Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

OBS IV PUSH-1STMED INITAL AVS

Facility

$394.88

Hospital Charge Code	911015
Hospital Revenue Code	260
Min. Negotiated Rate	$59.23
Max. Negotiated Rate	$59.23
Rate for Payer: Qualcare PPO/HMO/WC	$59.23

OBS IV PUSH-1STMED INITAL AVS

Facility

$394.88

Hospital Charge Code	911015
Hospital Revenue Code	260
Min. Negotiated Rate	$51.33
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$118.46
Rate for Payer: Aetna Medicare Advantage	$118.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.69
Rate for Payer: Cigna Commercial	$197.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.33
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.23
Rate for Payer: UnitedHealthcare Commercial	$802.00

OBS LUMBAR PUNCTURE

Facility

$662.00

Hospital Charge Code	910970
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

OBS LUMBAR PUNCTURE

Facility

$662.00

Hospital Charge Code	910970
Hospital Revenue Code	761
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$99.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

OBS NG TUBE INSERT

Facility

$386.00

Hospital Charge Code	910935
Hospital Revenue Code	750
Min. Negotiated Rate	$57.90
Max. Negotiated Rate	$57.90
Rate for Payer: Qualcare PPO/HMO/WC	$57.90

OBS NG TUBE INSERT

Facility

$386.00

Hospital Charge Code	910935
Hospital Revenue Code	750
Min. Negotiated Rate	$50.18
Max. Negotiated Rate	$193.00
Rate for Payer: Aetna Commercial	$115.80
Rate for Payer: Aetna Medicare Advantage	$115.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.43
Rate for Payer: Cigna Commercial	$193.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.18
Rate for Payer: Qualcare PPO/HMO/WC	$57.90

OBS OBSERVATION

Facility

$497.00

Service Code	HCPCS G0379
Hospital Charge Code	911035
Hospital Revenue Code	762
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$149.10
Rate for Payer: Aetna Medicare Advantage	$149.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.73
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	$126.73
Rate for Payer: Cigna Commercial	$1,418.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.61
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.55
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellpoint Medicaid Managed Care	$50.00

OBS OBSERVATION

Facility

$497.00

Service Code	HCPCS G0379
Hospital Charge Code	911035
Hospital Revenue Code	762
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$74.55
Rate for Payer: Qualcare PPO/HMO/WC	$74.55

OBS PARACENTESIS W/IMAGE

Facility

$1,103.00

Hospital Charge Code	910950
Hospital Revenue Code	761
Min. Negotiated Rate	$143.39
Max. Negotiated Rate	$551.50
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) PPO	$281.26
Rate for Payer: Cigna Commercial	$551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.39
Rate for Payer: Oxford Commercial	$551.50
Rate for Payer: Qualcare PPO/HMO/WC	$165.45
Rate for Payer: UnitedHealthcare Commercial	$551.50

OBS PARACENTESIS W/IMAGE

Facility

$1,103.00

Hospital Charge Code	910950
Hospital Revenue Code	761
Min. Negotiated Rate	$165.45
Max. Negotiated Rate	$165.45
Rate for Payer: Qualcare PPO/HMO/WC	$165.45

OBS PERIPHERAL NERVE BLOCK

Facility

$662.00

Hospital Charge Code	910975
Hospital Revenue Code	761
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$99.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

OBS PERIPHERAL NERVE BLOCK

Facility

$662.00

Hospital Charge Code	910975
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

OBS PULSE OX-CONTINUOUS(1 PD)

Facility

$303.00

Hospital Charge Code	911000
Hospital Revenue Code	460
Min. Negotiated Rate	$39.39
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$90.90
Rate for Payer: Aetna Medicare Advantage	$90.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$151.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.39
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.45
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

OBS PULSE OX-CONTINUOUS(1 PD)

Facility

$303.00

Hospital Charge Code	911000
Hospital Revenue Code	460
Min. Negotiated Rate	$45.45
Max. Negotiated Rate	$45.45
Rate for Payer: Qualcare PPO/HMO/WC	$45.45

OBS SUCTIONING NASOTRACHEAL

Facility

$282.00

Hospital Charge Code	910905
Hospital Revenue Code	761
Min. Negotiated Rate	$36.66
Max. Negotiated Rate	$141.00
Rate for Payer: Aetna Commercial	$84.60
Rate for Payer: Aetna Medicare Advantage	$84.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.91
Rate for Payer: Cigna Commercial	$141.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.66
Rate for Payer: Oxford Commercial	$141.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.30
Rate for Payer: UnitedHealthcare Commercial	$141.00

OBS SUCTIONING NASOTRACHEAL

Facility

$282.00

Hospital Charge Code	910905
Hospital Revenue Code	761
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$42.30
Rate for Payer: Qualcare PPO/HMO/WC	$42.30

OBS TELEMETRY ( 1 PER DAY )

Facility

$551.00

Hospital Charge Code	910995
Hospital Revenue Code	480
Min. Negotiated Rate	$82.65
Max. Negotiated Rate	$82.65
Rate for Payer: Qualcare PPO/HMO/WC	$82.65

OBS TELEMETRY ( 1 PER DAY )

Facility

$551.00

Hospital Charge Code	910995
Hospital Revenue Code	480
Min. Negotiated Rate	$71.63
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$165.30
Rate for Payer: Aetna Medicare Advantage	$165.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.50
Rate for Payer: Cigna Commercial	$275.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.63
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.65
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

OBS TEMP TRANSCUT PACING

Facility

$772.00

Hospital Charge Code	910985
Hospital Revenue Code	480
Min. Negotiated Rate	$100.36
Max. Negotiated Rate	$1,793.00
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	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$115.80
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

OBS TEMP TRANSCUT PACING

Facility

$772.00

Hospital Charge Code	910985
Hospital Revenue Code	480
Min. Negotiated Rate	$115.80
Max. Negotiated Rate	$115.80
Rate for Payer: Qualcare PPO/HMO/WC	$115.80

OBSTETRICAL CARE

Facility

$12,676.20

Service Code	HCPCS 59409
Hospital Charge Code	16001012
Hospital Revenue Code	360
Min. Negotiated Rate	$1,647.91
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$3,802.86
Rate for Payer: Aetna Medicare Advantage	$3,802.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,232.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,232.43
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	$3,232.43
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,647.91
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,901.43
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

OBSTETRICAL CARE

Facility

$12,676.20

Service Code	HCPCS 59409
Hospital Charge Code	16001012
Hospital Revenue Code	360
Min. Negotiated Rate	$1,901.43
Max. Negotiated Rate	$1,901.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,901.43

OBSTETRIC PANEL

Facility

$105.00

Service Code	HCPCS 80055
Hospital Charge Code	38476799
Hospital Revenue Code	301
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$175.18
Rate for Payer: Aetna Commercial	$154.90
Rate for Payer: Aetna Medicare Advantage	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.18
Rate for Payer: Cigna Commercial	$47.81
Rate for Payer: Cigna Medicare Advantage	$23.91
Rate for Payer: Clover Medicare Advantage	$45.42
Rate for Payer: EmblemHealth Commercial	$143.43
Rate for Payer: Humana Medicare Advantage	$49.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$47.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50.68
Rate for Payer: Wellcare Medicare Advantage	$47.81

OBSTETRIC PANEL

Facility

$105.00

Service Code	HCPCS 80055
Hospital Charge Code	38476799
Hospital Revenue Code	301
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

Know your out-of-pocket cost for care.

All Charges