Heights University Hospital

All Charges

Charge

Type

Setting

Price

GENERAL ANESTHESIA GAS

Facility

$213.80

Hospital Charge Code	6065064
Hospital Revenue Code	250
Min. Negotiated Rate	$32.07
Max. Negotiated Rate	$32.07
Rate for Payer: Qualcare PPO/HMO/WC	$32.07

GENERAL CYTOLOGY (NON-GYN)

Facility

$425.00

Service Code	HCPCS 88104
Hospital Charge Code	38474025
Hospital Revenue Code	311
Min. Negotiated Rate	$47.88
Max. Negotiated Rate	$127.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$47.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$114.00

GENERAL CYTOLOGY (NON-GYN)

Facility

$425.00

Service Code	HCPCS 88104
Hospital Charge Code	38474025
Hospital Revenue Code	311
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

GENERAL MIS INSTRUMENT SET

Facility

$625.00

Hospital Charge Code	270684550
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

GENERAL MIS INSTRUMENT SET

Facility

$625.00

Hospital Charge Code	270684550
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

GENERAL REPAIR-MRI HVAC SYSTEM

Facility

$38,475.00

Hospital Charge Code	270659120
Hospital Revenue Code	278
Min. Negotiated Rate	$5,771.25
Max. Negotiated Rate	$19,237.50
Rate for Payer: Aetna Commercial	$11,542.50
Rate for Payer: Aetna Medicare Advantage	$11,542.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,811.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,811.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,811.12
Rate for Payer: Cigna Commercial	$19,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,310.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,771.25

GENERAL REPAIR-MRI HVAC SYSTEM

Facility

$38,475.00

Hospital Charge Code	270659120
Hospital Revenue Code	278
Min. Negotiated Rate	$5,771.25
Max. Negotiated Rate	$9,310.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,310.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,771.25

GENERATO 20S SPINE REN 7209812

Facility

$2,500.00

Hospital Charge Code	270639693
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

GENERATO 20S SPINE REN 7209812

Facility

$2,500.00

Hospital Charge Code	270639693
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

GENERATOR DUAL CHAMBER PULSE

Facility

$30,500.00

Hospital Charge Code	270657497
Hospital Revenue Code	278
Min. Negotiated Rate	$4,575.00
Max. Negotiated Rate	$7,381.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,381.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,575.00

GENERATOR DUAL CHAMBER PULSE

Facility

$30,500.00

Hospital Charge Code	270657497
Hospital Revenue Code	278
Min. Negotiated Rate	$4,575.00
Max. Negotiated Rate	$15,250.00
Rate for Payer: Aetna Commercial	$9,150.00
Rate for Payer: Aetna Medicare Advantage	$9,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,777.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,777.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,777.50
Rate for Payer: Cigna Commercial	$15,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,381.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,575.00

GENERATOR DUAL LV PACEMAKER

Facility

$30,400.00

Service Code	HCPCS C2619
Hospital Charge Code	270668041
Hospital Revenue Code	275
Min. Negotiated Rate	$4,560.00
Max. Negotiated Rate	$15,200.00
Rate for Payer: Aetna Commercial	$9,120.00
Rate for Payer: Aetna Medicare Advantage	$9,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,752.00
Rate for Payer: Cigna Commercial	$15,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,356.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,560.00

GENERATOR DUAL LV PACEMAKER

Facility

$30,400.00

Service Code	HCPCS C2619
Hospital Charge Code	270668041
Hospital Revenue Code	275
Min. Negotiated Rate	$4,560.00
Max. Negotiated Rate	$7,356.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,356.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,560.00

GENERATOR EON IPG 16-CHAN

Facility

$104,940.00

Service Code	HCPCS C1767
Hospital Charge Code	270675086
Hospital Revenue Code	278
Min. Negotiated Rate	$15,741.00
Max. Negotiated Rate	$52,470.00
Rate for Payer: Aetna Commercial	$31,482.00
Rate for Payer: Aetna Medicare Advantage	$31,482.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,759.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,759.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,988.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,759.70
Rate for Payer: Cigna Commercial	$52,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,395.48
Rate for Payer: Qualcare PPO/HMO/WC	$15,741.00

