Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE DCP 3.5MM 12H

Facility

$660.85

Hospital Charge Code	270604403
Hospital Revenue Code	278
Min. Negotiated Rate	$99.13
Max. Negotiated Rate	$330.43
Rate for Payer: Aetna Commercial	$198.25
Rate for Payer: Aetna Medicare Advantage	$198.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.52
Rate for Payer: Cigna Commercial	$330.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.13

PLATE DCP 3.5MM 12H

Facility

$660.85

Hospital Charge Code	270604403
Hospital Revenue Code	278
Min. Negotiated Rate	$99.13
Max. Negotiated Rate	$159.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.13

PLATE DCP 3.5MM 14H

Facility

$1,256.85

Hospital Charge Code	270604404
Hospital Revenue Code	278
Min. Negotiated Rate	$188.53
Max. Negotiated Rate	$628.42
Rate for Payer: Aetna Commercial	$377.06
Rate for Payer: Aetna Medicare Advantage	$377.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.50
Rate for Payer: Cigna Commercial	$628.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.16
Rate for Payer: Qualcare PPO/HMO/WC	$188.53

PLATE DCP 3.5MM 14H

Facility

$1,256.85

Hospital Charge Code	270604404
Hospital Revenue Code	278
Min. Negotiated Rate	$188.53
Max. Negotiated Rate	$304.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.16
Rate for Payer: Qualcare PPO/HMO/WC	$188.53

PLATE DCP 3.5MM 18H

Facility

$1,625.65

Hospital Charge Code	270604405
Hospital Revenue Code	278
Min. Negotiated Rate	$243.85
Max. Negotiated Rate	$393.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.41
Rate for Payer: Qualcare PPO/HMO/WC	$243.85

PLATE DCP 3.5MM 18H

Facility

$1,625.65

Hospital Charge Code	270604405
Hospital Revenue Code	278
Min. Negotiated Rate	$243.85
Max. Negotiated Rate	$812.83
Rate for Payer: Aetna Commercial	$487.69
Rate for Payer: Aetna Medicare Advantage	$487.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.54
Rate for Payer: Cigna Commercial	$812.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.41
Rate for Payer: Qualcare PPO/HMO/WC	$243.85

PLATE DCP 3.5MM 18 HL****

Facility

$848.00

Hospital Charge Code	2706044050
Hospital Revenue Code	279
Min. Negotiated Rate	$110.24
Max. Negotiated Rate	$424.00
Rate for Payer: Aetna Commercial	$254.40
Rate for Payer: Aetna Medicare Advantage	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.24
Rate for Payer: Cigna Commercial	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.24
Rate for Payer: Oxford Commercial	$424.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.20
Rate for Payer: UnitedHealthcare Commercial	$424.00

PLATE DCP 3.5MM 18 HL****

Facility

$848.00

Hospital Charge Code	2706044050
Hospital Revenue Code	279
Min. Negotiated Rate	$127.20
Max. Negotiated Rate	$127.20
Rate for Payer: Qualcare PPO/HMO/WC	$127.20

PLATE DCP 3.5MM 20H

Facility

$1,810.45

Hospital Charge Code	270604406
Hospital Revenue Code	278
Min. Negotiated Rate	$271.57
Max. Negotiated Rate	$438.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.13
Rate for Payer: Qualcare PPO/HMO/WC	$271.57

PLATE DCP 3.5MM 20H

Facility

$1,810.45

Hospital Charge Code	270604406
Hospital Revenue Code	278
Min. Negotiated Rate	$271.57
Max. Negotiated Rate	$905.23
Rate for Payer: Aetna Commercial	$543.13
Rate for Payer: Aetna Medicare Advantage	$543.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.66
Rate for Payer: Cigna Commercial	$905.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.13
Rate for Payer: Qualcare PPO/HMO/WC	$271.57

PLATE DCP 3.5MM 22H

Facility

$1,992.85

Hospital Charge Code	270604407
Hospital Revenue Code	278
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$482.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.27
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

PLATE DCP 3.5MM 22H

Facility

$1,992.85

Hospital Charge Code	270604407
Hospital Revenue Code	278
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$597.86
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.27
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

PLATE DCP 3.5MM 2H

Facility

$414.45

Hospital Charge Code	270604394
Hospital Revenue Code	278
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$100.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.30
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

PLATE DCP 3.5MM 2H

Facility

$414.45

Hospital Charge Code	270604394
Hospital Revenue Code	278
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$207.22
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.30
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

PLATE DCP 3.5MM 3H

Facility

$422.45

Hospital Charge Code	270604395
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$126.73
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

PLATE DCP 3.5MM 3H

Facility

$422.45

Hospital Charge Code	270604395
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$102.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

PLATE DCP 3.5MM 4H

Facility

$442.45

Hospital Charge Code	270604396
Hospital Revenue Code	278
Min. Negotiated Rate	$66.37
Max. Negotiated Rate	$107.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.07
Rate for Payer: Qualcare PPO/HMO/WC	$66.37

PLATE DCP 3.5MM 4H

Facility

$442.45

Hospital Charge Code	270604396
Hospital Revenue Code	278
Min. Negotiated Rate	$66.37
Max. Negotiated Rate	$221.22
Rate for Payer: Aetna Commercial	$132.74
Rate for Payer: Aetna Medicare Advantage	$132.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.82
Rate for Payer: Cigna Commercial	$221.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.07
Rate for Payer: Qualcare PPO/HMO/WC	$66.37

PLATE DCP 3.5MM 5H

Facility

$481.65

Hospital Charge Code	270604397
Hospital Revenue Code	278
Min. Negotiated Rate	$72.25
Max. Negotiated Rate	$240.82
Rate for Payer: Aetna Commercial	$144.50
Rate for Payer: Aetna Medicare Advantage	$144.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.82
Rate for Payer: Cigna Commercial	$240.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.56
Rate for Payer: Qualcare PPO/HMO/WC	$72.25

PLATE DCP 3.5MM 5H

Facility

$481.65

Hospital Charge Code	270604397
Hospital Revenue Code	278
Min. Negotiated Rate	$72.25
Max. Negotiated Rate	$116.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.56
Rate for Payer: Qualcare PPO/HMO/WC	$72.25

PLATE DCP 3.5MM 6H

Facility

$508.00

Hospital Charge Code	270604398
Hospital Revenue Code	278
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$254.00
Rate for Payer: Aetna Commercial	$152.40
Rate for Payer: Aetna Medicare Advantage	$152.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.54
Rate for Payer: Cigna Commercial	$254.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.94
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

PLATE DCP 3.5MM 6H

Facility

$508.00

Hospital Charge Code	270604398
Hospital Revenue Code	278
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$122.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.94
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

PLATE DCP 3.5MM 7H

Facility

$530.45

Hospital Charge Code	270604399
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$159.13
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

PLATE DCP 3.5MM 7H

Facility

$530.45

Hospital Charge Code	270604399
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

PLATE DCP 3.5MM 8H

Facility

$558.45

Hospital Charge Code	270604400
Hospital Revenue Code	278
Min. Negotiated Rate	$83.77
Max. Negotiated Rate	$279.23
Rate for Payer: Aetna Commercial	$167.53
Rate for Payer: Aetna Medicare Advantage	$167.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.40
Rate for Payer: Cigna Commercial	$279.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.14
Rate for Payer: Qualcare PPO/HMO/WC	$83.77

Know your out-of-pocket cost for care.

All Charges