Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACK EXTREMITY LOWER III

Facility

$517.68

Hospital Charge Code	270653807
Hospital Revenue Code	272
Min. Negotiated Rate	$77.65
Max. Negotiated Rate	$77.65
Rate for Payer: Qualcare PPO/HMO/WC	$77.65

PACK GYN LAPAROSCOPY III

Facility

$226.24

Hospital Charge Code	270653801
Hospital Revenue Code	272
Min. Negotiated Rate	$33.94
Max. Negotiated Rate	$33.94
Rate for Payer: Qualcare PPO/HMO/WC	$33.94

PACK GYN LAPAROSCOPY III

Facility

$226.24

Hospital Charge Code	270653801
Hospital Revenue Code	272
Min. Negotiated Rate	$29.41
Max. Negotiated Rate	$113.12
Rate for Payer: Aetna Commercial	$67.87
Rate for Payer: Aetna Medicare Advantage	$67.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.69
Rate for Payer: Cigna Commercial	$113.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.41
Rate for Payer: Oxford Commercial	$113.12
Rate for Payer: Qualcare PPO/HMO/WC	$33.94
Rate for Payer: UnitedHealthcare Commercial	$113.12

PACK HEAD AND NECK

Facility

$52.78

Hospital Charge Code	270653742
Hospital Revenue Code	272
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$7.92

PACK HEAD AND NECK

Facility

$52.78

Hospital Charge Code	270653742
Hospital Revenue Code	272
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$26.39
Rate for Payer: Aetna Commercial	$15.83
Rate for Payer: Aetna Medicare Advantage	$15.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.46
Rate for Payer: Cigna Commercial	$26.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.86
Rate for Payer: Oxford Commercial	$26.39
Rate for Payer: Qualcare PPO/HMO/WC	$7.92
Rate for Payer: UnitedHealthcare Commercial	$26.39

PACK HIP PINNING

Facility

$474.08

Hospital Charge Code	270653806
Hospital Revenue Code	272
Min. Negotiated Rate	$71.11
Max. Negotiated Rate	$71.11
Rate for Payer: Qualcare PPO/HMO/WC	$71.11

PACK HIP PINNING

Facility

$474.08

Hospital Charge Code	270653806
Hospital Revenue Code	272
Min. Negotiated Rate	$61.63
Max. Negotiated Rate	$237.04
Rate for Payer: Aetna Commercial	$142.22
Rate for Payer: Aetna Medicare Advantage	$142.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.89
Rate for Payer: Cigna Commercial	$237.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.63
Rate for Payer: Oxford Commercial	$237.04
Rate for Payer: Qualcare PPO/HMO/WC	$71.11
Rate for Payer: UnitedHealthcare Commercial	$237.04

PACK HOT

Facility

$36.00

Hospital Charge Code	8200214
Hospital Revenue Code	271
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

PACK HOT

Facility

$36.00

Hospital Charge Code	8200214
Hospital Revenue Code	271
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$18.00

PACK I &A

Facility

$313.00

Hospital Charge Code	270331453
Hospital Revenue Code	272
Min. Negotiated Rate	$46.95
Max. Negotiated Rate	$46.95
Rate for Payer: Qualcare PPO/HMO/WC	$46.95

PACK I &A

Facility

$313.00

Hospital Charge Code	270331453
Hospital Revenue Code	272
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$156.50
Rate for Payer: Aetna Commercial	$93.90
Rate for Payer: Aetna Medicare Advantage	$93.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.81
Rate for Payer: Cigna Commercial	$156.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.69
Rate for Payer: Oxford Commercial	$156.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.95
Rate for Payer: UnitedHealthcare Commercial	$156.50

PACK ICE - ALL SIZES

Facility

$16.85

Hospital Charge Code	270301283
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

PACK ICE - ALL SIZES

Facility

$16.85

Hospital Charge Code	270301283
Hospital Revenue Code	270
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 ICE - ALL SIZES****

Facility

$7.72

Hospital Charge Code	207301283
Hospital Revenue Code	271
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.86
Rate for Payer: Aetna Commercial	$2.32
Rate for Payer: Aetna Medicare Advantage	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.97
Rate for Payer: Cigna Commercial	$3.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.86

PACK ICE - ALL SIZES****

Facility

$7.72

Hospital Charge Code	207301283
Hospital Revenue Code	271
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

PACK ICE DISP **********

Facility

$13.00

Hospital Charge Code	8002990
Hospital Revenue Code	279
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

PACK ICE DISP **********

Facility

$13.00

Hospital Charge Code	8002990
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

PACK ICE KWIK KOLD PAK

Facility

$24.20

Hospital Charge Code	270651596
Hospital Revenue Code	270
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$3.63
Rate for Payer: Qualcare PPO/HMO/WC	$3.63

PACK ICE KWIK KOLD PAK

Facility

$24.20

Hospital Charge Code	270651596
Hospital Revenue Code	270
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$12.10
Rate for Payer: Aetna Commercial	$7.26
Rate for Payer: Aetna Medicare Advantage	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.17
Rate for Payer: Cigna Commercial	$12.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.15
Rate for Payer: Oxford Commercial	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.63
Rate for Payer: UnitedHealthcare Commercial	$12.10

PACK ICE SMALL

Facility

$16.85

Hospital Charge Code	270301284
Hospital Revenue Code	270
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 ICE SMALL

Facility

$16.85

Hospital Charge Code	270301284
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

PACKING COIL

Facility

$4,950.00

Service Code	HCPCS C1757
Hospital Charge Code	270686142
Hospital Revenue Code	278
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$1,197.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.90
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

PACKING COIL

Facility

$4,950.00

Service Code	HCPCS C1757
Hospital Charge Code	270686142
Hospital Revenue Code	278
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$2,475.00
Rate for Payer: Aetna Commercial	$1,485.00
Rate for Payer: Aetna Medicare Advantage	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,262.25
Rate for Payer: Cigna Commercial	$2,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.90
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

Packing Coils 45cm

Facility

$6,450.00

Hospital Charge Code	270687057
Hospital Revenue Code	278
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$3,225.00
Rate for Payer: Aetna Commercial	$1,935.00
Rate for Payer: Aetna Medicare Advantage	$1,935.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,644.75
Rate for Payer: Cigna Commercial	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.90
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

Packing Coils 45cm

Facility

$6,450.00

Hospital Charge Code	270687057
Hospital Revenue Code	278
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$1,560.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.90
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

Know your out-of-pocket cost for care.

All Charges