Heights University Hospital

All Charges

Charge

Type

Setting

Price

LOAD UNIT EN GIA 30 2.5 030418

Facility

$443.78

Hospital Charge Code	270621873
Hospital Revenue Code	270
Min. Negotiated Rate	$66.57
Max. Negotiated Rate	$66.57
Rate for Payer: Qualcare PPO/HMO/WC	$66.57

LOAD UNIT EN GIA 30 2.5 030418

Facility

$443.78

Hospital Charge Code	270621873
Hospital Revenue Code	270
Min. Negotiated Rate	$57.69
Max. Negotiated Rate	$221.89
Rate for Payer: Aetna Commercial	$133.13
Rate for Payer: Aetna Medicare Advantage	$133.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.16
Rate for Payer: Cigna Commercial	$221.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.69
Rate for Payer: Oxford Commercial	$221.89
Rate for Payer: Qualcare PPO/HMO/WC	$66.57
Rate for Payer: UnitedHealthcare Commercial	$221.89

LOAD UNIT EN TA 60 4.8 010320

Facility

$241.65

Hospital Charge Code	270615081
Hospital Revenue Code	272
Min. Negotiated Rate	$31.41
Max. Negotiated Rate	$120.83
Rate for Payer: Aetna Commercial	$72.50
Rate for Payer: Aetna Medicare Advantage	$72.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.62
Rate for Payer: Cigna Commercial	$120.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.41
Rate for Payer: Oxford Commercial	$120.83
Rate for Payer: Qualcare PPO/HMO/WC	$36.25
Rate for Payer: UnitedHealthcare Commercial	$120.83

LOAD UNIT EN TA 60 4.8 010320

Facility

$241.65

Hospital Charge Code	270615081
Hospital Revenue Code	272
Min. Negotiated Rate	$36.25
Max. Negotiated Rate	$36.25
Rate for Payer: Qualcare PPO/HMO/WC	$36.25

LOAD UNIT GIA 60-3.8 SINGLE US

Facility

$236.54

Hospital Charge Code	270600047
Hospital Revenue Code	272
Min. Negotiated Rate	$30.75
Max. Negotiated Rate	$118.27
Rate for Payer: Aetna Commercial	$70.96
Rate for Payer: Aetna Medicare Advantage	$70.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.32
Rate for Payer: Cigna Commercial	$118.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.75
Rate for Payer: Oxford Commercial	$118.27
Rate for Payer: Qualcare PPO/HMO/WC	$35.48
Rate for Payer: UnitedHealthcare Commercial	$118.27

LOAD UNIT GIA 60-3.8 SINGLE US

Facility

$236.54

Hospital Charge Code	270600047
Hospital Revenue Code	272
Min. Negotiated Rate	$35.48
Max. Negotiated Rate	$35.48
Rate for Payer: Qualcare PPO/HMO/WC	$35.48

LOAD UNIT GIA 60-4.8 SINGLE

Facility

$233.07

Hospital Charge Code	270659453
Hospital Revenue Code	272
Min. Negotiated Rate	$34.96
Max. Negotiated Rate	$34.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.96

LOAD UNIT GIA 60-4.8 SINGLE

Facility

$233.07

Hospital Charge Code	270659453
Hospital Revenue Code	272
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$116.53
Rate for Payer: Aetna Commercial	$69.92
Rate for Payer: Aetna Medicare Advantage	$69.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.43
Rate for Payer: Cigna Commercial	$116.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.30
Rate for Payer: Oxford Commercial	$116.53
Rate for Payer: Qualcare PPO/HMO/WC	$34.96
Rate for Payer: UnitedHealthcare Commercial	$116.53

LOAD UNIT GIA 80-3.8 SINGLE

Facility

$345.78

Hospital Charge Code	270656101
Hospital Revenue Code	272
Min. Negotiated Rate	$44.95
Max. Negotiated Rate	$172.89
Rate for Payer: Aetna Commercial	$103.73
Rate for Payer: Aetna Medicare Advantage	$103.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.17
Rate for Payer: Cigna Commercial	$172.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.95
Rate for Payer: Oxford Commercial	$172.89
Rate for Payer: Qualcare PPO/HMO/WC	$51.87
Rate for Payer: UnitedHealthcare Commercial	$172.89

LOAD UNIT GIA 80-3.8 SINGLE

Facility

$345.78

Hospital Charge Code	270656101
Hospital Revenue Code	272
Min. Negotiated Rate	$51.87
Max. Negotiated Rate	$51.87
Rate for Payer: Qualcare PPO/HMO/WC	$51.87

LOAD UNIT GIA 80-4.8 SINGLE

Facility

$345.78

Hospital Charge Code	270630399
Hospital Revenue Code	272
Min. Negotiated Rate	$51.87
Max. Negotiated Rate	$51.87
Rate for Payer: Qualcare PPO/HMO/WC	$51.87

LOAD UNIT GIA 80-4.8 SINGLE

Facility

$345.78

Hospital Charge Code	270630399
Hospital Revenue Code	272
Min. Negotiated Rate	$44.95
Max. Negotiated Rate	$172.89
Rate for Payer: Aetna Commercial	$103.73
Rate for Payer: Aetna Medicare Advantage	$103.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.17
Rate for Payer: Cigna Commercial	$172.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.95
Rate for Payer: Oxford Commercial	$172.89
Rate for Payer: Qualcare PPO/HMO/WC	$51.87
Rate for Payer: UnitedHealthcare Commercial	$172.89

