Heights University Hospital

All Charges

Charge

Type

Setting

Price

OAT SET. 10MM

Facility

$2,600.00

Hospital Charge Code	270671283
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

OAT SET. 6MM

Facility

$3,715.00

Hospital Charge Code	270671281
Hospital Revenue Code	272
Min. Negotiated Rate	$482.95
Max. Negotiated Rate	$1,857.50
Rate for Payer: Aetna Commercial	$1,114.50
Rate for Payer: Aetna Medicare Advantage	$1,114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$947.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$947.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$947.33
Rate for Payer: Cigna Commercial	$1,857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.95
Rate for Payer: Oxford Commercial	$1,857.50
Rate for Payer: Qualcare PPO/HMO/WC	$557.25
Rate for Payer: UnitedHealthcare Commercial	$1,857.50

OAT SET. 6MM

Facility

$3,715.00

Hospital Charge Code	270671281
Hospital Revenue Code	272
Min. Negotiated Rate	$557.25
Max. Negotiated Rate	$557.25
Rate for Payer: Qualcare PPO/HMO/WC	$557.25

OAT SET. 8MM

Facility

$3,715.00

Hospital Charge Code	270671282
Hospital Revenue Code	272
Min. Negotiated Rate	$557.25
Max. Negotiated Rate	$557.25
Rate for Payer: Qualcare PPO/HMO/WC	$557.25

OAT SET. 8MM

Facility

$3,715.00

Hospital Charge Code	270671282
Hospital Revenue Code	272
Min. Negotiated Rate	$482.95
Max. Negotiated Rate	$1,857.50
Rate for Payer: Aetna Commercial	$1,114.50
Rate for Payer: Aetna Medicare Advantage	$1,114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$947.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$947.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$947.33
Rate for Payer: Cigna Commercial	$1,857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.95
Rate for Payer: Oxford Commercial	$1,857.50
Rate for Payer: Qualcare PPO/HMO/WC	$557.25
Rate for Payer: UnitedHealthcare Commercial	$1,857.50

OATS KIT 8MM

Facility

$3,250.00

Hospital Charge Code	270704124
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

OATS KIT 8MM

Facility

$3,250.00

Hospital Charge Code	270704124
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

OB LIMITED STUDY

Facility

$756.00

Service Code	HCPCS 76815
Hospital Charge Code	94061173
Hospital Revenue Code	402
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$113.40
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

OB LIMITED STUDY

Facility

$756.00

Service Code	HCPCS 76815
Hospital Charge Code	94061173
Hospital Revenue Code	402
Min. Negotiated Rate	$65.45
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$226.80
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.28
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

OBS ACCUCHECK (EACH TIME)

Facility

$56.00

Hospital Charge Code	910980
Hospital Revenue Code	301
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$114.00

OBS ACCUCHECK (EACH TIME)

Facility

$56.00

Hospital Charge Code	910980
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

OBS BLOOD TRANSFUSION

Facility

$4,031.23

Service Code	HCPCS 36430
Hospital Charge Code	910925
Hospital Revenue Code	391
Min. Negotiated Rate	$524.06
Max. Negotiated Rate	$1,209.37
Rate for Payer: Aetna Commercial	$1,209.37
Rate for Payer: Aetna Medicare Advantage	$1,209.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,027.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,027.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,027.96
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$524.06
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$604.68
Rate for Payer: UnitedHealthcare Commercial	$756.00

OBS BLOOD TRANSFUSION

Facility

$4,031.23

Service Code	HCPCS 36430
Hospital Charge Code	910925
Hospital Revenue Code	391
Min. Negotiated Rate	$604.68
Max. Negotiated Rate	$604.68
Rate for Payer: Qualcare PPO/HMO/WC	$604.68

OBS CARDIAC MONITOR 3 LEAD

Facility

$138.00

Hospital Charge Code	910990
Hospital Revenue Code	730
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.70

