Heights University Hospital

All Charges

Charge

Type

Setting

Price

MUGA SCAN

Facility

$1,321.00

Service Code	HCPCS 78473
Hospital Charge Code	74117006
Hospital Revenue Code	341
Min. Negotiated Rate	$171.73
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$396.30
Rate for Payer: Aetna Medicare Advantage	$396.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$243.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.86
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.73
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.15
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

MUGA SCAN

Facility

$1,579.25

Service Code	HCPCS 78472
Hospital Charge Code	94053020
Hospital Revenue Code	341
Min. Negotiated Rate	$236.89
Max. Negotiated Rate	$236.89
Rate for Payer: Qualcare PPO/HMO/WC	$236.89

MUGA SCAN

Facility

$1,579.25

Service Code	HCPCS 78472
Hospital Charge Code	5309010
Hospital Revenue Code	341
Min. Negotiated Rate	$236.89
Max. Negotiated Rate	$236.89
Rate for Payer: Qualcare PPO/HMO/WC	$236.89

MUGA SCAN

Facility

$1,321.00

Service Code	HCPCS 78473
Hospital Charge Code	74115006
Hospital Revenue Code	341
Min. Negotiated Rate	$171.73
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$396.30
Rate for Payer: Aetna Medicare Advantage	$396.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$243.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.86
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.73
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.15
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

MUGA SCAN

Facility

$1,579.25

Service Code	HCPCS 78472
Hospital Charge Code	94053020
Hospital Revenue Code	341
Min. Negotiated Rate	$187.00
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$473.77
Rate for Payer: Aetna Medicare Advantage	$473.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.71
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.30
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$236.89
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

MUGA SCAN

Facility

$1,579.25

Service Code	HCPCS 78472
Hospital Charge Code	5309010
Hospital Revenue Code	341
Min. Negotiated Rate	$187.00
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$473.77
Rate for Payer: Aetna Medicare Advantage	$473.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.71
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.30
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$236.89
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

MUILTILOC CAP

Facility

$2,085.00

Hospital Charge Code	270687780
Hospital Revenue Code	272
Min. Negotiated Rate	$271.05
Max. Negotiated Rate	$1,042.50
Rate for Payer: Aetna Commercial	$625.50
Rate for Payer: Aetna Medicare Advantage	$625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.67
Rate for Payer: Cigna Commercial	$1,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.05
Rate for Payer: Oxford Commercial	$1,042.50
Rate for Payer: Qualcare PPO/HMO/WC	$312.75
Rate for Payer: UnitedHealthcare Commercial	$1,042.50

MUILTILOC CAP

Facility

$2,085.00

Hospital Charge Code	270687780
Hospital Revenue Code	272
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$312.75
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

MULCH ATK BONE 10.5 20 906320

Facility

$1,915.25

Hospital Charge Code	270610576
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$463.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

MULCH ATK BONE 10.5 20 906320

Facility

$1,915.25

Hospital Charge Code	270610576
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$574.58
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

MULTFX S-ULRA5.5MM KNTLS ANCHR

Facility

$5,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270681094
Hospital Revenue Code	278
Min. Negotiated Rate	$847.50
Max. Negotiated Rate	$1,367.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,367.30
Rate for Payer: Qualcare PPO/HMO/WC	$847.50

MULTFX S-ULRA5.5MM KNTLS ANCHR

Facility

$5,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270681094
Hospital Revenue Code	278
Min. Negotiated Rate	$847.50
Max. Negotiated Rate	$2,825.00
Rate for Payer: Aetna Commercial	$1,695.00
Rate for Payer: Aetna Medicare Advantage	$1,695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,440.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,440.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,440.75
Rate for Payer: Cigna Commercial	$2,825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,367.30
Rate for Payer: Qualcare PPO/HMO/WC	$847.50

MULTI ABSORBER MEDISORB EF

Facility

$78.80

Hospital Charge Code	270666032
Hospital Revenue Code	272
Min. Negotiated Rate	$11.82
Max. Negotiated Rate	$11.82
Rate for Payer: Qualcare PPO/HMO/WC	$11.82

MULTI ABSORBER MEDISORB EF

Facility

$78.80

Hospital Charge Code	270666032
Hospital Revenue Code	272
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$39.40
Rate for Payer: Aetna Commercial	$23.64
Rate for Payer: Aetna Medicare Advantage	$23.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.09
Rate for Payer: Cigna Commercial	$39.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.24
Rate for Payer: Oxford Commercial	$39.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.82
Rate for Payer: UnitedHealthcare Commercial	$39.40

MULTI-ELECTROLYTE CONCEN.INJ

Facility

$12.00

Hospital Charge Code	60628659
Hospital Revenue Code	250
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

MULTI-ELECTROLYTE CONCEN.INJ

Facility

$12.00

Hospital Charge Code	60628659
Hospital Revenue Code	250
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$3.60
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.00

MULTI-ELECTROLYTE R CONCEN INJ

Facility

$12.00

Hospital Charge Code	60628660
Hospital Revenue Code	250
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$3.60
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.00

MULTI-ELECTROLYTE R CONCEN INJ

Facility

$12.00

Hospital Charge Code	60628660
Hospital Revenue Code	250
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84509025
Hospital Revenue Code	912
Min. Negotiated Rate	$43.73
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$100.91
Rate for Payer: Aetna Medicare Advantage	$100.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.77
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.73
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84517025
Hospital Revenue Code	913
Min. Negotiated Rate	$43.73
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$100.91
Rate for Payer: Aetna Medicare Advantage	$100.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.77
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.73
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84518025
Hospital Revenue Code	912
Min. Negotiated Rate	$43.73
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$100.91
Rate for Payer: Aetna Medicare Advantage	$100.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.77
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.73
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84518025
Hospital Revenue Code	912
Min. Negotiated Rate	$50.45
Max. Negotiated Rate	$50.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84511025
Hospital Revenue Code	912
Min. Negotiated Rate	$43.73
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$100.91
Rate for Payer: Aetna Medicare Advantage	$100.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.77
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.73
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84511025
Hospital Revenue Code	912
Min. Negotiated Rate	$50.45
Max. Negotiated Rate	$50.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84509025
Hospital Revenue Code	912
Min. Negotiated Rate	$50.45
Max. Negotiated Rate	$50.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

Know your out-of-pocket cost for care.

All Charges