Heights University Hospital

All Charges

Charge

Type

Setting

Price

R&B INTERMEDIATE NRS LEVEL 2

Facility

$18,000.00

Hospital Charge Code	100815
Hospital Revenue Code	172
Min. Negotiated Rate	$2,435.00
Max. Negotiated Rate	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,435.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

R&B REHAB MED - PRIVATE

Facility

$18,000.00

Hospital Charge Code	100818
Hospital Revenue Code	118
Min. Negotiated Rate	$2,321.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Oxford Commercial	$2,321.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: UnitedHealthcare Commercial	$2,634.00

RC 50 LEUKOCYTE REMOVAL FILTER

Facility

$179.25

Hospital Charge Code	8003345
Hospital Revenue Code	270
Min. Negotiated Rate	$23.30
Max. Negotiated Rate	$89.62
Rate for Payer: Aetna Commercial	$53.77
Rate for Payer: Aetna Medicare Advantage	$53.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.71
Rate for Payer: Cigna Commercial	$89.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$89.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$89.62

RC 50 LEUKOCYTE REMOVAL FILTER

Facility

$179.25

Hospital Charge Code	8003345
Hospital Revenue Code	270
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

RC 50 LEUKOCYTE REMOVAL FILTER

Facility

$70.00

Hospital Charge Code	800334
Hospital Revenue Code	279
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

RC 50 LEUKOCYTE REMOVAL FILTER

Facility

$70.00

Hospital Charge Code	800334
Hospital Revenue Code	279
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

RC IMPL NS ELECTRODES,PEPH NV

Facility

$73,873.00

Service Code	HCPCS 64555
Hospital Charge Code	1600000528
Hospital Revenue Code	360
Min. Negotiated Rate	$11,080.95
Max. Negotiated Rate	$11,080.95
Rate for Payer: Qualcare PPO/HMO/WC	$11,080.95

RC IMPL NS ELECTRODES,PEPH NV

Facility

$73,873.00

Service Code	HCPCS 64555
Hospital Charge Code	1600000528
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$22,161.90
Rate for Payer: Aetna Commercial	$22,161.90
Rate for Payer: Aetna Medicare Advantage	$22,161.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,837.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,837.62
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	$18,837.62
Rate for Payer: Cigna Commercial	$15,176.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,603.49
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,080.95
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REACH BMT FEM 15 200 12-162115

Facility

$18,465.00

Hospital Charge Code	270615807
Hospital Revenue Code	278
Min. Negotiated Rate	$2,769.75
Max. Negotiated Rate	$9,232.50
Rate for Payer: Aetna Commercial	$5,539.50
Rate for Payer: Aetna Medicare Advantage	$5,539.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,708.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,708.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,693.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,708.57
Rate for Payer: Cigna Commercial	$9,232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,468.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.75

REACH BMT FEM 15 200 12-162115

Facility

$18,465.00

Hospital Charge Code	270615807
Hospital Revenue Code	278
Min. Negotiated Rate	$2,769.75
Max. Negotiated Rate	$4,468.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,693.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,468.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,769.75

REACHER HANDI HMCFT STD AA8054

Facility

$67.25

Hospital Charge Code	270612560
Hospital Revenue Code	279
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$10.09
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

REACHER HANDI HMCFT STD AA8054

Facility

$67.25

Hospital Charge Code	270612560
Hospital Revenue Code	279
Min. Negotiated Rate	$8.74
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.74
Rate for Payer: Oxford Commercial	$33.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Commercial	$33.62

REACH POROUS FEMORAL 13x200mm

Facility

$53,725.00

Service Code	HCPCS C1776
Hospital Charge Code	270615806
Hospital Revenue Code	278
Min. Negotiated Rate	$8,058.75
Max. Negotiated Rate	$26,862.50
Rate for Payer: Aetna Commercial	$16,117.50
Rate for Payer: Aetna Medicare Advantage	$16,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,699.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,699.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,745.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,699.88
Rate for Payer: Cigna Commercial	$26,862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,001.45
Rate for Payer: Qualcare PPO/HMO/WC	$8,058.75

