Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE ZIM FRL 4H 135 118113504

Facility

$1,585.05

Service Code	HCPCS C1713
Hospital Charge Code	270601785
Hospital Revenue Code	278
Min. Negotiated Rate	$237.76
Max. Negotiated Rate	$792.52
Rate for Payer: Aetna Commercial	$475.51
Rate for Payer: Aetna Medicare Advantage	$475.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.19
Rate for Payer: Cigna Commercial	$792.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.58
Rate for Payer: Qualcare PPO/HMO/WC	$237.76

PLATE ZIM FRL 4H 140 118114004

Facility

$1,473.90

Service Code	HCPCS C1713
Hospital Charge Code	270601395
Hospital Revenue Code	278
Min. Negotiated Rate	$221.09
Max. Negotiated Rate	$356.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.68
Rate for Payer: Qualcare PPO/HMO/WC	$221.09

PLATE ZIM FRL 4H 140 118114004

Facility

$1,473.90

Service Code	HCPCS C1713
Hospital Charge Code	270601395
Hospital Revenue Code	278
Min. Negotiated Rate	$221.09
Max. Negotiated Rate	$736.95
Rate for Payer: Aetna Commercial	$442.17
Rate for Payer: Aetna Medicare Advantage	$442.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.84
Rate for Payer: Cigna Commercial	$736.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.68
Rate for Payer: Qualcare PPO/HMO/WC	$221.09

PLATE ZIM FRL 4H 145 118114504

Facility

$1,747.25

Hospital Charge Code	270601396
Hospital Revenue Code	278
Min. Negotiated Rate	$262.09
Max. Negotiated Rate	$422.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.83
Rate for Payer: Qualcare PPO/HMO/WC	$262.09

PLATE ZIM FRL 4H 145 118114504

Facility

$1,747.25

Hospital Charge Code	270601396
Hospital Revenue Code	278
Min. Negotiated Rate	$262.09
Max. Negotiated Rate	$873.62
Rate for Payer: Aetna Commercial	$524.17
Rate for Payer: Aetna Medicare Advantage	$524.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.55
Rate for Payer: Cigna Commercial	$873.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.83
Rate for Payer: Qualcare PPO/HMO/WC	$262.09

PLATE ZIM FRL 4H 150 118115004

Facility

$1,940.00

Hospital Charge Code	270601398
Hospital Revenue Code	278
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$582.00
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.48
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

PLATE ZIM FRL 4H 150 118115004

Facility

$1,940.00

Hospital Charge Code	270601398
Hospital Revenue Code	278
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$469.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.48
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

PLATE ZIM FRL 5H 135 118113595

Facility

$1,381.50

Hospital Charge Code	270614852
Hospital Revenue Code	278
Min. Negotiated Rate	$207.22
Max. Negotiated Rate	$690.75
Rate for Payer: Aetna Commercial	$414.45
Rate for Payer: Aetna Medicare Advantage	$414.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$352.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$352.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$352.28
Rate for Payer: Cigna Commercial	$690.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.32
Rate for Payer: Qualcare PPO/HMO/WC	$207.22

PLATE ZIM FRL 5H 135 118113595

Facility

$1,381.50

Hospital Charge Code	270614852
Hospital Revenue Code	278
Min. Negotiated Rate	$207.22
Max. Negotiated Rate	$334.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.32
Rate for Payer: Qualcare PPO/HMO/WC	$207.22

PLATE ZIM FRL 6H

Facility

$1,747.25

Hospital Charge Code	270606037
Hospital Revenue Code	278
Min. Negotiated Rate	$262.09
Max. Negotiated Rate	$422.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.83
Rate for Payer: Qualcare PPO/HMO/WC	$262.09

PLATE ZIM FRL 6H

Facility

$1,747.25

Hospital Charge Code	270606037
Hospital Revenue Code	278
Min. Negotiated Rate	$262.09
Max. Negotiated Rate	$873.62
Rate for Payer: Aetna Commercial	$524.17
Rate for Payer: Aetna Medicare Advantage	$524.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.55
Rate for Payer: Cigna Commercial	$873.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.83
Rate for Payer: Qualcare PPO/HMO/WC	$262.09

PLATE ZIM FRL 6H 130

Facility

$1,941.65

Hospital Charge Code	270601393
Hospital Revenue Code	278
Min. Negotiated Rate	$291.25
Max. Negotiated Rate	$469.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: Qualcare PPO/HMO/WC	$291.25