LOAD UNIT MULTI 30 BL XR30B

Facility

$685.65

Hospital Charge Code	270608648
Hospital Revenue Code	272
Min. Negotiated Rate	$89.13
Max. Negotiated Rate	$342.82
Rate for Payer: Aetna Commercial	$205.69
Rate for Payer: Aetna Medicare Advantage	$205.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.84
Rate for Payer: Cigna Commercial	$342.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.13
Rate for Payer: Oxford Commercial	$342.82
Rate for Payer: Qualcare PPO/HMO/WC	$102.85
Rate for Payer: UnitedHealthcare Commercial	$342.82

LOAD UNIT MULTI 30 BL XR30B

Facility

$685.65

Hospital Charge Code	270608648
Hospital Revenue Code	272
Min. Negotiated Rate	$102.85
Max. Negotiated Rate	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$102.85

LOAD UNIT MULTI 30 GN XR30G

Facility

$685.65

Hospital Charge Code	270608650
Hospital Revenue Code	272
Min. Negotiated Rate	$102.85
Max. Negotiated Rate	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$102.85

LOAD UNIT MULTI 30 GN XR30G

Facility

$685.65

Hospital Charge Code	270608650
Hospital Revenue Code	272
Min. Negotiated Rate	$89.13
Max. Negotiated Rate	$342.82
Rate for Payer: Aetna Commercial	$205.69
Rate for Payer: Aetna Medicare Advantage	$205.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.84
Rate for Payer: Cigna Commercial	$342.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.13
Rate for Payer: Oxford Commercial	$342.82
Rate for Payer: Qualcare PPO/HMO/WC	$102.85
Rate for Payer: UnitedHealthcare Commercial	$342.82

LOAD UNIT MULTI 60 3.8BL XR60B

Facility

$737.65

Hospital Charge Code	270608642
Hospital Revenue Code	272
Min. Negotiated Rate	$95.89
Max. Negotiated Rate	$368.82
Rate for Payer: Aetna Commercial	$221.29
Rate for Payer: Aetna Medicare Advantage	$221.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.10
Rate for Payer: Cigna Commercial	$368.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.89
Rate for Payer: Oxford Commercial	$368.82
Rate for Payer: Qualcare PPO/HMO/WC	$110.65
Rate for Payer: UnitedHealthcare Commercial	$368.82

LOAD UNIT MULTI 60 3.8BL XR60B

Facility

$737.65

Hospital Charge Code	270608642
Hospital Revenue Code	272
Min. Negotiated Rate	$110.65
Max. Negotiated Rate	$110.65
Rate for Payer: Qualcare PPO/HMO/WC	$110.65

LOAD UNIT MULTI 90 TRH90

Facility

$844.00

Hospital Charge Code	270608646
Hospital Revenue Code	272
Min. Negotiated Rate	$126.60
Max. Negotiated Rate	$126.60
Rate for Payer: Qualcare PPO/HMO/WC	$126.60

LOAD UNIT MULTI 90 TRH90

Facility

$844.00

Hospital Charge Code	270608646
Hospital Revenue Code	272
Min. Negotiated Rate	$109.72
Max. Negotiated Rate	$422.00
Rate for Payer: Aetna Commercial	$253.20
Rate for Payer: Aetna Medicare Advantage	$253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.22
Rate for Payer: Cigna Commercial	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.72
Rate for Payer: Oxford Commercial	$422.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.60
Rate for Payer: UnitedHealthcare Commercial	$422.00

LOAD UNIT MULTIFIRE 35W

Facility

$469.10

Hospital Charge Code	270600054
Hospital Revenue Code	272
Min. Negotiated Rate	$70.36
Max. Negotiated Rate	$70.36
Rate for Payer: Qualcare PPO/HMO/WC	$70.36

LOAD UNIT MULTIFIRE 35W

Facility

$469.10

Hospital Charge Code	270600054
Hospital Revenue Code	272
Min. Negotiated Rate	$60.98
Max. Negotiated Rate	$234.55
Rate for Payer: Aetna Commercial	$140.73
Rate for Payer: Aetna Medicare Advantage	$140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.62
Rate for Payer: Cigna Commercial	$234.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.98
Rate for Payer: Oxford Commercial	$234.55
Rate for Payer: Qualcare PPO/HMO/WC	$70.36
Rate for Payer: UnitedHealthcare Commercial	$234.55

LOAD UNIT POLYSORB 2/0 48 VIO

Facility

$278.98

Hospital Charge Code	270604733
Hospital Revenue Code	272
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$41.85
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

LOAD UNIT POLYSORB 2/0 48 VIO

Facility

$278.98

Hospital Charge Code	270604733
Hospital Revenue Code	272
Min. Negotiated Rate	$36.27
Max. Negotiated Rate	$139.49
Rate for Payer: Aetna Commercial	$83.69
Rate for Payer: Aetna Medicare Advantage	$83.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.27
Rate for Payer: Oxford Commercial	$139.49
Rate for Payer: Qualcare PPO/HMO/WC	$41.85
Rate for Payer: UnitedHealthcare Commercial	$139.49

LOAD UNIT POLYSORB 2/0 7 PLA

Facility

$102.25

Hospital Charge Code	270662760
Hospital Revenue Code	272
Min. Negotiated Rate	$13.29
Max. Negotiated Rate	$51.12
Rate for Payer: Aetna Commercial	$30.68
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.07
Rate for Payer: Cigna Commercial	$51.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.29
Rate for Payer: Oxford Commercial	$51.12
Rate for Payer: Qualcare PPO/HMO/WC	$15.34
Rate for Payer: UnitedHealthcare Commercial	$51.12

Know your out-of-pocket cost for care.

All Charges