Heights University Hospital

All Charges

Charge

Type

Setting

Price

PUMP MANUALECTRIC

Facility

$184.85

Hospital Charge Code	270600467
Hospital Revenue Code	272
Min. Negotiated Rate	$27.73
Max. Negotiated Rate	$27.73
Rate for Payer: Qualcare PPO/HMO/WC	$27.73

PUMP MANUALECTRIC

Facility

$184.85

Hospital Charge Code	270600467
Hospital Revenue Code	272
Min. Negotiated Rate	$24.03
Max. Negotiated Rate	$92.42
Rate for Payer: Aetna Commercial	$55.45
Rate for Payer: Aetna Medicare Advantage	$55.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.14
Rate for Payer: Cigna Commercial	$92.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.03
Rate for Payer: Oxford Commercial	$92.42
Rate for Payer: Qualcare PPO/HMO/WC	$27.73
Rate for Payer: UnitedHealthcare Commercial	$92.42

PUMP MEDT INFUSION 861718

Facility

$33,405.65

Hospital Charge Code	270612538
Hospital Revenue Code	278
Min. Negotiated Rate	$5,010.85
Max. Negotiated Rate	$8,084.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,681.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,084.17
Rate for Payer: Qualcare PPO/HMO/WC	$5,010.85

PUMP MEDT INFUSION 861718

Facility

$33,405.65

Hospital Charge Code	270612538
Hospital Revenue Code	278
Min. Negotiated Rate	$5,010.85
Max. Negotiated Rate	$16,702.83
Rate for Payer: Aetna Commercial	$10,021.69
Rate for Payer: Aetna Medicare Advantage	$10,021.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,518.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,518.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,681.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,518.44
Rate for Payer: Cigna Commercial	$16,702.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,084.17
Rate for Payer: Qualcare PPO/HMO/WC	$5,010.85

PUMP MITIVAC

Facility

$760.00

Hospital Charge Code	270600590
Hospital Revenue Code	272
Min. Negotiated Rate	$98.80
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.80
Rate for Payer: Oxford Commercial	$380.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Commercial	$380.00

PUMP MITIVAC

Facility

$760.00

Hospital Charge Code	270600590
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

PUMP ON-Q 100ML x 2ML/HR

Facility

$500.00

Hospital Charge Code	270650273
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PUMP ON-Q 100ML x 2ML/HR

Facility

$500.00

Hospital Charge Code	270650273
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
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) NJ Health	$100.00
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	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PUMP ON-Q 100MLX2ML/HR W/2.5

Facility

$525.00

Service Code	HCPCS C1772
Hospital Charge Code	270650396
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

PUMP ON-Q 100MLX2ML/HR W/2.5

Facility

$525.00

Service Code	HCPCS C1772
Hospital Charge Code	270650396
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

PUMP ON-Q DUAL 600ML 1-7ML/HR

Facility

$2,850.00

Hospital Charge Code	270676702
Hospital Revenue Code	272
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$427.50
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

PUMP ON-Q DUAL 600ML 1-7ML/HR

Facility

$2,850.00

Hospital Charge Code	270676702
Hospital Revenue Code	272
Min. Negotiated Rate	$370.50
Max. Negotiated Rate	$1,425.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$726.75
Rate for Payer: Cigna Commercial	$1,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.50
Rate for Payer: Oxford Commercial	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$427.50
Rate for Payer: UnitedHealthcare Commercial	$1,425.00

PUMP ON-Q DUAL 600ML 2-14ML/HR

Facility

$2,350.00

Hospital Charge Code	270678112
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

PUMP ON-Q DUAL 600ML 2-14ML/HR

Facility

$2,350.00

Hospital Charge Code	270678112
Hospital Revenue Code	272
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$352.50
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

PUMP ON-Q W/DUAL SAF 400ML

Facility

$1,658.00

Hospital Charge Code	270650397
Hospital Revenue Code	272
Min. Negotiated Rate	$248.70
Max. Negotiated Rate	$248.70
Rate for Payer: Qualcare PPO/HMO/WC	$248.70

PUMP ON-Q W/DUAL SAF 400ML

Facility

$1,658.00

Hospital Charge Code	270650397
Hospital Revenue Code	272
Min. Negotiated Rate	$215.54
Max. Negotiated Rate	$829.00
Rate for Payer: Aetna Commercial	$497.40
Rate for Payer: Aetna Medicare Advantage	$497.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.79
Rate for Payer: Cigna Commercial	$829.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.54
Rate for Payer: Oxford Commercial	$829.00
Rate for Payer: Qualcare PPO/HMO/WC	$248.70
Rate for Payer: UnitedHealthcare Commercial	$829.00

PUMP PAIN CONTROL ADMINISTRATI

Facility

$3,375.00

Hospital Charge Code	270656210
Hospital Revenue Code	278
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$816.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.75
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

PUMP PAIN CONTROL ADMINISTRATI

Facility

$3,375.00

Hospital Charge Code	270656210
Hospital Revenue Code	278
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,012.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.75
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

PUMP SET IMPELLA 2.5 AIC

Facility

$125,000.00

Hospital Charge Code	270681567
Hospital Revenue Code	278
Min. Negotiated Rate	$18,750.00
Max. Negotiated Rate	$62,500.00
Rate for Payer: Aetna Commercial	$37,500.00
Rate for Payer: Aetna Medicare Advantage	$37,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,875.00
Rate for Payer: Cigna Commercial	$62,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$18,750.00

PUMP SET IMPELLA 2.5 AIC

Facility

$125,000.00

Hospital Charge Code	270681567
Hospital Revenue Code	278
Min. Negotiated Rate	$18,750.00
Max. Negotiated Rate	$30,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$18,750.00

PUMP SET IMPELLA CP

Facility

$125,000.00

Hospital Charge Code	270681568
Hospital Revenue Code	278
Min. Negotiated Rate	$18,750.00
Max. Negotiated Rate	$62,500.00
Rate for Payer: Aetna Commercial	$37,500.00
Rate for Payer: Aetna Medicare Advantage	$37,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,875.00
Rate for Payer: Cigna Commercial	$62,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$18,750.00

PUMP SET IMPELLA CP

Facility

$125,000.00

Hospital Charge Code	270681568S
Hospital Revenue Code	278
Min. Negotiated Rate	$18,750.00
Max. Negotiated Rate	$62,500.00
Rate for Payer: Aetna Commercial	$37,500.00
Rate for Payer: Aetna Medicare Advantage	$37,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,875.00
Rate for Payer: Cigna Commercial	$62,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$18,750.00

PUMP SET IMPELLA CP

Facility

$125,000.00

Hospital Charge Code	270681568
Hospital Revenue Code	278
Min. Negotiated Rate	$18,750.00
Max. Negotiated Rate	$30,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$18,750.00

PUMP SET IMPELLA CP

Facility

$125,000.00

Hospital Charge Code	270681568S
Hospital Revenue Code	278
Min. Negotiated Rate	$18,750.00
Max. Negotiated Rate	$30,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$18,750.00

PUMP SOLUSET CLAVE

Facility

$40.91

Hospital Charge Code	270650216
Hospital Revenue Code	270
Min. Negotiated Rate	$6.14
Max. Negotiated Rate	$6.14
Rate for Payer: Qualcare PPO/HMO/WC	$6.14

Know your out-of-pocket cost for care.

All Charges