Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT BLOOD ACCES ANGL ANGBAK250

Facility

$365.00

Hospital Charge Code	270639729
Hospital Revenue Code	272
Min. Negotiated Rate	$47.45
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$109.50
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.45
Rate for Payer: Oxford Commercial	$182.50
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$182.50

KIT BLOOD DRAW

Facility

$4,096.30

Hospital Charge Code	270663733
Hospital Revenue Code	270
Min. Negotiated Rate	$614.45
Max. Negotiated Rate	$614.45
Rate for Payer: Qualcare PPO/HMO/WC	$614.45

KIT BLOOD DRAW

Facility

$4,096.30

Hospital Charge Code	270663733
Hospital Revenue Code	270
Min. Negotiated Rate	$532.52
Max. Negotiated Rate	$2,048.15
Rate for Payer: Aetna Commercial	$1,228.89
Rate for Payer: Aetna Medicare Advantage	$1,228.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,044.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,044.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,044.56
Rate for Payer: Cigna Commercial	$2,048.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.52
Rate for Payer: Oxford Commercial	$2,048.15
Rate for Payer: Qualcare PPO/HMO/WC	$614.45
Rate for Payer: UnitedHealthcare Commercial	$2,048.15

KIT BLOOD SAMPLING ARTERIAL

Facility

$6.60

Hospital Charge Code	270649790
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Qualcare PPO/HMO/WC	$0.99

KIT BLOOD SAMPLING ARTERIAL

Facility

$6.60

Hospital Charge Code	270649790
Hospital Revenue Code	270
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$3.30
Rate for Payer: Aetna Commercial	$1.98
Rate for Payer: Aetna Medicare Advantage	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.68
Rate for Payer: Cigna Commercial	$3.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.86
Rate for Payer: Oxford Commercial	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.99
Rate for Payer: UnitedHealthcare Commercial	$3.30

KIT BMT HIP PREP 424700

Facility

$650.00

Hospital Charge Code	270621292
Hospital Revenue Code	270
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

KIT BMT HIP PREP 424700

Facility

$650.00

Hospital Charge Code	270621292
Hospital Revenue Code	270
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

KIT BMT IMPLANTATION 999881

Facility

$1,532.85

Hospital Charge Code	270605343
Hospital Revenue Code	272
Min. Negotiated Rate	$199.27
Max. Negotiated Rate	$766.42
Rate for Payer: Aetna Commercial	$459.86
Rate for Payer: Aetna Medicare Advantage	$459.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.88
Rate for Payer: Cigna Commercial	$766.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.27
Rate for Payer: Oxford Commercial	$766.42
Rate for Payer: Qualcare PPO/HMO/WC	$229.93
Rate for Payer: UnitedHealthcare Commercial	$766.42

KIT BMT IMPLANTATION 999881

Facility

$1,532.85

Hospital Charge Code	270605343
Hospital Revenue Code	272
Min. Negotiated Rate	$229.93
Max. Negotiated Rate	$229.93
Rate for Payer: Qualcare PPO/HMO/WC	$229.93

KIT BMT IMPLANTATION 999999

Facility

$1,536.00

Hospital Charge Code	270606465
Hospital Revenue Code	272
Min. Negotiated Rate	$199.68
Max. Negotiated Rate	$768.00
Rate for Payer: Aetna Commercial	$460.80
Rate for Payer: Aetna Medicare Advantage	$460.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.68
Rate for Payer: Cigna Commercial	$768.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.68
Rate for Payer: Oxford Commercial	$768.00
Rate for Payer: Qualcare PPO/HMO/WC	$230.40
Rate for Payer: UnitedHealthcare Commercial	$768.00

KIT BMT IMPLANTATION 999999

Facility

$1,536.00

Hospital Charge Code	270606465
Hospital Revenue Code	272
Min. Negotiated Rate	$230.40
Max. Negotiated Rate	$230.40
Rate for Payer: Qualcare PPO/HMO/WC	$230.40

KIT BMT OPTIVAX MIX 80G 200512

Facility

$713.65

Hospital Charge Code	270624394
Hospital Revenue Code	272
Min. Negotiated Rate	$107.05
Max. Negotiated Rate	$107.05
Rate for Payer: Qualcare PPO/HMO/WC	$107.05

