Heights University Hospital

All Charges

Charge

Type

Setting

Price

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	1600532
Hospital Revenue Code	260
Min. Negotiated Rate	$200.11
Max. Negotiated Rate	$200.11
Rate for Payer: Qualcare PPO/HMO/WC	$200.11

HYDRATION INF 1ST HR

Facility

$2,800.00

Service Code	HCPCS 96360
Hospital Charge Code	100130
Hospital Revenue Code	260
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

HYDRATION INF 1ST HR

Facility

$2,800.00

Service Code	HCPCS 96360
Hospital Charge Code	83653125
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.00
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	74308225
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$400.23
Rate for Payer: Aetna Medicare Advantage	$400.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.19
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.43
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.11
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	3401110
Hospital Revenue Code	260
Min. Negotiated Rate	$200.11
Max. Negotiated Rate	$200.11
Rate for Payer: Qualcare PPO/HMO/WC	$200.11

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	73050901
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$400.23
Rate for Payer: Aetna Medicare Advantage	$400.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.19
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.43
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.11
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$2,800.00

Service Code	HCPCS 96360
Hospital Charge Code	411096360
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.00
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	8200519
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$400.23
Rate for Payer: Aetna Medicare Advantage	$400.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.19
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.43
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.11
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$2,800.00

Service Code	HCPCS 96360
Hospital Charge Code	366896360
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.00
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	395096360
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$400.23
Rate for Payer: Aetna Medicare Advantage	$400.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.19
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.43
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.11
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	5100784
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$400.23
Rate for Payer: Aetna Medicare Advantage	$400.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.19
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.43
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.11
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	8200519
Hospital Revenue Code	260
Min. Negotiated Rate	$200.11
Max. Negotiated Rate	$200.11
Rate for Payer: Qualcare PPO/HMO/WC	$200.11

HYDRATION INF 1ST HR

Facility

$1,326.52

Service Code	HCPCS 96360
Hospital Charge Code	3409015
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$397.96
Rate for Payer: Aetna Medicare Advantage	$397.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.26
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.45
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.98
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	2011454
Hospital Revenue Code	260
Min. Negotiated Rate	$200.11
Max. Negotiated Rate	$200.11
Rate for Payer: Qualcare PPO/HMO/WC	$200.11

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	2300910
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$400.23
Rate for Payer: Aetna Medicare Advantage	$400.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.19
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.43
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.11
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	3401110
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$400.23
Rate for Payer: Aetna Medicare Advantage	$400.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.19
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.43
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.11
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,326.52

Service Code	HCPCS 96360
Hospital Charge Code	73050965
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$397.96
Rate for Payer: Aetna Medicare Advantage	$397.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.26
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.45
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.98
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	73237019
Hospital Revenue Code	260
Min. Negotiated Rate	$200.11
Max. Negotiated Rate	$200.11
Rate for Payer: Qualcare PPO/HMO/WC	$200.11

HYDRATION INF 1ST HR

Facility

$2,408.78

Service Code	HCPCS 96360
Hospital Charge Code	5700385
Hospital Revenue Code	450
Min. Negotiated Rate	$361.32
Max. Negotiated Rate	$361.32
Rate for Payer: Qualcare PPO/HMO/WC	$361.32

HYDRATION INF 1ST HR

Facility

$2,800.00

Service Code	HCPCS 96360
Hospital Charge Code	93500007
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.00
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	5100784
Hospital Revenue Code	260
Min. Negotiated Rate	$200.11
Max. Negotiated Rate	$200.11
Rate for Payer: Qualcare PPO/HMO/WC	$200.11

HYDRATION INF 1ST HR

Facility

$1,334.09

Service Code	HCPCS 96360
Hospital Charge Code	73237019
Hospital Revenue Code	260
Min. Negotiated Rate	$162.15
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$400.23
Rate for Payer: Aetna Medicare Advantage	$400.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.19
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.43
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.11
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF EA ADDL HR

Facility

$331.87

Service Code	HCPCS 96361
Hospital Charge Code	3401150
Hospital Revenue Code	260
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$99.56
Rate for Payer: Aetna Medicare Advantage	$99.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.63
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.14
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.78
Rate for Payer: UnitedHealthcare Commercial	$802.00

HYDRATION INF EA ADDL HR

Facility

$331.87

Service Code	HCPCS 96361
Hospital Charge Code	73050910
Hospital Revenue Code	260
Min. Negotiated Rate	$49.78
Max. Negotiated Rate	$49.78
Rate for Payer: Qualcare PPO/HMO/WC	$49.78

HYDRATION INF EA ADDL HR

Facility

$331.87

Service Code	HCPCS 96361
Hospital Charge Code	100139
Hospital Revenue Code	260
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$99.56
Rate for Payer: Aetna Medicare Advantage	$99.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.63
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.14
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.78
Rate for Payer: UnitedHealthcare Commercial	$802.00

Know your out-of-pocket cost for care.

All Charges