Heights University Hospital

All Charges

Charge

Type

Setting

Price

JET 7 Kit

Facility

$13,975.00

Hospital Charge Code	270685060N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,816.75
Max. Negotiated Rate	$6,987.50
Rate for Payer: Aetna Commercial	$4,192.50
Rate for Payer: Aetna Medicare Advantage	$4,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,563.62
Rate for Payer: Cigna Commercial	$6,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,816.75
Rate for Payer: Oxford Commercial	$6,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25
Rate for Payer: UnitedHealthcare Commercial	$6,987.50

JET 7 Kit

Facility

$13,975.00

Hospital Charge Code	270685060N
Hospital Revenue Code	272
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$2,096.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

JETWIRE JETSTREAM

Facility

$500.00

Hospital Charge Code	270675788
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

JETWIRE JETSTREAM

Facility

$500.00

Hospital Charge Code	270675788
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

JEVITY

Facility

$23.00

Hospital Charge Code	60634851
Hospital Revenue Code	250
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

JEVITY

Facility

$23.00

Hospital Charge Code	60634851
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

JEVITY PLUS

Facility

$6.00

Hospital Charge Code	60635158
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

JEVITY PLUS

Facility

$6.00

Hospital Charge Code	60635158
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

JEWETT BRACE STANDARD

Facility

$2,068.85

Hospital Charge Code	270613129
Hospital Revenue Code	274
Min. Negotiated Rate	$310.33
Max. Negotiated Rate	$1,034.42
Rate for Payer: Aetna Commercial	$620.65
Rate for Payer: Aetna Medicare Advantage	$620.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$413.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$527.56
Rate for Payer: Cigna Commercial	$1,034.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.66
Rate for Payer: Qualcare PPO/HMO/WC	$310.33

JEWETT BRACE STANDARD

Facility

$2,068.85

Hospital Charge Code	270613129
Hospital Revenue Code	274
Min. Negotiated Rate	$310.33
Max. Negotiated Rate	$500.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$413.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.66
Rate for Payer: Qualcare PPO/HMO/WC	$310.33

JGRKNT2.9MM #2 BLUE MB

Facility

$2,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270681524
Hospital Revenue Code	278
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$689.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

JGRKNT2.9MM #2 BLUE MB

Facility

$2,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270681524
Hospital Revenue Code	278
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$1,425.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$726.75
Rate for Payer: Cigna Commercial	$1,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

JO-1 AB

Facility

$390.00

Service Code	HCPCS 86235
Hospital Charge Code	39900363
Hospital Revenue Code	302
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: Aetna Commercial	$58.09
Rate for Payer: Aetna Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.70
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.01
Rate for Payer: Wellcare Medicare Advantage	$17.93

JO-1 AB

Facility

$390.00

Service Code	HCPCS 86235
Hospital Charge Code	39900363
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

JO-1-ANTIBODY

Facility

$476.00

Service Code	HCPCS 86235
Hospital Charge Code	38476207
Hospital Revenue Code	302
Min. Negotiated Rate	$71.40
Max. Negotiated Rate	$71.40
Rate for Payer: Qualcare PPO/HMO/WC	$71.40

JO-1-ANTIBODY

Facility

$476.00

Service Code	HCPCS 86235
Hospital Charge Code	38476207
Hospital Revenue Code	302
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.09
Rate for Payer: Aetna Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.70
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.01
Rate for Payer: Wellcare Medicare Advantage	$17.93

JOINT SMALL 3.5mm

Facility

$238.76

Service Code	HCPCS C1776
Hospital Charge Code	270665087
Hospital Revenue Code	278
Min. Negotiated Rate	$35.81
Max. Negotiated Rate	$119.38
Rate for Payer: Aetna Commercial	$71.63
Rate for Payer: Aetna Medicare Advantage	$71.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.88
Rate for Payer: Cigna Commercial	$119.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.78
Rate for Payer: Qualcare PPO/HMO/WC	$35.81

JOINT SMALL 3.5mm

Facility

$238.76

Service Code	HCPCS C1776
Hospital Charge Code	270665087
Hospital Revenue Code	278
Min. Negotiated Rate	$35.81
Max. Negotiated Rate	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.78
Rate for Payer: Qualcare PPO/HMO/WC	$35.81

JOINT SURVEY, SGL VM, 1 OR > J

Facility

$331.25

Service Code	HCPCS 77077
Hospital Charge Code	2011187
Hospital Revenue Code	320
Min. Negotiated Rate	$49.69
Max. Negotiated Rate	$49.69
Rate for Payer: Qualcare PPO/HMO/WC	$49.69

JOINT SURVEY, SGL VM, 1 OR > J

Facility

$331.25

Service Code	HCPCS 77077
Hospital Charge Code	2011187
Hospital Revenue Code	320
Min. Negotiated Rate	$32.46
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$99.38
Rate for Payer: Aetna Medicare Advantage	$99.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.47
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.06
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.69
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

JOINT SURVEY SNGL VIEW-26

Facility

$90.45

Service Code	HCPCS 7707726
Hospital Charge Code	85000290
Hospital Revenue Code	320
Min. Negotiated Rate	$13.57
Max. Negotiated Rate	$13.57
Rate for Payer: Qualcare PPO/HMO/WC	$13.57

JOINT SURVEY SNGL VIEW-26

Facility

$90.45

Service Code	HCPCS 7707726
Hospital Charge Code	85000290
Hospital Revenue Code	320
Min. Negotiated Rate	$11.76
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$27.14
Rate for Payer: Aetna Medicare Advantage	$27.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.06
Rate for Payer: Cigna Commercial	$45.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.76
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.57
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

JOINT SURVEY SNGL VIEW-GL

Facility

$298.01

Service Code	HCPCS 77077
Hospital Charge Code	85000280
Hospital Revenue Code	320
Min. Negotiated Rate	$32.46
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$89.40
Rate for Payer: Aetna Medicare Advantage	$89.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.99
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.74
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.70
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

JOINT SURVEY SNGL VIEW-GL

Facility

$298.01

Service Code	HCPCS 77077
Hospital Charge Code	85000280
Hospital Revenue Code	320
Min. Negotiated Rate	$44.70
Max. Negotiated Rate	$44.70
Rate for Payer: Qualcare PPO/HMO/WC	$44.70

JOINT SURVEY SNGL VIEW-TC

Facility

$153.15

Service Code	HCPCS 77077TC
Hospital Charge Code	85000285
Hospital Revenue Code	320
Min. Negotiated Rate	$19.91
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$45.95
Rate for Payer: Aetna Medicare Advantage	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.05
Rate for Payer: Cigna Commercial	$76.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.91
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.97
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

Know your out-of-pocket cost for care.

All Charges