Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACK COLD

Facility

$16.85

Hospital Charge Code	8200206
Hospital Revenue Code	271
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

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

PACK COLD

Facility

$16.85

Hospital Charge Code	8200206
Hospital Revenue Code	271
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

PACK CONVENIENCE PERC K791301

Facility

$5,704.00

Hospital Charge Code	270630128
Hospital Revenue Code	272
Min. Negotiated Rate	$855.60
Max. Negotiated Rate	$855.60
Rate for Payer: Qualcare PPO/HMO/WC	$855.60

PACK CONVENIENCE PERC K791301

Facility

$5,704.00

Hospital Charge Code	270630128
Hospital Revenue Code	272
Min. Negotiated Rate	$741.52
Max. Negotiated Rate	$2,852.00
Rate for Payer: Aetna Commercial	$1,711.20
Rate for Payer: Aetna Medicare Advantage	$1,711.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,454.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,454.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,454.52
Rate for Payer: Cigna Commercial	$2,852.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.52
Rate for Payer: Oxford Commercial	$2,852.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.60
Rate for Payer: UnitedHealthcare Commercial	$2,852.00

PACK CT DRAINAGE TRAY

Facility

$285.00

Hospital Charge Code	270653745R
Hospital Revenue Code	272
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

PACK CT DRAINAGE TRAY

Facility

$285.00

Hospital Charge Code	270653745
Hospital Revenue Code	272
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

PACK CT DRAINAGE TRAY

Facility

$285.00

Hospital Charge Code	270653745R
Hospital Revenue Code	272
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$142.50

PACK CT DRAINAGE TRAY

Facility

$285.00

Hospital Charge Code	270653745
Hospital Revenue Code	272
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$142.50

PACK CT DRAINAGE TRAY

Facility

$550.55

Hospital Charge Code	2709006568
Hospital Revenue Code	272
Min. Negotiated Rate	$82.58
Max. Negotiated Rate	$82.58
Rate for Payer: Qualcare PPO/HMO/WC	$82.58

PACK CT DRAINAGE TRAY

Facility

$550.55

Hospital Charge Code	2709006568
Hospital Revenue Code	272
Min. Negotiated Rate	$71.57
Max. Negotiated Rate	$275.27
Rate for Payer: Aetna Commercial	$165.16
Rate for Payer: Aetna Medicare Advantage	$165.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.39
Rate for Payer: Cigna Commercial	$275.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.57
Rate for Payer: Oxford Commercial	$275.27
Rate for Payer: Qualcare PPO/HMO/WC	$82.58
Rate for Payer: UnitedHealthcare Commercial	$275.27

PACK CUSTOM ANGIO

Facility

$372.95

Hospital Charge Code	270677787
Hospital Revenue Code	272
Min. Negotiated Rate	$55.94
Max. Negotiated Rate	$55.94
Rate for Payer: Qualcare PPO/HMO/WC	$55.94

PACK CUSTOM ANGIO

Facility

$372.95

Hospital Charge Code	270677787S
Hospital Revenue Code	272
Min. Negotiated Rate	$55.94
Max. Negotiated Rate	$55.94
Rate for Payer: Qualcare PPO/HMO/WC	$55.94

PACK CUSTOM ANGIO

Facility

$325.00

Hospital Charge Code	270677787N
Hospital Revenue Code	272
Min. Negotiated Rate	$42.25
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$97.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$162.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$162.50

PACK CUSTOM ANGIO

Facility

$325.00

Hospital Charge Code	270677787N
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

PACK CUSTOM ANGIO

Facility

$372.95

Hospital Charge Code	270677787
Hospital Revenue Code	272
Min. Negotiated Rate	$48.48
Max. Negotiated Rate	$186.47
Rate for Payer: Aetna Commercial	$111.89
Rate for Payer: Aetna Medicare Advantage	$111.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.10
Rate for Payer: Cigna Commercial	$186.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.48
Rate for Payer: Oxford Commercial	$186.47
Rate for Payer: Qualcare PPO/HMO/WC	$55.94
Rate for Payer: UnitedHealthcare Commercial	$186.47

