Heights University Hospital

All Charges

Charge

Type

Setting

Price

HAP02

Facility

$6,075.00

Hospital Charge Code	270657205
Hospital Revenue Code	278
Min. Negotiated Rate	$911.25
Max. Negotiated Rate	$3,037.50
Rate for Payer: Aetna Commercial	$1,822.50
Rate for Payer: Aetna Medicare Advantage	$1,822.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,549.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,549.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,549.12
Rate for Payer: Cigna Commercial	$3,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,470.15
Rate for Payer: Qualcare PPO/HMO/WC	$911.25

Haptoglobin

Facility

$390.00

Service Code	HCPCS 83010
Hospital Charge Code	39888024
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Haptoglobin

Facility

$390.00

Service Code	HCPCS 83010
Hospital Charge Code	39888024
Hospital Revenue Code	301
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.76
Rate for Payer: Aetna Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.09
Rate for Payer: Cigna Commercial	$12.58
Rate for Payer: Cigna Medicare Advantage	$6.29
Rate for Payer: Clover Medicare Advantage	$11.95
Rate for Payer: EmblemHealth Commercial	$37.74
Rate for Payer: Humana Medicare Advantage	$12.96
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	$12.58
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.33
Rate for Payer: Wellcare Medicare Advantage	$12.58

HAPTOGLOBIN

Facility

$145.00

Service Code	HCPCS 83010
Hospital Charge Code	38478029
Hospital Revenue Code	301
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$12.58
Rate for Payer: Aetna Commercial	$40.76
Rate for Payer: Aetna Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.09
Rate for Payer: Cigna Medicare Advantage	$6.29
Rate for Payer: Clover Medicare Advantage	$11.95
Rate for Payer: EmblemHealth Commercial	$37.74
Rate for Payer: Humana Medicare Advantage	$12.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.58
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.33
Rate for Payer: Wellcare Medicare Advantage	$12.58

HAPTOGLOBIN

Facility

$145.00

Service Code	HCPCS 83010
Hospital Charge Code	38478029
Hospital Revenue Code	301
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

HAPTOGLOBIN

Facility

$390.00

Service Code	HCPCS 83010
Hospital Charge Code	39900460
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HAPTOGLOBIN

Facility

$390.00

Service Code	HCPCS 83010
Hospital Charge Code	39900460
Hospital Revenue Code	301
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.76
Rate for Payer: Aetna Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.09
Rate for Payer: Cigna Commercial	$12.58
Rate for Payer: Cigna Medicare Advantage	$6.29
Rate for Payer: Clover Medicare Advantage	$11.95
Rate for Payer: EmblemHealth Commercial	$37.74
Rate for Payer: Humana Medicare Advantage	$12.96
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	$12.58
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.33
Rate for Payer: Wellcare Medicare Advantage	$12.58

HAPTOGLOBIN, SERUM

Facility

$119.25

Service Code	HCPCS 83010
Hospital Charge Code	3001500
Hospital Revenue Code	301
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

HAPTOGLOBIN, SERUM

Facility

$119.25

Service Code	HCPCS 83010
Hospital Charge Code	3001500
Hospital Revenue Code	301
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.76
Rate for Payer: Aetna Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.09
Rate for Payer: Cigna Commercial	$12.58
Rate for Payer: Cigna Medicare Advantage	$6.29
Rate for Payer: Clover Medicare Advantage	$11.95
Rate for Payer: EmblemHealth Commercial	$37.74
Rate for Payer: Humana Medicare Advantage	$12.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.58
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.33
Rate for Payer: Wellcare Medicare Advantage	$12.58

HARDWARE REMOVAL KIT

Facility

$2,500.00

Hospital Charge Code	270676086
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

HARDWARE REMOVAL KIT

Facility

$2,500.00

Hospital Charge Code	270676086
Hospital Revenue Code	272
Min. Negotiated Rate	$325.00
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) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$1,250.00

HARMONIC ACE 5MM/36CM HANDPCE

Facility

$971.00

Hospital Charge Code	270338800
Hospital Revenue Code	272
Min. Negotiated Rate	$126.23
Max. Negotiated Rate	$485.50
Rate for Payer: Aetna Commercial	$291.30
Rate for Payer: Aetna Medicare Advantage	$291.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.60
Rate for Payer: Cigna Commercial	$485.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.23
Rate for Payer: Oxford Commercial	$485.50
Rate for Payer: Qualcare PPO/HMO/WC	$145.65
Rate for Payer: UnitedHealthcare Commercial	$485.50

