Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACK BASIC LINEN 88132

Facility

$56.00

Hospital Charge Code	270609199
Hospital Revenue Code	272
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

PACK BASIC LINEN 88132

Facility

$56.00

Hospital Charge Code	270609199
Hospital Revenue Code	272
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$28.00
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	$28.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$28.00

PACK BREAST TRAY

Facility

$333.98

Hospital Charge Code	270671833
Hospital Revenue Code	272
Min. Negotiated Rate	$43.42
Max. Negotiated Rate	$166.99
Rate for Payer: Aetna Commercial	$100.19
Rate for Payer: Aetna Medicare Advantage	$100.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.16
Rate for Payer: Cigna Commercial	$166.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.42
Rate for Payer: Oxford Commercial	$166.99
Rate for Payer: Qualcare PPO/HMO/WC	$50.10
Rate for Payer: UnitedHealthcare Commercial	$166.99

PACK BREAST TRAY

Facility

$333.98

Hospital Charge Code	270671833
Hospital Revenue Code	272
Min. Negotiated Rate	$50.10
Max. Negotiated Rate	$50.10
Rate for Payer: Qualcare PPO/HMO/WC	$50.10

PACK BRONCHOSCOPY

Facility

$69.79

Hospital Charge Code	270653796
Hospital Revenue Code	272
Min. Negotiated Rate	$10.47
Max. Negotiated Rate	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$10.47

PACK BRONCHOSCOPY

Facility

$69.79

Hospital Charge Code	270653796
Hospital Revenue Code	272
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$34.90
Rate for Payer: Aetna Commercial	$20.94
Rate for Payer: Aetna Medicare Advantage	$20.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.80
Rate for Payer: Cigna Commercial	$34.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.07
Rate for Payer: Oxford Commercial	$34.90
Rate for Payer: Qualcare PPO/HMO/WC	$10.47
Rate for Payer: UnitedHealthcare Commercial	$34.90

PACK CATARACT ALCON

Facility

$1,487.50

Hospital Charge Code	270651590
Hospital Revenue Code	272
Min. Negotiated Rate	$193.38
Max. Negotiated Rate	$743.75
Rate for Payer: Aetna Commercial	$446.25
Rate for Payer: Aetna Medicare Advantage	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.31
Rate for Payer: Cigna Commercial	$743.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.38
Rate for Payer: Oxford Commercial	$743.75
Rate for Payer: Qualcare PPO/HMO/WC	$223.12
Rate for Payer: UnitedHealthcare Commercial	$743.75

PACK CATARACT ALCON

Facility

$1,487.50

Hospital Charge Code	270651590
Hospital Revenue Code	272
Min. Negotiated Rate	$223.12
Max. Negotiated Rate	$223.12
Rate for Payer: Qualcare PPO/HMO/WC	$223.12

PACK CATARACT AS4544

Facility

$446.90

Hospital Charge Code	270651299
Hospital Revenue Code	272
Min. Negotiated Rate	$58.10
Max. Negotiated Rate	$223.45
Rate for Payer: Aetna Commercial	$134.07
Rate for Payer: Aetna Medicare Advantage	$134.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.96
Rate for Payer: Cigna Commercial	$223.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.10
Rate for Payer: Oxford Commercial	$223.45
Rate for Payer: Qualcare PPO/HMO/WC	$67.03
Rate for Payer: UnitedHealthcare Commercial	$223.45

PACK CATARACT AS4544

Facility

$446.90

Hospital Charge Code	270651299
Hospital Revenue Code	272
Min. Negotiated Rate	$67.03
Max. Negotiated Rate	$67.03
Rate for Payer: Qualcare PPO/HMO/WC	$67.03

PACK CATARACT EXTRACTION

Facility

$742.65

Hospital Charge Code	270651297
Hospital Revenue Code	272
Min. Negotiated Rate	$111.40
Max. Negotiated Rate	$111.40
Rate for Payer: Qualcare PPO/HMO/WC	$111.40

PACK CATARACT EXTRACTION

Facility

$742.65

Hospital Charge Code	270651297
Hospital Revenue Code	272
Min. Negotiated Rate	$96.54
Max. Negotiated Rate	$371.32
Rate for Payer: Aetna Commercial	$222.79
Rate for Payer: Aetna Medicare Advantage	$222.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.38
Rate for Payer: Cigna Commercial	$371.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.54
Rate for Payer: Oxford Commercial	$371.32
Rate for Payer: Qualcare PPO/HMO/WC	$111.40
Rate for Payer: UnitedHealthcare Commercial	$371.32

PACK CATH LAB CUSTOM

Facility

$226.45

Hospital Charge Code	270600699
Hospital Revenue Code	272
Min. Negotiated Rate	$33.97
Max. Negotiated Rate	$33.97
Rate for Payer: Qualcare PPO/HMO/WC	$33.97

