Heights University Hospital

All Charges

Charge

Type

Setting

Price

HYDRATION INF EA ADDL HR

Facility

$331.87

Service Code	HCPCS 96361
Hospital Charge Code	5700263
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	3401140
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	3401140
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	83653130
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

$598.74

Service Code	HCPCS 96361
Hospital Charge Code	5700388
Hospital Revenue Code	450
Min. Negotiated Rate	$66.70
Max. Negotiated Rate	$179.62
Rate for Payer: Aetna Commercial	$179.62
Rate for Payer: Aetna Medicare Advantage	$179.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.68
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	$152.68
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.84
Rate for Payer: Qualcare PPO/HMO/WC	$89.81

HYDRATION INF EA ADDL HR

Facility

$331.87

Service Code	HCPCS 96361
Hospital Charge Code	100135
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	73237020
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	3401115
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	93500015
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	3401125
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	73050910
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	395096361
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	395096361
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	5100785
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	3401145
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	74308230
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	3401120
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	2250417
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	73237020
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	100138
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	3401120
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	100132
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	100136
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	100135
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	100138
Hospital Revenue Code	260
Min. Negotiated Rate	$49.78
Max. Negotiated Rate	$49.78
Rate for Payer: Qualcare PPO/HMO/WC	$49.78

Know your out-of-pocket cost for care.

All Charges