Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACK ORTHO VI EXTREMITY *****

Facility

$1,063.00

Hospital Charge Code	1607050
Hospital Revenue Code	272
Min. Negotiated Rate	$138.19
Max. Negotiated Rate	$531.50
Rate for Payer: Aetna Commercial	$318.90
Rate for Payer: Aetna Medicare Advantage	$318.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.06
Rate for Payer: Cigna Commercial	$531.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.19
Rate for Payer: Oxford Commercial	$531.50
Rate for Payer: Qualcare PPO/HMO/WC	$159.45
Rate for Payer: UnitedHealthcare Commercial	$531.50

PACK ORTHO VI EXTREMITY 88461

Facility

$268.00

Hospital Charge Code	270600164
Hospital Revenue Code	272
Min. Negotiated Rate	$34.84
Max. Negotiated Rate	$134.00
Rate for Payer: Aetna Commercial	$80.40
Rate for Payer: Aetna Medicare Advantage	$80.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.34
Rate for Payer: Cigna Commercial	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Oxford Commercial	$134.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.20
Rate for Payer: UnitedHealthcare Commercial	$134.00

PACK ORTHO VI EXTREMITY 88461

Facility

$268.00

Hospital Charge Code	270600164
Hospital Revenue Code	272
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

PACK PACEMAKER

Facility

$372.20

Hospital Charge Code	270658353N
Hospital Revenue Code	272
Min. Negotiated Rate	$55.83
Max. Negotiated Rate	$55.83
Rate for Payer: Qualcare PPO/HMO/WC	$55.83

PACK PACEMAKER

Facility

$373.20

Hospital Charge Code	270658353S
Hospital Revenue Code	272
Min. Negotiated Rate	$48.52
Max. Negotiated Rate	$186.60
Rate for Payer: Aetna Commercial	$111.96
Rate for Payer: Aetna Medicare Advantage	$111.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.17
Rate for Payer: Cigna Commercial	$186.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Oxford Commercial	$186.60
Rate for Payer: Qualcare PPO/HMO/WC	$55.98
Rate for Payer: UnitedHealthcare Commercial	$186.60

PACK PACEMAKER

Facility

$372.20

Hospital Charge Code	270658353N
Hospital Revenue Code	272
Min. Negotiated Rate	$48.39
Max. Negotiated Rate	$186.10
Rate for Payer: Aetna Commercial	$111.66
Rate for Payer: Aetna Medicare Advantage	$111.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.91
Rate for Payer: Cigna Commercial	$186.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.39
Rate for Payer: Oxford Commercial	$186.10
Rate for Payer: Qualcare PPO/HMO/WC	$55.83
Rate for Payer: UnitedHealthcare Commercial	$186.10

PACK PACEMAKER

Facility

$373.20

Hospital Charge Code	270658353
Hospital Revenue Code	272
Min. Negotiated Rate	$55.98
Max. Negotiated Rate	$55.98
Rate for Payer: Qualcare PPO/HMO/WC	$55.98

PACK PACEMAKER

Facility

$373.20

Hospital Charge Code	270658353S
Hospital Revenue Code	272
Min. Negotiated Rate	$55.98
Max. Negotiated Rate	$55.98
Rate for Payer: Qualcare PPO/HMO/WC	$55.98

PACK PACEMAKER

Facility

$373.20

Hospital Charge Code	270658353
Hospital Revenue Code	272
Min. Negotiated Rate	$48.52
Max. Negotiated Rate	$186.60
Rate for Payer: Aetna Commercial	$111.96
Rate for Payer: Aetna Medicare Advantage	$111.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.17
Rate for Payer: Cigna Commercial	$186.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Oxford Commercial	$186.60
Rate for Payer: Qualcare PPO/HMO/WC	$55.98
Rate for Payer: UnitedHealthcare Commercial	$186.60

PACK PACEMAKER (4/CS)

Facility

$397.80

Hospital Charge Code	2707500028
Hospital Revenue Code	272
Min. Negotiated Rate	$51.71
Max. Negotiated Rate	$198.90
Rate for Payer: Aetna Commercial	$119.34
Rate for Payer: Aetna Medicare Advantage	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.44
Rate for Payer: Cigna Commercial	$198.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.71
Rate for Payer: Oxford Commercial	$198.90
Rate for Payer: Qualcare PPO/HMO/WC	$59.67
Rate for Payer: UnitedHealthcare Commercial	$198.90

PACK PACEMAKER (4/CS)

Facility

$397.80

Hospital Charge Code	2707500028
Hospital Revenue Code	272
Min. Negotiated Rate	$59.67
Max. Negotiated Rate	$59.67
Rate for Payer: Qualcare PPO/HMO/WC	$59.67

PACK PBDS CYSTO

Facility

$111.30

Hospital Charge Code	270651597
Hospital Revenue Code	272
Min. Negotiated Rate	$16.70
Max. Negotiated Rate	$16.70
Rate for Payer: Qualcare PPO/HMO/WC	$16.70

PACK PBDS CYSTO

Facility

$111.30

Hospital Charge Code	270651597
Hospital Revenue Code	272
Min. Negotiated Rate	$14.47
Max. Negotiated Rate	$55.65
Rate for Payer: Aetna Commercial	$33.39
Rate for Payer: Aetna Medicare Advantage	$33.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.38
Rate for Payer: Cigna Commercial	$55.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.47
Rate for Payer: Oxford Commercial	$55.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.70
Rate for Payer: UnitedHealthcare Commercial	$55.65

