Heights University Hospital

All Charges

Charge

Type

Setting

Price

L&D NITROUS OXIDE ANALGESIA

Facility

$15.29

Hospital Charge Code	3190999015
Hospital Revenue Code	270
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$7.64
Rate for Payer: Aetna Commercial	$4.59
Rate for Payer: Aetna Medicare Advantage	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.90
Rate for Payer: Cigna Commercial	$7.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.99
Rate for Payer: Oxford Commercial	$7.64
Rate for Payer: Qualcare PPO/HMO/WC	$2.29
Rate for Payer: UnitedHealthcare Commercial	$7.64

L&D NITROUS OXIDE ANALGESIA

Facility

$15.29

Hospital Charge Code	3190999015
Hospital Revenue Code	270
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$2.29
Rate for Payer: Qualcare PPO/HMO/WC	$2.29

L&D RECOVERY ADDL 1/2 HOUR

Facility

$331.00

Hospital Charge Code	73190137
Hospital Revenue Code	710
Min. Negotiated Rate	$43.03
Max. Negotiated Rate	$165.50
Rate for Payer: Aetna Commercial	$99.30
Rate for Payer: Aetna Medicare Advantage	$99.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.41
Rate for Payer: Cigna Commercial	$165.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.03
Rate for Payer: Oxford Commercial	$165.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.65
Rate for Payer: UnitedHealthcare Commercial	$165.50

L&D RECOVERY ADDL 1/2 HOUR

Facility

$331.00

Hospital Charge Code	73190137
Hospital Revenue Code	710
Min. Negotiated Rate	$49.65
Max. Negotiated Rate	$49.65
Rate for Payer: Qualcare PPO/HMO/WC	$49.65

L&D RECOVERY UPTO ONE HOUR

Facility

$662.00

Hospital Charge Code	73190135
Hospital Revenue Code	710
Min. Negotiated Rate	$86.06
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.06
Rate for Payer: Oxford Commercial	$331.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Commercial	$331.00

L&D RECOVERY UPTO ONE HOUR

Facility

$662.00

Hospital Charge Code	73190135
Hospital Revenue Code	710
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$99.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

L D SEROUS FL

Facility

$282.00

Service Code	HCPCS 83615
Hospital Charge Code	38479476
Hospital Revenue Code	301
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.57
Rate for Payer: Aetna Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.13
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$5.74
Rate for Payer: EmblemHealth Commercial	$18.12
Rate for Payer: Humana Medicare Advantage	$6.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.40
Rate for Payer: Wellcare Medicare Advantage	$6.04

L D SEROUS FL

Facility

$282.00

Service Code	HCPCS 83615
Hospital Charge Code	38479476
Hospital Revenue Code	301
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$42.30
Rate for Payer: Qualcare PPO/HMO/WC	$42.30

LDS SURGICAL STAPLER *******

Facility

$270.00

Hospital Charge Code	1603083
Hospital Revenue Code	272
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

LDS SURGICAL STAPLER *******

Facility

$270.00

Hospital Charge Code	1603083
Hospital Revenue Code	272
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$81.00
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.10
Rate for Payer: Oxford Commercial	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Commercial	$135.00

LEAD

Facility

$82.45

Hospital Charge Code	39990166C
Hospital Revenue Code	301
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$41.23
Rate for Payer: Aetna Commercial	$24.73
Rate for Payer: Aetna Medicare Advantage	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.37
Rate for Payer: UnitedHealthcare Commercial	$114.00

LEAD

Facility

$82.45

Hospital Charge Code	39990166C
Hospital Revenue Code	301
Min. Negotiated Rate	$12.37
Max. Negotiated Rate	$12.37
Rate for Payer: Qualcare PPO/HMO/WC	$12.37

LEAD

Facility

$390.00

Service Code	HCPCS 83655
Hospital Charge Code	401083018D
Hospital Revenue Code	301
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.24
Rate for Payer: Aetna Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$12.11
Rate for Payer: Cigna Medicare Advantage	$6.05
Rate for Payer: Clover Medicare Advantage	$11.50
Rate for Payer: EmblemHealth Commercial	$36.33
Rate for Payer: Humana Medicare Advantage	$12.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.84
Rate for Payer: Wellcare Medicare Advantage	$12.11

LEAD

Facility

$390.00

Service Code	HCPCS 83655
Hospital Charge Code	401083018D
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

LEAD 12 CONTACT

Facility

$15,625.00

Service Code	HCPCS C1788
Hospital Charge Code	270683889
Hospital Revenue Code	278
Min. Negotiated Rate	$2,343.75
Max. Negotiated Rate	$7,812.50
Rate for Payer: Aetna Commercial	$4,687.50
Rate for Payer: Aetna Medicare Advantage	$4,687.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,984.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,984.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,984.38
Rate for Payer: Cigna Commercial	$7,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,781.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,343.75

LEAD 12 CONTACT

Facility

$15,625.00

Service Code	HCPCS C1788
Hospital Charge Code	270683889
Hospital Revenue Code	278
Min. Negotiated Rate	$2,343.75
Max. Negotiated Rate	$3,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,781.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,343.75

LEAD 407458 PACE TRANSV

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270686930
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$1,397.50
Rate for Payer: Aetna Commercial	$838.50
Rate for Payer: Aetna Medicare Advantage	$838.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$712.73
Rate for Payer: Cigna Commercial	$1,397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD 407458 PACE TRANSV

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270686930
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$676.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD 457453 PACE TRANSV

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270686929
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$1,397.50
Rate for Payer: Aetna Commercial	$838.50
Rate for Payer: Aetna Medicare Advantage	$838.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$712.73
Rate for Payer: Cigna Commercial	$1,397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD 457453 PACE TRANSV

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270686929
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$676.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD-A

Facility

$1,875.00

Hospital Charge Code	270605467
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$562.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

LEAD-A

Facility

$1,875.00

Hospital Charge Code	270605467
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

LEAD ADAPTER MEDTRONIC

Facility

$2,575.00

Service Code	HCPCS C1779
Hospital Charge Code	270681603
Hospital Revenue Code	272
Min. Negotiated Rate	$334.75
Max. Negotiated Rate	$1,287.50
Rate for Payer: Aetna Commercial	$772.50
Rate for Payer: Aetna Medicare Advantage	$772.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.62
Rate for Payer: Cigna Commercial	$1,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.75
Rate for Payer: Oxford Commercial	$1,287.50
Rate for Payer: Qualcare PPO/HMO/WC	$386.25
Rate for Payer: UnitedHealthcare Commercial	$1,287.50

LEAD ADAPTER MEDTRONIC

Facility

$2,575.00

Service Code	HCPCS C1779
Hospital Charge Code	270681603N
Hospital Revenue Code	275
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$1,287.50
Rate for Payer: Aetna Commercial	$772.50
Rate for Payer: Aetna Medicare Advantage	$772.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.62
Rate for Payer: Cigna Commercial	$1,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.15
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

LEAD ADAPTER MEDTRONIC

Facility

$2,575.00

Service Code	HCPCS C1779
Hospital Charge Code	270681603N
Hospital Revenue Code	275
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$623.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.15
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

Know your out-of-pocket cost for care.

All Charges