Heights University Hospital

All Charges

Charge

Type

Setting

Price

LEAD MEDT PCEMKR 5534

Facility

$3,625.00

Hospital Charge Code	270602739C
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 5534

Facility

$3,625.00

Hospital Charge Code	270602739C
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 5534

Facility

$3,158.45

Hospital Charge Code	270602739
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 5534

Facility

$3,158.45

Hospital Charge Code	270602739
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 5558

Facility

$2,724.00

Hospital Charge Code	270602754
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 5558

Facility

$2,724.00

Hospital Charge Code	270602754
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 5568

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270609354
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 5568

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270609354
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 5592-45C

Facility

$3,589.65

Hospital Charge Code	270626469C
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-45C

Facility

$3,589.65

Hospital Charge Code	270626469C
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$1,794.83
Rate for Payer: Aetna Commercial	$1,076.89
Rate for Payer: Aetna Medicare Advantage	$1,076.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$915.36
Rate for Payer: Cigna Commercial	$1,794.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-45CM

Facility

$3,589.65

Hospital Charge Code	270626469
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-45CM

Facility

$3,589.65

Hospital Charge Code	270626469
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$1,794.83
Rate for Payer: Aetna Commercial	$1,076.89
Rate for Payer: Aetna Medicare Advantage	$1,076.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$915.36
Rate for Payer: Cigna Commercial	$1,794.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-53

Facility

$3,589.65

Hospital Charge Code	270625061
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$1,794.83
Rate for Payer: Aetna Commercial	$1,076.89
Rate for Payer: Aetna Medicare Advantage	$1,076.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$915.36
Rate for Payer: Cigna Commercial	$1,794.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-53

Facility

$3,589.65

Hospital Charge Code	270625061
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-53

Facility

$3,589.65

Hospital Charge Code	270625061C
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$1,794.83
Rate for Payer: Aetna Commercial	$1,076.89
Rate for Payer: Aetna Medicare Advantage	$1,076.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$915.36
Rate for Payer: Cigna Commercial	$1,794.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-53

Facility

$3,589.65

Hospital Charge Code	270625061C
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR BSP 5024M

Facility

$3,000.00

Hospital Charge Code	270602743
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 BSP 5024M

Facility

$3,000.00

Hospital Charge Code	270602743
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 ENDCP 5867-3M

Facility

$280.00

Hospital Charge Code	270608507
Hospital Revenue Code	275
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

LEAD MEDT PCEMKR ENDCP 5867-3M

Facility

$280.00

Hospital Charge Code	270608507
Hospital Revenue Code	275
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

LEAD MEDT PCEMKR ENDCP 5867-3M

Facility

$280.00

Hospital Charge Code	270608507C
Hospital Revenue Code	275
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

LEAD MEDT PCEMKR ENDCP 5867-3M

Facility

$280.00

Hospital Charge Code	270608507C
Hospital Revenue Code	275
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

LEAD MEDT PCEMKR FIX 4067

Facility

$3,750.00

Hospital Charge Code	270602752C
Hospital Revenue Code	275
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

LEAD MEDT PCEMKR FIX 4067

Facility

$3,750.00

Hospital Charge Code	270602752C
Hospital Revenue Code	275
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

LEAD MEDT PCEMKR FIX 4067

Facility

$2,615.05

Hospital Charge Code	270602752
Hospital Revenue Code	275
Min. Negotiated Rate	$392.26
Max. Negotiated Rate	$1,307.53
Rate for Payer: Aetna Commercial	$784.51
Rate for Payer: Aetna Medicare Advantage	$784.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$666.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$666.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$523.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$666.84
Rate for Payer: Cigna Commercial	$1,307.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.84
Rate for Payer: Qualcare PPO/HMO/WC	$392.26

Know your out-of-pocket cost for care.

All Charges