Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACK LAPAROSCOPY PELVI 89220

Facility

$72.85

Hospital Charge Code	270613257
Hospital Revenue Code	272
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$36.42
Rate for Payer: Aetna Commercial	$21.86
Rate for Payer: Aetna Medicare Advantage	$21.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.58
Rate for Payer: Cigna Commercial	$36.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.47
Rate for Payer: Oxford Commercial	$36.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.93
Rate for Payer: UnitedHealthcare Commercial	$36.42

PACK LAPAROSCOPY PELVI 89220

Facility

$72.85

Hospital Charge Code	270613257
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$10.93
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

PACK LAPAROTOMY XII 88094

Facility

$148.00

Hospital Charge Code	270609205
Hospital Revenue Code	272
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$74.00
Rate for Payer: Aetna Medicare Advantage	$44.40
Rate for Payer: Aetna Commercial	$44.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.74
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.24
Rate for Payer: Oxford Commercial	$74.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$74.00

PACK LAPAROTOMY XII 88094

Facility

$148.00

Hospital Charge Code	270609205
Hospital Revenue Code	272
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

PACK LAP/PELVISCOPY II 88222

Facility

$153.65

Hospital Charge Code	270609207
Hospital Revenue Code	272
Min. Negotiated Rate	$19.97
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.97
Rate for Payer: Oxford Commercial	$76.83
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$76.83

PACK LAP/PELVISCOPY II 88222

Facility

$153.65

Hospital Charge Code	270609207
Hospital Revenue Code	272
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

PACK LINEN DISP *******

Facility

$50.00

Hospital Charge Code	1801059
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$25.00

PACK LINEN DISP *******

Facility

$50.00

Hospital Charge Code	1801059
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

PACK LITHOTOMY II 88521

Facility

$72.85

Hospital Charge Code	270609206
Hospital Revenue Code	272
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$36.42
Rate for Payer: Aetna Commercial	$21.86
Rate for Payer: Aetna Medicare Advantage	$21.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.58
Rate for Payer: Cigna Commercial	$36.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.47
Rate for Payer: Oxford Commercial	$36.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.93
Rate for Payer: UnitedHealthcare Commercial	$36.42

PACK LITHOTOMY II 88521

Facility

$72.85

Hospital Charge Code	270609206
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$10.93
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

PACK LITHOTOMY II 9175 PERI/GY

Facility

$100.37

Hospital Charge Code	270653803
Hospital Revenue Code	272
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$50.19
Rate for Payer: Aetna Commercial	$30.11
Rate for Payer: Aetna Medicare Advantage	$30.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.59
Rate for Payer: Cigna Commercial	$50.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.05
Rate for Payer: Oxford Commercial	$50.19
Rate for Payer: Qualcare PPO/HMO/WC	$15.06
Rate for Payer: UnitedHealthcare Commercial	$50.19

PACK LITHOTOMY II 9175 PERI/GY

Facility

$100.37

Hospital Charge Code	270653803
Hospital Revenue Code	272
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$15.06
Rate for Payer: Qualcare PPO/HMO/WC	$15.06

PACK MAJOR LAPAROTOMY CUSTOM

Facility

$245.60

Hospital Charge Code	270653792
Hospital Revenue Code	272
Min. Negotiated Rate	$36.84
Max. Negotiated Rate	$36.84
Rate for Payer: Qualcare PPO/HMO/WC	$36.84

PACK MAJOR LAPAROTOMY CUSTOM

Facility

$245.60

Hospital Charge Code	270653792
Hospital Revenue Code	272
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$122.80
Rate for Payer: Aetna Commercial	$73.68
Rate for Payer: Aetna Medicare Advantage	$73.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.63
Rate for Payer: Cigna Commercial	$122.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.93
Rate for Payer: Oxford Commercial	$122.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.84
Rate for Payer: UnitedHealthcare Commercial	$122.80

