Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACKING PLAIN 1/2

Facility

$9.58

Hospital Charge Code	270300935
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.79
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.44
Rate for Payer: Cigna Commercial	$4.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.44
Rate for Payer: UnitedHealthcare Commercial	$4.79

PACKING PLAIN 1/4

Facility

$9.61

Hospital Charge Code	270300930
Hospital Revenue Code	272
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.44

PACKING PLAIN 1/4

Facility

$9.61

Hospital Charge Code	270300930
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.80
Rate for Payer: Aetna Commercial	$2.88
Rate for Payer: Aetna Medicare Advantage	$2.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.45
Rate for Payer: Cigna Commercial	$4.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.44
Rate for Payer: UnitedHealthcare Commercial	$4.80

PACKING PROCEDURE

Facility

$100.00

Service Code	HCPCS 86972
Hospital Charge Code	3100062
Hospital Revenue Code	309
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

PACKING PROCEDURE

Facility

$100.00

Service Code	HCPCS 86972
Hospital Charge Code	3100062
Hospital Revenue Code	309
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

PACKING VAGINAL ************

Facility

$21.00

Hospital Charge Code	8002131
Hospital Revenue Code	279
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

PACKING VAGINAL ************

Facility

$21.00

Hospital Charge Code	8002131
Hospital Revenue Code	279
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

PACKING VAGINAL STER

Facility

$20.00

Hospital Charge Code	270649185
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$10.00
Rate for Payer: Aetna Commercial	$6.00
Rate for Payer: Aetna Medicare Advantage	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.10
Rate for Payer: Cigna Commercial	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.60
Rate for Payer: Oxford Commercial	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00
Rate for Payer: UnitedHealthcare Commercial	$10.00

PACKING VAGINAL STER

Facility

$20.00

Hospital Charge Code	270649185
Hospital Revenue Code	272
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00

PACKING VAGINAL STER 2

Facility

$10.10

Hospital Charge Code	270649186
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$1.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.51

PACKING VAGINAL STER 2

Facility

$10.10

Hospital Charge Code	270649186
Hospital Revenue Code	272
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$5.05
Rate for Payer: Aetna Commercial	$3.03
Rate for Payer: Aetna Medicare Advantage	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.58
Rate for Payer: Cigna Commercial	$5.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.31
Rate for Payer: Oxford Commercial	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.51
Rate for Payer: UnitedHealthcare Commercial	$5.05

PACKING VAGINAL XRAY DETECT

Facility

$27.80

Hospital Charge Code	270600233
Hospital Revenue Code	272
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$13.90
Rate for Payer: Aetna Commercial	$8.34
Rate for Payer: Aetna Medicare Advantage	$8.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.09
Rate for Payer: Cigna Commercial	$13.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.61
Rate for Payer: Oxford Commercial	$13.90
Rate for Payer: Qualcare PPO/HMO/WC	$4.17
Rate for Payer: UnitedHealthcare Commercial	$13.90

PACKING VAGINAL XRAY DETECT

Facility

$27.80

Hospital Charge Code	270600233
Hospital Revenue Code	272
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$4.17
Rate for Payer: Qualcare PPO/HMO/WC	$4.17

PACK KIT ENDOSCOPIC STERILE

Facility

$141.14

Hospital Charge Code	270688552
Hospital Revenue Code	272
Min. Negotiated Rate	$21.17
Max. Negotiated Rate	$21.17
Rate for Payer: Qualcare PPO/HMO/WC	$21.17

PACK KIT ENDOSCOPIC STERILE

Facility

$141.14

Hospital Charge Code	270688552
Hospital Revenue Code	272
Min. Negotiated Rate	$18.35
Max. Negotiated Rate	$70.57
Rate for Payer: Aetna Commercial	$42.34
Rate for Payer: Aetna Medicare Advantage	$42.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.99
Rate for Payer: Cigna Commercial	$70.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.35
Rate for Payer: Oxford Commercial	$70.57
Rate for Payer: Qualcare PPO/HMO/WC	$21.17
Rate for Payer: UnitedHealthcare Commercial	$70.57

