Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

PACK STERILE GENERAL DELIVERY

Facility

$576.80

Hospital Charge Code	270651632
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 STERILE GENERAL DELIVERY

Facility

$576.80

Hospital Charge Code	270651632
Hospital Revenue Code	272
Min. Negotiated Rate	$86.52
Max. Negotiated Rate	$86.52
Rate for Payer: Qualcare PPO/HMO/WC	$86.52

PACK SUTURE

Facility

$128.00

Hospital Charge Code	1801034
Hospital Revenue Code	272
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$64.00

PACK SUTURE

Facility

$128.00

Hospital Charge Code	1801034
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

PACK T AND A

Facility

$106.40

Hospital Charge Code	270653799
Hospital Revenue Code	272
Min. Negotiated Rate	$13.83
Max. Negotiated Rate	$53.20
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$31.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.13
Rate for Payer: Cigna Commercial	$53.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.83
Rate for Payer: Oxford Commercial	$53.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.96
Rate for Payer: UnitedHealthcare Commercial	$53.20

PACK T AND A

Facility

$106.40

Hospital Charge Code	270653799
Hospital Revenue Code	272
Min. Negotiated Rate	$15.96
Max. Negotiated Rate	$15.96
Rate for Payer: Qualcare PPO/HMO/WC	$15.96

PACK TENODESIS SURGICAL DISP

Facility

$2,350.00

Hospital Charge Code	270700353
Hospital Revenue Code	272
Min. Negotiated Rate	$305.50
Max. Negotiated Rate	$1,175.00
Rate for Payer: Aetna Commercial	$705.00
Rate for Payer: Aetna Medicare Advantage	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.25
Rate for Payer: Cigna Commercial	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.50
Rate for Payer: Oxford Commercial	$1,175.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.50
Rate for Payer: UnitedHealthcare Commercial	$1,175.00

PACK TENODESIS SURGICAL DISP

Facility

$2,350.00

Hospital Charge Code	270700353
Hospital Revenue Code	272
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$352.50
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

PACK TX BONE SINGLE TXB

Facility

$6,475.00

Hospital Charge Code	270693668
Hospital Revenue Code	270
Min. Negotiated Rate	$841.75
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$1,942.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$841.75
Rate for Payer: Oxford Commercial	$3,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$3,237.50

PACK TX BONE SINGLE TXB

Facility

$6,475.00

Hospital Charge Code	270693668
Hospital Revenue Code	270
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

PACK UNIVERSAL DISP 29107

Facility

$234.45

Hospital Charge Code	270600158
Hospital Revenue Code	272
Min. Negotiated Rate	$30.48
Max. Negotiated Rate	$117.22
Rate for Payer: Aetna Commercial	$70.33
Rate for Payer: Aetna Medicare Advantage	$70.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.78
Rate for Payer: Cigna Commercial	$117.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.48
Rate for Payer: Oxford Commercial	$117.22
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$117.22

PACK UNIVERSAL DISP 29107

Facility

$234.45

Hospital Charge Code	270600158
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

PACK UNIVERSAL LINEN *********

Facility

$148.00

Hospital Charge Code	1607084
Hospital Revenue Code	272
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$74.00
Rate for Payer: Aetna Commercial	$44.40
Rate for Payer: Aetna Medicare Advantage	$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 UNIVERSAL LINEN *********

Facility

$148.00

Hospital Charge Code	1607084
Hospital Revenue Code	272
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

PACK UPPER EXTREMITY III

Facility

$306.80

Hospital Charge Code	270653811
Hospital Revenue Code	272
Min. Negotiated Rate	$39.88
Max. Negotiated Rate	$153.40
Rate for Payer: Aetna Commercial	$92.04
Rate for Payer: Aetna Medicare Advantage	$92.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.23
Rate for Payer: Cigna Commercial	$153.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.88
Rate for Payer: Oxford Commercial	$153.40
Rate for Payer: Qualcare PPO/HMO/WC	$46.02
Rate for Payer: UnitedHealthcare Commercial	$153.40

PACK UPPER EXTREMITY III

Facility

$306.80

Hospital Charge Code	270653811
Hospital Revenue Code	272
Min. Negotiated Rate	$46.02
Max. Negotiated Rate	$46.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.02

PACK VAGINAL DELIVERY

Facility

$150.45

Hospital Charge Code	1801042
Hospital Revenue Code	272
Min. Negotiated Rate	$19.56
Max. Negotiated Rate	$75.22
Rate for Payer: Aetna Commercial	$45.13
Rate for Payer: Aetna Medicare Advantage	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.36
Rate for Payer: Cigna Commercial	$75.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.56
Rate for Payer: Oxford Commercial	$75.22
Rate for Payer: Qualcare PPO/HMO/WC	$22.57
Rate for Payer: UnitedHealthcare Commercial	$75.22

PACK VAGINAL DELIVERY

Facility

$150.45

Hospital Charge Code	1801042
Hospital Revenue Code	272
Min. Negotiated Rate	$22.57
Max. Negotiated Rate	$22.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.57

PACK VAGINAL SLINGS/

Facility

$256.15

Hospital Charge Code	270653805
Hospital Revenue Code	270
Min. Negotiated Rate	$33.30
Max. Negotiated Rate	$128.07
Rate for Payer: Aetna Commercial	$76.84
Rate for Payer: Aetna Medicare Advantage	$76.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.32
Rate for Payer: Cigna Commercial	$128.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.30
Rate for Payer: Oxford Commercial	$128.07
Rate for Payer: Qualcare PPO/HMO/WC	$38.42
Rate for Payer: UnitedHealthcare Commercial	$128.07

PACK VAGINAL SLINGS/

Facility

$256.15

Hospital Charge Code	270653805
Hospital Revenue Code	270
Min. Negotiated Rate	$38.42
Max. Negotiated Rate	$38.42
Rate for Payer: Qualcare PPO/HMO/WC	$38.42

PACK VASCULAR ACCESS

Facility

$181.05

Hospital Charge Code	270653779
Hospital Revenue Code	272
Min. Negotiated Rate	$23.54
Max. Negotiated Rate	$90.53
Rate for Payer: Aetna Commercial	$54.31
Rate for Payer: Aetna Medicare Advantage	$54.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.17
Rate for Payer: Cigna Commercial	$90.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.54
Rate for Payer: Oxford Commercial	$90.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.16
Rate for Payer: UnitedHealthcare Commercial	$90.53

PACK VASCULAR ACCESS

Facility

$181.05

Hospital Charge Code	270653779
Hospital Revenue Code	272
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$27.16
Rate for Payer: Qualcare PPO/HMO/WC	$27.16

PACK WARM RENAL

Facility

$5.65

Hospital Charge Code	270603158
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

PACK WARM RENAL

Facility

$5.65

Hospital Charge Code	270603158
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

Know your out-of-pocket cost for care.

All Charges