Heights University Hospital

All Charges

Charge

Type

Setting

Price

PICC TOTAL REPLACEMENT

Facility

$4,221.55

Service Code	HCPCS 36584
Hospital Charge Code	73662005
Hospital Revenue Code	361
Min. Negotiated Rate	$633.23
Max. Negotiated Rate	$633.23
Rate for Payer: Qualcare PPO/HMO/WC	$633.23

PICC TRAY

Facility

$20.18

Hospital Charge Code	270653944
Hospital Revenue Code	270
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$10.09
Rate for Payer: Aetna Commercial	$6.05
Rate for Payer: Aetna Medicare Advantage	$6.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.15
Rate for Payer: Cigna Commercial	$10.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.62
Rate for Payer: Oxford Commercial	$10.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.03
Rate for Payer: UnitedHealthcare Commercial	$10.09

PICC TRAY

Facility

$20.18

Hospital Charge Code	270653944
Hospital Revenue Code	270
Min. Negotiated Rate	$3.03
Max. Negotiated Rate	$3.03
Rate for Payer: Qualcare PPO/HMO/WC	$3.03

PICC TRIPLE LUMEN 5FR

Facility

$3,745.50

Hospital Charge Code	270664039
Hospital Revenue Code	278
Min. Negotiated Rate	$561.83
Max. Negotiated Rate	$1,872.75
Rate for Payer: Aetna Commercial	$1,123.65
Rate for Payer: Aetna Medicare Advantage	$1,123.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$955.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$955.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$955.10
Rate for Payer: Cigna Commercial	$1,872.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.41
Rate for Payer: Qualcare PPO/HMO/WC	$561.83

PICC TRIPLE LUMEN 5FR

Facility

$3,745.50

Hospital Charge Code	270664039
Hospital Revenue Code	278
Min. Negotiated Rate	$561.83
Max. Negotiated Rate	$906.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.41
Rate for Payer: Qualcare PPO/HMO/WC	$561.83

PICK UP STAT

Facility

$10.00

Service Code	HCPCS 99199
Hospital Charge Code	39999999
Hospital Revenue Code	999
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$5.00
Rate for Payer: Aetna Commercial	$3.00
Rate for Payer: Aetna Medicare Advantage	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.55
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

PICK UP STAT

Facility

$10.00

Service Code	HCPCS 99199
Hospital Charge Code	39999999
Hospital Revenue Code	999
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

PICK VEIN YELLOW 45mmL x9mm

Facility

$11.50

Hospital Charge Code	272644419
Hospital Revenue Code	270
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

PICK VEIN YELLOW 45mmL x9mm

Facility

$11.50

Hospital Charge Code	272644419
Hospital Revenue Code	270
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$5.75
Rate for Payer: Aetna Commercial	$3.45
Rate for Payer: Aetna Medicare Advantage	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.93
Rate for Payer: Cigna Commercial	$5.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$5.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$5.75

PICK VEIN YELLOW 45mmL x9mm

Facility

$575.00

Hospital Charge Code	270644419
Hospital Revenue Code	272
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$86.25
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

PICK VEIN YELLOW 45mmL x9mm

Facility

$575.00

Hospital Charge Code	270644419
Hospital Revenue Code	272
Min. Negotiated Rate	$74.75
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$172.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.75
Rate for Payer: Oxford Commercial	$287.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Commercial	$287.50

PICO 7 NEG PRESS 2 DRESS 15x30

Facility

$1,160.00

Hospital Charge Code	270697769
Hospital Revenue Code	272
Min. Negotiated Rate	$150.80
Max. Negotiated Rate	$580.00
Rate for Payer: Aetna Commercial	$348.00
Rate for Payer: Aetna Medicare Advantage	$348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$295.80
Rate for Payer: Cigna Commercial	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Oxford Commercial	$580.00
Rate for Payer: Qualcare PPO/HMO/WC	$174.00
Rate for Payer: UnitedHealthcare Commercial	$580.00

PICO 7 NEG PRESS 2 DRESS 15x30

Facility

$1,160.00

Hospital Charge Code	270697769
Hospital Revenue Code	272
Min. Negotiated Rate	$174.00
Max. Negotiated Rate	$174.00
Rate for Payer: Qualcare PPO/HMO/WC	$174.00

PIERCE SKULL IMPLANT DEVICE

Facility

$13,423.00

Service Code	HCPCS 61210
Hospital Charge Code	1600000593
Hospital Revenue Code	360
Min. Negotiated Rate	$2,013.45
Max. Negotiated Rate	$2,013.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,013.45

PIERCE SKULL IMPLANT DEVICE

Facility

$13,423.00

Service Code	HCPCS 61210
Hospital Charge Code	1600000593
Hospital Revenue Code	360
Min. Negotiated Rate	$363.67
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,026.90
Rate for Payer: Aetna Medicare Advantage	$4,026.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,422.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,422.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,422.86
Rate for Payer: Cigna Commercial	$363.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,744.99
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,013.45
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PIGEON DRO

Facility

$52.00

Service Code	HCPCS 86003
Hospital Charge Code	3035087
Hospital Revenue Code	300
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

PIGEON DRO

Facility

$52.00

Service Code	HCPCS 86003
Hospital Charge Code	3035087
Hospital Revenue Code	300
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

PIGGY BACK

Facility

$2,290.00

Hospital Charge Code	270665306
Hospital Revenue Code	270
Min. Negotiated Rate	$297.70
Max. Negotiated Rate	$1,145.00
Rate for Payer: Aetna Commercial	$687.00
Rate for Payer: Aetna Medicare Advantage	$687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.95
Rate for Payer: Cigna Commercial	$1,145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.70
Rate for Payer: Oxford Commercial	$1,145.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.50
Rate for Payer: UnitedHealthcare Commercial	$1,145.00

PIGGY BACK

Facility

$2,290.00

Hospital Charge Code	270665306
Hospital Revenue Code	270
Min. Negotiated Rate	$343.50
Max. Negotiated Rate	$343.50
Rate for Payer: Qualcare PPO/HMO/WC	$343.50

PIGMENT LT BRN STERIL P200282

Facility

$129.00

Hospital Charge Code	270635196
Hospital Revenue Code	272
Min. Negotiated Rate	$16.77
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$38.70
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.77
Rate for Payer: Oxford Commercial	$64.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$64.50

PIGMENT LT BRN STERIL P200282

Facility

$129.00

Hospital Charge Code	270635196
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIGMENT MED BRN STERIL P200252

Facility

$129.00

Hospital Charge Code	270635198
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIGMENT MED BRN STERIL P200252

Facility

$129.00

Hospital Charge Code	270635198
Hospital Revenue Code	272
Min. Negotiated Rate	$16.77
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$38.70
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.77
Rate for Payer: Oxford Commercial	$64.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$64.50

PIGMENT STERILE 6 FLESH 200152

Facility

$129.00

Hospital Charge Code	270632781
Hospital Revenue Code	272
Min. Negotiated Rate	$16.77
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$38.70
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.77
Rate for Payer: Oxford Commercial	$64.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$64.50

PIGMENT STERILE 6 FLESH 200152

Facility

$129.00

Hospital Charge Code	270632781
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

Know your out-of-pocket cost for care.

All Charges