Heights University Hospital

All Charges

Charge

Type

Setting

Price

Attention Goal Status CI

Facility

$0.01

Service Code	HCPCS G9166GNCI
Hospital Charge Code	74204073CI
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Attention Goal Status CI

Facility

$0.01

Service Code	HCPCS G9166GNCI
Hospital Charge Code	74204073CI
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

Attention Goal Status CJ

Facility

$0.01

Service Code	HCPCS G9166GNCJ
Hospital Charge Code	74204073CJ
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Attention Goal Status CJ

Facility

$0.01

Service Code	HCPCS G9166GNCJ
Hospital Charge Code	74204073CJ
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

ATTENTION GOAL STATUS CK

Facility

$0.01

Service Code	HCPCS G9166GNCK
Hospital Charge Code	74204073CK
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

ATTENTION GOAL STATUS CK

Facility

$0.01

Service Code	HCPCS G9166GNCK
Hospital Charge Code	74204073CK
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

ATTENTION GOAL STATUS CL

Facility

$0.01

Service Code	HCPCS G9166GNCL
Hospital Charge Code	74204073CL
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

ATTENTION GOAL STATUS CL

Facility

$0.01

Service Code	HCPCS G9166GNCL
Hospital Charge Code	74204073CL
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

ATTENTION GOAL STATUS CM

Facility

$0.01

Service Code	HCPCS G9166GNCM
Hospital Charge Code	74204073CM
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

ATTENTION GOAL STATUS CM

Facility

$0.01

Service Code	HCPCS G9166GNCM
Hospital Charge Code	74204073CM
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

ATTENTION GOAL STATUS CN

Facility

$0.01

Service Code	HCPCS G9166GNCN
Hospital Charge Code	74204073CN
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

ATTENTION GOAL STATUS CN

Facility

$0.01

Service Code	HCPCS G9166GNCN
Hospital Charge Code	74204073CN
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

ATTEST SUPER RAPID 5 STEAMPLUS

Facility

$38.10

Hospital Charge Code	270664734
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$19.05
Rate for Payer: Aetna Commercial	$11.43
Rate for Payer: Aetna Medicare Advantage	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.72
Rate for Payer: Cigna Commercial	$19.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.95
Rate for Payer: Oxford Commercial	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.71
Rate for Payer: UnitedHealthcare Commercial	$19.05

ATTEST SUPER RAPID 5 STEAMPLUS

Facility

$38.10

Hospital Charge Code	270664734
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$5.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.71

ATT F/C/M/N/A/G/H/F; 10.1-30SQ

Facility

$8,289.16

Service Code	HCPCS 14041
Hospital Charge Code	16000347
Hospital Revenue Code	360
Min. Negotiated Rate	$1,243.37
Max. Negotiated Rate	$1,243.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,243.37

ATT F/C/M/N/A/G/H/F; 10.1-30SQ

Facility

$8,289.16

Service Code	HCPCS 14041
Hospital Charge Code	16000347
Hospital Revenue Code	360
Min. Negotiated Rate	$1,077.59
Max. Negotiated Rate	$5,165.88
Rate for Payer: Aetna Better Health Medicaid	$5,064.59
Rate for Payer: Aetna Commercial	$2,486.75
Rate for Payer: Aetna Medicare Advantage	$2,486.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,113.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,113.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,113.74
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,077.59
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,243.37
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,165.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5,064.59

ATT TRUNK,D 10.1-30 SQ

Facility

$16,286.20

Service Code	HCPCS 14001
Hospital Charge Code	16000249
Hospital Revenue Code	360
Min. Negotiated Rate	$2,442.93
Max. Negotiated Rate	$2,442.93
Rate for Payer: Qualcare PPO/HMO/WC	$2,442.93

ATT TRUNK,D 10.1-30 SQ

Facility

$16,286.20

Service Code	HCPCS 14001
Hospital Charge Code	16000249
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,165.88
Rate for Payer: Aetna Better Health Medicaid	$5,064.59
Rate for Payer: Aetna Commercial	$4,885.86
Rate for Payer: Aetna Medicare Advantage	$4,885.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,152.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,152.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,152.98
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.21
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,442.93
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,165.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5,064.59

ATT TRUNK D 10.1-3SQ

Facility

$16,286.20

Service Code	HCPCS 14001
Hospital Charge Code	323014001
Hospital Revenue Code	450
Min. Negotiated Rate	$2,442.93
Max. Negotiated Rate	$2,442.93
Rate for Payer: Qualcare PPO/HMO/WC	$2,442.93

ATT TRUNK D 10.1-3SQ

Facility

$16,286.20

Service Code	HCPCS 14001
Hospital Charge Code	323014001
Hospital Revenue Code	450
Min. Negotiated Rate	$340.03
Max. Negotiated Rate	$5,165.88
Rate for Payer: Aetna Better Health Medicaid	$5,064.59
Rate for Payer: Aetna Commercial	$4,885.86
Rate for Payer: Aetna Medicare Advantage	$4,885.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,152.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,152.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,152.98
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,442.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,165.88

ATTUNEFEMPORCRUCRETNAR5NRT

Facility

$12,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270690793
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$3,675.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

ATTUNEFEMPORCRUCRETNAR5NRT

Facility

$12,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270690793
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

ATTUNE FEM POR PST STSZ6LTCEM

Facility

$12,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270688716
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

ATTUNE FEM POR PST STSZ6LTCEM

Facility

$12,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270688716
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$3,675.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

ATTUNE FEM POST STBL SZ6 L CEM

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270686574
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

Know your out-of-pocket cost for care.

All Charges