PACK KIT LAPAROSCOPIC CHOLE 2

Facility

$173.05

Hospital Charge Code	270688555
Hospital Revenue Code	272
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$86.53
Rate for Payer: Aetna Commercial	$51.91
Rate for Payer: Aetna Medicare Advantage	$51.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.13
Rate for Payer: Cigna Commercial	$86.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.50
Rate for Payer: Oxford Commercial	$86.53
Rate for Payer: Qualcare PPO/HMO/WC	$25.96
Rate for Payer: UnitedHealthcare Commercial	$86.53

PACK KIT LAPAROSCOPIC CHOLE 2

Facility

$173.05

Hospital Charge Code	270688555
Hospital Revenue Code	272
Min. Negotiated Rate	$25.96
Max. Negotiated Rate	$25.96
Rate for Payer: Qualcare PPO/HMO/WC	$25.96

PACK KIT LAPAROSCOPY CHOLE I

Facility

$191.99

Hospital Charge Code	270688554
Hospital Revenue Code	272
Min. Negotiated Rate	$24.96
Max. Negotiated Rate	$96.00
Rate for Payer: Aetna Commercial	$57.60
Rate for Payer: Aetna Medicare Advantage	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.96
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.96
Rate for Payer: Oxford Commercial	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$96.00

PACK KIT LAPAROSCOPY CHOLE I

Facility

$191.99

Hospital Charge Code	270688554
Hospital Revenue Code	272
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

PACK KNEE ARTHROSCOPY

Facility

$305.10

Hospital Charge Code	270653776
Hospital Revenue Code	272
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$152.55
Rate for Payer: Aetna Commercial	$91.53
Rate for Payer: Aetna Medicare Advantage	$91.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.80
Rate for Payer: Cigna Commercial	$152.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.66
Rate for Payer: Oxford Commercial	$152.55
Rate for Payer: Qualcare PPO/HMO/WC	$45.77
Rate for Payer: UnitedHealthcare Commercial	$152.55

PACK KNEE ARTHROSCOPY

Facility

$305.10

Hospital Charge Code	270653776
Hospital Revenue Code	272
Min. Negotiated Rate	$45.77
Max. Negotiated Rate	$45.77
Rate for Payer: Qualcare PPO/HMO/WC	$45.77

PACK KNEE ARTHROSCOPY 102448

Facility

$1,207.90

Hospital Charge Code	270653776V
Hospital Revenue Code	272
Min. Negotiated Rate	$181.19
Max. Negotiated Rate	$181.19
Rate for Payer: Qualcare PPO/HMO/WC	$181.19

PACK KNEE ARTHROSCOPY 102448

Facility

$1,207.90

Hospital Charge Code	270653776V
Hospital Revenue Code	272
Min. Negotiated Rate	$157.03
Max. Negotiated Rate	$603.95
Rate for Payer: Aetna Commercial	$362.37
Rate for Payer: Aetna Medicare Advantage	$362.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.01
Rate for Payer: Cigna Commercial	$603.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.03
Rate for Payer: Oxford Commercial	$603.95
Rate for Payer: Qualcare PPO/HMO/WC	$181.19
Rate for Payer: UnitedHealthcare Commercial	$603.95

PACK LAPAROSCOPY GENERAL

Facility

$262.20

Hospital Charge Code	270653773
Hospital Revenue Code	272
Min. Negotiated Rate	$39.33
Max. Negotiated Rate	$39.33
Rate for Payer: Qualcare PPO/HMO/WC	$39.33

PACK LAPAROSCOPY GENERAL

Facility

$262.20

Hospital Charge Code	270653773
Hospital Revenue Code	272
Min. Negotiated Rate	$34.09
Max. Negotiated Rate	$131.10
Rate for Payer: Aetna Commercial	$78.66
Rate for Payer: Aetna Medicare Advantage	$78.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.86
Rate for Payer: Cigna Commercial	$131.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.09
Rate for Payer: Oxford Commercial	$131.10
Rate for Payer: Qualcare PPO/HMO/WC	$39.33
Rate for Payer: UnitedHealthcare Commercial	$131.10

Know your out-of-pocket cost for care.

All Charges