Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$632.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$523.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.84
Rate for Payer: Qualcare PPO/HMO/WC	$392.26

LEAD MEDT PCEMKR FIX 4068-58

Facility

$3,625.00

Service Code	HCPCS C1779
Hospital Charge Code	270602750
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 FIX 4068-58

Facility

$3,625.00

Service Code	HCPCS C1779
Hospital Charge Code	270602750
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 FIX 4068-58

Facility

$3,625.00

Hospital Charge Code	270602750C
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 FIX 4068-58

Facility

$3,625.00

Hospital Charge Code	270602750C
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 FIX 4568

Facility

$3,026.45

Hospital Charge Code	270602751C
Hospital Revenue Code	275
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$1,513.22
Rate for Payer: Aetna Commercial	$907.93
Rate for Payer: Aetna Medicare Advantage	$907.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.74
Rate for Payer: Cigna Commercial	$1,513.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.40
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

LEAD MEDT PCEMKR FIX 4568

Facility

$3,026.45

Hospital Charge Code	270602751C
Hospital Revenue Code	275
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$732.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.40
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

LEAD MEDT PCEMKR FIX 4568

Facility

$3,026.45

Hospital Charge Code	270602751
Hospital Revenue Code	275
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$1,513.22
Rate for Payer: Aetna Commercial	$907.93
Rate for Payer: Aetna Medicare Advantage	$907.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.74
Rate for Payer: Cigna Commercial	$1,513.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.40
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

LEAD MEDT PCEMKR FIX 4568

Facility

$3,026.45

Hospital Charge Code	270602751
Hospital Revenue Code	275
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$732.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.40
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

LEAD MEDT PCEMKR SP 4023

Facility

$2,724.00

Hospital Charge Code	270602745
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 SP 4023

Facility

$2,724.00

Hospital Charge Code	270602745
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 SP 4024

Facility

$2,724.00

Hospital Charge Code	270602741
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 SP 4024

Facility

$2,724.00

Hospital Charge Code	270602741
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 SP 4523

Facility

$2,724.00

Hospital Charge Code	270602746
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 SP 4523

Facility

$2,724.00

Hospital Charge Code	270602746
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 SP 4524

Facility

$2,724.00

Hospital Charge Code	270602742
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 SP 4524

Facility

$2,724.00

Hospital Charge Code	270602742
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 SP 5023M

Facility

$2,724.00

Hospital Charge Code	270602747
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 SP 5023M

Facility

$2,724.00

Hospital Charge Code	270602747
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 SP 5524M-53

Facility

$2,724.00

Hospital Charge Code	270602744
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 SP 5524M-53

Facility

$2,724.00

Hospital Charge Code	270602744
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 SP 5524M-53

Facility

$3,125.00

Hospital Charge Code	270602744C
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 SP 5524M-53

Facility

$3,125.00

Hospital Charge Code	270602744C
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

LEADNEUROINTERSTIMSURESCAN28CM

Facility

$22,770.00

Service Code	HCPCS C1778
Hospital Charge Code	270692608
Hospital Revenue Code	278
Min. Negotiated Rate	$3,415.50
Max. Negotiated Rate	$5,510.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,554.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,510.34
Rate for Payer: Qualcare PPO/HMO/WC	$3,415.50

LEADNEUROINTERSTIMSURESCAN28CM

Facility

$22,770.00

Service Code	HCPCS C1778
Hospital Charge Code	270692608
Hospital Revenue Code	278
Min. Negotiated Rate	$3,415.50
Max. Negotiated Rate	$11,385.00
Rate for Payer: Aetna Commercial	$6,831.00
Rate for Payer: Aetna Medicare Advantage	$6,831.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,806.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,806.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,554.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,806.35
Rate for Payer: Cigna Commercial	$11,385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,510.34
Rate for Payer: Qualcare PPO/HMO/WC	$3,415.50

Know your out-of-pocket cost for care.

All Charges