Heights University Hospital

All Charges

Charge

Type

Setting

Price

NUT

Facility

$19.10

Hospital Charge Code	270678083
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$9.55
Rate for Payer: Aetna Commercial	$5.73
Rate for Payer: Aetna Medicare Advantage	$5.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.87
Rate for Payer: Cigna Commercial	$9.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.48
Rate for Payer: Oxford Commercial	$9.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.87
Rate for Payer: UnitedHealthcare Commercial	$9.55

NUT 10 MM

Facility

$835.00

Hospital Charge Code	270684460
Hospital Revenue Code	272
Min. Negotiated Rate	$108.55
Max. Negotiated Rate	$417.50
Rate for Payer: Aetna Commercial	$250.50
Rate for Payer: Aetna Medicare Advantage	$250.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.93
Rate for Payer: Cigna Commercial	$417.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.55
Rate for Payer: Oxford Commercial	$417.50
Rate for Payer: Qualcare PPO/HMO/WC	$125.25
Rate for Payer: UnitedHealthcare Commercial	$417.50

NUT 10 MM

Facility

$835.00

Hospital Charge Code	270684460
Hospital Revenue Code	272
Min. Negotiated Rate	$125.25
Max. Negotiated Rate	$125.25
Rate for Payer: Qualcare PPO/HMO/WC	$125.25

NUT BMT TI-LOCK 33-345472

Facility

$944.85

Hospital Charge Code	270618211
Hospital Revenue Code	272
Min. Negotiated Rate	$122.83
Max. Negotiated Rate	$472.43
Rate for Payer: Aetna Commercial	$283.45
Rate for Payer: Aetna Medicare Advantage	$283.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.94
Rate for Payer: Cigna Commercial	$472.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.83
Rate for Payer: Oxford Commercial	$472.43
Rate for Payer: Qualcare PPO/HMO/WC	$141.73
Rate for Payer: UnitedHealthcare Commercial	$472.43

NUT BMT TI-LOCK 33-345472

Facility

$944.85

Hospital Charge Code	270618211
Hospital Revenue Code	272
Min. Negotiated Rate	$141.73
Max. Negotiated Rate	$141.73
Rate for Payer: Qualcare PPO/HMO/WC	$141.73

NUT BUTTRESS COMPRESSION

Facility

$3,229.65

Service Code	HCPCS A4649
Hospital Charge Code	270697682
Hospital Revenue Code	270
Min. Negotiated Rate	$419.85
Max. Negotiated Rate	$1,614.83
Rate for Payer: Aetna Commercial	$968.89
Rate for Payer: Aetna Medicare Advantage	$968.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.56
Rate for Payer: Cigna Commercial	$1,614.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.85
Rate for Payer: Oxford Commercial	$1,614.83
Rate for Payer: Qualcare PPO/HMO/WC	$484.45
Rate for Payer: UnitedHealthcare Commercial	$1,614.83

NUT BUTTRESS COMPRESSION

Facility

$3,229.65

Service Code	HCPCS A4649
Hospital Charge Code	270697682
Hospital Revenue Code	270
Min. Negotiated Rate	$484.45
Max. Negotiated Rate	$484.45
Rate for Payer: Qualcare PPO/HMO/WC	$484.45

NUT DOMED 177091045

Facility

$446.45

Hospital Charge Code	270632113
Hospital Revenue Code	272
Min. Negotiated Rate	$58.04
Max. Negotiated Rate	$223.22
Rate for Payer: Aetna Commercial	$133.94
Rate for Payer: Aetna Medicare Advantage	$133.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.84
Rate for Payer: Cigna Commercial	$223.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.04
Rate for Payer: Oxford Commercial	$223.22
Rate for Payer: Qualcare PPO/HMO/WC	$66.97
Rate for Payer: UnitedHealthcare Commercial	$223.22