PACK MCP TOT JT DISPOS

Facility

$2,680.00

Hospital Charge Code	270697844
Hospital Revenue Code	270
Min. Negotiated Rate	$348.40
Max. Negotiated Rate	$1,340.00
Rate for Payer: Aetna Commercial	$804.00
Rate for Payer: Aetna Medicare Advantage	$804.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$683.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$683.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$683.40
Rate for Payer: Cigna Commercial	$1,340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.40
Rate for Payer: Oxford Commercial	$1,340.00
Rate for Payer: Qualcare PPO/HMO/WC	$402.00
Rate for Payer: UnitedHealthcare Commercial	$1,340.00

PACK MCP TOT JT DISPOS

Facility

$2,680.00

Hospital Charge Code	270697844
Hospital Revenue Code	270
Min. Negotiated Rate	$402.00
Max. Negotiated Rate	$402.00
Rate for Payer: Qualcare PPO/HMO/WC	$402.00

PACK MINOR CUSTOMIZED

Facility

$223.05

Hospital Charge Code	270653794
Hospital Revenue Code	272
Min. Negotiated Rate	$29.00
Max. Negotiated Rate	$111.53
Rate for Payer: Aetna Commercial	$66.92
Rate for Payer: Aetna Medicare Advantage	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.88
Rate for Payer: Cigna Commercial	$111.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.00
Rate for Payer: Oxford Commercial	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$33.46
Rate for Payer: UnitedHealthcare Commercial	$111.53

PACK MINOR CUSTOMIZED

Facility

$223.05

Hospital Charge Code	270653794
Hospital Revenue Code	272
Min. Negotiated Rate	$33.46
Max. Negotiated Rate	$33.46
Rate for Payer: Qualcare PPO/HMO/WC	$33.46

PACK NASAL/FESS

Facility

$200.95

Hospital Charge Code	270653797
Hospital Revenue Code	272
Min. Negotiated Rate	$30.14
Max. Negotiated Rate	$30.14
Rate for Payer: Qualcare PPO/HMO/WC	$30.14

PACK NASAL/FESS

Facility

$200.95

Hospital Charge Code	270653797
Hospital Revenue Code	272
Min. Negotiated Rate	$26.12
Max. Negotiated Rate	$100.47
Rate for Payer: Aetna Commercial	$60.28
Rate for Payer: Aetna Medicare Advantage	$60.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.24
Rate for Payer: Cigna Commercial	$100.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.12
Rate for Payer: Oxford Commercial	$100.47
Rate for Payer: Qualcare PPO/HMO/WC	$30.14
Rate for Payer: UnitedHealthcare Commercial	$100.47

PACK ORTHO 2 UPPER EXTREMITY

Facility

$115.98

Hospital Charge Code	270688553
Hospital Revenue Code	272
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

PACK ORTHO 2 UPPER EXTREMITY

Facility

$115.98

Hospital Charge Code	270688553
Hospital Revenue Code	272
Min. Negotiated Rate	$15.08
Max. Negotiated Rate	$57.99
Rate for Payer: Aetna Commercial	$34.79
Rate for Payer: Aetna Medicare Advantage	$34.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.57
Rate for Payer: Cigna Commercial	$57.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$57.99
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$57.99

PACK ORTHO I MAJOR 88411

Facility

$110.45

Hospital Charge Code	270609201
Hospital Revenue Code	272
Min. Negotiated Rate	$14.36
Max. Negotiated Rate	$55.23
Rate for Payer: Aetna Commercial	$33.13
Rate for Payer: Aetna Medicare Advantage	$33.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.16
Rate for Payer: Cigna Commercial	$55.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.36
Rate for Payer: Oxford Commercial	$55.23
Rate for Payer: Qualcare PPO/HMO/WC	$16.57
Rate for Payer: UnitedHealthcare Commercial	$55.23

PACK ORTHO I MAJOR 88411

Facility

$110.45

Hospital Charge Code	270609201
Hospital Revenue Code	272
Min. Negotiated Rate	$16.57
Max. Negotiated Rate	$16.57
Rate for Payer: Qualcare PPO/HMO/WC	$16.57

PACK ORTHO VI EXTREMITY *****

Facility

$1,063.00

Hospital Charge Code	1607050
Hospital Revenue Code	272
Min. Negotiated Rate	$159.45
Max. Negotiated Rate	$159.45
Rate for Payer: Qualcare PPO/HMO/WC	$159.45

Know your out-of-pocket cost for care.

All Charges