Heights University Hospital

All Charges

Charge

Type

Setting

Price

PREMARIN/1.25MG/TAB

Facility

$3.00

Hospital Charge Code	60633708
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

PREMATURITY WITH MAJOR PROBLEMS

Facility

$136,868.99

Service Code	MSDRG 791
Min. Negotiated Rate	$3,533.00
Max. Negotiated Rate	$136,868.99
Rate for Payer: Aetna Commercial	$136,868.99
Rate for Payer: Aetna Medicare Advantage	$44,294.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113,024.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113,024.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$43,212.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113,024.70
Rate for Payer: Cigna Commercial	$87,353.74
Rate for Payer: Cigna Medicare Advantage	$43,212.57
Rate for Payer: Clover Medicare Advantage	$41,051.94
Rate for Payer: EmblemHealth Commercial	$129,637.71
Rate for Payer: Humana Medicare Advantage	$44,508.95
Rate for Payer: Oxford Commercial	$3,533.00
Rate for Payer: UnitedHealthcare Commercial	$4,009.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$43,212.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$45,805.32
Rate for Payer: Wellcare Medicare Advantage	$43,212.57

PREMATURITY WITHOUT MAJOR PROBLEMS

Facility

$82,912.05

Service Code	MSDRG 792
Min. Negotiated Rate	$3,028.00
Max. Negotiated Rate	$82,912.05
Rate for Payer: Aetna Commercial	$82,586.74
Rate for Payer: Aetna Medicare Advantage	$26,727.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68,090.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68,090.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,637.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68,090.49
Rate for Payer: Cigna Commercial	$52,709.23
Rate for Payer: Cigna Medicare Advantage	$27,637.35
Rate for Payer: Clover Medicare Advantage	$26,255.48
Rate for Payer: EmblemHealth Commercial	$82,912.05
Rate for Payer: Humana Medicare Advantage	$28,466.47
Rate for Payer: Oxford Commercial	$3,028.00
Rate for Payer: UnitedHealthcare Commercial	$3,437.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,637.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29,295.59
Rate for Payer: Wellcare Medicare Advantage	$27,637.35

PREM CEEA 31 DISP STAPLER GRN

Facility

$1,709.35

Hospital Charge Code	270658678
Hospital Revenue Code	272
Min. Negotiated Rate	$256.40
Max. Negotiated Rate	$256.40
Rate for Payer: Qualcare PPO/HMO/WC	$256.40

PREM CEEA 31 DISP STAPLER GRN

Facility

$1,709.35

Hospital Charge Code	270658678
Hospital Revenue Code	272
Min. Negotiated Rate	$222.22
Max. Negotiated Rate	$854.67
Rate for Payer: Aetna Commercial	$512.80
Rate for Payer: Aetna Medicare Advantage	$512.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.88
Rate for Payer: Cigna Commercial	$854.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.22
Rate for Payer: Oxford Commercial	$854.67
Rate for Payer: Qualcare PPO/HMO/WC	$256.40
Rate for Payer: UnitedHealthcare Commercial	$854.67

PREMIUM SURGICAL SM 9.0*******

Facility

$188.00

Hospital Charge Code	1607118
Hospital Revenue Code	272
Min. Negotiated Rate	$24.44
Max. Negotiated Rate	$94.00
Rate for Payer: Aetna Commercial	$56.40
Rate for Payer: Aetna Medicare Advantage	$56.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.94
Rate for Payer: Cigna Commercial	$94.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.44
Rate for Payer: Oxford Commercial	$94.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.20
Rate for Payer: UnitedHealthcare Commercial	$94.00

PREMIUM SURGICAL SM 9.0*******

Facility

$188.00

Hospital Charge Code	1607118
Hospital Revenue Code	272
Min. Negotiated Rate	$28.20
Max. Negotiated Rate	$28.20
Rate for Payer: Qualcare PPO/HMO/WC	$28.20

PRENATAL MULTIPLE VITAMIN

Facility

$4.00

Hospital Charge Code	60628510
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

PRENATAL MULTIPLE VITAMIN

Facility

$4.00

Hospital Charge Code	60628510
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

PREPARATION H/EACH

Facility

$1.00

Hospital Charge Code	60633709
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.50

PREPARATION H/EACH

Facility

$1.00

Hospital Charge Code	60633709
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

Pre-pen amp

Facility

$547.20

Hospital Charge Code	606361045
Hospital Revenue Code	250
Min. Negotiated Rate	$82.08
Max. Negotiated Rate	$82.08
Rate for Payer: Qualcare PPO/HMO/WC	$82.08

