Heights University Hospital

All Charges

Charge

Type

Setting

Price

INFLAMASE MILD 0.125% OPH

Facility

$64.00

Hospital Charge Code	60633184
Hospital Revenue Code	250
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$19.20
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$32.00

INFLAMASE MILD 0.125% OPH

Facility

$64.00

Hospital Charge Code	60633184
Hospital Revenue Code	250
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$54,864.48

Service Code	MSDRG 727
Min. Negotiated Rate	$16,182.27
Max. Negotiated Rate	$54,864.48
Rate for Payer: Aetna Commercial	$50,003.21
Rate for Payer: Aetna Medicare Advantage	$16,182.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,658.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,658.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,658.54
Rate for Payer: Cigna Commercial	$31,913.49
Rate for Payer: Cigna Medicare Advantage	$18,288.16
Rate for Payer: Clover Medicare Advantage	$17,373.75
Rate for Payer: EmblemHealth Commercial	$54,864.48
Rate for Payer: Humana Medicare Advantage	$18,836.80
Rate for Payer: Oxford Commercial	$19,945.01
Rate for Payer: UnitedHealthcare Commercial	$22,639.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,288.16
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,385.45
Rate for Payer: Wellcare Medicare Advantage	$18,288.16

INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC

Facility

$35,367.90

Service Code	MSDRG 728
Min. Negotiated Rate	$8,852.29
Max. Negotiated Rate	$35,367.90
Rate for Payer: Aetna Commercial	$27,353.58
Rate for Payer: Aetna Medicare Advantage	$8,852.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,053.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,053.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,789.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,053.60
Rate for Payer: Cigna Commercial	$17,457.84
Rate for Payer: Cigna Medicare Advantage	$11,789.30
Rate for Payer: Clover Medicare Advantage	$11,199.83
Rate for Payer: EmblemHealth Commercial	$35,367.90
Rate for Payer: Humana Medicare Advantage	$12,142.98
Rate for Payer: Oxford Commercial	$10,910.64
Rate for Payer: UnitedHealthcare Commercial	$12,384.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,789.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,496.66
Rate for Payer: Wellcare Medicare Advantage	$11,789.30

INFLAMMATORY BOWEL DISEASE

Facility

$23,982.58

Service Code	APR-DRG 2454
Min. Negotiated Rate	$19,530.45
Max. Negotiated Rate	$23,982.58
Rate for Payer: Aetna Better Health Medicaid	$23,512.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,982.58
Rate for Payer: Wellpoint Medicaid Managed Care	$19,530.45

INFLAMMATORY BOWEL DISEASE

Facility

$9,774.47

Service Code	APR-DRG 2452
Min. Negotiated Rate	$6,824.32
Max. Negotiated Rate	$9,774.47
Rate for Payer: Aetna Better Health Medicaid	$9,582.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,774.47
Rate for Payer: Wellpoint Medicaid Managed Care	$6,824.32

INFLAMMATORY BOWEL DISEASE

Facility

$7,656.69

Service Code	APR-DRG 2451
Min. Negotiated Rate	$5,685.32
Max. Negotiated Rate	$7,656.69
Rate for Payer: Aetna Better Health Medicaid	$7,506.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,656.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5,685.32

INFLAMMATORY BOWEL DISEASE

Facility

$13,958.13

Service Code	APR-DRG 2453
Min. Negotiated Rate	$10,272.65
Max. Negotiated Rate	$13,958.13
Rate for Payer: Aetna Better Health Medicaid	$13,684.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,958.13
Rate for Payer: Wellpoint Medicaid Managed Care	$10,272.65

INFLAMMATORY BOWEL DISEASE WITH CC

Facility

$40,160.04

Service Code	MSDRG 386
Min. Negotiated Rate	$10,653.95
Max. Negotiated Rate	$40,160.04
Rate for Payer: Aetna Commercial	$32,920.71
Rate for Payer: Aetna Medicare Advantage	$10,653.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,739.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,739.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,386.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,739.99
Rate for Payer: Cigna Commercial	$21,010.95
Rate for Payer: Cigna Medicare Advantage	$13,386.68
Rate for Payer: Clover Medicare Advantage	$12,717.35
Rate for Payer: EmblemHealth Commercial	$40,160.04
Rate for Payer: Humana Medicare Advantage	$13,788.28
Rate for Payer: Oxford Commercial	$13,131.24
Rate for Payer: UnitedHealthcare Commercial	$14,905.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,386.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,189.88
Rate for Payer: Wellcare Medicare Advantage	$13,386.68

INFLAMMATORY BOWEL DISEASE WITH MCC

Facility

$57,749.64

Service Code	MSDRG 385
Min. Negotiated Rate	$17,266.98
Max. Negotiated Rate	$57,749.64
Rate for Payer: Aetna Commercial	$53,354.97
Rate for Payer: Aetna Medicare Advantage	$17,266.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,280.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,280.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,249.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,280.19
Rate for Payer: Cigna Commercial	$34,052.68
Rate for Payer: Cigna Medicare Advantage	$19,249.88
Rate for Payer: Clover Medicare Advantage	$18,287.39
Rate for Payer: EmblemHealth Commercial	$57,749.64
Rate for Payer: Humana Medicare Advantage	$19,827.38
Rate for Payer: Oxford Commercial	$21,281.94
Rate for Payer: UnitedHealthcare Commercial	$24,156.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,249.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,404.87
Rate for Payer: Wellcare Medicare Advantage	$19,249.88

INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC

Facility

$31,597.47

Service Code	MSDRG 387
Min. Negotiated Rate	$7,434.74
Max. Negotiated Rate	$31,597.47
Rate for Payer: Aetna Commercial	$22,973.35
Rate for Payer: Aetna Medicare Advantage	$7,434.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,745.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,745.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,532.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,745.56
Rate for Payer: Cigna Commercial	$14,662.26
Rate for Payer: Cigna Medicare Advantage	$10,532.49
Rate for Payer: Clover Medicare Advantage	$10,005.87
Rate for Payer: EmblemHealth Commercial	$31,597.47
Rate for Payer: Humana Medicare Advantage	$10,848.46
Rate for Payer: Oxford Commercial	$9,163.49
Rate for Payer: UnitedHealthcare Commercial	$10,401.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,532.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,164.44
Rate for Payer: Wellcare Medicare Advantage	$10,532.49

INFLATABLE PENILE 12MMX24CM

Facility

$65,452.55

Hospital Charge Code	270702098
Hospital Revenue Code	278
Min. Negotiated Rate	$9,817.88
Max. Negotiated Rate	$32,726.28
Rate for Payer: Aetna Commercial	$19,635.76
Rate for Payer: Aetna Medicare Advantage	$19,635.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,690.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,690.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,090.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,690.40
Rate for Payer: Cigna Commercial	$32,726.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,839.52
Rate for Payer: Qualcare PPO/HMO/WC	$9,817.88

INFLATABLE PENILE 12MMX24CM

Facility

$65,452.55

Hospital Charge Code	270702098
Hospital Revenue Code	278
Min. Negotiated Rate	$9,817.88
Max. Negotiated Rate	$15,839.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,090.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,839.52
Rate for Payer: Qualcare PPO/HMO/WC	$9,817.88

INFLATABLE PENILE PROSTHESIS

Facility

$67,702.55

Hospital Charge Code	270702114
Hospital Revenue Code	278
Min. Negotiated Rate	$10,155.38
Max. Negotiated Rate	$33,851.28
Rate for Payer: Aetna Commercial	$20,310.76
Rate for Payer: Aetna Medicare Advantage	$20,310.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,264.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,264.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,540.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,264.15
Rate for Payer: Cigna Commercial	$33,851.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,384.02
Rate for Payer: Qualcare PPO/HMO/WC	$10,155.38

INFLATABLE PENILE PROSTHESIS

Facility

$67,702.55

Hospital Charge Code	270702114
Hospital Revenue Code	278
Min. Negotiated Rate	$10,155.38
Max. Negotiated Rate	$16,384.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,540.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,384.02
Rate for Payer: Qualcare PPO/HMO/WC	$10,155.38

INFLATABLE PENILE PUMP 12MMX18

Facility

$65,452.55

Hospital Charge Code	270702096
Hospital Revenue Code	278
Min. Negotiated Rate	$9,817.88
Max. Negotiated Rate	$32,726.28
Rate for Payer: Aetna Commercial	$19,635.76
Rate for Payer: Aetna Medicare Advantage	$19,635.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,690.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,690.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,090.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,690.40
Rate for Payer: Cigna Commercial	$32,726.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,839.52
Rate for Payer: Qualcare PPO/HMO/WC	$9,817.88

INFLATABLE PENILE PUMP 12MMX18

Facility

$65,452.55

Hospital Charge Code	270702096
Hospital Revenue Code	278
Min. Negotiated Rate	$9,817.88
Max. Negotiated Rate	$15,839.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,090.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,839.52
Rate for Payer: Qualcare PPO/HMO/WC	$9,817.88

INFLATION DEVICE ENCORE

Facility

$175.00

Hospital Charge Code	2706000658
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

INFLATION DEVICE ENCORE

Facility

$175.00

Hospital Charge Code	2706000658
Hospital Revenue Code	272
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: Oxford Commercial	$87.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$87.50

INFLATION DEV MICROTECH BALLN

Facility

$137.00

Hospital Charge Code	270700755
Hospital Revenue Code	272
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$20.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

INFLATION DEV MICROTECH BALLN

Facility

$137.00

Hospital Charge Code	270700755
Hospital Revenue Code	272
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$68.50
Rate for Payer: Aetna Commercial	$41.10
Rate for Payer: Aetna Medicare Advantage	$41.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.94
Rate for Payer: Cigna Commercial	$68.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.81
Rate for Payer: Oxford Commercial	$68.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.55
Rate for Payer: UnitedHealthcare Commercial	$68.50

INFLATION KIT

Facility

$154.50

Hospital Charge Code	270664784N
Hospital Revenue Code	272
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$23.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.18

INFLATION KIT

Facility

$154.50

Hospital Charge Code	270664784N
Hospital Revenue Code	272
Min. Negotiated Rate	$20.09
Max. Negotiated Rate	$77.25
Rate for Payer: Aetna Commercial	$46.35
Rate for Payer: Aetna Medicare Advantage	$46.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.40
Rate for Payer: Cigna Commercial	$77.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.09
Rate for Payer: Oxford Commercial	$77.25
Rate for Payer: Qualcare PPO/HMO/WC	$23.18
Rate for Payer: UnitedHealthcare Commercial	$77.25

INFLATION KIT

Facility

$156.80

Hospital Charge Code	270664784S
Hospital Revenue Code	272
Min. Negotiated Rate	$20.38
Max. Negotiated Rate	$78.40
Rate for Payer: Aetna Commercial	$47.04
Rate for Payer: Aetna Medicare Advantage	$47.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.98
Rate for Payer: Cigna Commercial	$78.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.38
Rate for Payer: Oxford Commercial	$78.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.52
Rate for Payer: UnitedHealthcare Commercial	$78.40

INFLATION KIT

Facility

$156.80

Hospital Charge Code	270664784S
Hospital Revenue Code	272
Min. Negotiated Rate	$23.52
Max. Negotiated Rate	$23.52
Rate for Payer: Qualcare PPO/HMO/WC	$23.52

Know your out-of-pocket cost for care.

All Charges