REACH POROUS FEMORAL 13x200mm

Facility

$53,725.00

Service Code	HCPCS C1776
Hospital Charge Code	270615806
Hospital Revenue Code	278
Min. Negotiated Rate	$8,058.75
Max. Negotiated Rate	$13,001.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,745.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,001.45
Rate for Payer: Qualcare PPO/HMO/WC	$8,058.75

READICAT 2 BARIUM SULFATE

Facility

$728.09

Service Code	NDC 32909071503
Hospital Charge Code	60635890
Hospital Revenue Code	272
Min. Negotiated Rate	$109.21
Max. Negotiated Rate	$109.21
Rate for Payer: Qualcare PPO/HMO/WC	$109.21

READICAT 2 BARIUM SULFATE

Facility

$728.09

Service Code	NDC 32909071503
Hospital Charge Code	60635890
Hospital Revenue Code	272
Min. Negotiated Rate	$94.65
Max. Negotiated Rate	$364.05
Rate for Payer: Aetna Commercial	$218.43
Rate for Payer: Aetna Medicare Advantage	$218.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.66
Rate for Payer: Cigna Commercial	$364.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.65
Rate for Payer: Oxford Commercial	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$109.21
Rate for Payer: UnitedHealthcare Commercial	$364.05

READIGRAFT CANC 5 1-8MM

Facility

$720.00

Hospital Charge Code	270676690
Hospital Revenue Code	278
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$216.00
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

READIGRAFT CANC 5 1-8MM

Facility

$720.00

Hospital Charge Code	270676690
Hospital Revenue Code	278
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$174.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

REAGENT BOND ORACLE HER2 IHC

Facility

$12,330.30

Hospital Charge Code	270676051
Hospital Revenue Code	272
Min. Negotiated Rate	$1,602.94
Max. Negotiated Rate	$6,165.15
Rate for Payer: Aetna Commercial	$3,699.09
Rate for Payer: Aetna Medicare Advantage	$3,699.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,144.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,144.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,144.23
Rate for Payer: Cigna Commercial	$6,165.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,602.94
Rate for Payer: Oxford Commercial	$6,165.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,849.55
Rate for Payer: UnitedHealthcare Commercial	$6,165.15

REAGENT BOND ORACLE HER2 IHC

Facility

$12,330.30

Hospital Charge Code	270676051
Hospital Revenue Code	272
Min. Negotiated Rate	$1,849.55
Max. Negotiated Rate	$1,849.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,849.55

REALI C BAND W/DIS GAST BAND

Facility

$12,840.00

Hospital Charge Code	270644592
Hospital Revenue Code	272
Min. Negotiated Rate	$1,669.20
Max. Negotiated Rate	$6,420.00
Rate for Payer: Aetna Commercial	$3,852.00
Rate for Payer: Aetna Medicare Advantage	$3,852.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,274.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,274.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,274.20
Rate for Payer: Cigna Commercial	$6,420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,669.20
Rate for Payer: Oxford Commercial	$6,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,926.00
Rate for Payer: UnitedHealthcare Commercial	$6,420.00

REALI C BAND W/DIS GAST BAND

Facility

$12,840.00

Hospital Charge Code	270644592
Hospital Revenue Code	272
Min. Negotiated Rate	$1,926.00
Max. Negotiated Rate	$1,926.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,926.00

REAMER

Facility

$1,107.55

Hospital Charge Code	270688888
Hospital Revenue Code	272
Min. Negotiated Rate	$143.98
Max. Negotiated Rate	$553.77
Rate for Payer: Aetna Commercial	$332.26
Rate for Payer: Aetna Medicare Advantage	$332.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$282.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$282.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$282.43
Rate for Payer: Cigna Commercial	$553.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.98
Rate for Payer: Oxford Commercial	$553.77
Rate for Payer: Qualcare PPO/HMO/WC	$166.13
Rate for Payer: UnitedHealthcare Commercial	$553.77

REAMER

Facility

$1,107.55

Hospital Charge Code	270688888
Hospital Revenue Code	272
Min. Negotiated Rate	$166.13
Max. Negotiated Rate	$166.13
Rate for Payer: Qualcare PPO/HMO/WC	$166.13

REAMER 12.2 ONE STEP 14442002

Facility

$2,800.00

Hospital Charge Code	270641742
Hospital Revenue Code	272
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

Know your out-of-pocket cost for care.

All Charges