HARMONIC ACE 5MM/36CM HANDPCE

Facility

$971.00

Hospital Charge Code	270338800
Hospital Revenue Code	272
Min. Negotiated Rate	$145.65
Max. Negotiated Rate	$145.65
Rate for Payer: Qualcare PPO/HMO/WC	$145.65

HARMONIC ACE PLUS

Facility

$1,615.00

Hospital Charge Code	270672323
Hospital Revenue Code	272
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$242.25
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

HARMONIC ACE PLUS

Facility

$1,615.00

Hospital Charge Code	270672323
Hospital Revenue Code	272
Min. Negotiated Rate	$209.95
Max. Negotiated Rate	$807.50
Rate for Payer: Aetna Commercial	$484.50
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.95
Rate for Payer: Oxford Commercial	$807.50
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Commercial	$807.50

HARMONIC HD 1001 shears

Facility

$3,184.30

Hospital Charge Code	270685509
Hospital Revenue Code	272
Min. Negotiated Rate	$413.96
Max. Negotiated Rate	$1,592.15
Rate for Payer: Aetna Commercial	$955.29
Rate for Payer: Aetna Medicare Advantage	$955.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$812.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$812.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$812.00
Rate for Payer: Cigna Commercial	$1,592.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.96
Rate for Payer: Oxford Commercial	$1,592.15
Rate for Payer: Qualcare PPO/HMO/WC	$477.64
Rate for Payer: UnitedHealthcare Commercial	$1,592.15

HARMONIC HD 1001 shears

Facility

$3,184.30

Hospital Charge Code	270685509
Hospital Revenue Code	272
Min. Negotiated Rate	$477.64
Max. Negotiated Rate	$477.64
Rate for Payer: Qualcare PPO/HMO/WC	$477.64

HARMONIC SCALPEL ACE 36CM

Facility

$19,532.80

Hospital Charge Code	270657206
Hospital Revenue Code	272
Min. Negotiated Rate	$2,929.92
Max. Negotiated Rate	$2,929.92
Rate for Payer: Qualcare PPO/HMO/WC	$2,929.92

HARMONIC SCALPEL ACE 36CM

Facility

$19,532.80

Hospital Charge Code	270657206
Hospital Revenue Code	272
Min. Negotiated Rate	$2,539.26
Max. Negotiated Rate	$9,766.40
Rate for Payer: Aetna Commercial	$5,859.84
Rate for Payer: Aetna Medicare Advantage	$5,859.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,980.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,980.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,980.86
Rate for Payer: Cigna Commercial	$9,766.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,539.26
Rate for Payer: Oxford Commercial	$9,766.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,929.92
Rate for Payer: UnitedHealthcare Commercial	$9,766.40

HARMONIC WAVE HANDPCE 5MM/23

Facility

$775.00

Hospital Charge Code	270338001
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

HARMONIC WAVE HANDPCE 5MM/23

Facility

$775.00

Hospital Charge Code	270338001
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

HARMONY PRENATAL TEST

Facility

$200.00

Service Code	HCPCS 81599
Hospital Charge Code	3038126
Hospital Revenue Code	310
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

HARMONY PRENATAL TEST

Facility

$200.00

Service Code	HCPCS 81599
Hospital Charge Code	3038126
Hospital Revenue Code	310
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

HARMONY VLED DUAL LIGHT PACKAG

Facility

$110,870.75

Hospital Charge Code	270663228
Hospital Revenue Code	270
Min. Negotiated Rate	$14,413.20
Max. Negotiated Rate	$55,435.38
Rate for Payer: Aetna Commercial	$33,261.22
Rate for Payer: Aetna Medicare Advantage	$33,261.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,272.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,272.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,272.04
Rate for Payer: Cigna Commercial	$55,435.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,413.20
Rate for Payer: Oxford Commercial	$55,435.38
Rate for Payer: Qualcare PPO/HMO/WC	$16,630.61
Rate for Payer: UnitedHealthcare Commercial	$55,435.38

HARMONY VLED DUAL LIGHT PACKAG

Facility

$110,870.75

Hospital Charge Code	270663228
Hospital Revenue Code	270
Min. Negotiated Rate	$16,630.61
Max. Negotiated Rate	$16,630.61
Rate for Payer: Qualcare PPO/HMO/WC	$16,630.61

Know your out-of-pocket cost for care.

All Charges