Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEPHROGENOUS CYCLIC AMP

Facility

$391.00

Service Code	HCPCS 82030
Hospital Charge Code	38476219
Hospital Revenue Code	307
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$83.59
Rate for Payer: Aetna Medicare Advantage	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.53
Rate for Payer: Cigna Commercial	$25.80
Rate for Payer: Cigna Medicare Advantage	$12.90
Rate for Payer: Clover Medicare Advantage	$24.51
Rate for Payer: EmblemHealth Commercial	$77.40
Rate for Payer: Humana Medicare Advantage	$26.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.83
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.35
Rate for Payer: Wellcare Medicare Advantage	$25.80

NEPHROSTOGRAM-RT

Facility

$781.00

Hospital Charge Code	2009260
Hospital Revenue Code	320
Min. Negotiated Rate	$101.53
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$234.30
Rate for Payer: Aetna Medicare Advantage	$234.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.16
Rate for Payer: Cigna Commercial	$390.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.53
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.15
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

NEPHROSTOGRAM-RT

Facility

$781.00

Hospital Charge Code	2009260
Hospital Revenue Code	320
Min. Negotiated Rate	$117.15
Max. Negotiated Rate	$117.15
Rate for Payer: Qualcare PPO/HMO/WC	$117.15

NEPHROSTOMY CATH 8 F

Facility

$170.00

Service Code	HCPCS C1729
Hospital Charge Code	4800985
Hospital Revenue Code	278
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$41.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

NEPHROSTOMY CATH 8 F

Facility

$170.00

Service Code	HCPCS C1729
Hospital Charge Code	4800985
Hospital Revenue Code	278
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

NEPHROSTOMY MALECOT CATHETER

Facility

$360.00

Hospital Charge Code	270331499
Hospital Revenue Code	278
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$108.00
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

NEPHROSTOMY MALECOT CATHETER

Facility

$360.00

Hospital Charge Code	270331499
Hospital Revenue Code	278
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

NEPHROSTOMY PERCUTANEOUS PK

Facility

$791.00

Hospital Charge Code	270331498
Hospital Revenue Code	278
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$395.50
Rate for Payer: Aetna Commercial	$237.30
Rate for Payer: Aetna Medicare Advantage	$237.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.71
Rate for Payer: Cigna Commercial	$395.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.42
Rate for Payer: Qualcare PPO/HMO/WC	$118.65

NEPHROSTOMY PERCUTANEOUS PK

Facility

$791.00

Hospital Charge Code	270331498
Hospital Revenue Code	278
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$191.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.42
Rate for Payer: Qualcare PPO/HMO/WC	$118.65

NEPHRO-VITE TAB

Facility

$4.00

Service Code	NDC 235087901
Hospital Charge Code	60629862
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

NEPHRO-VITE TAB

Facility

$4.00

Service Code	NDC 235087901
Hospital Charge Code	60629862
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEPHROX/16OZ

Facility

$21.00

Hospital Charge Code	60634612
Hospital Revenue Code	250
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

NEPHROX/16OZ

Facility

$21.00

Hospital Charge Code	60634612
Hospital Revenue Code	250
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

NEPRO

Facility

$71.00

Hospital Charge Code	60634852
Hospital Revenue Code	250
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

NEPRO

Facility

$71.00

Hospital Charge Code	60634852
Hospital Revenue Code	250
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$21.30
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$35.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$35.50

NEPRO

Facility

$6.00

Hospital Charge Code	60635265
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

NEPRO

Facility

$6.00

Hospital Charge Code	60635265
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

NEPTAZINE/50MG

Facility

$3.00

Hospital Charge Code	60634488
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

NEPTAZINE/50MG

Facility

$3.00

Hospital Charge Code	60634488
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

NERV COND.MOTOR W/ FWAVE

Facility

$5,700.00

Hospital Charge Code	9109095
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

NERV COND.MOTOR W/ FWAVE

Facility

$5,700.00

Hospital Charge Code	9109095
Hospital Revenue Code	922
Min. Negotiated Rate	$741.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.00
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

NERVE BLOCK****

Facility

$168.00

Hospital Charge Code	8002305
Hospital Revenue Code	279
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

NERVE BLOCK****

Facility

$168.00

Hospital Charge Code	8002305
Hospital Revenue Code	279
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$50.40
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$84.00

NERVE COND MOTORW/O FWAVE

Facility

$5,700.00

Hospital Charge Code	9109015
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

NERVE COND MOTORW/O FWAVE

Facility

$5,700.00

Hospital Charge Code	9109015
Hospital Revenue Code	922
Min. Negotiated Rate	$741.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.00
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

Know your out-of-pocket cost for care.

All Charges