PLATE ZIM FRL 6H 130

Facility

$1,941.65

Hospital Charge Code	270601393
Hospital Revenue Code	278
Min. Negotiated Rate	$291.25
Max. Negotiated Rate	$970.83
Rate for Payer: Aetna Commercial	$582.50
Rate for Payer: Aetna Medicare Advantage	$582.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.12
Rate for Payer: Cigna Commercial	$970.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: Qualcare PPO/HMO/WC	$291.25

PLATE ZIM FRL 6H 135

Facility

$1,904.00

Hospital Charge Code	270601394
Hospital Revenue Code	278
Min. Negotiated Rate	$285.60
Max. Negotiated Rate	$952.00
Rate for Payer: Aetna Commercial	$571.20
Rate for Payer: Aetna Medicare Advantage	$571.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$485.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$485.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$485.52
Rate for Payer: Cigna Commercial	$952.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$460.77
Rate for Payer: Qualcare PPO/HMO/WC	$285.60

PLATE ZIM FRL 6H 135

Facility

$1,904.00

Hospital Charge Code	270601394
Hospital Revenue Code	278
Min. Negotiated Rate	$285.60
Max. Negotiated Rate	$460.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$460.77
Rate for Payer: Qualcare PPO/HMO/WC	$285.60

PLATE ZIM FRL 6H 135 11811350

Facility

$2,586.45

Hospital Charge Code	270601786
Hospital Revenue Code	278
Min. Negotiated Rate	$387.97
Max. Negotiated Rate	$625.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.92
Rate for Payer: Qualcare PPO/HMO/WC	$387.97

PLATE ZIM FRL 6H 135 11811350

Facility

$2,586.45

Hospital Charge Code	270601786
Hospital Revenue Code	278
Min. Negotiated Rate	$387.97
Max. Negotiated Rate	$1,293.22
Rate for Payer: Aetna Commercial	$775.93
Rate for Payer: Aetna Medicare Advantage	$775.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$659.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$659.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$659.54
Rate for Payer: Cigna Commercial	$1,293.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.92
Rate for Payer: Qualcare PPO/HMO/WC	$387.97

PLATE ZIM FRL 6H 145 11811450

Facility

$1,941.65

Hospital Charge Code	270601397
Hospital Revenue Code	278
Min. Negotiated Rate	$291.25
Max. Negotiated Rate	$469.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: Qualcare PPO/HMO/WC	$291.25

PLATE ZIM FRL 6H 145 11811450

Facility

$1,941.65

Hospital Charge Code	270601397
Hospital Revenue Code	278
Min. Negotiated Rate	$291.25
Max. Negotiated Rate	$970.83
Rate for Payer: Aetna Commercial	$582.50
Rate for Payer: Aetna Medicare Advantage	$582.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.12
Rate for Payer: Cigna Commercial	$970.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: Qualcare PPO/HMO/WC	$291.25

PLATE ZIM FRL 6H 150 1181150

Facility

$1,941.65

Hospital Charge Code	270601399
Hospital Revenue Code	278
Min. Negotiated Rate	$291.25
Max. Negotiated Rate	$970.83
Rate for Payer: Aetna Commercial	$582.50
Rate for Payer: Aetna Medicare Advantage	$582.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.12
Rate for Payer: Cigna Commercial	$970.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: Qualcare PPO/HMO/WC	$291.25

PLATE ZIM FRL 6H 150 1181150

Facility

$1,941.65

Hospital Charge Code	270601399
Hospital Revenue Code	278
Min. Negotiated Rate	$291.25
Max. Negotiated Rate	$469.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: Qualcare PPO/HMO/WC	$291.25

PLATE ZIM FRL 8H 135 118113508

Facility

$1,932.00

Hospital Charge Code	270608818
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$579.60
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE ZIM FRL 8H 135 118113508

Facility

$1,932.00

Hospital Charge Code	270608818
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$467.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE ZIM MINI 5H 2420-037-05

Facility

$200.85

Hospital Charge Code	270610147
Hospital Revenue Code	278
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$100.42
Rate for Payer: Aetna Commercial	$60.26
Rate for Payer: Aetna Medicare Advantage	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.22
Rate for Payer: Cigna Commercial	$100.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

PLATE ZIM MINI 5H 2420-037-05

Facility

$200.85

Hospital Charge Code	270610147
Hospital Revenue Code	278
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$48.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

Know your out-of-pocket cost for care.

All Charges