Heights University Hospital

All Charges

Charge

Type

Setting

Price

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Facility

$15,297.50

Service Code	HCPCS 20650
Hospital Charge Code	5701010
Hospital Revenue Code	450
Min. Negotiated Rate	$2,294.62
Max. Negotiated Rate	$2,294.62
Rate for Payer: Qualcare PPO/HMO/WC	$2,294.62

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Facility

$5,182.10

Service Code	HCPCS C1776
Hospital Charge Code	270682133
Hospital Revenue Code	278
Min. Negotiated Rate	$777.32
Max. Negotiated Rate	$2,591.05
Rate for Payer: Aetna Commercial	$1,554.63
Rate for Payer: Aetna Medicare Advantage	$1,554.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,321.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,321.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,036.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,321.44
Rate for Payer: Cigna Commercial	$2,591.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,254.07
Rate for Payer: Qualcare PPO/HMO/WC	$777.32

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Facility

$5,182.10

Service Code	HCPCS C1776
Hospital Charge Code	270682133
Hospital Revenue Code	278
Min. Negotiated Rate	$777.32
Max. Negotiated Rate	$1,254.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,036.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,254.07
Rate for Payer: Qualcare PPO/HMO/WC	$777.32

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Facility

$4,870.00

Service Code	HCPCS C1776
Hospital Charge Code	270692133
Hospital Revenue Code	278
Min. Negotiated Rate	$730.50
Max. Negotiated Rate	$2,435.00
Rate for Payer: Aetna Commercial	$1,461.00
Rate for Payer: Aetna Medicare Advantage	$1,461.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,241.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,241.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$974.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,241.85
Rate for Payer: Cigna Commercial	$2,435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.54
Rate for Payer: Qualcare PPO/HMO/WC	$730.50

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Facility

$4,870.00

Service Code	HCPCS C1776
Hospital Charge Code	270692133
Hospital Revenue Code	278
Min. Negotiated Rate	$730.50
Max. Negotiated Rate	$1,178.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$974.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.54
Rate for Payer: Qualcare PPO/HMO/WC	$730.50

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Facility

$5,211.40

Service Code	HCPCS C1776
Hospital Charge Code	270691404
Hospital Revenue Code	278
Min. Negotiated Rate	$781.71
Max. Negotiated Rate	$1,261.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,042.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,261.16
Rate for Payer: Qualcare PPO/HMO/WC	$781.71

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Facility

$5,211.40

Service Code	HCPCS C1776
Hospital Charge Code	270691404
Hospital Revenue Code	278
Min. Negotiated Rate	$781.71
Max. Negotiated Rate	$2,605.70
Rate for Payer: Aetna Commercial	$1,563.42
Rate for Payer: Aetna Medicare Advantage	$1,563.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,328.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,328.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,042.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,328.91
Rate for Payer: Cigna Commercial	$2,605.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,261.16
Rate for Payer: Qualcare PPO/HMO/WC	$781.71

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Facility

$5,759.20

Service Code	HCPCS C1776
Hospital Charge Code	270691408
Hospital Revenue Code	278
Min. Negotiated Rate	$863.88
Max. Negotiated Rate	$2,879.60
Rate for Payer: Aetna Commercial	$1,727.76
Rate for Payer: Aetna Medicare Advantage	$1,727.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,468.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,468.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,151.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,468.60
Rate for Payer: Cigna Commercial	$2,879.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,393.73
Rate for Payer: Qualcare PPO/HMO/WC	$863.88

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Facility

$5,759.20

Service Code	HCPCS C1776
Hospital Charge Code	270691408
Hospital Revenue Code	278
Min. Negotiated Rate	$863.88
Max. Negotiated Rate	$1,393.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,151.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,393.73
Rate for Payer: Qualcare PPO/HMO/WC	$863.88

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Facility

$4,985.25

Service Code	HCPCS C1776
Hospital Charge Code	270691261
Hospital Revenue Code	278
Min. Negotiated Rate	$747.79
Max. Negotiated Rate	$2,492.62
Rate for Payer: Aetna Commercial	$1,495.58
Rate for Payer: Aetna Medicare Advantage	$1,495.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,271.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,271.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$997.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,271.24
Rate for Payer: Cigna Commercial	$2,492.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,206.43
Rate for Payer: Qualcare PPO/HMO/WC	$747.79

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Facility

$4,985.25

Service Code	HCPCS C1776
Hospital Charge Code	270691261
Hospital Revenue Code	278
Min. Negotiated Rate	$747.79
Max. Negotiated Rate	$1,206.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$997.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,206.43
Rate for Payer: Qualcare PPO/HMO/WC	$747.79

