Heights University Hospital

All Charges

Charge

Type

Setting

Price

FILTER BAG TRANSFER BF40

Facility

$3,680.85

Hospital Charge Code	270610535
Hospital Revenue Code	272
Min. Negotiated Rate	$478.51
Max. Negotiated Rate	$1,840.42
Rate for Payer: Aetna Commercial	$1,104.26
Rate for Payer: Aetna Medicare Advantage	$1,104.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$938.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$938.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$938.62
Rate for Payer: Cigna Commercial	$1,840.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$478.51
Rate for Payer: Oxford Commercial	$1,840.42
Rate for Payer: Qualcare PPO/HMO/WC	$552.13
Rate for Payer: UnitedHealthcare Commercial	$1,840.42

FILTER BAG TRANSFER BF40

Facility

$3,680.85

Hospital Charge Code	270610535
Hospital Revenue Code	272
Min. Negotiated Rate	$552.13
Max. Negotiated Rate	$552.13
Rate for Payer: Qualcare PPO/HMO/WC	$552.13

FILTER BIRDSNEST G06451

Facility

$5,246.75

Hospital Charge Code	270635675
Hospital Revenue Code	272
Min. Negotiated Rate	$787.01
Max. Negotiated Rate	$787.01
Rate for Payer: Qualcare PPO/HMO/WC	$787.01

FILTER BIRDSNEST G06451

Facility

$5,246.75

Hospital Charge Code	270635675
Hospital Revenue Code	272
Min. Negotiated Rate	$682.08
Max. Negotiated Rate	$2,623.38
Rate for Payer: Aetna Commercial	$1,574.03
Rate for Payer: Aetna Medicare Advantage	$1,574.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,337.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,337.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,337.92
Rate for Payer: Cigna Commercial	$2,623.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$682.08
Rate for Payer: Oxford Commercial	$2,623.38
Rate for Payer: Qualcare PPO/HMO/WC	$787.01
Rate for Payer: UnitedHealthcare Commercial	$2,623.38

FILTER CHARCOAL VAPOR

Facility

$192.65

Hospital Charge Code	270665981
Hospital Revenue Code	270
Min. Negotiated Rate	$28.90
Max. Negotiated Rate	$28.90
Rate for Payer: Qualcare PPO/HMO/WC	$28.90

FILTER CHARCOAL VAPOR

Facility

$192.65

Hospital Charge Code	270665981
Hospital Revenue Code	270
Min. Negotiated Rate	$25.04
Max. Negotiated Rate	$96.33
Rate for Payer: Aetna Commercial	$57.80
Rate for Payer: Aetna Medicare Advantage	$57.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.13
Rate for Payer: Cigna Commercial	$96.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.04
Rate for Payer: Oxford Commercial	$96.33
Rate for Payer: Qualcare PPO/HMO/WC	$28.90
Rate for Payer: UnitedHealthcare Commercial	$96.33

FILTER (COMPONENTS) BLOOD BANK

Facility

$44.85

Hospital Charge Code	3109006
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

FILTER (COMPONENTS) BLOOD BANK

Facility

$44.85

Hospital Charge Code	3109006
Hospital Revenue Code	272
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$22.43
Rate for Payer: Aetna Commercial	$13.46
Rate for Payer: Aetna Medicare Advantage	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.44
Rate for Payer: Cigna Commercial	$22.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Oxford Commercial	$22.43
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$22.43

FILTER DAV ABRMSN SUMP DRN***

Facility

$47.00

Hospital Charge Code	8003980
Hospital Revenue Code	272
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$23.50
Rate for Payer: Aetna Commercial	$14.10
Rate for Payer: Aetna Medicare Advantage	$14.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.98
Rate for Payer: Cigna Commercial	$23.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.11
Rate for Payer: Oxford Commercial	$23.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.05
Rate for Payer: UnitedHealthcare Commercial	$23.50

FILTER DAV ABRMSN SUMP DRN***

Facility

$47.00

Hospital Charge Code	8003980
Hospital Revenue Code	272
Min. Negotiated Rate	$7.05
Max. Negotiated Rate	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$7.05

FILTER DC-1 RESP DISP

Facility

$24.00

Hospital Charge Code	270600653
Hospital Revenue Code	272
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

FILTER DC-1 RESP DISP

Facility

$24.00

Hospital Charge Code	270600653
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

FILTER DC-II DISPOSABLE

Facility

$12.99

Hospital Charge Code	270625375
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

FILTER DC-II DISPOSABLE

Facility

$12.99

Hospital Charge Code	270625375
Hospital Revenue Code	270
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

FILTER DENALI IVC FEMORAL

Facility

$6,500.00

Service Code	HCPCS C1880
Hospital Charge Code	270644009
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

FILTER DENALI IVC FEMORAL

Facility

$6,500.00

Service Code	HCPCS C1880
Hospital Charge Code	270644009
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$1,950.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

FILTER DENALI IVC FEMORAL

Facility

$6,750.00

Service Code	HCPCS C1880
Hospital Charge Code	270646957S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

FILTER DENALI IVC FEMORAL

Facility

$6,750.00

Service Code	HCPCS C1880
Hospital Charge Code	270646957
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

FILTER DENALI IVC FEMORAL

Facility

$6,750.00

Service Code	HCPCS C1880
Hospital Charge Code	270646957S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

FILTER DENALI IVC FEMORAL

Facility

$6,750.00

Service Code	HCPCS C1880
Hospital Charge Code	270646957
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

FILTER DISPOSABLE FOR MALDEHYD

Facility

$207.80

Hospital Charge Code	270665980
Hospital Revenue Code	270
Min. Negotiated Rate	$27.01
Max. Negotiated Rate	$103.90
Rate for Payer: Aetna Commercial	$62.34
Rate for Payer: Aetna Medicare Advantage	$62.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.99
Rate for Payer: Cigna Commercial	$103.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.01
Rate for Payer: Oxford Commercial	$103.90
Rate for Payer: Qualcare PPO/HMO/WC	$31.17
Rate for Payer: UnitedHealthcare Commercial	$103.90

FILTER DISPOSABLE FOR MALDEHYD

Facility

$207.80

Hospital Charge Code	270665980
Hospital Revenue Code	270
Min. Negotiated Rate	$31.17
Max. Negotiated Rate	$31.17
Rate for Payer: Qualcare PPO/HMO/WC	$31.17

FILTER FAE 48 LYL*****

Facility

$9.00

Hospital Charge Code	8002651
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

FILTER FAE 48 LYL*****

Facility

$9.00

Hospital Charge Code	8002651
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

FILTER FAN

Facility

$75.00

Hospital Charge Code	270665504
Hospital Revenue Code	300
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges