Heights University Hospital

All Charges

Charge

Type

Setting

Price

ENSNARE CATHETER SYSTEM 18x30m

Facility

$1,725.00

Hospital Charge Code	270658280N
Hospital Revenue Code	272
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$258.75
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

ENSNARE CATHETER SYSTEM 18x30m

Facility

$1,725.00

Hospital Charge Code	270658280
Hospital Revenue Code	272
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$258.75
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

ENSNARE CATHETER SYSTEM 18x30m

Facility

$1,725.00

Hospital Charge Code	270658280
Hospital Revenue Code	272
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$517.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.25
Rate for Payer: Oxford Commercial	$862.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Commercial	$862.50

ENSNARE CATHETER SYSTEM 18x30m

Facility

$1,725.00

Hospital Charge Code	270658280N
Hospital Revenue Code	272
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$517.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.25
Rate for Payer: Oxford Commercial	$862.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Commercial	$862.50

ENSURE PLUS

Facility

$32.00

Hospital Charge Code	60634844
Hospital Revenue Code	250
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

ENSURE PLUS

Facility

$32.00

Hospital Charge Code	60634844
Hospital Revenue Code	250
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

ENSURE PUDDING

Facility

$28.00

Hospital Charge Code	60634845
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

ENSURE PUDDING

Facility

$28.00

Hospital Charge Code	60634845
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

ENTACAPONE 200MG TAB

Facility

$44.82

Service Code	NDC 52427080001
Hospital Charge Code	60632275
Hospital Revenue Code	250
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$22.41
Rate for Payer: Aetna Commercial	$13.45
Rate for Payer: Aetna Medicare Advantage	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.43
Rate for Payer: Cigna Commercial	$22.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Oxford Commercial	$22.41
Rate for Payer: Qualcare PPO/HMO/WC	$6.72
Rate for Payer: UnitedHealthcare Commercial	$22.41

ENTACAPONE 200MG TAB

Facility

$44.82

Service Code	NDC 52427080001
Hospital Charge Code	60632275
Hospital Revenue Code	250
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$6.72
Rate for Payer: Qualcare PPO/HMO/WC	$6.72

ENTAMOEBA HISTOLYTICA ANTIBODY

Facility

$54.79

Service Code	HCPCS 86753
Hospital Charge Code	397080013
Hospital Revenue Code	302
Min. Negotiated Rate	$6.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.14
Rate for Payer: Aetna Medicare Advantage	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.40
Rate for Payer: Cigna Commercial	$12.39
Rate for Payer: Cigna Medicare Advantage	$6.20
Rate for Payer: Clover Medicare Advantage	$11.77
Rate for Payer: EmblemHealth Commercial	$37.17
Rate for Payer: Humana Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.22
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.13
Rate for Payer: Wellcare Medicare Advantage	$12.39

ENTAMOEBA HISTOLYTICA ANTIBODY

Facility

$54.79

Service Code	HCPCS 86753
Hospital Charge Code	397080013
Hospital Revenue Code	302
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$8.22

ENTERAL DIET, ELEM CAN

Facility

$53.80

Hospital Charge Code	6002174
Hospital Revenue Code	251
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

ENTERAL DIET, ELEM CAN

Facility

$53.80

Hospital Charge Code	6002174
Hospital Revenue Code	251
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$26.90
Rate for Payer: Aetna Commercial	$16.14
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.99
Rate for Payer: Oxford Commercial	$26.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$26.90

ENTEREG 12MG CAP

Facility

$344.00

Hospital Charge Code	60635707
Hospital Revenue Code	250
Min. Negotiated Rate	$51.60
Max. Negotiated Rate	$51.60
Rate for Payer: Qualcare PPO/HMO/WC	$51.60

ENTEREG 12MG CAP

Facility

$344.00

Hospital Charge Code	60635707
Hospital Revenue Code	250
Min. Negotiated Rate	$44.72
Max. Negotiated Rate	$172.00
Rate for Payer: Aetna Commercial	$103.20
Rate for Payer: Aetna Medicare Advantage	$103.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.72
Rate for Payer: Cigna Commercial	$172.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.72
Rate for Payer: Oxford Commercial	$172.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.60
Rate for Payer: UnitedHealthcare Commercial	$172.00

ENTEROENTERSTMY ANASTOM OF INT

Facility

$20,505.04

Service Code	HCPCS 44130
Hospital Charge Code	1600000574
Hospital Revenue Code	360
Min. Negotiated Rate	$3,075.76
Max. Negotiated Rate	$3,075.76
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.76

ENTEROENTERSTMY ANASTOM OF INT

Facility

$20,505.04

Service Code	HCPCS 44130
Hospital Charge Code	1600000574
Hospital Revenue Code	360
Min. Negotiated Rate	$1,341.49
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$6,151.51
Rate for Payer: Aetna Medicare Advantage	$6,151.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,228.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,228.79
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	$5,228.79
Rate for Payer: Cigna Commercial	$1,341.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,665.66
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.76
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ENTEROLYSIS

Facility

$17,050.84

Service Code	HCPCS 44005
Hospital Charge Code	1600000638
Hospital Revenue Code	360
Min. Negotiated Rate	$2,557.63
Max. Negotiated Rate	$2,557.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,557.63

ENTEROLYSIS

Facility

$17,050.84

Service Code	HCPCS 44005
Hospital Charge Code	1600000638
Hospital Revenue Code	360
Min. Negotiated Rate	$1,111.39
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$5,115.25
Rate for Payer: Aetna Medicare Advantage	$5,115.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,347.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,347.96
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	$4,347.96
Rate for Payer: Cigna Commercial	$1,111.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,216.61
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,557.63
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ENTEROVIRUS CULT

Facility

$225.00

Hospital Charge Code	38479081
Hospital Revenue Code	302
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$114.00

ENTEROVIRUS CULT

Facility

$225.00

Hospital Charge Code	38479081
Hospital Revenue Code	302
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

ENTEROVIRUS CULTURE

Facility

$134.40

Service Code	HCPCS 87254
Hospital Charge Code	39900277
Hospital Revenue Code	309
Min. Negotiated Rate	$9.78
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$63.37
Rate for Payer: Aetna Medicare Advantage	$19.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.67
Rate for Payer: Cigna Commercial	$19.56
Rate for Payer: Cigna Medicare Advantage	$9.78
Rate for Payer: Clover Medicare Advantage	$18.58
Rate for Payer: EmblemHealth Commercial	$58.68
Rate for Payer: Humana Medicare Advantage	$20.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.47
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.16
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.56
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.73
Rate for Payer: Wellcare Medicare Advantage	$19.56

ENTEROVIRUS CULTURE

Facility

$134.40

Service Code	HCPCS 87254
Hospital Charge Code	39900277
Hospital Revenue Code	309
Min. Negotiated Rate	$20.16
Max. Negotiated Rate	$20.16
Rate for Payer: Qualcare PPO/HMO/WC	$20.16

ENTEROVIRUS RNA,QL,RT-PCR

Facility

$390.00

Service Code	HCPCS 87498
Hospital Charge Code	39900396
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
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	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

Know your out-of-pocket cost for care.

All Charges