KIT BMT OPTIVAX MIX 80G 200512

Facility

$713.65

Hospital Charge Code	270624394
Hospital Revenue Code	272
Min. Negotiated Rate	$92.77
Max. Negotiated Rate	$356.82
Rate for Payer: Aetna Commercial	$214.09
Rate for Payer: Aetna Medicare Advantage	$214.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.98
Rate for Payer: Cigna Commercial	$356.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.77
Rate for Payer: Oxford Commercial	$356.82
Rate for Payer: Qualcare PPO/HMO/WC	$107.05
Rate for Payer: UnitedHealthcare Commercial	$356.82

KIT BONE ACCESS SZ 3

Facility

$2,375.00

Hospital Charge Code	270686422
Hospital Revenue Code	272
Min. Negotiated Rate	$308.75
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.75
Rate for Payer: Oxford Commercial	$1,187.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$1,187.50

KIT BONE ACCESS SZ 3

Facility

$2,375.00

Hospital Charge Code	270686422
Hospital Revenue Code	272
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

KIT BONE ACCESS SZ 3

Facility

$2,375.00

Hospital Charge Code	270686422O
Hospital Revenue Code	272
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

KIT BONE ACCESS SZ 3

Facility

$2,375.00

Hospital Charge Code	270686422O
Hospital Revenue Code	272
Min. Negotiated Rate	$308.75
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.75
Rate for Payer: Oxford Commercial	$1,187.50
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$1,187.50

KIT BONE DOWEL REVISION 16MM

Facility

$2,750.00

Hospital Charge Code	270693722
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

KIT BONE DOWEL REVISION 16MM

Facility

$2,750.00

Hospital Charge Code	270693722
Hospital Revenue Code	272
Min. Negotiated Rate	$357.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

KIT BONE MARROW ASPRTN 30CC

Facility

$10,475.00

Hospital Charge Code	270650006
Hospital Revenue Code	272
Min. Negotiated Rate	$1,361.75
Max. Negotiated Rate	$5,237.50
Rate for Payer: Aetna Commercial	$3,142.50
Rate for Payer: Aetna Medicare Advantage	$3,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,671.12
Rate for Payer: Cigna Commercial	$5,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,361.75
Rate for Payer: Oxford Commercial	$5,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25
Rate for Payer: UnitedHealthcare Commercial	$5,237.50

KIT BONE MARROW ASPRTN 30CC

Facility

$10,475.00

Hospital Charge Code	270650006
Hospital Revenue Code	272
Min. Negotiated Rate	$1,571.25
Max. Negotiated Rate	$1,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25

KIT BONE MARROW HARVEST

Facility

$10,475.00

Hospital Charge Code	270677368
Hospital Revenue Code	272
Min. Negotiated Rate	$1,361.75
Max. Negotiated Rate	$5,237.50
Rate for Payer: Aetna Commercial	$3,142.50
Rate for Payer: Aetna Medicare Advantage	$3,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,671.12
Rate for Payer: Cigna Commercial	$5,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,361.75
Rate for Payer: Oxford Commercial	$5,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25
Rate for Payer: UnitedHealthcare Commercial	$5,237.50

KIT BONE MARROW HARVEST

Facility

$11,975.00

Hospital Charge Code	270678224
Hospital Revenue Code	272
Min. Negotiated Rate	$1,556.75
Max. Negotiated Rate	$5,987.50
Rate for Payer: Aetna Commercial	$3,592.50
Rate for Payer: Aetna Medicare Advantage	$3,592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,053.62
Rate for Payer: Cigna Commercial	$5,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,556.75
Rate for Payer: Oxford Commercial	$5,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25
Rate for Payer: UnitedHealthcare Commercial	$5,987.50

KIT BONE MARROW HARVEST

Facility

$10,475.00

Hospital Charge Code	270677368
Hospital Revenue Code	272
Min. Negotiated Rate	$1,571.25
Max. Negotiated Rate	$1,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25

KIT BONE MARROW HARVEST

Facility

$11,975.00

Hospital Charge Code	270678224
Hospital Revenue Code	272
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$1,796.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

Know your out-of-pocket cost for care.

All Charges