Heights University Hospital

All Charges

Charge

Type

Setting

Price

EASYFUSE INST PK MID HINDFOOT

Facility

$1,465.00

Hospital Charge Code	270700662
Hospital Revenue Code	272
Min. Negotiated Rate	$190.45
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$439.50
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.45
Rate for Payer: Oxford Commercial	$732.50
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Commercial	$732.50

EASYFUSE INST PK MID HINDFOOT

Facility

$1,465.00

Hospital Charge Code	270700662
Hospital Revenue Code	272
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$219.75
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

EASY GLUCOSE CONTROL

Facility

$28.00

Hospital Charge Code	60634988
Hospital Revenue Code	250
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

EASY GLUCOSE CONTROL

Facility

$28.00

Hospital Charge Code	60634988
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

EASY SPRAY PRESSURE REGULATOR

Facility

$3,266.15

Hospital Charge Code	270663662
Hospital Revenue Code	270
Min. Negotiated Rate	$424.60
Max. Negotiated Rate	$1,633.08
Rate for Payer: Aetna Commercial	$979.85
Rate for Payer: Aetna Medicare Advantage	$979.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$832.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$832.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$832.87
Rate for Payer: Cigna Commercial	$1,633.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.60
Rate for Payer: Oxford Commercial	$1,633.08
Rate for Payer: Qualcare PPO/HMO/WC	$489.92
Rate for Payer: UnitedHealthcare Commercial	$1,633.08

EASY SPRAY PRESSURE REGULATOR

Facility

$3,266.15

Hospital Charge Code	270663662
Hospital Revenue Code	270
Min. Negotiated Rate	$489.92
Max. Negotiated Rate	$489.92
Rate for Payer: Qualcare PPO/HMO/WC	$489.92

EASY SPRAY SET

Facility

$248.20

Hospital Charge Code	270663661
Hospital Revenue Code	270
Min. Negotiated Rate	$37.23
Max. Negotiated Rate	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$37.23

EASY SPRAY SET

Facility

$248.20

Hospital Charge Code	270663661
Hospital Revenue Code	270
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$74.46
Rate for Payer: Aetna Medicare Advantage	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.29
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.27
Rate for Payer: Oxford Commercial	$124.10
Rate for Payer: Qualcare PPO/HMO/WC	$37.23
Rate for Payer: UnitedHealthcare Commercial	$124.10

EASY TEST STRIPS (ADDVAN)

Facility

$150.00

Hospital Charge Code	60635111
Hospital Revenue Code	250
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$75.00

EASY TEST STRIPS (ADDVAN)

Facility

$150.00

Hospital Charge Code	60635111
Hospital Revenue Code	250
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

EATING DISORDERS

Facility

$12,877.04

Service Code	APR-DRG 7591
Min. Negotiated Rate	$10,371.80
Max. Negotiated Rate	$12,877.04
Rate for Payer: Aetna Better Health Medicaid	$10,371.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,579.24
Rate for Payer: Wellpoint Medicaid Managed Care	$12,877.04

EATING DISORDERS

Facility

$17,696.57

Service Code	APR-DRG 7593
Min. Negotiated Rate	$15,154.50
Max. Negotiated Rate	$17,696.57
Rate for Payer: Aetna Better Health Medicaid	$17,349.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,696.57
Rate for Payer: Wellpoint Medicaid Managed Care	$15,154.50

EATING DISORDERS

Facility

$49,406.17

Service Code	APR-DRG 7594
Min. Negotiated Rate	$26,260.57
Max. Negotiated Rate	$49,406.17
Rate for Payer: Aetna Better Health Medicaid	$48,437.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$49,406.17
Rate for Payer: Wellpoint Medicaid Managed Care	$26,260.57

EATING DISORDERS

Facility

$13,523.89

Service Code	APR-DRG 7592
Min. Negotiated Rate	$12,029.47
Max. Negotiated Rate	$13,523.89
Rate for Payer: Aetna Better Health Medicaid	$12,029.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,270.06
Rate for Payer: Wellpoint Medicaid Managed Care	$13,523.89

EB ICE W/KNEE&SHOLR PAD 2350HD

Facility

$868.00

Hospital Charge Code	270633788
Hospital Revenue Code	272
Min. Negotiated Rate	$112.84
Max. Negotiated Rate	$434.00
Rate for Payer: Aetna Commercial	$260.40
Rate for Payer: Aetna Medicare Advantage	$260.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.34
Rate for Payer: Cigna Commercial	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.84
Rate for Payer: Oxford Commercial	$434.00
Rate for Payer: Qualcare PPO/HMO/WC	$130.20
Rate for Payer: UnitedHealthcare Commercial	$434.00

