Heights University Hospital

All Charges

Charge

Type

Setting

Price

LEAD MEDT PCEMKR 4558M-53

Facility

$3,000.00

Hospital Charge Code	270602758C
Hospital Revenue Code	275
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

LEAD MEDT PCEMKR 4568-53

Facility

$3,268.85

Hospital Charge Code	270607756
Hospital Revenue Code	275
Min. Negotiated Rate	$490.33
Max. Negotiated Rate	$1,634.42
Rate for Payer: Aetna Commercial	$980.65
Rate for Payer: Aetna Medicare Advantage	$980.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$833.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$833.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$653.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$833.56
Rate for Payer: Cigna Commercial	$1,634.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.06
Rate for Payer: Qualcare PPO/HMO/WC	$490.33

LEAD MEDT PCEMKR 4568-53

Facility

$3,268.85

Hospital Charge Code	270607756
Hospital Revenue Code	275
Min. Negotiated Rate	$490.33
Max. Negotiated Rate	$791.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$653.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.06
Rate for Payer: Qualcare PPO/HMO/WC	$490.33

LEAD MEDT PCEMKR 4568-53

Facility

$3,268.85

Hospital Charge Code	270610216
Hospital Revenue Code	275
Min. Negotiated Rate	$490.33
Max. Negotiated Rate	$791.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$653.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.06
Rate for Payer: Qualcare PPO/HMO/WC	$490.33

LEAD MEDT PCEMKR 4568-53

Facility

$3,268.85

Hospital Charge Code	270610216
Hospital Revenue Code	275
Min. Negotiated Rate	$490.33
Max. Negotiated Rate	$1,634.42
Rate for Payer: Aetna Commercial	$980.65
Rate for Payer: Aetna Medicare Advantage	$980.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$833.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$833.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$653.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$833.56
Rate for Payer: Cigna Commercial	$1,634.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.06
Rate for Payer: Qualcare PPO/HMO/WC	$490.33

LEAD MEDT PCEMKR 5024M

Facility

$3,000.00

Hospital Charge Code	270602743C
Hospital Revenue Code	275
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

LEAD MEDT PCEMKR 5024M

Facility

$3,000.00

Hospital Charge Code	270602743C
Hospital Revenue Code	275
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

LEAD MEDT PCEMKR 5034

Facility

$3,625.00

Hospital Charge Code	270602738C
Hospital Revenue Code	275
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,087.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

LEAD MEDT PCEMKR 5034

Facility

$3,625.00

Hospital Charge Code	270602738C
Hospital Revenue Code	275
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

LEAD MEDT PCEMKR 5034

Facility

$3,158.45

Hospital Charge Code	270602738
Hospital Revenue Code	275
Min. Negotiated Rate	$473.77
Max. Negotiated Rate	$764.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.34
Rate for Payer: Qualcare PPO/HMO/WC	$473.77

LEAD MEDT PCEMKR 5034

Facility

$3,158.45

Hospital Charge Code	270602738
Hospital Revenue Code	275
Min. Negotiated Rate	$473.77
Max. Negotiated Rate	$1,579.22
Rate for Payer: Aetna Commercial	$947.53
Rate for Payer: Aetna Medicare Advantage	$947.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$805.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$805.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$805.40
Rate for Payer: Cigna Commercial	$1,579.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.34
Rate for Payer: Qualcare PPO/HMO/WC	$473.77

LEAD MEDT PCEMKR 5034-58

Facility

$3,158.45

Hospital Charge Code	270610681
Hospital Revenue Code	275
Min. Negotiated Rate	$473.77
Max. Negotiated Rate	$764.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.34
Rate for Payer: Qualcare PPO/HMO/WC	$473.77

LEAD MEDT PCEMKR 5034-58

Facility

$3,158.45

Hospital Charge Code	270610681
Hospital Revenue Code	275
Min. Negotiated Rate	$473.77
Max. Negotiated Rate	$1,579.22
Rate for Payer: Aetna Commercial	$947.53
Rate for Payer: Aetna Medicare Advantage	$947.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$805.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$805.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$805.40
Rate for Payer: Cigna Commercial	$1,579.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.34
Rate for Payer: Qualcare PPO/HMO/WC	$473.77

LEAD MEDT PCEMKR 5058

Facility

$3,125.00

Hospital Charge Code	270602753C
Hospital Revenue Code	275
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

LEAD MEDT PCEMKR 5058

Facility

$3,125.00

Hospital Charge Code	270602753C
Hospital Revenue Code	275
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$937.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

LEAD MEDT PCEMKR 5058

Facility

$2,724.00

Hospital Charge Code	270602753
Hospital Revenue Code	275
Min. Negotiated Rate	$408.60
Max. Negotiated Rate	$1,362.00
Rate for Payer: Aetna Commercial	$817.20
Rate for Payer: Aetna Medicare Advantage	$817.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.62
Rate for Payer: Cigna Commercial	$1,362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.21
Rate for Payer: Qualcare PPO/HMO/WC	$408.60

LEAD MEDT PCEMKR 5058

Facility

$2,724.00

Hospital Charge Code	270602753
Hospital Revenue Code	275
Min. Negotiated Rate	$408.60
Max. Negotiated Rate	$659.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.21
Rate for Payer: Qualcare PPO/HMO/WC	$408.60

LEAD MEDT PCEMKR 5076-52

Facility

$2,795.00

Service Code	HCPCS C1779
Hospital Charge Code	270623124
Hospital Revenue Code	275
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 MEDT PCEMKR 5076-52

Facility

$2,795.00

Service Code	HCPCS C1779
Hospital Charge Code	270623124
Hospital Revenue Code	275
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 MEDT PCEMKR 5076-52

Facility

$4,324.85

Hospital Charge Code	270623124C
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$2,162.43
Rate for Payer: Aetna Commercial	$1,297.45
Rate for Payer: Aetna Medicare Advantage	$1,297.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,102.84
Rate for Payer: Cigna Commercial	$2,162.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD MEDT PCEMKR 5076-52

Facility

$4,324.85

Hospital Charge Code	270623124C
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$1,046.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD MEDT PCEMKR 5076-58

Facility

$4,324.85

Hospital Charge Code	270622952C
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$2,162.43
Rate for Payer: Aetna Commercial	$1,297.45
Rate for Payer: Aetna Medicare Advantage	$1,297.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,102.84
Rate for Payer: Cigna Commercial	$2,162.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD MEDT PCEMKR 5076-58

Facility

$4,324.85

Hospital Charge Code	270622952C
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$1,046.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD MEDT PCEMKR 5092-58

Facility

$2,420.00

Service Code	HCPCS C1779
Hospital Charge Code	270611035
Hospital Revenue Code	275
Min. Negotiated Rate	$363.00
Max. Negotiated Rate	$585.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.64
Rate for Payer: Qualcare PPO/HMO/WC	$363.00

LEAD MEDT PCEMKR 5092-58

Facility

$2,420.00

Service Code	HCPCS C1779
Hospital Charge Code	270611035
Hospital Revenue Code	275
Min. Negotiated Rate	$363.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Aetna Commercial	$726.00
Rate for Payer: Aetna Medicare Advantage	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.10
Rate for Payer: Cigna Commercial	$1,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.64
Rate for Payer: Qualcare PPO/HMO/WC	$363.00

Know your out-of-pocket cost for care.

All Charges