OBS CARDIAC MONITOR 3 LEAD

Facility

$138.00

Hospital Charge Code	910990
Hospital Revenue Code	730
Min. Negotiated Rate	$17.94
Max. Negotiated Rate	$603.00
Rate for Payer: Aetna Commercial	$41.40
Rate for Payer: Aetna Medicare Advantage	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.19
Rate for Payer: Cigna Commercial	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Oxford Commercial	$531.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.70
Rate for Payer: UnitedHealthcare Commercial	$603.00

OBS CATH INSERT-COMPLICATED

Facility

$358.00

Hospital Charge Code	910965
Hospital Revenue Code	761
Min. Negotiated Rate	$46.54
Max. Negotiated Rate	$179.00
Rate for Payer: Aetna Commercial	$107.40
Rate for Payer: Aetna Medicare Advantage	$107.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.29
Rate for Payer: Cigna Commercial	$179.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.54
Rate for Payer: Oxford Commercial	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.70
Rate for Payer: UnitedHealthcare Commercial	$179.00

OBS CATH INSERT-COMPLICATED

Facility

$358.00

Hospital Charge Code	910965
Hospital Revenue Code	761
Min. Negotiated Rate	$53.70
Max. Negotiated Rate	$53.70
Rate for Payer: Qualcare PPO/HMO/WC	$53.70

OBS CATH INSERT-SIMPLE-FOLEY

Facility

$221.00

Hospital Charge Code	910960
Hospital Revenue Code	761
Min. Negotiated Rate	$28.73
Max. Negotiated Rate	$110.50
Rate for Payer: Aetna Commercial	$66.30
Rate for Payer: Aetna Medicare Advantage	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.35
Rate for Payer: Cigna Commercial	$110.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.73
Rate for Payer: Oxford Commercial	$110.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.15
Rate for Payer: UnitedHealthcare Commercial	$110.50

OBS CATH INSERT-SIMPLE-FOLEY

Facility

$221.00

Hospital Charge Code	910960
Hospital Revenue Code	761
Min. Negotiated Rate	$33.15
Max. Negotiated Rate	$33.15
Rate for Payer: Qualcare PPO/HMO/WC	$33.15

OBS CATH INSERT-STRAIGHT

Facility

$221.00

Hospital Charge Code	910955
Hospital Revenue Code	761
Min. Negotiated Rate	$33.15
Max. Negotiated Rate	$33.15
Rate for Payer: Qualcare PPO/HMO/WC	$33.15

OBS CATH INSERT-STRAIGHT

Facility

$221.00

Hospital Charge Code	910955
Hospital Revenue Code	761
Min. Negotiated Rate	$28.73
Max. Negotiated Rate	$110.50
Rate for Payer: Aetna Commercial	$66.30
Rate for Payer: Aetna Medicare Advantage	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.35
Rate for Payer: Cigna Commercial	$110.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.73
Rate for Payer: Oxford Commercial	$110.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.15
Rate for Payer: UnitedHealthcare Commercial	$110.50

OBS CHANGE GASTROSTOMY TUBE

Facility

$717.00

Hospital Charge Code	910945
Hospital Revenue Code	750
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$107.55
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

OBS CHANGE GASTROSTOMY TUBE

Facility

$717.00

Hospital Charge Code	910945
Hospital Revenue Code	750
Min. Negotiated Rate	$93.21
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$215.10
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.21
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

OBS ENDOTRACHEAL INTUBATION

Facility

$662.00

Hospital Charge Code	910901
Hospital Revenue Code	761
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$99.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

OBS ENDOTRACHEAL INTUBATION

Facility

$662.00

Hospital Charge Code	910901
Hospital Revenue Code	761
Min. Negotiated Rate	$86.06
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.06
Rate for Payer: Oxford Commercial	$331.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Commercial	$331.00

Know your out-of-pocket cost for care.

All Charges