Heights University Hospital

All Charges

Charge

Type

Setting

Price

MACHINE CUSA: NEURO PROCS 200

Facility

$12,096.00

Hospital Charge Code	270607649
Hospital Revenue Code	270
Min. Negotiated Rate	$1,572.48
Max. Negotiated Rate	$6,048.00
Rate for Payer: Aetna Commercial	$3,628.80
Rate for Payer: Aetna Medicare Advantage	$3,628.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,084.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,084.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,084.48
Rate for Payer: Cigna Commercial	$6,048.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,572.48
Rate for Payer: Oxford Commercial	$6,048.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,814.40
Rate for Payer: UnitedHealthcare Commercial	$6,048.00

MACHINE CUSA: NEURO PROCS 200

Facility

$12,096.00

Hospital Charge Code	270607649
Hospital Revenue Code	270
Min. Negotiated Rate	$1,814.40
Max. Negotiated Rate	$1,814.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,814.40

MACHINE HUMMER ENT W/SUPPLIES

Facility

$2,298.45

Hospital Charge Code	270616578
Hospital Revenue Code	272
Min. Negotiated Rate	$298.80
Max. Negotiated Rate	$1,149.22
Rate for Payer: Aetna Commercial	$689.53
Rate for Payer: Aetna Medicare Advantage	$689.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.10
Rate for Payer: Cigna Commercial	$1,149.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.80
Rate for Payer: Oxford Commercial	$1,149.22
Rate for Payer: Qualcare PPO/HMO/WC	$344.77
Rate for Payer: UnitedHealthcare Commercial	$1,149.22

MACHINE HUMMER ENT W/SUPPLIES

Facility

$2,298.45

Hospital Charge Code	270616578
Hospital Revenue Code	272
Min. Negotiated Rate	$344.77
Max. Negotiated Rate	$344.77
Rate for Payer: Qualcare PPO/HMO/WC	$344.77

MACI(AUTOLOG CULT CHONDROCYTE)

Facility

$228,480.00

Service Code	HCPCS J7330
Hospital Charge Code	270690773
Hospital Revenue Code	636
Min. Negotiated Rate	$34,272.00
Max. Negotiated Rate	$55,292.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55,292.16
Rate for Payer: Qualcare PPO/HMO/WC	$34,272.00

MACI(AUTOLOG CULT CHONDROCYTE)

Facility

$228,480.00

Service Code	HCPCS J7330
Hospital Charge Code	270690773
Hospital Revenue Code	636
Min. Negotiated Rate	$34,272.00
Max. Negotiated Rate	$114,240.00
Rate for Payer: Aetna Commercial	$68,544.00
Rate for Payer: Aetna Medicare Advantage	$68,544.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,262.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,262.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,262.40
Rate for Payer: Cigna Commercial	$114,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55,292.16
Rate for Payer: Qualcare PPO/HMO/WC	$34,272.00

MACI IMPLANT 81073

Facility

$243,030.00

Service Code	HCPCS J7330
Hospital Charge Code	270696136
Hospital Revenue Code	636
Min. Negotiated Rate	$36,454.50
Max. Negotiated Rate	$121,515.00
Rate for Payer: Aetna Commercial	$72,909.00
Rate for Payer: Aetna Medicare Advantage	$72,909.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61,972.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61,972.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61,972.65
Rate for Payer: Cigna Commercial	$121,515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58,813.26
Rate for Payer: Qualcare PPO/HMO/WC	$36,454.50

MACI IMPLANT 81073

Facility

$243,030.00

Service Code	HCPCS J7330
Hospital Charge Code	270696136
Hospital Revenue Code	636
Min. Negotiated Rate	$36,454.50
Max. Negotiated Rate	$58,813.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58,813.26
Rate for Payer: Qualcare PPO/HMO/WC	$36,454.50

MAC LAB 2 SIDES 9.4 GB DVD CAS

Facility

$65.50

Hospital Charge Code	2709002922
Hospital Revenue Code	272
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$32.75
Rate for Payer: Aetna Commercial	$19.65
Rate for Payer: Aetna Medicare Advantage	$19.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.70
Rate for Payer: Cigna Commercial	$32.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.52
Rate for Payer: Oxford Commercial	$32.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.82
Rate for Payer: UnitedHealthcare Commercial	$32.75

MAC LAB 2 SIDES 9.4 GB DVD CAS

Facility

$65.50

Hospital Charge Code	2709002922
Hospital Revenue Code	272
Min. Negotiated Rate	$9.82
Max. Negotiated Rate	$9.82
Rate for Payer: Qualcare PPO/HMO/WC	$9.82

MACROBID 100MG CAPSULE

Facility

$18.00

Hospital Charge Code	60635789
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

MACROBID 100MG CAPSULE

Facility

$18.00

Hospital Charge Code	60635789
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

MACRODANTIN/100MG/CAP

Facility

$7.00

Hospital Charge Code	60633348
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

MACRODANTIN/100MG/CAP

Facility

$7.00

Hospital Charge Code	60633348
Hospital Revenue Code	250
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

MACRODANTIN/50MG/CAP

Facility

$7.00

Hospital Charge Code	60633349
Hospital Revenue Code	250
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

MACRODANTIN/50MG/CAP

Facility

$5.00

Hospital Charge Code	60633347
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

MACRODANTIN/50MG/CAP

Facility

$7.00

Hospital Charge Code	60633349
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

MACRODANTIN/50MG/CAP

Facility

$5.00

Hospital Charge Code	60633347
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

MACROPLASTIQUE ENDOSCOPE NEEDL

Facility

$150.00

Hospital Charge Code	270680106
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$75.00
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$75.00

MACROPLASTIQUE ENDOSCOPE NEEDL

Facility

$150.00

Hospital Charge Code	270680106
Hospital Revenue Code	272
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

MACROPLASTIQUE IMPLANTS

Facility

$2,000.00

Service Code	HCPCS L8606
Hospital Charge Code	270680105
Hospital Revenue Code	278
Min. Negotiated Rate	$157.97
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$263.29
Rate for Payer: Cigna Medicare Advantage	$157.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

MACROPLASTIQUE IMPLANTS

Facility

$2,000.00

Service Code	HCPCS L8606
Hospital Charge Code	270680105
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

MA DIGI FILM SCRN BILAT

Facility

$950.20

Hospital Charge Code	2700024
Hospital Revenue Code	403
Min. Negotiated Rate	$123.53
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$285.06
Rate for Payer: Aetna Medicare Advantage	$285.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.30
Rate for Payer: Cigna Commercial	$475.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.53
Rate for Payer: Oxford Commercial	$1,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.53
Rate for Payer: UnitedHealthcare Commercial	$1,240.00

MA DIGI FILM SCRN BILAT

Facility

$950.20

Hospital Charge Code	2700024
Hospital Revenue Code	403
Min. Negotiated Rate	$142.53
Max. Negotiated Rate	$142.53
Rate for Payer: Qualcare PPO/HMO/WC	$142.53

MA DUCTGRM/GALACGRM SNGL LEFT

Facility

$5,100.00

Service Code	HCPCS 77053
Hospital Charge Code	2700007
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

Know your out-of-pocket cost for care.

All Charges