Heights University Hospital

All Charges

Charge

Type

Setting

Price

RESERPINE TAB 0.25MG

Facility

$1.95

Hospital Charge Code	60628697
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

RESERV COLL COBE ELE ESOR300

Facility

$322.50

Hospital Charge Code	270637901
Hospital Revenue Code	272
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$48.38
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

RESERV COLL COBE ELE ESOR300

Facility

$322.50

Hospital Charge Code	270637901
Hospital Revenue Code	272
Min. Negotiated Rate	$41.92
Max. Negotiated Rate	$161.25
Rate for Payer: Aetna Commercial	$96.75
Rate for Payer: Aetna Medicare Advantage	$96.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.24
Rate for Payer: Cigna Commercial	$161.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.92
Rate for Payer: Oxford Commercial	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$48.38
Rate for Payer: UnitedHealthcare Commercial	$161.25

RESERVIOR 100C

Facility

$18.05

Hospital Charge Code	270656215
Hospital Revenue Code	270
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$9.03
Rate for Payer: Aetna Commercial	$5.42
Rate for Payer: Aetna Medicare Advantage	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.60
Rate for Payer: Cigna Commercial	$9.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.35
Rate for Payer: Oxford Commercial	$9.03
Rate for Payer: Qualcare PPO/HMO/WC	$2.71
Rate for Payer: UnitedHealthcare Commercial	$9.03

RESERVIOR 100C

Facility

$18.05

Hospital Charge Code	270656215
Hospital Revenue Code	270
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$2.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.71

RESERVIOR KIT 3 SPRING 400cc

Facility

$36.73

Hospital Charge Code	270655680
Hospital Revenue Code	271
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$5.51

RESERVIOR KIT 3 SPRING 400cc

Facility

$36.73

Hospital Charge Code	270655680
Hospital Revenue Code	271
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$18.36
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.37
Rate for Payer: Cigna Commercial	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.77
Rate for Payer: Oxford Commercial	$18.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.51
Rate for Payer: UnitedHealthcare Commercial	$18.36

RESERV J P LG HEYER ********

Facility

$34.00

Hospital Charge Code	8002461
Hospital Revenue Code	279
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

RESERV J P LG HEYER ********

Facility

$34.00

Hospital Charge Code	8002461
Hospital Revenue Code	279
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$17.00

RESERVOIR

Facility

$11,205.00

Hospital Charge Code	270687911
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$5,602.50
Rate for Payer: Aetna Commercial	$3,361.50
Rate for Payer: Aetna Medicare Advantage	$3,361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,857.28
Rate for Payer: Cigna Commercial	$5,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

RESERVOIR

Facility

$11,205.00

Hospital Charge Code	270687911
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$2,711.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

RESERVOIR 150U HAE#205

Facility

$21.40

Hospital Charge Code	270659792
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

RESERVOIR 150U HAE#205

Facility

$21.40

Hospital Charge Code	270659792
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.78
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$10.70

RESERVOIR 75cc 90-9075K-LOC

Facility

$7,375.00

Hospital Charge Code	270640426
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

RESERVOIR 75cc 90-9075K-LOC

Facility

$7,375.00

Hospital Charge Code	270640426
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,212.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

RESERVOIR BIOFLEX 9060KLC

Facility

$6,150.45

Hospital Charge Code	270633691
Hospital Revenue Code	272
Min. Negotiated Rate	$799.56
Max. Negotiated Rate	$3,075.22
Rate for Payer: Aetna Commercial	$1,845.13
Rate for Payer: Aetna Medicare Advantage	$1,845.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,568.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,568.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,568.36
Rate for Payer: Cigna Commercial	$3,075.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$799.56
Rate for Payer: Oxford Commercial	$3,075.22
Rate for Payer: Qualcare PPO/HMO/WC	$922.57
Rate for Payer: UnitedHealthcare Commercial	$3,075.22

RESERVOIR BIOFLEX 9060KLC

Facility

$6,150.45

Hospital Charge Code	270633691
Hospital Revenue Code	272
Min. Negotiated Rate	$922.57
Max. Negotiated Rate	$922.57
Rate for Payer: Qualcare PPO/HMO/WC	$922.57

RESERVOIR BIOFLEX 9075KLOC

Facility

$6,150.45

Hospital Charge Code	270633680
Hospital Revenue Code	272
Min. Negotiated Rate	$799.56
Max. Negotiated Rate	$3,075.22
Rate for Payer: Aetna Commercial	$1,845.13
Rate for Payer: Aetna Medicare Advantage	$1,845.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,568.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,568.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,568.36
Rate for Payer: Cigna Commercial	$3,075.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$799.56
Rate for Payer: Oxford Commercial	$3,075.22
Rate for Payer: Qualcare PPO/HMO/WC	$922.57
Rate for Payer: UnitedHealthcare Commercial	$3,075.22

RESERVOIR BIOFLEX 9075KLOC

Facility

$6,150.45

Hospital Charge Code	270633680
Hospital Revenue Code	272
Min. Negotiated Rate	$922.57
Max. Negotiated Rate	$922.57
Rate for Payer: Qualcare PPO/HMO/WC	$922.57

RESERVOIR BURRHLE DESGN

Facility

$1,396.00

Hospital Charge Code	270600409
Hospital Revenue Code	270
Min. Negotiated Rate	$209.40
Max. Negotiated Rate	$209.40
Rate for Payer: Qualcare PPO/HMO/WC	$209.40

RESERVOIR BURRHLE DESGN

Facility

$1,396.00

Hospital Charge Code	270600409
Hospital Revenue Code	270
Min. Negotiated Rate	$181.48
Max. Negotiated Rate	$698.00
Rate for Payer: Aetna Commercial	$418.80
Rate for Payer: Aetna Medicare Advantage	$418.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.98
Rate for Payer: Cigna Commercial	$698.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.48
Rate for Payer: Oxford Commercial	$698.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.40
Rate for Payer: UnitedHealthcare Commercial	$698.00

RESERVOIR COLLEC CEL SV

Facility

$71.25

Hospital Charge Code	270601408
Hospital Revenue Code	279
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$35.62

RESERVOIR COLLEC CEL SV

Facility

$71.25

Hospital Charge Code	270601408
Hospital Revenue Code	279
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

RESERVOIR COLLECT COBE ELE CTA

Facility

$322.50

Hospital Charge Code	207637901
Hospital Revenue Code	278
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$78.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.05
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

RESERVOIR COLLECT COBE ELE CTA

Facility

$322.50

Hospital Charge Code	207637901
Hospital Revenue Code	278
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$161.25
Rate for Payer: Aetna Commercial	$96.75
Rate for Payer: Aetna Medicare Advantage	$96.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.24
Rate for Payer: Cigna Commercial	$161.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.05
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

Know your out-of-pocket cost for care.

All Charges