NUT DOMED 177091045

Facility

$446.45

Hospital Charge Code	270632113
Hospital Revenue Code	272
Min. Negotiated Rate	$66.97
Max. Negotiated Rate	$66.97
Rate for Payer: Qualcare PPO/HMO/WC	$66.97

NUT OUTER MNTR H/H X-CONN

Facility

$785.00

Hospital Charge Code	270663779
Hospital Revenue Code	272
Min. Negotiated Rate	$102.05
Max. Negotiated Rate	$392.50
Rate for Payer: Aetna Commercial	$235.50
Rate for Payer: Aetna Medicare Advantage	$235.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.18
Rate for Payer: Cigna Commercial	$392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.05
Rate for Payer: Oxford Commercial	$392.50
Rate for Payer: Qualcare PPO/HMO/WC	$117.75
Rate for Payer: UnitedHealthcare Commercial	$392.50

NUT OUTER MNTR H/H X-CONN

Facility

$785.00

Hospital Charge Code	270663779
Hospital Revenue Code	272
Min. Negotiated Rate	$117.75
Max. Negotiated Rate	$117.75
Rate for Payer: Qualcare PPO/HMO/WC	$117.75

NUTRADERM 30/480ML

Facility

$43.00

Hospital Charge Code	60633563
Hospital Revenue Code	250
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.45

NUTRADERM 30/480ML

Facility

$43.00

Hospital Charge Code	60633563
Hospital Revenue Code	250
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$21.50
Rate for Payer: Aetna Commercial	$12.90
Rate for Payer: Aetna Medicare Advantage	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.96
Rate for Payer: Cigna Commercial	$21.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.59
Rate for Payer: Oxford Commercial	$21.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.45
Rate for Payer: UnitedHealthcare Commercial	$21.50

NUTRADERM/480ML

Facility

$43.00

Hospital Charge Code	60633562
Hospital Revenue Code	250
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$21.50
Rate for Payer: Aetna Commercial	$12.90
Rate for Payer: Aetna Medicare Advantage	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.96
Rate for Payer: Cigna Commercial	$21.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.59
Rate for Payer: Oxford Commercial	$21.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.45
Rate for Payer: UnitedHealthcare Commercial	$21.50

NUTRADERM/480ML

Facility

$43.00

Hospital Charge Code	60633562
Hospital Revenue Code	250
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.45

NUTRAHEP FLAVOR PKT

Facility

$5.00

Hospital Charge Code	60635266
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

NUTRAHEP FLAVOR PKT

Facility

$5.00

Hospital Charge Code	60635266
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

NU-TRAKE CRICOTHYROTOMY DEVICE

Facility

$850.00

Hospital Charge Code	270642799
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

NU-TRAKE CRICOTHYROTOMY DEVICE

Facility

$850.00

Hospital Charge Code	270642799
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

NUTREN 1-5

Facility

$61.00

Hospital Charge Code	60634853
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

NUTREN 1-5

Facility

$61.00

Hospital Charge Code	60634853
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

NUTREN 1.5

Facility

$4.00

Hospital Charge Code	60635162
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NUTREN 1.5

Facility

$4.00

Hospital Charge Code	60635162
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

NUT RETAINING

Facility

$276.00

Hospital Charge Code	270693551
Hospital Revenue Code	278
Min. Negotiated Rate	$41.40
Max. Negotiated Rate	$138.00
Rate for Payer: Aetna Commercial	$82.80
Rate for Payer: Aetna Medicare Advantage	$82.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.38
Rate for Payer: Cigna Commercial	$138.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.79
Rate for Payer: Qualcare PPO/HMO/WC	$41.40

NUT RETAINING

Facility

$276.00

Hospital Charge Code	270693551
Hospital Revenue Code	278
Min. Negotiated Rate	$41.40
Max. Negotiated Rate	$66.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.79
Rate for Payer: Qualcare PPO/HMO/WC	$41.40

Know your out-of-pocket cost for care.

All Charges