Heights University Hospital

All Charges

Charge

Type

Setting

Price

ASSEMBLY TUBE 2130

Facility

$39.75

Hospital Charge Code	270634686
Hospital Revenue Code	272
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$5.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

ASSEMBLY ZIM SLS CABLE 1.3/559

Facility

$2,417.65

Hospital Charge Code	270607202
Hospital Revenue Code	278
Min. Negotiated Rate	$362.65
Max. Negotiated Rate	$585.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.07
Rate for Payer: Qualcare PPO/HMO/WC	$362.65

ASSEMBLY ZIM SLS CABLE 1.3/559

Facility

$2,417.65

Hospital Charge Code	270607202
Hospital Revenue Code	278
Min. Negotiated Rate	$362.65
Max. Negotiated Rate	$1,208.83
Rate for Payer: Aetna Commercial	$725.29
Rate for Payer: Aetna Medicare Advantage	$725.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$616.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$616.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$616.50
Rate for Payer: Cigna Commercial	$1,208.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.07
Rate for Payer: Qualcare PPO/HMO/WC	$362.65

ASSERT IQ ICM UMRI US

Facility

$19,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270704930
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.00
Max. Negotiated Rate	$4,719.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,719.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.00

ASSERT IQ ICM UMRI US

Facility

$19,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270704930
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.00
Max. Negotiated Rate	$9,750.00
Rate for Payer: Aetna Commercial	$5,850.00
Rate for Payer: Aetna Medicare Advantage	$5,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,972.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,972.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,972.50
Rate for Payer: Cigna Commercial	$9,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,719.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.00

ASSESSMENT OF APHASIA PER 60M

Facility

$561.00

Service Code	HCPCS 96105GN
Hospital Charge Code	74204005
Hospital Revenue Code	444
Min. Negotiated Rate	$72.93
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$168.30
Rate for Payer: Aetna Medicare Advantage	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.06
Rate for Payer: Cigna Commercial	$280.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.93
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.15
Rate for Payer: UnitedHealthcare Commercial	$686.00

ASSESSMENT OF APHASIA PER 60M

Facility

$561.00

Service Code	HCPCS 96105GN
Hospital Charge Code	74204005
Hospital Revenue Code	444
Min. Negotiated Rate	$84.15
Max. Negotiated Rate	$84.15
Rate for Payer: Qualcare PPO/HMO/WC	$84.15

ASSY ASPIRATION MED A&A

Facility

$67.50

Hospital Charge Code	270612026
Hospital Revenue Code	270
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$33.75
Rate for Payer: Aetna Commercial	$20.25
Rate for Payer: Aetna Medicare Advantage	$20.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.21
Rate for Payer: Cigna Commercial	$33.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.78
Rate for Payer: Oxford Commercial	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$10.12
Rate for Payer: UnitedHealthcare Commercial	$33.75

ASSY ASPIRATION MED A&A

Facility

$67.50

Hospital Charge Code	270612026
Hospital Revenue Code	270
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

ASSY CABLE 23X 52MM

Facility

$1,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270690627
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$389.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

ASSY CABLE 23X 52MM

Facility

$1,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270690627
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$805.00
Rate for Payer: Aetna Commercial	$483.00
Rate for Payer: Aetna Medicare Advantage	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.55
Rate for Payer: Cigna Commercial	$805.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

ASSY DELTA SHUNT REG LEV 1.5

Facility

$10,828.80

Service Code	HCPCS C1889
Hospital Charge Code	270691051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,624.32
Max. Negotiated Rate	$5,414.40
Rate for Payer: Aetna Commercial	$3,248.64
Rate for Payer: Aetna Medicare Advantage	$3,248.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,761.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,761.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,165.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,761.34
Rate for Payer: Cigna Commercial	$5,414.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,620.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,624.32

ASSY DELTA SHUNT REG LEV 1.5

Facility

$10,828.80

Service Code	HCPCS C1889
Hospital Charge Code	270691051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,624.32
Max. Negotiated Rate	$2,620.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,165.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,620.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,624.32

ASSY DELTA SHUNT REG P/L1

Facility

$8,155.20

Service Code	HCPCS C1729
Hospital Charge Code	270647134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.28
Max. Negotiated Rate	$4,077.60
Rate for Payer: Aetna Commercial	$2,446.56
Rate for Payer: Aetna Medicare Advantage	$2,446.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,079.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,079.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,079.58
Rate for Payer: Cigna Commercial	$4,077.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,973.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.28

ASSY DELTA SHUNT REG P/L1

Facility

$8,155.20

Service Code	HCPCS C1729
Hospital Charge Code	270647134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.28
Max. Negotiated Rate	$1,973.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,973.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.28

