Heights University Hospital

All Charges

Charge

Type

Setting

Price

MULTI - FAMILY THERAPY

Facility

$464.00

Service Code	HCPCS 90849
Hospital Charge Code	83246270
Hospital Revenue Code	916
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$139.20
Rate for Payer: Aetna Medicare Advantage	$139.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.32
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	$118.32
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.32
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

MULTIFIRE ENDO GIA 30V LOADING

Facility

$619.00

Hospital Charge Code	270334729
Hospital Revenue Code	272
Min. Negotiated Rate	$80.47
Max. Negotiated Rate	$309.50
Rate for Payer: Aetna Commercial	$185.70
Rate for Payer: Aetna Medicare Advantage	$185.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.84
Rate for Payer: Cigna Commercial	$309.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.47
Rate for Payer: Oxford Commercial	$309.50
Rate for Payer: Qualcare PPO/HMO/WC	$92.85
Rate for Payer: UnitedHealthcare Commercial	$309.50

MULTIFIRE ENDO GIA 30V LOADING

Facility

$619.00

Hospital Charge Code	270334729
Hospital Revenue Code	272
Min. Negotiated Rate	$92.85
Max. Negotiated Rate	$92.85
Rate for Payer: Qualcare PPO/HMO/WC	$92.85

MULTIFIRE TA30-3.5 LOADING

Facility

$261.00

Hospital Charge Code	270334690
Hospital Revenue Code	272
Min. Negotiated Rate	$39.15
Max. Negotiated Rate	$39.15
Rate for Payer: Qualcare PPO/HMO/WC	$39.15

MULTIFIRE TA30-3.5 LOADING

Facility

$261.00

Hospital Charge Code	270334690
Hospital Revenue Code	272
Min. Negotiated Rate	$33.93
Max. Negotiated Rate	$130.50
Rate for Payer: Aetna Commercial	$78.30
Rate for Payer: Aetna Medicare Advantage	$78.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.56
Rate for Payer: Cigna Commercial	$130.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.93
Rate for Payer: Oxford Commercial	$130.50
Rate for Payer: Qualcare PPO/HMO/WC	$39.15
Rate for Payer: UnitedHealthcare Commercial	$130.50

MULTIFIRE TA 30-3.5 RELOADABLE

Facility

$555.00

Hospital Charge Code	270334724
Hospital Revenue Code	272
Min. Negotiated Rate	$72.15
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$166.50
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.15
Rate for Payer: Oxford Commercial	$277.50
Rate for Payer: Qualcare PPO/HMO/WC	$83.25
Rate for Payer: UnitedHealthcare Commercial	$277.50

MULTIFIRE TA 30-3.5 RELOADABLE

Facility

$555.00

Hospital Charge Code	270334724
Hospital Revenue Code	272
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$83.25
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

MULTIFIRE TA30-4.8 LOADING

Facility

$283.00

Hospital Charge Code	270334689
Hospital Revenue Code	278
Min. Negotiated Rate	$42.45
Max. Negotiated Rate	$141.50
Rate for Payer: Aetna Commercial	$84.90
Rate for Payer: Aetna Medicare Advantage	$84.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.17
Rate for Payer: Cigna Commercial	$141.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.45

MULTIFIRE TA30-4.8 LOADING

Facility

$283.00

Hospital Charge Code	270334689
Hospital Revenue Code	278
Min. Negotiated Rate	$42.45
Max. Negotiated Rate	$68.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.45

MULTIFIRE TA 55-3.5 DISPOSABLE

Facility

$293.00

Hospital Charge Code	270334693
Hospital Revenue Code	272
Min. Negotiated Rate	$38.09
Max. Negotiated Rate	$146.50
Rate for Payer: Aetna Commercial	$87.90
Rate for Payer: Aetna Medicare Advantage	$87.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.72
Rate for Payer: Cigna Commercial	$146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.09
Rate for Payer: Oxford Commercial	$146.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.95
Rate for Payer: UnitedHealthcare Commercial	$146.50