PACK PBDS EENT

Facility

$295.25

Hospital Charge Code	270651598
Hospital Revenue Code	272
Min. Negotiated Rate	$38.38
Max. Negotiated Rate	$147.62
Rate for Payer: Aetna Commercial	$88.58
Rate for Payer: Aetna Medicare Advantage	$88.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.29
Rate for Payer: Cigna Commercial	$147.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.38
Rate for Payer: Oxford Commercial	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$44.29
Rate for Payer: UnitedHealthcare Commercial	$147.62

PACK PBDS EENT

Facility

$295.25

Hospital Charge Code	270651598
Hospital Revenue Code	272
Min. Negotiated Rate	$44.29
Max. Negotiated Rate	$44.29
Rate for Payer: Qualcare PPO/HMO/WC	$44.29

PACK PBDS KIT ARTHRO

Facility

$309.00

Hospital Charge Code	270651600
Hospital Revenue Code	272
Min. Negotiated Rate	$40.17
Max. Negotiated Rate	$154.50
Rate for Payer: Aetna Commercial	$92.70
Rate for Payer: Aetna Medicare Advantage	$92.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.80
Rate for Payer: Cigna Commercial	$154.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Oxford Commercial	$154.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.35
Rate for Payer: UnitedHealthcare Commercial	$154.50

PACK PBDS KIT ARTHRO

Facility

$309.00

Hospital Charge Code	270651600
Hospital Revenue Code	272
Min. Negotiated Rate	$46.35
Max. Negotiated Rate	$46.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.35

PACK PBDS KIT GEN LAP

Facility

$381.10

Hospital Charge Code	270651601
Hospital Revenue Code	272
Min. Negotiated Rate	$49.54
Max. Negotiated Rate	$190.55
Rate for Payer: Aetna Commercial	$114.33
Rate for Payer: Aetna Medicare Advantage	$114.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.18
Rate for Payer: Cigna Commercial	$190.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.54
Rate for Payer: Oxford Commercial	$190.55
Rate for Payer: Qualcare PPO/HMO/WC	$57.16
Rate for Payer: UnitedHealthcare Commercial	$190.55

PACK PBDS KIT GEN LAP

Facility

$381.10

Hospital Charge Code	270651601
Hospital Revenue Code	272
Min. Negotiated Rate	$57.16
Max. Negotiated Rate	$57.16
Rate for Payer: Qualcare PPO/HMO/WC	$57.16

PACK PBDS KIT MAJOR PROC NDRAP

Facility

$576.80

Hospital Charge Code	270651613
Hospital Revenue Code	272
Min. Negotiated Rate	$86.52
Max. Negotiated Rate	$86.52
Rate for Payer: Qualcare PPO/HMO/WC	$86.52

PACK PBDS KIT MAJOR PROC NDRAP

Facility

$576.80

Hospital Charge Code	270651613
Hospital Revenue Code	272
Min. Negotiated Rate	$74.98
Max. Negotiated Rate	$288.40
Rate for Payer: Aetna Commercial	$173.04
Rate for Payer: Aetna Medicare Advantage	$173.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.08
Rate for Payer: Cigna Commercial	$288.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.98
Rate for Payer: Oxford Commercial	$288.40
Rate for Payer: Qualcare PPO/HMO/WC	$86.52
Rate for Payer: UnitedHealthcare Commercial	$288.40

PACK PBDS KIT PODIATRY

Facility

$308.40

Hospital Charge Code	270651616
Hospital Revenue Code	272
Min. Negotiated Rate	$40.09
Max. Negotiated Rate	$154.20
Rate for Payer: Aetna Commercial	$92.52
Rate for Payer: Aetna Medicare Advantage	$92.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.64
Rate for Payer: Cigna Commercial	$154.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.09
Rate for Payer: Oxford Commercial	$154.20
Rate for Payer: Qualcare PPO/HMO/WC	$46.26
Rate for Payer: UnitedHealthcare Commercial	$154.20

PACK PBDS KIT PODIATRY

Facility

$308.40

Hospital Charge Code	270651616
Hospital Revenue Code	272
Min. Negotiated Rate	$46.26
Max. Negotiated Rate	$46.26
Rate for Payer: Qualcare PPO/HMO/WC	$46.26

PACK PBDS KIT SHOULDER ARTHRO

Facility

$417.15

Hospital Charge Code	270651618
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$208.57
Rate for Payer: Aetna Commercial	$125.14
Rate for Payer: Aetna Medicare Advantage	$125.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.37
Rate for Payer: Cigna Commercial	$208.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.23
Rate for Payer: Oxford Commercial	$208.57
Rate for Payer: Qualcare PPO/HMO/WC	$62.57
Rate for Payer: UnitedHealthcare Commercial	$208.57

PACK PBDS KIT SHOULDER ARTHRO

Facility

$417.15

Hospital Charge Code	270651618
Hospital Revenue Code	272
Min. Negotiated Rate	$62.57
Max. Negotiated Rate	$62.57
Rate for Payer: Qualcare PPO/HMO/WC	$62.57

Know your out-of-pocket cost for care.

All Charges