Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANESTHESIA SPINAL

Facility

$560.00

Hospital Charge Code	1650030
Hospital Revenue Code	370
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

ANESTHESIA SPINAL

Facility

$560.00

Hospital Charge Code	1650030
Hospital Revenue Code	370
Min. Negotiated Rate	$72.80
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$168.00
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.80
Rate for Payer: Oxford Commercial	$280.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$280.00

ANESTHESIA SPINAL 1ST HR

Facility

$420.00

Hospital Charge Code	1650110
Hospital Revenue Code	370
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$210.00

ANESTHESIA SPINAL 1ST HR

Facility

$420.00

Hospital Charge Code	1650110
Hospital Revenue Code	370
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

ANESTHESIA SPINAL EA ADD HR

Facility

$140.00

Hospital Charge Code	1650111
Hospital Revenue Code	370
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$70.00
Rate for Payer: Aetna Commercial	$42.00
Rate for Payer: Aetna Medicare Advantage	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.70
Rate for Payer: Cigna Commercial	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.20
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00
Rate for Payer: UnitedHealthcare Commercial	$70.00

ANESTHESIA SPINAL EA ADD HR

Facility

$140.00

Hospital Charge Code	1650111
Hospital Revenue Code	370
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

ANES - VAG DELIVERY

Facility

$2,563.00

Hospital Charge Code	73190157
Hospital Revenue Code	370
Min. Negotiated Rate	$333.19
Max. Negotiated Rate	$1,281.50
Rate for Payer: Aetna Commercial	$768.90
Rate for Payer: Aetna Medicare Advantage	$768.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$653.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$653.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$653.57
Rate for Payer: Cigna Commercial	$1,281.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.19
Rate for Payer: Oxford Commercial	$1,281.50
Rate for Payer: Qualcare PPO/HMO/WC	$384.45
Rate for Payer: UnitedHealthcare Commercial	$1,281.50

ANES - VAG DELIVERY

Facility

$2,563.00

Hospital Charge Code	73190157
Hospital Revenue Code	370
Min. Negotiated Rate	$384.45
Max. Negotiated Rate	$384.45
Rate for Payer: Qualcare PPO/HMO/WC	$384.45

ANGEL PRP KIT

Facility

$1,625.00

Hospital Charge Code	270690216
Hospital Revenue Code	271
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

ANGEL PRP KIT

Facility

$1,625.00

Hospital Charge Code	270690216
Hospital Revenue Code	271
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

ANGINA PECTORIS

Facility

$32,195.40

Service Code	MSDRG 311
Min. Negotiated Rate	$7,659.54
Max. Negotiated Rate	$32,195.40
Rate for Payer: Aetna Commercial	$23,667.98
Rate for Payer: Aetna Medicare Advantage	$7,659.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,296.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,296.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,731.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,296.90
Rate for Payer: Cigna Commercial	$15,105.59
Rate for Payer: Cigna Medicare Advantage	$10,731.80
Rate for Payer: Clover Medicare Advantage	$10,195.21
Rate for Payer: EmblemHealth Commercial	$32,195.40
Rate for Payer: Humana Medicare Advantage	$11,053.75
Rate for Payer: Oxford Commercial	$9,440.56
Rate for Payer: UnitedHealthcare Commercial	$10,715.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,731.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,375.71
Rate for Payer: Wellcare Medicare Advantage	$10,731.80

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$18,046.28

Service Code	APR-DRG 1984
Min. Negotiated Rate	$17,065.27
Max. Negotiated Rate	$18,046.28
Rate for Payer: Aetna Better Health Medicaid	$17,692.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,046.28
Rate for Payer: Wellpoint Medicaid Managed Care	$17,065.27

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$6,440.48

Service Code	APR-DRG 1981
Min. Negotiated Rate	$4,505.85
Max. Negotiated Rate	$6,440.48
Rate for Payer: Aetna Better Health Medicaid	$6,314.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,440.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4,505.85

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$10,051.17

Service Code	APR-DRG 1983
Min. Negotiated Rate	$7,100.55
Max. Negotiated Rate	$10,051.17
Rate for Payer: Aetna Better Health Medicaid	$9,854.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,051.17
Rate for Payer: Wellpoint Medicaid Managed Care	$7,100.55

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$7,653.85

Service Code	APR-DRG 1982
Min. Negotiated Rate	$5,204.84
Max. Negotiated Rate	$7,653.85
Rate for Payer: Aetna Better Health Medicaid	$7,503.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,653.85
Rate for Payer: Wellpoint Medicaid Managed Care	$5,204.84

ANGIO ACUVANCE 18GX1-1/4 3355

Facility

$11.65

Hospital Charge Code	270621009
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$5.83
Rate for Payer: Aetna Commercial	$3.50
Rate for Payer: Aetna Medicare Advantage	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.97
Rate for Payer: Cigna Commercial	$5.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.51
Rate for Payer: Oxford Commercial	$5.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.75
Rate for Payer: UnitedHealthcare Commercial	$5.83

ANGIO ACUVANCE 18GX1-1/4 3355

Facility

$11.65

Hospital Charge Code	270621009
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.75

ANGIO ACUVANCE 18GX1-3/4 3354

Facility

$11.57

Hospital Charge Code	270621008
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$1.74
Rate for Payer: Qualcare PPO/HMO/WC	$1.74

ANGIO ACUVANCE 18GX1-3/4 3354

Facility

$11.57

Hospital Charge Code	270621008
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$5.79
Rate for Payer: Aetna Commercial	$3.47
Rate for Payer: Aetna Medicare Advantage	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.95
Rate for Payer: Cigna Commercial	$5.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$5.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.74
Rate for Payer: UnitedHealthcare Commercial	$5.79

ANGIO ACUVANCE 20GX1-1/4 3356

Facility

$11.25

Hospital Charge Code	270621010
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

ANGIO ACUVANCE 20GX1-1/4 3356

Facility

$11.25

Hospital Charge Code	270621010
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

ANGIO ACUVANCE 20GX1-3/4 3359

Facility

$11.75

Hospital Charge Code	270621124
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$5.88
Rate for Payer: Aetna Commercial	$3.52
Rate for Payer: Aetna Medicare Advantage	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.00
Rate for Payer: Cigna Commercial	$5.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.53
Rate for Payer: Oxford Commercial	$5.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.76
Rate for Payer: UnitedHealthcare Commercial	$5.88

ANGIO ACUVANCE 20GX1-3/4 3359

Facility

$11.75

Hospital Charge Code	270621124
Hospital Revenue Code	272
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$1.76
Rate for Payer: Qualcare PPO/HMO/WC	$1.76

ANGIO AV SHUNT COMPLETE

Facility

$1,310.20

Service Code	HCPCS 75791
Hospital Charge Code	5100652
Hospital Revenue Code	350
Min. Negotiated Rate	$170.33
Max. Negotiated Rate	$2,773.00
Rate for Payer: Aetna Commercial	$393.06
Rate for Payer: Aetna Medicare Advantage	$393.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.10
Rate for Payer: Cigna Commercial	$655.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.33
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.53
Rate for Payer: UnitedHealthcare Commercial	$2,773.00

ANGIO AV SHUNT COMPLETE

Facility

$1,310.20

Service Code	HCPCS 75791
Hospital Charge Code	74110062
Hospital Revenue Code	350
Min. Negotiated Rate	$196.53
Max. Negotiated Rate	$196.53
Rate for Payer: Qualcare PPO/HMO/WC	$196.53

Know your out-of-pocket cost for care.

All Charges