MULTIFIRE TA 55-3.5 DISPOSABLE

Facility

$293.00

Hospital Charge Code	270334693
Hospital Revenue Code	272
Min. Negotiated Rate	$43.95
Max. Negotiated Rate	$43.95
Rate for Payer: Qualcare PPO/HMO/WC	$43.95

MULTIFIRE TA55-4.8 LOADING

Facility

$234.00

Hospital Charge Code	270334694
Hospital Revenue Code	272
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$35.10
Rate for Payer: Qualcare PPO/HMO/WC	$35.10

MULTIFIRE TA55-4.8 LOADING

Facility

$234.00

Hospital Charge Code	270334694
Hospital Revenue Code	272
Min. Negotiated Rate	$30.42
Max. Negotiated Rate	$117.00
Rate for Payer: Aetna Commercial	$70.20
Rate for Payer: Aetna Medicare Advantage	$70.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.67
Rate for Payer: Cigna Commercial	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.42
Rate for Payer: Oxford Commercial	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.10
Rate for Payer: UnitedHealthcare Commercial	$117.00

MULTIFIRE TA 55-4.8 STAPLER

Facility

$446.00

Hospital Charge Code	270334726
Hospital Revenue Code	272
Min. Negotiated Rate	$66.90
Max. Negotiated Rate	$66.90
Rate for Payer: Qualcare PPO/HMO/WC	$66.90

MULTIFIRE TA 55-4.8 STAPLER

Facility

$446.00

Hospital Charge Code	270334726
Hospital Revenue Code	272
Min. Negotiated Rate	$57.98
Max. Negotiated Rate	$223.00
Rate for Payer: Aetna Commercial	$133.80
Rate for Payer: Aetna Medicare Advantage	$133.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.73
Rate for Payer: Cigna Commercial	$223.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.98
Rate for Payer: Oxford Commercial	$223.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.90
Rate for Payer: UnitedHealthcare Commercial	$223.00

MULTIGEN RF

Facility

$1,500.00

Hospital Charge Code	270664856
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

MULTIGEN RF

Facility

$1,500.00

Hospital Charge Code	270664856
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

MULTILOC CAP 2MM

Facility

$2,085.00

Hospital Charge Code	270687873
Hospital Revenue Code	272
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$312.75
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

MULTILOC CAP 2MM

Facility

$2,085.00

Hospital Charge Code	270687873
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

MULTILOC NAIL 7 X 355

Facility

$19,405.00

Service Code	HCPCS C1713
Hospital Charge Code	270687746
Hospital Revenue Code	278
Min. Negotiated Rate	$2,910.75
Max. Negotiated Rate	$4,696.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,881.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,696.01
Rate for Payer: Qualcare PPO/HMO/WC	$2,910.75

MULTILOC NAIL 7 X 355

Facility

$19,405.00

Service Code	HCPCS C1713
Hospital Charge Code	270687746
Hospital Revenue Code	278
Min. Negotiated Rate	$2,910.75
Max. Negotiated Rate	$9,702.50
Rate for Payer: Aetna Commercial	$5,821.50
Rate for Payer: Aetna Medicare Advantage	$5,821.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,948.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,948.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,881.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,948.27
Rate for Payer: Cigna Commercial	$9,702.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,696.01
Rate for Payer: Qualcare PPO/HMO/WC	$2,910.75

MULTIPLE-FAM GROUP PSYCHOTHPY

Facility

$303.00

Service Code	HCPCS 90849
Hospital Charge Code	83246190
Hospital Revenue Code	916
Min. Negotiated Rate	$39.39
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$90.90
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
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	$77.27
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.39
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

MULTIPLE-FAM GROUP PSYCHOTHPY

Facility

$303.00

Service Code	HCPCS 90849
Hospital Charge Code	83246190
Hospital Revenue Code	916
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$45.45
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

MULTIPLE FAMILY GROUP THERAPY

Facility

$464.00

Service Code	HCPCS 90849
Hospital Charge Code	84504065
Hospital Revenue Code	915
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$69.60
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

MULTIPLE FAMILY GROUP THERAPY

Facility

$464.00

Service Code	HCPCS 90849
Hospital Charge Code	87506095
Hospital Revenue Code	915
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$69.60
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

Know your out-of-pocket cost for care.

All Charges