Heights University Hospital

All Charges

Charge

Type

Setting

Price

OBSER ASTHMA HOURLY RATE

Facility

$434.00

Service Code	HCPCS 99218
Hospital Charge Code	5250003
Hospital Revenue Code	762
Min. Negotiated Rate	$65.10
Max. Negotiated Rate	$65.10
Rate for Payer: Qualcare PPO/HMO/WC	$65.10

OBSER ASTHMA HOURLY RATE

Facility

$434.00

Service Code	HCPCS 99218
Hospital Charge Code	5250003
Hospital Revenue Code	762
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$130.20
Rate for Payer: Aetna Medicare Advantage	$130.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.67
Rate for Payer: Cigna Commercial	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.42
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.10
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellpoint Medicaid Managed Care	$50.00

OBSER CHEST PAIN HOURLY RATE

Facility

$434.00

Service Code	HCPCS 99218
Hospital Charge Code	5250002
Hospital Revenue Code	762
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$130.20
Rate for Payer: Aetna Medicare Advantage	$130.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.67
Rate for Payer: Cigna Commercial	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.42
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.10
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellpoint Medicaid Managed Care	$50.00

OBSER CHEST PAIN HOURLY RATE

Facility

$434.00

Service Code	HCPCS 99218
Hospital Charge Code	5250002
Hospital Revenue Code	762
Min. Negotiated Rate	$65.10
Max. Negotiated Rate	$65.10
Rate for Payer: Qualcare PPO/HMO/WC	$65.10

OBSER CONGEST HEART FAILURE HR

Facility

$434.00

Service Code	HCPCS 99218
Hospital Charge Code	5250001
Hospital Revenue Code	762
Min. Negotiated Rate	$65.10
Max. Negotiated Rate	$65.10
Rate for Payer: Qualcare PPO/HMO/WC	$65.10

OBSER CONGEST HEART FAILURE HR

Facility

$434.00

Service Code	HCPCS 99218
Hospital Charge Code	5250001
Hospital Revenue Code	762
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$130.20
Rate for Payer: Aetna Medicare Advantage	$130.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.67
Rate for Payer: Cigna Commercial	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.42
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.10
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellpoint Medicaid Managed Care	$50.00

OBSERVATION CARE

Facility

$2,302.00

Service Code	HCPCS G0244
Hospital Charge Code	60629221
Hospital Revenue Code	636
Min. Negotiated Rate	$345.30
Max. Negotiated Rate	$557.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.08
Rate for Payer: Qualcare PPO/HMO/WC	$345.30

OBSERVATION CARE

Facility

$2,302.00

Service Code	HCPCS G0244
Hospital Charge Code	60629221
Hospital Revenue Code	636
Min. Negotiated Rate	$345.30
Max. Negotiated Rate	$1,151.00
Rate for Payer: Aetna Commercial	$690.60
Rate for Payer: Aetna Medicare Advantage	$690.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$587.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$587.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$587.01
Rate for Payer: Cigna Commercial	$1,151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.08
Rate for Payer: Qualcare PPO/HMO/WC	$345.30

OBSERVATION DIRECT ADMIT

Facility

$1,303.50

Service Code	HCPCS G0379
Hospital Charge Code	100510
Hospital Revenue Code	762
Min. Negotiated Rate	$195.53
Max. Negotiated Rate	$195.53
Rate for Payer: Qualcare PPO/HMO/WC	$195.53

OBSERVATION DIRECT ADMIT

Facility

$1,303.50

Service Code	HCPCS G0379
Hospital Charge Code	100510
Hospital Revenue Code	762
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$391.05
Rate for Payer: Aetna Medicare Advantage	$391.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.39
Rate for Payer: Cigna Commercial	$1,418.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.46
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.53
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellpoint Medicaid Managed Care	$50.00

OBSERVATION PER HOUR

Facility

$3,582.00

Service Code	HCPCS G0378
Hospital Charge Code	100110
Hospital Revenue Code	762
Min. Negotiated Rate	$537.30
Max. Negotiated Rate	$537.30
Rate for Payer: Qualcare PPO/HMO/WC	$537.30

OBSERVATION PER HOUR

Facility

$3,582.00

Service Code	HCPCS G0378
Hospital Charge Code	100110
Hospital Revenue Code	762
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$1,074.60
Rate for Payer: Aetna Medicare Advantage	$1,074.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$913.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$913.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$913.41
Rate for Payer: Cigna Commercial	$1,791.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.66
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$537.30
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellpoint Medicaid Managed Care	$50.00

