Heights University Hospital

All Charges

Charge

Type

Setting

Price

AUTOPLEX SYSTEM W/11G NEEDLE

Facility

$4,750.00

Hospital Charge Code	270641891
Hospital Revenue Code	270
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

AUTOPLEX SYSTEM W/11G NEEDLE

Facility

$4,750.00

Hospital Charge Code	270641891
Hospital Revenue Code	270
Min. Negotiated Rate	$617.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$2,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Commercial	$2,375.00

AUTOPSY GROSS&MICRO INFN W BRN

Facility

$215.00

Service Code	HCPCS 88028
Hospital Charge Code	3035170
Hospital Revenue Code	310
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

AUTOPSY GROSS&MICRO INFN W BRN

Facility

$215.00

Service Code	HCPCS 88028
Hospital Charge Code	3035170
Hospital Revenue Code	310
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

AUTOPSY GROSS&MICRO SB/NB W BR

Facility

$215.00

Service Code	HCPCS 88029
Hospital Charge Code	3035171
Hospital Revenue Code	310
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

AUTOPSY GROSS&MICRO SB/NB W BR

Facility

$215.00

Service Code	HCPCS 88029
Hospital Charge Code	3035171
Hospital Revenue Code	310
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

AUTOPSY GROSS&MICRO W BRN&SPIN

Facility

$215.00

Service Code	HCPCS 88027
Hospital Charge Code	3035169
Hospital Revenue Code	310
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

AUTOPSY GROSS&MICRO W BRN&SPIN

Facility

$215.00

Service Code	HCPCS 88027
Hospital Charge Code	3035169
Hospital Revenue Code	310
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

AUTOPSY GROSS&MICRO WITH BRAIN

Facility

$215.00

Service Code	HCPCS 88025
Hospital Charge Code	3035066
Hospital Revenue Code	310
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

AUTOPSY GROSS&MICRO WITH BRAIN

Facility

$215.00

Service Code	HCPCS 88025
Hospital Charge Code	3035066
Hospital Revenue Code	310
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

AUTOPSY GROSS&MICRO WITH CNS

Facility

$215.00

Service Code	HCPCS 88020
Hospital Charge Code	3035168
Hospital Revenue Code	310
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

AUTOPSY GROSS&MICRO WITH CNS

Facility

$215.00

Service Code	HCPCS 88020
Hospital Charge Code	3035168
Hospital Revenue Code	310
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

AUTOPSY LTD GROSS&MICRO REGION

Facility

$215.00

Service Code	HCPCS 88036
Hospital Charge Code	3035172
Hospital Revenue Code	310
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

AUTOPSY LTD GROSS&MICRO REGION

Facility

$215.00

Service Code	HCPCS 88036
Hospital Charge Code	3035172
Hospital Revenue Code	310
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

AUTOSRIVER DISP

Facility

$1,255.00

Hospital Charge Code	270703591
Hospital Revenue Code	278
Min. Negotiated Rate	$188.25
Max. Negotiated Rate	$627.50
Rate for Payer: Aetna Commercial	$376.50
Rate for Payer: Aetna Medicare Advantage	$376.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.02
Rate for Payer: Cigna Commercial	$627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.71
Rate for Payer: Qualcare PPO/HMO/WC	$188.25

AUTOSRIVER DISP

Facility

$1,255.00

Hospital Charge Code	270703591
Hospital Revenue Code	278
Min. Negotiated Rate	$188.25
Max. Negotiated Rate	$303.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.71
Rate for Payer: Qualcare PPO/HMO/WC	$188.25

AUTO STITCH 173022 *******

Facility

$146.00

Hospital Charge Code	1605849
Hospital Revenue Code	272
Min. Negotiated Rate	$21.90
Max. Negotiated Rate	$21.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.90

AUTO STITCH 173022 *******

Facility

$146.00

Hospital Charge Code	1605849
Hospital Revenue Code	272
Min. Negotiated Rate	$18.98
Max. Negotiated Rate	$73.00
Rate for Payer: Aetna Commercial	$43.80
Rate for Payer: Aetna Medicare Advantage	$43.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.23
Rate for Payer: Cigna Commercial	$73.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$73.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.90
Rate for Payer: UnitedHealthcare Commercial	$73.00

AUTO SUTURE- POLY****

Facility

$1,465.00

Hospital Charge Code	1800093
Hospital Revenue Code	279
Min. Negotiated Rate	$190.45
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$439.50
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.45
Rate for Payer: Oxford Commercial	$732.50
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Commercial	$732.50

AUTO SUTURE- POLY****

Facility

$1,465.00

Hospital Charge Code	1800093
Hospital Revenue Code	279
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$219.75
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

AUTO SYRINGE (TUBING) ******

Facility

$8.00

Hospital Charge Code	1801067
Hospital Revenue Code	279
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

AUTO SYRINGE (TUBING) ******

Facility

$8.00

Hospital Charge Code	1801067
Hospital Revenue Code	279
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

AUTOTOME 30MM STD

Facility

$1,072.45

Hospital Charge Code	270660086
Hospital Revenue Code	272
Min. Negotiated Rate	$139.42
Max. Negotiated Rate	$536.23
Rate for Payer: Aetna Commercial	$321.74
Rate for Payer: Aetna Medicare Advantage	$321.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.47
Rate for Payer: Cigna Commercial	$536.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.42
Rate for Payer: Oxford Commercial	$536.23
Rate for Payer: Qualcare PPO/HMO/WC	$160.87
Rate for Payer: UnitedHealthcare Commercial	$536.23

AUTOTOME 30MM STD

Facility

$1,072.45

Hospital Charge Code	270660086
Hospital Revenue Code	272
Min. Negotiated Rate	$160.87
Max. Negotiated Rate	$160.87
Rate for Payer: Qualcare PPO/HMO/WC	$160.87

AUTOTOME 39

Facility

$1,069.80

Hospital Charge Code	270676503
Hospital Revenue Code	272
Min. Negotiated Rate	$139.07
Max. Negotiated Rate	$534.90
Rate for Payer: Aetna Commercial	$320.94
Rate for Payer: Aetna Medicare Advantage	$320.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.80
Rate for Payer: Cigna Commercial	$534.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.07
Rate for Payer: Oxford Commercial	$534.90
Rate for Payer: Qualcare PPO/HMO/WC	$160.47
Rate for Payer: UnitedHealthcare Commercial	$534.90

Know your out-of-pocket cost for care.

All Charges