Heights University Hospital

All Charges

Charge

Type

Setting

Price

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC

Facility

$34,958.64

Service Code	MSDRG 148
Min. Negotiated Rate	$8,698.42
Max. Negotiated Rate	$34,958.64
Rate for Payer: Aetna Commercial	$26,878.12
Rate for Payer: Aetna Medicare Advantage	$8,698.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,534.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,534.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,652.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,534.63
Rate for Payer: Cigna Commercial	$17,154.39
Rate for Payer: Cigna Medicare Advantage	$11,652.88
Rate for Payer: Clover Medicare Advantage	$11,070.24
Rate for Payer: EmblemHealth Commercial	$34,958.64
Rate for Payer: Humana Medicare Advantage	$12,002.47
Rate for Payer: Oxford Commercial	$10,721.00
Rate for Payer: UnitedHealthcare Commercial	$12,169.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,652.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,352.05
Rate for Payer: Wellcare Medicare Advantage	$11,652.88

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$28,142.36

Service Code	APR-DRG 1104
Min. Negotiated Rate	$23,711.54
Max. Negotiated Rate	$28,142.36
Rate for Payer: Aetna Better Health Medicaid	$27,590.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,142.36
Rate for Payer: Wellpoint Medicaid Managed Care	$23,711.54

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$11,154.98

Service Code	APR-DRG 1102
Min. Negotiated Rate	$8,014.62
Max. Negotiated Rate	$11,154.98
Rate for Payer: Aetna Better Health Medicaid	$10,936.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,154.98
Rate for Payer: Wellpoint Medicaid Managed Care	$8,014.62

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$16,244.51

Service Code	APR-DRG 1103
Min. Negotiated Rate	$12,958.84
Max. Negotiated Rate	$16,244.51
Rate for Payer: Aetna Better Health Medicaid	$15,925.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,244.51
Rate for Payer: Wellpoint Medicaid Managed Care	$12,958.84

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$9,860.15

Service Code	APR-DRG 1101
Min. Negotiated Rate	$6,242.26
Max. Negotiated Rate	$9,860.15
Rate for Payer: Aetna Better Health Medicaid	$9,666.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,860.15
Rate for Payer: Wellpoint Medicaid Managed Care	$6,242.26

EARPIECE CUSHION FOR HEADSET

Facility

$16.00

Hospital Charge Code	270658658
Hospital Revenue Code	270
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

EARPIECE CUSHION FOR HEADSET

Facility

$16.00

Hospital Charge Code	270658658
Hospital Revenue Code	270
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$4.80
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.08
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$8.00

EAR PLUG DISPOSABLE

Facility

$317.50

Hospital Charge Code	270652085
Hospital Revenue Code	270
Min. Negotiated Rate	$47.62
Max. Negotiated Rate	$47.62
Rate for Payer: Qualcare PPO/HMO/WC	$47.62

EAR PLUG DISPOSABLE

Facility

$317.50

Hospital Charge Code	270652085
Hospital Revenue Code	270
Min. Negotiated Rate	$41.27
Max. Negotiated Rate	$158.75
Rate for Payer: Aetna Commercial	$95.25
Rate for Payer: Aetna Medicare Advantage	$95.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.96
Rate for Payer: Cigna Commercial	$158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.27
Rate for Payer: Oxford Commercial	$158.75
Rate for Payer: Qualcare PPO/HMO/WC	$47.62
Rate for Payer: UnitedHealthcare Commercial	$158.75

EAR WICKS POPE 400141

Facility

$15.00

Hospital Charge Code	270620596
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

EAR WICKS POPE 400141

Facility

$15.00

Hospital Charge Code	270620596
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

EASTERN EQUINE I

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037A
Hospital Revenue Code	302
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.20
Rate for Payer: Aetna Medicare Advantage	$27.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.12
Rate for Payer: Cigna Commercial	$45.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

EASTERN EQUINE I

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037A
Hospital Revenue Code	302
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$13.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.60

EASTERN EQUINE II

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037B
Hospital Revenue Code	302
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.20
Rate for Payer: Aetna Medicare Advantage	$27.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.12
Rate for Payer: Cigna Commercial	$45.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

EASTERN EQUINE II

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037B
Hospital Revenue Code	302
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$13.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.60

EASY CLIP 10 X10 X 10

Facility

$6,273.95

Service Code	HCPCS C1713
Hospital Charge Code	270689620
Hospital Revenue Code	278
Min. Negotiated Rate	$941.09
Max. Negotiated Rate	$1,518.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,254.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,518.30
Rate for Payer: Qualcare PPO/HMO/WC	$941.09

EASY CLIP 10 X10 X 10

Facility

$6,273.95

Service Code	HCPCS C1713
Hospital Charge Code	270689620
Hospital Revenue Code	278
Min. Negotiated Rate	$941.09
Max. Negotiated Rate	$3,136.97
Rate for Payer: Aetna Commercial	$1,882.18
Rate for Payer: Aetna Medicare Advantage	$1,882.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,599.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,599.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,254.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,599.86
Rate for Payer: Cigna Commercial	$3,136.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,518.30
Rate for Payer: Qualcare PPO/HMO/WC	$941.09

EASYCLIP 18MM 14-14MM

Facility

$8,490.00

Hospital Charge Code	270674062
Hospital Revenue Code	278
Min. Negotiated Rate	$1,273.50
Max. Negotiated Rate	$2,054.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,273.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,698.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,054.58

EASYCLIP 18MM 14-14MM

Facility

$8,490.00

Hospital Charge Code	270674062
Hospital Revenue Code	278
Min. Negotiated Rate	$1,273.50
Max. Negotiated Rate	$4,245.00
Rate for Payer: Aetna Commercial	$2,547.00
Rate for Payer: Aetna Medicare Advantage	$2,547.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,164.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,164.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,698.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,164.95
Rate for Payer: Cigna Commercial	$4,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,054.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,273.50

EASYCLIP 20MM 20-20MM

Facility

$10,720.00

Hospital Charge Code	270674059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,608.00
Max. Negotiated Rate	$2,594.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,594.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,608.00

EASYCLIP 20MM 20-20MM

Facility

$10,720.00

Hospital Charge Code	270674059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,608.00
Max. Negotiated Rate	$5,360.00
Rate for Payer: Aetna Commercial	$3,216.00
Rate for Payer: Aetna Medicare Advantage	$3,216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,733.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,733.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,733.60
Rate for Payer: Cigna Commercial	$5,360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,594.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,608.00

EASY CLIP FIXATION SYS 8-8-8MM

Facility

$4,563.00

Service Code	HCPCS C1713
Hospital Charge Code	270674964
Hospital Revenue Code	278
Min. Negotiated Rate	$684.45
Max. Negotiated Rate	$2,281.50
Rate for Payer: Aetna Commercial	$1,368.90
Rate for Payer: Aetna Medicare Advantage	$1,368.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,163.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,163.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,163.57
Rate for Payer: Cigna Commercial	$2,281.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.25
Rate for Payer: Qualcare PPO/HMO/WC	$684.45

EASY CLIP FIXATION SYS 8-8-8MM

Facility

$4,563.00

Service Code	HCPCS C1713
Hospital Charge Code	270674964
Hospital Revenue Code	278
Min. Negotiated Rate	$684.45
Max. Negotiated Rate	$1,104.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.25
Rate for Payer: Qualcare PPO/HMO/WC	$684.45

EASYFUSE IMPLT PROC PACK 15X12

Facility

$6,625.00

Hospital Charge Code	270704039
Hospital Revenue Code	272
Min. Negotiated Rate	$861.25
Max. Negotiated Rate	$3,312.50
Rate for Payer: Aetna Commercial	$1,987.50
Rate for Payer: Aetna Medicare Advantage	$1,987.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,689.38
Rate for Payer: Cigna Commercial	$3,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$861.25
Rate for Payer: Oxford Commercial	$3,312.50
Rate for Payer: Qualcare PPO/HMO/WC	$993.75
Rate for Payer: UnitedHealthcare Commercial	$3,312.50

EASYFUSE IMPLT PROC PACK 15X12

Facility

$6,625.00

Hospital Charge Code	270704039
Hospital Revenue Code	272
Min. Negotiated Rate	$993.75
Max. Negotiated Rate	$993.75
Rate for Payer: Qualcare PPO/HMO/WC	$993.75

Know your out-of-pocket cost for care.

All Charges