Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACK PBDS KIT TOTAL HIP

Facility

$996.25

Hospital Charge Code	270651619
Hospital Revenue Code	272
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$149.44
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

PACK PBDS KIT TOTAL HIP

Facility

$996.25

Hospital Charge Code	270651619
Hospital Revenue Code	272
Min. Negotiated Rate	$129.51
Max. Negotiated Rate	$498.12
Rate for Payer: Aetna Commercial	$298.88
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.51
Rate for Payer: Oxford Commercial	$498.12
Rate for Payer: Qualcare PPO/HMO/WC	$149.44
Rate for Payer: UnitedHealthcare Commercial	$498.12

PACK PBDS KIT TOTAL KNEE

Facility

$571.65

Hospital Charge Code	270651621
Hospital Revenue Code	272
Min. Negotiated Rate	$85.75
Max. Negotiated Rate	$85.75
Rate for Payer: Qualcare PPO/HMO/WC	$85.75

PACK PBDS KIT TOTAL KNEE

Facility

$571.65

Hospital Charge Code	270651621
Hospital Revenue Code	272
Min. Negotiated Rate	$74.31
Max. Negotiated Rate	$285.82
Rate for Payer: Aetna Commercial	$171.50
Rate for Payer: Aetna Medicare Advantage	$171.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.77
Rate for Payer: Cigna Commercial	$285.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.31
Rate for Payer: Oxford Commercial	$285.82
Rate for Payer: Qualcare PPO/HMO/WC	$85.75
Rate for Payer: UnitedHealthcare Commercial	$285.82

PACK PBDS KIT VASCULAR NODRAPE

Facility

$925.65

Hospital Charge Code	270651623
Hospital Revenue Code	272
Min. Negotiated Rate	$138.85
Max. Negotiated Rate	$138.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.85

PACK PBDS KIT VASCULAR NODRAPE

Facility

$925.65

Hospital Charge Code	270651623
Hospital Revenue Code	272
Min. Negotiated Rate	$120.33
Max. Negotiated Rate	$462.82
Rate for Payer: Aetna Commercial	$277.69
Rate for Payer: Aetna Medicare Advantage	$277.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.04
Rate for Payer: Cigna Commercial	$462.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.33
Rate for Payer: Oxford Commercial	$462.82
Rate for Payer: Qualcare PPO/HMO/WC	$138.85
Rate for Payer: UnitedHealthcare Commercial	$462.82

PACK PBDS LOCAL

Facility

$163.35

Hospital Charge Code	270651626
Hospital Revenue Code	272
Min. Negotiated Rate	$21.24
Max. Negotiated Rate	$81.67
Rate for Payer: Aetna Commercial	$49.01
Rate for Payer: Aetna Medicare Advantage	$49.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.65
Rate for Payer: Cigna Commercial	$81.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Oxford Commercial	$81.67
Rate for Payer: Qualcare PPO/HMO/WC	$24.50
Rate for Payer: UnitedHealthcare Commercial	$81.67

PACK PBDS LOCAL

Facility

$163.35

Hospital Charge Code	270651626
Hospital Revenue Code	272
Min. Negotiated Rate	$24.50
Max. Negotiated Rate	$24.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.50

PACK PBDS PER GYN

Facility

$135.05

Hospital Charge Code	270651627
Hospital Revenue Code	272
Min. Negotiated Rate	$17.56
Max. Negotiated Rate	$67.53
Rate for Payer: Aetna Commercial	$40.52
Rate for Payer: Aetna Medicare Advantage	$40.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.44
Rate for Payer: Cigna Commercial	$67.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.56
Rate for Payer: Oxford Commercial	$67.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.26
Rate for Payer: UnitedHealthcare Commercial	$67.53

PACK PBDS PER GYN

Facility

$135.05

Hospital Charge Code	270651627
Hospital Revenue Code	272
Min. Negotiated Rate	$20.26
Max. Negotiated Rate	$20.26
Rate for Payer: Qualcare PPO/HMO/WC	$20.26

PACK PBDS T&A

Facility

$210.60

Hospital Charge Code	270651628
Hospital Revenue Code	272
Min. Negotiated Rate	$27.38
Max. Negotiated Rate	$105.30
Rate for Payer: Aetna Commercial	$63.18
Rate for Payer: Aetna Medicare Advantage	$63.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.70
Rate for Payer: Cigna Commercial	$105.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.38
Rate for Payer: Oxford Commercial	$105.30
Rate for Payer: Qualcare PPO/HMO/WC	$31.59
Rate for Payer: UnitedHealthcare Commercial	$105.30

PACK PBDS T&A

Facility

$210.60

Hospital Charge Code	270651628
Hospital Revenue Code	272
Min. Negotiated Rate	$31.59
Max. Negotiated Rate	$31.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.59