Pre-pen amp

Facility

$547.20

Hospital Charge Code	606361045
Hospital Revenue Code	250
Min. Negotiated Rate	$71.14
Max. Negotiated Rate	$273.60
Rate for Payer: Aetna Commercial	$164.16
Rate for Payer: Aetna Medicare Advantage	$164.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.54
Rate for Payer: Cigna Commercial	$273.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.14
Rate for Payer: Oxford Commercial	$273.60
Rate for Payer: Qualcare PPO/HMO/WC	$82.08
Rate for Payer: UnitedHealthcare Commercial	$273.60

PREPERTONEAL BALLOON W/BULB

Facility

$591.00

Hospital Charge Code	270332620
Hospital Revenue Code	272
Min. Negotiated Rate	$88.65
Max. Negotiated Rate	$88.65
Rate for Payer: Qualcare PPO/HMO/WC	$88.65

PREPERTONEAL BALLOON W/BULB

Facility

$591.00

Hospital Charge Code	270332620
Hospital Revenue Code	272
Min. Negotiated Rate	$76.83
Max. Negotiated Rate	$295.50
Rate for Payer: Aetna Commercial	$177.30
Rate for Payer: Aetna Medicare Advantage	$177.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.71
Rate for Payer: Cigna Commercial	$295.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.83
Rate for Payer: Oxford Commercial	$295.50
Rate for Payer: Qualcare PPO/HMO/WC	$88.65
Rate for Payer: UnitedHealthcare Commercial	$295.50

PREPIDIL GEL

Facility

$396.00

Hospital Charge Code	60634874
Hospital Revenue Code	250
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$59.40
Rate for Payer: Qualcare PPO/HMO/WC	$59.40

PREPIDIL GEL

Facility

$396.00

Hospital Charge Code	60634874
Hospital Revenue Code	250
Min. Negotiated Rate	$51.48
Max. Negotiated Rate	$198.00
Rate for Payer: Aetna Commercial	$118.80
Rate for Payer: Aetna Medicare Advantage	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.98
Rate for Payer: Cigna Commercial	$198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.48
Rate for Payer: Oxford Commercial	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.40
Rate for Payer: UnitedHealthcare Commercial	$198.00

PREP KIT FEMORAL BONE CEMENT

Facility

$1,415.00

Hospital Charge Code	270621222
Hospital Revenue Code	272
Min. Negotiated Rate	$183.95
Max. Negotiated Rate	$707.50
Rate for Payer: Aetna Commercial	$424.50
Rate for Payer: Aetna Medicare Advantage	$424.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.82
Rate for Payer: Cigna Commercial	$707.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.95
Rate for Payer: Oxford Commercial	$707.50
Rate for Payer: Qualcare PPO/HMO/WC	$212.25
Rate for Payer: UnitedHealthcare Commercial	$707.50

PREP KIT FEMORAL BONE CEMENT

Facility

$1,415.00

Hospital Charge Code	270621222
Hospital Revenue Code	272
Min. Negotiated Rate	$212.25
Max. Negotiated Rate	$212.25
Rate for Payer: Qualcare PPO/HMO/WC	$212.25

PRE RX RBC W/CHEM/DRG/PER CELL

Facility

$100.00

Service Code	HCPCS 86970
Hospital Charge Code	3100180
Hospital Revenue Code	300
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$140.48
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

PRE RX RBC W/CHEM/DRG/PER CELL

Facility

$100.00

Service Code	HCPCS 86970
Hospital Charge Code	3100180
Hospital Revenue Code	300
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

PRESS FIT STEM SZ10

Facility

$9,535.50

Service Code	HCPCS C1776
Hospital Charge Code	270688877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,430.33
Max. Negotiated Rate	$4,767.75
Rate for Payer: Aetna Commercial	$2,860.65
Rate for Payer: Aetna Medicare Advantage	$2,860.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,431.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,431.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,907.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,431.55
Rate for Payer: Cigna Commercial	$4,767.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,430.33

PRESS FIT STEM SZ10

Facility

$9,535.50

Service Code	HCPCS C1776
Hospital Charge Code	270688877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,430.33
Max. Negotiated Rate	$2,307.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,907.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,430.33

PRESSURE CUFF BARRIER REGULAR

Facility

$2.49

Hospital Charge Code	270644340
Hospital Revenue Code	270
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$1.25
Rate for Payer: Aetna Commercial	$0.75
Rate for Payer: Aetna Medicare Advantage	$0.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.63
Rate for Payer: Cigna Commercial	$1.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.32
Rate for Payer: Oxford Commercial	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$1.25

PRESSURE CUFF BARRIER REGULAR

Facility

$2.49

Hospital Charge Code	270644340
Hospital Revenue Code	270
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

Know your out-of-pocket cost for care.

All Charges