PACK CUSTOM ANGIO

Facility

$372.95

Hospital Charge Code	270677787S
Hospital Revenue Code	272
Min. Negotiated Rate	$48.48
Max. Negotiated Rate	$186.47
Rate for Payer: Aetna Commercial	$111.89
Rate for Payer: Aetna Medicare Advantage	$111.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.10
Rate for Payer: Cigna Commercial	$186.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.48
Rate for Payer: Oxford Commercial	$186.47
Rate for Payer: Qualcare PPO/HMO/WC	$55.94
Rate for Payer: UnitedHealthcare Commercial	$186.47

PACK CUSTOM ARTHROSCOPY

Facility

$474.45

Hospital Charge Code	270600342
Hospital Revenue Code	272
Min. Negotiated Rate	$61.68
Max. Negotiated Rate	$237.22
Rate for Payer: Aetna Commercial	$142.34
Rate for Payer: Aetna Medicare Advantage	$142.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.98
Rate for Payer: Cigna Commercial	$237.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.68
Rate for Payer: Oxford Commercial	$237.22
Rate for Payer: Qualcare PPO/HMO/WC	$71.17
Rate for Payer: UnitedHealthcare Commercial	$237.22

PACK CUSTOM ARTHROSCOPY

Facility

$474.45

Hospital Charge Code	270600342
Hospital Revenue Code	272
Min. Negotiated Rate	$71.17
Max. Negotiated Rate	$71.17
Rate for Payer: Qualcare PPO/HMO/WC	$71.17

PACK CUSTOM ARTHRSC SOP11ARBYA

Facility

$240.00

Hospital Charge Code	270625053
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

PACK CUSTOM ARTHRSC SOP11ARBYA

Facility

$240.00

Hospital Charge Code	270625053
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$120.00

PACK CUSTOM BASIC EXTREMITY

Facility

$235.25

Hospital Charge Code	270642265
Hospital Revenue Code	272
Min. Negotiated Rate	$35.29
Max. Negotiated Rate	$35.29
Rate for Payer: Qualcare PPO/HMO/WC	$35.29

PACK CUSTOM BASIC EXTREMITY

Facility

$235.25

Hospital Charge Code	270642265
Hospital Revenue Code	272
Min. Negotiated Rate	$30.58
Max. Negotiated Rate	$117.62
Rate for Payer: Aetna Commercial	$70.58
Rate for Payer: Aetna Medicare Advantage	$70.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.99
Rate for Payer: Cigna Commercial	$117.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.58
Rate for Payer: Oxford Commercial	$117.62
Rate for Payer: Qualcare PPO/HMO/WC	$35.29
Rate for Payer: UnitedHealthcare Commercial	$117.62

PACK CUSTOM BASIC EXTREMITY

Facility

$318.20

Hospital Charge Code	270631346
Hospital Revenue Code	272
Min. Negotiated Rate	$47.73
Max. Negotiated Rate	$47.73
Rate for Payer: Qualcare PPO/HMO/WC	$47.73

PACK CUSTOM BASIC EXTREMITY

Facility

$318.20

Hospital Charge Code	270631346
Hospital Revenue Code	272
Min. Negotiated Rate	$41.37
Max. Negotiated Rate	$159.10
Rate for Payer: Aetna Commercial	$95.46
Rate for Payer: Aetna Medicare Advantage	$95.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.14
Rate for Payer: Cigna Commercial	$159.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.37
Rate for Payer: Oxford Commercial	$159.10
Rate for Payer: Qualcare PPO/HMO/WC	$47.73
Rate for Payer: UnitedHealthcare Commercial	$159.10

Know your out-of-pocket cost for care.

All Charges