PACK PERIPHERAL VASCULAR

Facility

$448.90

Hospital Charge Code	270653778
Hospital Revenue Code	272
Min. Negotiated Rate	$58.36
Max. Negotiated Rate	$224.45
Rate for Payer: Aetna Commercial	$134.67
Rate for Payer: Aetna Medicare Advantage	$134.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.47
Rate for Payer: Cigna Commercial	$224.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.36
Rate for Payer: Oxford Commercial	$224.45
Rate for Payer: Qualcare PPO/HMO/WC	$67.33
Rate for Payer: UnitedHealthcare Commercial	$224.45

PACK PERIPHERAL VASCULAR

Facility

$448.90

Hospital Charge Code	270653778
Hospital Revenue Code	272
Min. Negotiated Rate	$67.33
Max. Negotiated Rate	$67.33
Rate for Payer: Qualcare PPO/HMO/WC	$67.33

PACK PODIATRY CUSTOMIZED

Facility

$260.30

Hospital Charge Code	270653809
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$39.05
Rate for Payer: Qualcare PPO/HMO/WC	$39.05

PACK PODIATRY CUSTOMIZED

Facility

$260.30

Hospital Charge Code	270653809
Hospital Revenue Code	272
Min. Negotiated Rate	$33.84
Max. Negotiated Rate	$130.15
Rate for Payer: Aetna Commercial	$78.09
Rate for Payer: Aetna Medicare Advantage	$78.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.38
Rate for Payer: Cigna Commercial	$130.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.84
Rate for Payer: Oxford Commercial	$130.15
Rate for Payer: Qualcare PPO/HMO/WC	$39.05
Rate for Payer: UnitedHealthcare Commercial	$130.15

PACK PTCA CODE CODE HEART(4/CS

Facility

$728.45

Hospital Charge Code	2707500027
Hospital Revenue Code	272
Min. Negotiated Rate	$109.27
Max. Negotiated Rate	$109.27
Rate for Payer: Qualcare PPO/HMO/WC	$109.27

PACK PTCA CODE CODE HEART(4/CS

Facility

$728.45

Hospital Charge Code	2707500027
Hospital Revenue Code	272
Min. Negotiated Rate	$94.70
Max. Negotiated Rate	$364.23
Rate for Payer: Aetna Commercial	$218.53
Rate for Payer: Aetna Medicare Advantage	$218.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.75
Rate for Payer: Cigna Commercial	$364.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.70
Rate for Payer: Oxford Commercial	$364.23
Rate for Payer: Qualcare PPO/HMO/WC	$109.27
Rate for Payer: UnitedHealthcare Commercial	$364.23

PACK PTCA CODE HEART

Facility

$659.15

Hospital Charge Code	270658335
Hospital Revenue Code	272
Min. Negotiated Rate	$98.87
Max. Negotiated Rate	$98.87
Rate for Payer: Qualcare PPO/HMO/WC	$98.87

PACK PTCA CODE HEART

Facility

$659.15

Hospital Charge Code	270658335
Hospital Revenue Code	272
Min. Negotiated Rate	$85.69
Max. Negotiated Rate	$329.57
Rate for Payer: Aetna Commercial	$197.75
Rate for Payer: Aetna Medicare Advantage	$197.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.08
Rate for Payer: Cigna Commercial	$329.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.69
Rate for Payer: Oxford Commercial	$329.57
Rate for Payer: Qualcare PPO/HMO/WC	$98.87
Rate for Payer: UnitedHealthcare Commercial	$329.57

PACK SET UP

Facility

$24.03

Hospital Charge Code	270651631
Hospital Revenue Code	270
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

PACK SET UP

Facility

$24.03

Hospital Charge Code	270651631
Hospital Revenue Code	270
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.02
Rate for Payer: Aetna Commercial	$7.21
Rate for Payer: Aetna Medicare Advantage	$7.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.13
Rate for Payer: Cigna Commercial	$12.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.02
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.02

PACK SHOULDER EXTREMITY

Facility

$608.63

Hospital Charge Code	270653810
Hospital Revenue Code	272
Min. Negotiated Rate	$79.12
Max. Negotiated Rate	$304.31
Rate for Payer: Aetna Commercial	$182.59
Rate for Payer: Aetna Medicare Advantage	$182.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.20
Rate for Payer: Cigna Commercial	$304.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.12
Rate for Payer: Oxford Commercial	$304.31
Rate for Payer: Qualcare PPO/HMO/WC	$91.29
Rate for Payer: UnitedHealthcare Commercial	$304.31

PACK SHOULDER EXTREMITY

Facility

$608.63

Hospital Charge Code	270653810
Hospital Revenue Code	272
Min. Negotiated Rate	$91.29
Max. Negotiated Rate	$91.29
Rate for Payer: Qualcare PPO/HMO/WC	$91.29

PACK SHOULDER PIN MEDACTA

Facility

$500.00

Hospital Charge Code	270693365
Hospital Revenue Code	270
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

Know your out-of-pocket cost for care.

All Charges