ASSY, HOOK-UP OLYMPUS 2K

Facility

$2,426.50

Hospital Charge Code	270678492
Hospital Revenue Code	272
Min. Negotiated Rate	$363.98
Max. Negotiated Rate	$363.98
Rate for Payer: Qualcare PPO/HMO/WC	$363.98

ASSY, HOOK-UP OLYMPUS 2K

Facility

$2,426.50

Hospital Charge Code	270678492
Hospital Revenue Code	272
Min. Negotiated Rate	$315.44
Max. Negotiated Rate	$1,213.25
Rate for Payer: Aetna Commercial	$727.95
Rate for Payer: Aetna Medicare Advantage	$727.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.76
Rate for Payer: Cigna Commercial	$1,213.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.44
Rate for Payer: Oxford Commercial	$1,213.25
Rate for Payer: Qualcare PPO/HMO/WC	$363.98
Rate for Payer: UnitedHealthcare Commercial	$1,213.25

ASSY HOSE AIR 33FT

Facility

$833.50

Hospital Charge Code	270634529
Hospital Revenue Code	270
Min. Negotiated Rate	$108.36
Max. Negotiated Rate	$416.75
Rate for Payer: Aetna Commercial	$250.05
Rate for Payer: Aetna Medicare Advantage	$250.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.54
Rate for Payer: Cigna Commercial	$416.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.36
Rate for Payer: Oxford Commercial	$416.75
Rate for Payer: Qualcare PPO/HMO/WC	$125.03
Rate for Payer: UnitedHealthcare Commercial	$416.75

ASSY HOSE AIR 33FT

Facility

$833.50

Hospital Charge Code	270634529
Hospital Revenue Code	270
Min. Negotiated Rate	$125.03
Max. Negotiated Rate	$125.03
Rate for Payer: Qualcare PPO/HMO/WC	$125.03

ASSY HOSE NITROUS OXIDE 33FT

Facility

$833.50

Hospital Charge Code	270634530
Hospital Revenue Code	270
Min. Negotiated Rate	$108.36
Max. Negotiated Rate	$416.75
Rate for Payer: Aetna Commercial	$250.05
Rate for Payer: Aetna Medicare Advantage	$250.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.54
Rate for Payer: Cigna Commercial	$416.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.36
Rate for Payer: Oxford Commercial	$416.75
Rate for Payer: Qualcare PPO/HMO/WC	$125.03
Rate for Payer: UnitedHealthcare Commercial	$416.75

ASSY HOSE NITROUS OXIDE 33FT

Facility

$833.50

Hospital Charge Code	270634530
Hospital Revenue Code	270
Min. Negotiated Rate	$125.03
Max. Negotiated Rate	$125.03
Rate for Payer: Qualcare PPO/HMO/WC	$125.03

ASSY HOSE OXYGEN 33FT

Facility

$816.00

Hospital Charge Code	270634528
Hospital Revenue Code	270
Min. Negotiated Rate	$106.08
Max. Negotiated Rate	$408.00
Rate for Payer: Aetna Commercial	$244.80
Rate for Payer: Aetna Medicare Advantage	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.08
Rate for Payer: Cigna Commercial	$408.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.08
Rate for Payer: Oxford Commercial	$408.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.40
Rate for Payer: UnitedHealthcare Commercial	$408.00

ASSY HOSE OXYGEN 33FT

Facility

$816.00

Hospital Charge Code	270634528
Hospital Revenue Code	270
Min. Negotiated Rate	$122.40
Max. Negotiated Rate	$122.40
Rate for Payer: Qualcare PPO/HMO/WC	$122.40

ASSY HOSE VACUUM 33FT

Facility

$869.50

Hospital Charge Code	270634527
Hospital Revenue Code	270
Min. Negotiated Rate	$113.03
Max. Negotiated Rate	$434.75
Rate for Payer: Aetna Commercial	$260.85
Rate for Payer: Aetna Medicare Advantage	$260.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.72
Rate for Payer: Cigna Commercial	$434.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.03
Rate for Payer: Oxford Commercial	$434.75
Rate for Payer: Qualcare PPO/HMO/WC	$130.43
Rate for Payer: UnitedHealthcare Commercial	$434.75

ASSY HOSE VACUUM 33FT

Facility

$869.50

Hospital Charge Code	270634527
Hospital Revenue Code	270
Min. Negotiated Rate	$130.43
Max. Negotiated Rate	$130.43
Rate for Payer: Qualcare PPO/HMO/WC	$130.43

Know your out-of-pocket cost for care.

All Charges