EB ICE W/KNEE&SHOLR PAD 2350HD

Facility

$868.00

Hospital Charge Code	270633788
Hospital Revenue Code	272
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Qualcare PPO/HMO/WC	$130.20

EB ICE W/KNEE&SHOULD PAD 235HD

Facility

$868.00

Hospital Charge Code	270933788
Hospital Revenue Code	272
Min. Negotiated Rate	$112.84
Max. Negotiated Rate	$434.00
Rate for Payer: Aetna Commercial	$260.40
Rate for Payer: Aetna Medicare Advantage	$260.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.34
Rate for Payer: Cigna Commercial	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.84
Rate for Payer: Oxford Commercial	$434.00
Rate for Payer: Qualcare PPO/HMO/WC	$130.20
Rate for Payer: UnitedHealthcare Commercial	$434.00

EB ICE W/KNEE&SHOULD PAD 235HD

Facility

$868.00

Hospital Charge Code	270933788
Hospital Revenue Code	272
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Qualcare PPO/HMO/WC	$130.20

EBLIZER 28% PRE-PILLED 606902

Facility

$17.73

Hospital Charge Code	270606902
Hospital Revenue Code	270
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$8.87
Rate for Payer: Aetna Commercial	$5.32
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.52
Rate for Payer: Cigna Commercial	$8.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.30
Rate for Payer: Oxford Commercial	$8.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.66
Rate for Payer: UnitedHealthcare Commercial	$8.87

EBLIZER 28% PRE-PILLED 606902

Facility

$17.73

Hospital Charge Code	270606902
Hospital Revenue Code	270
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$2.66
Rate for Payer: Qualcare PPO/HMO/WC	$2.66

EBNA AB (IGG)

Facility

$105.15

Service Code	HCPCS 86664
Hospital Charge Code	39900234
Hospital Revenue Code	302
Min. Negotiated Rate	$7.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.54
Rate for Payer: Aetna Medicare Advantage	$15.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.02
Rate for Payer: Cigna Commercial	$15.29
Rate for Payer: Cigna Medicare Advantage	$7.64
Rate for Payer: Clover Medicare Advantage	$14.53
Rate for Payer: EmblemHealth Commercial	$45.87
Rate for Payer: Humana Medicare Advantage	$15.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.67
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.77
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.29
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.21
Rate for Payer: Wellcare Medicare Advantage	$15.29

EBNA AB (IGG)

Facility

$105.15

Service Code	HCPCS 86664
Hospital Charge Code	39900234
Hospital Revenue Code	302
Min. Negotiated Rate	$15.77
Max. Negotiated Rate	$15.77
Rate for Payer: Qualcare PPO/HMO/WC	$15.77

EBNA ANTIBODY IGG

Facility

$390.00

Service Code	HCPCS 86664
Hospital Charge Code	38476267
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

EBNA ANTIBODY IGG

Facility

$390.00

Service Code	HCPCS 86664
Hospital Charge Code	38476267
Hospital Revenue Code	302
Min. Negotiated Rate	$7.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.54
Rate for Payer: Aetna Medicare Advantage	$15.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.02
Rate for Payer: Cigna Commercial	$15.29
Rate for Payer: Cigna Medicare Advantage	$7.64
Rate for Payer: Clover Medicare Advantage	$14.53
Rate for Payer: EmblemHealth Commercial	$45.87
Rate for Payer: Humana Medicare Advantage	$15.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.29
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.21
Rate for Payer: Wellcare Medicare Advantage	$15.29

EBV CAPSID AB (IGG)

Facility

$390.00

Service Code	HCPCS 86665
Hospital Charge Code	39900235
Hospital Revenue Code	302
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.77
Rate for Payer: Aetna Medicare Advantage	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.46
Rate for Payer: Cigna Commercial	$18.14
Rate for Payer: Cigna Medicare Advantage	$9.07
Rate for Payer: Clover Medicare Advantage	$17.23
Rate for Payer: EmblemHealth Commercial	$54.42
Rate for Payer: Humana Medicare Advantage	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.23
Rate for Payer: Wellcare Medicare Advantage	$18.14

Know your out-of-pocket cost for care.

All Charges