OBS GASTRIC LAVAGE

Facility

$441.00

Hospital Charge Code	910940
Hospital Revenue Code	750
Min. Negotiated Rate	$66.15
Max. Negotiated Rate	$66.15
Rate for Payer: Qualcare PPO/HMO/WC	$66.15

OBS GASTRIC LAVAGE

Facility

$441.00

Hospital Charge Code	910940
Hospital Revenue Code	750
Min. Negotiated Rate	$57.33
Max. Negotiated Rate	$220.50
Rate for Payer: Aetna Commercial	$132.30
Rate for Payer: Aetna Medicare Advantage	$132.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.45
Rate for Payer: Cigna Commercial	$220.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.33
Rate for Payer: Qualcare PPO/HMO/WC	$66.15

OBS INJECT IM/SQ ANTIBIOT

Facility

$343.00

Hospital Charge Code	911010
Hospital Revenue Code	260
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$51.45
Rate for Payer: Qualcare PPO/HMO/WC	$51.45

OBS INJECT IM/SQ ANTIBIOT

Facility

$343.00

Hospital Charge Code	911010
Hospital Revenue Code	260
Min. Negotiated Rate	$44.59
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$102.90
Rate for Payer: Aetna Medicare Advantage	$102.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.47
Rate for Payer: Cigna Commercial	$171.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.59
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.45
Rate for Payer: UnitedHealthcare Commercial	$802.00

OBS INJECTION INTRA-ARTERIAL

Facility

$250.00

Service Code	HCPCS 96373
Hospital Charge Code	100112
Hospital Revenue Code	260
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

OBS INJECTION INTRA-ARTERIAL

Facility

$250.00

Service Code	HCPCS 96373
Hospital Charge Code	100112
Hospital Revenue Code	260
Min. Negotiated Rate	$12.12
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$506.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$802.00

OBS INJECTION INTRADERMAL

Facility

$110.00

Hospital Charge Code	911005
Hospital Revenue Code	924
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

OBS INJECTION INTRADERMAL

Facility

$110.00

Hospital Charge Code	911005
Hospital Revenue Code	924
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$674.00
Rate for Payer: Aetna Commercial	$33.00
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.30
Rate for Payer: Oxford Commercial	$594.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$674.00

OBS INSERT CENTRAL LINE VEIN

Facility

$2,756.00

Hospital Charge Code	910930
Hospital Revenue Code	761
Min. Negotiated Rate	$358.28
Max. Negotiated Rate	$1,378.00
Rate for Payer: Aetna Commercial	$826.80
Rate for Payer: Aetna Medicare Advantage	$826.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$702.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$702.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$702.78
Rate for Payer: Cigna Commercial	$1,378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.28
Rate for Payer: Oxford Commercial	$1,378.00
Rate for Payer: Qualcare PPO/HMO/WC	$413.40
Rate for Payer: UnitedHealthcare Commercial	$1,378.00

OBS INSERT CENTRAL LINE VEIN

Facility

$2,756.00

Hospital Charge Code	910930
Hospital Revenue Code	761
Min. Negotiated Rate	$413.40
Max. Negotiated Rate	$413.40
Rate for Payer: Qualcare PPO/HMO/WC	$413.40

OBS INSERT CHEST TUBE WO IMAGE

Facility

$1,103.00

Service Code	HCPCS 32556
Hospital Charge Code	910915
Hospital Revenue Code	361
Min. Negotiated Rate	$165.45
Max. Negotiated Rate	$165.45
Rate for Payer: Qualcare PPO/HMO/WC	$165.45

OBS INSERT CHEST TUBE WO IMAGE

Facility

$1,103.00

Service Code	HCPCS 32556
Hospital Charge Code	910915
Hospital Revenue Code	361
Min. Negotiated Rate	$143.39
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$330.90
Rate for Payer: Aetna Medicare Advantage	$330.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.26
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	$281.26
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.39
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.45
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

OBS IV INFUSION PUMP > 8 HRS

Facility

$772.00

Hospital Charge Code	911020
Hospital Revenue Code	260
Min. Negotiated Rate	$100.36
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$231.60
Rate for Payer: Aetna Medicare Advantage	$231.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.86
Rate for Payer: Cigna Commercial	$386.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.36
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$115.80
Rate for Payer: UnitedHealthcare Commercial	$802.00

Know your out-of-pocket cost for care.

All Charges