90920
Hospital Charge Code	8200045
Hospital Revenue Code	821
Min. Negotiated Rate	$134.58
Max. Negotiated Rate	$2,892.00
Rate for Payer: Aetna Commercial	$310.57
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.58
Rate for Payer: Oxford Commercial	$2,546.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$2,892.00

DIALYSIS

Facility

$496.00

Hospital Charge Code	270607809
Hospital Revenue Code	279
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

DIALYSIS

Facility

$3,500.00

Service Code	HCPCS 90962
Hospital Charge Code	8200041
Hospital Revenue Code	821
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

DIALYSIS

Facility

$185.00

Hospital Charge Code	270605310
Hospital Revenue Code	270
Min. Negotiated Rate	$24.05
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.05
Rate for Payer: Oxford Commercial	$92.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$92.50

DIALYSIS

Facility

$395.55

Hospital Charge Code	270607581
Hospital Revenue Code	809
Min. Negotiated Rate	$51.42
Max. Negotiated Rate	$197.78
Rate for Payer: Aetna Commercial	$118.67
Rate for Payer: Aetna Medicare Advantage	$118.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.87
Rate for Payer: Cigna Commercial	$197.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.42
Rate for Payer: Oxford Commercial	$197.78
Rate for Payer: Qualcare PPO/HMO/WC	$59.33
Rate for Payer: UnitedHealthcare Commercial	$197.78

DIALYSIS

Facility

$638.00

Service Code	HCPCS 99333
Hospital Charge Code	8200071
Hospital Revenue Code	841
Min. Negotiated Rate	$82.94
Max. Negotiated Rate	$2,892.00
Rate for Payer: Aetna Commercial	$191.40
Rate for Payer: Aetna Medicare Advantage	$191.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.69
Rate for Payer: Cigna Commercial	$319.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.94
Rate for Payer: Oxford Commercial	$2,546.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.70
Rate for Payer: UnitedHealthcare Commercial	$2,892.00

DIALYSIS

Facility

$150.51

Service Code	HCPCS 90999
Hospital Charge Code	8200040R
Hospital Revenue Code	821
Min. Negotiated Rate	$19.57
Max. Negotiated Rate	$2,892.00
Rate for Payer: Aetna Commercial	$45.15
Rate for Payer: Aetna Medicare Advantage	$45.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$447.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.38
Rate for Payer: Cigna Commercial	$75.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.57
Rate for Payer: Oxford Commercial	$2,546.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.58
Rate for Payer: UnitedHealthcare Commercial	$2,892.00

DIALYSIS

Facility

$150.51

Service Code	HCPCS 90999
Hospital Charge Code	8200040R
Hospital Revenue Code	821
Min. Negotiated Rate	$22.58
Max. Negotiated Rate	$22.58
Rate for Payer: Qualcare PPO/HMO/WC	$22.58

DIALYSIS

Facility

$147.00

Hospital Charge Code	270615916
Hospital Revenue Code	272
Min. Negotiated Rate	$19.11
Max. Negotiated Rate	$73.50
Rate for Payer: Aetna Commercial	$44.10
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.11
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$73.50

DIALYSIS

Facility

$662.00

Service Code	HCPCS 90921
Hospital Charge Code	8200066
Hospital Revenue Code	855
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$99.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

DIALYSIS

Facility

$46.25

Hospital Charge Code	260120
Hospital Revenue Code	771
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$6.94
Rate for Payer: Qualcare PPO/HMO/WC	$6.94

DIALYSIS

Facility

$207.00

Hospital Charge Code	27059767
Hospital Revenue Code	271
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

DIALYSIS

Facility

$395.55

Hospital Charge Code	270607581
Hospital Revenue Code	809
Min. Negotiated Rate	$59.33
Max. Negotiated Rate	$59.33
Rate for Payer: Qualcare PPO/HMO/WC	$59.33

DIALYSIS

Facility

$1,035.25

Service Code	HCPCS 90920
Hospital Charge Code	8200045
Hospital Revenue Code	821
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

DIALYSIS

Facility

$6,000.00

Service Code	HCPCS 90960
Hospital Charge Code	8200043
Hospital Revenue Code	821
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

DIALYSIS

Facility

$662.00

Service Code	HCPCS 90921
Hospital Charge Code	8200066
Hospital Revenue Code	855
Min. Negotiated Rate	$86.06
Max. Negotiated Rate	$2,892.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.06
Rate for Payer: Oxford Commercial	$2,546.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Commercial	$2,892.00

DIALYSIS

Facility

$210.00

Hospital Charge Code	8200149
Hospital Revenue Code	271
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

DIALYSIS

Facility

$142.00

Hospital Charge Code	8200495
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DIALYSIS

Facility

$15.40

Hospital Charge Code	8200321
Hospital Revenue Code	279
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$7.70
Rate for Payer: Aetna Commercial	$4.62
Rate for Payer: Aetna Medicare Advantage	$4.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.93
Rate for Payer: Cigna Commercial	$7.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.00
Rate for Payer: Oxford Commercial	$7.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.31
Rate for Payer: UnitedHealthcare Commercial	$7.70

DIALYSIS

Facility

$615.70

Hospital Charge Code	8200032
Hospital Revenue Code	809
Min. Negotiated Rate	$80.04
Max. Negotiated Rate	$307.85
Rate for Payer: Aetna Commercial	$184.71
Rate for Payer: Aetna Medicare Advantage	$184.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.00
Rate for Payer: Cigna Commercial	$307.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.04
Rate for Payer: Oxford Commercial	$307.85
Rate for Payer: Qualcare PPO/HMO/WC	$92.36
Rate for Payer: UnitedHealthcare Commercial	$307.85

Know your out-of-pocket cost for care.

All Charges