GENERATOR EON IPG 16-CHAN

Facility

$104,940.00

Service Code	HCPCS C1767
Hospital Charge Code	270675086
Hospital Revenue Code	278
Min. Negotiated Rate	$15,741.00
Max. Negotiated Rate	$25,395.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,988.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,395.48
Rate for Payer: Qualcare PPO/HMO/WC	$15,741.00

GENERATOR EON MINI IPG 16-CHAN

Facility

$104,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270642321
Hospital Revenue Code	278
Min. Negotiated Rate	$15,741.00
Max. Negotiated Rate	$52,470.00
Rate for Payer: Aetna Commercial	$31,482.00
Rate for Payer: Aetna Medicare Advantage	$31,482.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,759.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,759.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,988.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,759.70
Rate for Payer: Cigna Commercial	$52,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,395.48
Rate for Payer: Qualcare PPO/HMO/WC	$15,741.00

GENERATOR EON MINI IPG 16-CHAN

Facility

$104,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270642321
Hospital Revenue Code	278
Min. Negotiated Rate	$15,741.00
Max. Negotiated Rate	$25,395.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,988.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,395.48
Rate for Payer: Qualcare PPO/HMO/WC	$15,741.00

GENERATOR MULTIGEN RADIOFREQCY

Facility

$7,500.00

Hospital Charge Code	270650122
Hospital Revenue Code	270
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

GENERATOR MULTIGEN RADIOFREQCY

Facility

$7,500.00

Hospital Charge Code	270650122
Hospital Revenue Code	270
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.00
Rate for Payer: Oxford Commercial	$3,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$3,750.00

GENERATOR PACEMAKER***

Facility

$18,002.00

Hospital Charge Code	270606661
Hospital Revenue Code	275
Min. Negotiated Rate	$2,700.30
Max. Negotiated Rate	$9,001.00
Rate for Payer: Aetna Commercial	$5,400.60
Rate for Payer: Aetna Medicare Advantage	$5,400.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,590.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,590.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,600.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,590.51
Rate for Payer: Cigna Commercial	$9,001.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,356.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.30

GENERATOR PACEMAKER***

Facility

$18,002.00

Hospital Charge Code	270606661
Hospital Revenue Code	275
Min. Negotiated Rate	$2,700.30
Max. Negotiated Rate	$4,356.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,600.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,356.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.30

GENERATOR PRECISION SPECTRA

Facility

$102,500.00

Hospital Charge Code	270675554
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$24,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

GENERATOR PRECISION SPECTRA

Facility

$102,500.00

Hospital Charge Code	270675554
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$51,250.00
Rate for Payer: Aetna Commercial	$30,750.00
Rate for Payer: Aetna Medicare Advantage	$30,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,137.50
Rate for Payer: Cigna Commercial	$51,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

GENERATOR PROCLAIM 7 ELITE

Facility

$120,940.00

Service Code	HCPCS C1822
Hospital Charge Code	270677805
Hospital Revenue Code	278
Min. Negotiated Rate	$18,141.00
Max. Negotiated Rate	$60,470.00
Rate for Payer: Aetna Commercial	$36,282.00
Rate for Payer: Aetna Medicare Advantage	$36,282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,839.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,839.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,839.70
Rate for Payer: Cigna Commercial	$60,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,267.48
Rate for Payer: Qualcare PPO/HMO/WC	$18,141.00

GENERATOR PROCLAIM 7 ELITE

Facility

$120,940.00

Service Code	HCPCS C1822
Hospital Charge Code	270677805
Hospital Revenue Code	278
Min. Negotiated Rate	$18,141.00
Max. Negotiated Rate	$29,267.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,267.48
Rate for Payer: Qualcare PPO/HMO/WC	$18,141.00

Know your out-of-pocket cost for care.

All Charges