PACK CATH LAB CUSTOM

Facility

$226.45

Hospital Charge Code	270600699
Hospital Revenue Code	272
Min. Negotiated Rate	$29.44
Max. Negotiated Rate	$113.22
Rate for Payer: Aetna Commercial	$67.94
Rate for Payer: Aetna Medicare Advantage	$67.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.74
Rate for Payer: Cigna Commercial	$113.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Oxford Commercial	$113.22
Rate for Payer: Qualcare PPO/HMO/WC	$33.97
Rate for Payer: UnitedHealthcare Commercial	$113.22

PACK CELL SAVER 125CC HAE241

Facility

$340.00

Hospital Charge Code	270605801
Hospital Revenue Code	272
Min. Negotiated Rate	$44.20
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.20
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$170.00

PACK CELL SAVER 125CC HAE241

Facility

$340.00

Hospital Charge Code	270605801
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PACK CELL SAVER 125ml SOR125

Facility

$363.75

Hospital Charge Code	270616337
Hospital Revenue Code	272
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$181.88
Rate for Payer: Aetna Commercial	$109.12
Rate for Payer: Aetna Medicare Advantage	$109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.76
Rate for Payer: Cigna Commercial	$181.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.29
Rate for Payer: Oxford Commercial	$181.88
Rate for Payer: Qualcare PPO/HMO/WC	$54.56
Rate for Payer: UnitedHealthcare Commercial	$181.88

PACK CELL SAVER 125ml SOR125

Facility

$363.75

Hospital Charge Code	270616337
Hospital Revenue Code	272
Min. Negotiated Rate	$54.56
Max. Negotiated Rate	$54.56
Rate for Payer: Qualcare PPO/HMO/WC	$54.56

PACK CELL SAVER 165CC COBE125

Facility

$494.45

Hospital Charge Code	270605811
Hospital Revenue Code	272
Min. Negotiated Rate	$64.28
Max. Negotiated Rate	$247.22
Rate for Payer: Aetna Commercial	$148.34
Rate for Payer: Aetna Medicare Advantage	$148.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.08
Rate for Payer: Cigna Commercial	$247.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.28
Rate for Payer: Oxford Commercial	$247.22
Rate for Payer: Qualcare PPO/HMO/WC	$74.17
Rate for Payer: UnitedHealthcare Commercial	$247.22

PACK CELL SAVER 165CC COBE125

Facility

$494.45

Hospital Charge Code	270605811
Hospital Revenue Code	272
Min. Negotiated Rate	$74.17
Max. Negotiated Rate	$74.17
Rate for Payer: Qualcare PPO/HMO/WC	$74.17

PACK CELL SAVER 225CC HAE243

Facility

$342.50

Hospital Charge Code	270605802
Hospital Revenue Code	272
Min. Negotiated Rate	$51.38
Max. Negotiated Rate	$51.38
Rate for Payer: Qualcare PPO/HMO/WC	$51.38

PACK CELL SAVER 225CC HAE243

Facility

$342.50

Hospital Charge Code	270605802
Hospital Revenue Code	272
Min. Negotiated Rate	$44.52
Max. Negotiated Rate	$171.25
Rate for Payer: Aetna Commercial	$102.75
Rate for Payer: Aetna Medicare Advantage	$102.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.34
Rate for Payer: Cigna Commercial	$171.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.52
Rate for Payer: Oxford Commercial	$171.25
Rate for Payer: Qualcare PPO/HMO/WC	$51.38
Rate for Payer: UnitedHealthcare Commercial	$171.25

PACK CELL SAVER 250CC COBE250

Facility

$494.45

Hospital Charge Code	270606139
Hospital Revenue Code	272
Min. Negotiated Rate	$74.17
Max. Negotiated Rate	$74.17
Rate for Payer: Qualcare PPO/HMO/WC	$74.17

PACK CELL SAVER 250CC COBE250

Facility

$494.45

Hospital Charge Code	270606139
Hospital Revenue Code	272
Min. Negotiated Rate	$64.28
Max. Negotiated Rate	$247.22
Rate for Payer: Aetna Commercial	$148.34
Rate for Payer: Aetna Medicare Advantage	$148.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.08
Rate for Payer: Cigna Commercial	$247.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.28
Rate for Payer: Oxford Commercial	$247.22
Rate for Payer: Qualcare PPO/HMO/WC	$74.17
Rate for Payer: UnitedHealthcare Commercial	$247.22

PACK COLD

Facility

$5.65

Hospital Charge Code	270605298
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

Know your out-of-pocket cost for care.

All Charges