Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANTENNA EMPRINT REINFORCD 30CM

Facility

$17,975.00

Hospital Charge Code	270692897
Hospital Revenue Code	272
Min. Negotiated Rate	$2,336.75
Max. Negotiated Rate	$8,987.50
Rate for Payer: Aetna Commercial	$5,392.50
Rate for Payer: Aetna Medicare Advantage	$5,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,583.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,583.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,583.62
Rate for Payer: Cigna Commercial	$8,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.75
Rate for Payer: Oxford Commercial	$8,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,696.25
Rate for Payer: UnitedHealthcare Commercial	$8,987.50

ANTENNA (MEDTRONIC) 37092

Facility

$400.00

Hospital Charge Code	270640284
Hospital Revenue Code	272
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$200.00

ANTENNA (MEDTRONIC) 37092

Facility

$400.00

Hospital Charge Code	270640284
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

ANTENNA MEDTRONIC 7440

Facility

$769.65

Hospital Charge Code	270605173
Hospital Revenue Code	272
Min. Negotiated Rate	$100.05
Max. Negotiated Rate	$384.82
Rate for Payer: Aetna Commercial	$230.90
Rate for Payer: Aetna Medicare Advantage	$230.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.26
Rate for Payer: Cigna Commercial	$384.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.05
Rate for Payer: Oxford Commercial	$384.82
Rate for Payer: Qualcare PPO/HMO/WC	$115.45
Rate for Payer: UnitedHealthcare Commercial	$384.82

ANTENNA MEDTRONIC 7440

Facility

$769.65

Hospital Charge Code	270605173
Hospital Revenue Code	272
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$115.45
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

ANTENNA RECP CM PERC 15 CM

Facility

$16,475.00

Hospital Charge Code	270692895
Hospital Revenue Code	272
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$2,471.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

ANTENNA RECP CM PERC 15 CM

Facility

$16,475.00

Hospital Charge Code	270692895
Hospital Revenue Code	272
Min. Negotiated Rate	$2,141.75
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$4,942.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,141.75
Rate for Payer: Oxford Commercial	$8,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Commercial	$8,237.50

ANTENNA RECP CM PERC 20 CM

Facility

$16,475.00

Hospital Charge Code	270692896
Hospital Revenue Code	272
Min. Negotiated Rate	$2,141.75
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$4,942.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,141.75
Rate for Payer: Oxford Commercial	$8,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Commercial	$8,237.50

ANTENNA RECP CM PERC 20 CM

Facility

$16,475.00

Hospital Charge Code	270692896
Hospital Revenue Code	272
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$2,471.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$8,176.31

Service Code	APR-DRG 5471
Min. Negotiated Rate	$8,015.99
Max. Negotiated Rate	$8,176.31
Rate for Payer: Aetna Better Health Medicaid	$8,015.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,176.31

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$11,626.84

Service Code	APR-DRG 5472
Min. Negotiated Rate	$11,398.86
Max. Negotiated Rate	$11,626.84
Rate for Payer: Aetna Better Health Medicaid	$11,398.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,626.84

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$17,841.29

Service Code	APR-DRG 5473
Min. Negotiated Rate	$17,491.46
Max. Negotiated Rate	$17,841.29
Rate for Payer: Aetna Better Health Medicaid	$17,491.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,841.29

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$32,342.91

Service Code	APR-DRG 5474
Min. Negotiated Rate	$31,708.74
Max. Negotiated Rate	$32,342.91
Rate for Payer: Aetna Better Health Medicaid	$31,708.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,342.91

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$15,976.30

Service Code	APR-DRG 5664
Min. Negotiated Rate	$14,387.99
Max. Negotiated Rate	$15,976.30
Rate for Payer: Aetna Better Health Medicaid	$14,387.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,675.75
Rate for Payer: Wellpoint Medicaid Managed Care	$15,976.30

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$4,347.96

Service Code	APR-DRG 5662
Min. Negotiated Rate	$3,663.11
Max. Negotiated Rate	$4,347.96
Rate for Payer: Aetna Better Health Medicaid	$4,262.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,347.96
Rate for Payer: Wellpoint Medicaid Managed Care	$3,663.11

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$6,503.67

Service Code	APR-DRG 5663
Min. Negotiated Rate	$5,619.92
Max. Negotiated Rate	$6,503.67
Rate for Payer: Aetna Better Health Medicaid	$6,376.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,503.67
Rate for Payer: Wellpoint Medicaid Managed Care	$5,619.92

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$3,230.11

Service Code	APR-DRG 5661
Min. Negotiated Rate	$2,726.65
Max. Negotiated Rate	$3,230.11
Rate for Payer: Aetna Better Health Medicaid	$3,166.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$3,230.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2,726.65

ANTERIOR CHAMBER CANNULA 27G

Facility

$55.00

Hospital Charge Code	270331004
Hospital Revenue Code	272
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$27.50

ANTERIOR CHAMBER CANNULA 27G

Facility

$55.00

Hospital Charge Code	270331004
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

ANTERIOR TIBIALIS TENDON-FF

Facility

$9,575.00

Hospital Charge Code	270653585
Hospital Revenue Code	270
Min. Negotiated Rate	$1,436.25
Max. Negotiated Rate	$1,436.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,436.25

ANTERIOR TIBIALIS TENDON-FF

Facility

$9,575.00

Hospital Charge Code	270653585
Hospital Revenue Code	270
Min. Negotiated Rate	$1,244.75
Max. Negotiated Rate	$4,787.50
Rate for Payer: Aetna Commercial	$2,872.50
Rate for Payer: Aetna Medicare Advantage	$2,872.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,441.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,441.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,441.62
Rate for Payer: Cigna Commercial	$4,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,244.75
Rate for Payer: Oxford Commercial	$4,787.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,436.25
Rate for Payer: UnitedHealthcare Commercial	$4,787.50

ANTG DETET-IMMUNOFLUOR GIARDIA

Facility

$77.95

Service Code	HCPCS 87269
Hospital Charge Code	38477079
Hospital Revenue Code	309
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ANTG DETET-IMMUNOFLUOR GIARDIA

Facility

$77.95

Service Code	HCPCS 87269
Hospital Charge Code	38477079
Hospital Revenue Code	309
Min. Negotiated Rate	$6.80
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.10
Rate for Payer: Aetna Medicare Advantage	$13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.87
Rate for Payer: Cigna Commercial	$13.61
Rate for Payer: Cigna Medicare Advantage	$6.80
Rate for Payer: Clover Medicare Advantage	$12.93
Rate for Payer: EmblemHealth Commercial	$40.83
Rate for Payer: Humana Medicare Advantage	$14.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.43
Rate for Payer: Wellcare Medicare Advantage	$13.61

ANTG-DET.IMMNFL-HERPES SIMP VI

Facility

$77.95

Service Code	HCPCS 87274
Hospital Charge Code	38477082
Hospital Revenue Code	309
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.82
Rate for Payer: Aetna Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.89
Rate for Payer: Cigna Commercial	$11.98
Rate for Payer: Cigna Medicare Advantage	$5.99
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.70
Rate for Payer: Wellcare Medicare Advantage	$11.98

ANTG-DET.IMMNFL-HERPES SIMP VI

Facility

$77.95

Service Code	HCPCS 87274
Hospital Charge Code	38477082
Hospital Revenue Code	309
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

Know your out-of-pocket cost for care.

All Charges