INSERT BERING TIBIA SZ 3

Facility

$4,985.25

Service Code	HCPCS C1776
Hospital Charge Code	270691268
Hospital Revenue Code	278
Min. Negotiated Rate	$747.79
Max. Negotiated Rate	$1,206.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$997.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,206.43
Rate for Payer: Qualcare PPO/HMO/WC	$747.79

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Facility

$4,985.25

Service Code	HCPCS C1776
Hospital Charge Code	270691268
Hospital Revenue Code	278
Min. Negotiated Rate	$747.79
Max. Negotiated Rate	$2,492.62
Rate for Payer: Aetna Commercial	$1,495.58
Rate for Payer: Aetna Medicare Advantage	$1,495.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,271.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,271.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$997.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,271.24
Rate for Payer: Cigna Commercial	$2,492.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,206.43
Rate for Payer: Qualcare PPO/HMO/WC	$747.79

INSERT BMT 10 71/75 146150

Facility

$3,972.00

Hospital Charge Code	270606912
Hospital Revenue Code	278
Min. Negotiated Rate	$595.80
Max. Negotiated Rate	$1,986.00
Rate for Payer: Aetna Commercial	$1,191.60
Rate for Payer: Aetna Medicare Advantage	$1,191.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,012.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,012.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$794.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,012.86
Rate for Payer: Cigna Commercial	$1,986.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.22
Rate for Payer: Qualcare PPO/HMO/WC	$595.80

INSERT BMT 10 71/75 146150

Facility

$3,972.00

Hospital Charge Code	270606912
Hospital Revenue Code	278
Min. Negotiated Rate	$595.80
Max. Negotiated Rate	$961.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$794.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.22
Rate for Payer: Qualcare PPO/HMO/WC	$595.80

INSERT BMT 18 71/75 146158

Facility

$3,972.00

Hospital Charge Code	270609000
Hospital Revenue Code	278
Min. Negotiated Rate	$595.80
Max. Negotiated Rate	$961.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$794.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.22
Rate for Payer: Qualcare PPO/HMO/WC	$595.80

INSERT BMT 18 71/75 146158

Facility

$3,972.00

Hospital Charge Code	270609000
Hospital Revenue Code	278
Min. Negotiated Rate	$595.80
Max. Negotiated Rate	$1,986.00
Rate for Payer: Aetna Commercial	$1,191.60
Rate for Payer: Aetna Medicare Advantage	$1,191.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,012.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,012.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$794.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,012.86
Rate for Payer: Cigna Commercial	$1,986.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.22
Rate for Payer: Qualcare PPO/HMO/WC	$595.80

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Facility

$6,404.20

Service Code	HCPCS 32557
Hospital Charge Code	321032557
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,633.07
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

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Facility

$3,419.20

Service Code	HCPCS 32557
Hospital Charge Code	366832557
Hospital Revenue Code	361
Min. Negotiated Rate	$444.50
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,025.76
Rate for Payer: Aetna Medicare Advantage	$1,025.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$871.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$871.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$871.90
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.50
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$512.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

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Facility

$6,404.20

Service Code	HCPCS 32557
Hospital Charge Code	5701102
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,633.07
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

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Facility

$6,404.20

Service Code	HCPCS 32557
Hospital Charge Code	321032557
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

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Facility

$3,419.20

Service Code	HCPCS 32557
Hospital Charge Code	2101193
Hospital Revenue Code	361
Min. Negotiated Rate	$512.88
Max. Negotiated Rate	$512.88
Rate for Payer: Qualcare PPO/HMO/WC	$512.88

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Facility

$3,419.20

Service Code	HCPCS 32557
Hospital Charge Code	7411386
Hospital Revenue Code	361
Min. Negotiated Rate	$444.50
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,025.76
Rate for Payer: Aetna Medicare Advantage	$1,025.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$871.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$871.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$871.90
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.50
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$512.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

INSERT CATH PLEURA W IMAGE

Facility

$3,419.20

Service Code	HCPCS 32557
Hospital Charge Code	7411386
Hospital Revenue Code	361
Min. Negotiated Rate	$512.88
Max. Negotiated Rate	$512.88
Rate for Payer: Qualcare PPO/HMO/WC	$512.88

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Facility

$9,500.00

Service Code	HCPCS 32557
Hospital Charge Code	2250451
Hospital Revenue Code	361
Min. Negotiated Rate	$1,235.00
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

Know your out-of-pocket cost for care.

All Charges