Heights University Hospital

All Charges

Charge

Type

Setting

Price

RESERVOIR COLLECTION COBE300

Facility

$396.85

Hospital Charge Code	270605813
Hospital Revenue Code	272
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$59.53
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

RESERVOIR COLLECTION COBE300

Facility

$396.85

Hospital Charge Code	270605813
Hospital Revenue Code	272
Min. Negotiated Rate	$51.59
Max. Negotiated Rate	$198.43
Rate for Payer: Aetna Commercial	$119.06
Rate for Payer: Aetna Medicare Advantage	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.20
Rate for Payer: Cigna Commercial	$198.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.59
Rate for Payer: Oxford Commercial	$198.43
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Commercial	$198.43

RESERVOIR COLLECTION HAE#200

Facility

$320.00

Hospital Charge Code	270605799
Hospital Revenue Code	272
Min. Negotiated Rate	$41.60
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$96.00
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.60
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.00
Rate for Payer: UnitedHealthcare Commercial	$160.00

RESERVOIR COLLECTION HAE#200

Facility

$320.00

Hospital Charge Code	270605799
Hospital Revenue Code	272
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

RESERVOIR CONCEALED

Facility

$12,498.05

Service Code	HCPCS C1813
Hospital Charge Code	270659252
Hospital Revenue Code	278
Min. Negotiated Rate	$1,874.71
Max. Negotiated Rate	$3,024.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,499.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,024.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,874.71

RESERVOIR CONCEALED

Facility

$12,498.05

Service Code	HCPCS C1813
Hospital Charge Code	270659252
Hospital Revenue Code	278
Min. Negotiated Rate	$1,874.71
Max. Negotiated Rate	$6,249.02
Rate for Payer: Aetna Commercial	$3,749.41
Rate for Payer: Aetna Medicare Advantage	$3,749.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,499.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.00
Rate for Payer: Cigna Commercial	$6,249.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,024.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,874.71

RESERVOIR CONVERT OMMAYA

Facility

$1,455.25

Hospital Charge Code	270600408
Hospital Revenue Code	270
Min. Negotiated Rate	$189.18
Max. Negotiated Rate	$727.62
Rate for Payer: Aetna Commercial	$436.57
Rate for Payer: Aetna Medicare Advantage	$436.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.09
Rate for Payer: Cigna Commercial	$727.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.18
Rate for Payer: Oxford Commercial	$727.62
Rate for Payer: Qualcare PPO/HMO/WC	$218.29
Rate for Payer: UnitedHealthcare Commercial	$727.62

RESERVOIR CONVERT OMMAYA

Facility

$1,455.25

Hospital Charge Code	270600408
Hospital Revenue Code	270
Min. Negotiated Rate	$218.29
Max. Negotiated Rate	$218.29
Rate for Payer: Qualcare PPO/HMO/WC	$218.29

RESERVOIR JACKSON PRATT

Facility

$1,881.60

Hospital Charge Code	270657780
Hospital Revenue Code	278
Min. Negotiated Rate	$282.24
Max. Negotiated Rate	$940.80
Rate for Payer: Aetna Commercial	$564.48
Rate for Payer: Aetna Medicare Advantage	$564.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.81
Rate for Payer: Cigna Commercial	$940.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.35
Rate for Payer: Qualcare PPO/HMO/WC	$282.24

RESERVOIR JACKSON PRATT

Facility

$1,881.60

Hospital Charge Code	270657780
Hospital Revenue Code	278
Min. Negotiated Rate	$282.24
Max. Negotiated Rate	$455.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.35
Rate for Payer: Qualcare PPO/HMO/WC	$282.24

RESERVOIR JACKSON PRATT ******

Facility

$48.00

Hospital Charge Code	1800176
Hospital Revenue Code	279
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.24
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$24.00

RESERVOIR JACKSON PRATT ******

Facility

$103.00

Hospital Charge Code	1601210
Hospital Revenue Code	272
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$15.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.45

RESERVOIR JACKSON PRATT ******

Facility

$103.00

Hospital Charge Code	1601210
Hospital Revenue Code	272
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$51.50
Rate for Payer: Aetna Commercial	$30.90
Rate for Payer: Aetna Medicare Advantage	$30.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.27
Rate for Payer: Cigna Commercial	$51.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.39
Rate for Payer: Oxford Commercial	$51.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.45
Rate for Payer: UnitedHealthcare Commercial	$51.50

RESERVOIR JACKSON PRATT ******

Facility

$48.00

Hospital Charge Code	1800176
Hospital Revenue Code	279
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

RESERVOIR JVAC 100cc

Facility

$184.27

Hospital Charge Code	270658635
Hospital Revenue Code	270
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$27.64
Rate for Payer: Qualcare PPO/HMO/WC	$27.64

RESERVOIR JVAC 100cc

Facility

$184.27

Hospital Charge Code	270658635
Hospital Revenue Code	270
Min. Negotiated Rate	$23.96
Max. Negotiated Rate	$92.14
Rate for Payer: Aetna Commercial	$55.28
Rate for Payer: Aetna Medicare Advantage	$55.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.99
Rate for Payer: Cigna Commercial	$92.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.96
Rate for Payer: Oxford Commercial	$92.14
Rate for Payer: Qualcare PPO/HMO/WC	$27.64
Rate for Payer: UnitedHealthcare Commercial	$92.14

RESERVOIR J-VAC 100cc BULB

Facility

$175.87

Hospital Charge Code	270651489
Hospital Revenue Code	272
Min. Negotiated Rate	$22.86
Max. Negotiated Rate	$87.94
Rate for Payer: Aetna Commercial	$52.76
Rate for Payer: Aetna Medicare Advantage	$52.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.85
Rate for Payer: Cigna Commercial	$87.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.86
Rate for Payer: Oxford Commercial	$87.94
Rate for Payer: Qualcare PPO/HMO/WC	$26.38
Rate for Payer: UnitedHealthcare Commercial	$87.94

RESERVOIR J-VAC 100cc BULB

Facility

$175.87

Hospital Charge Code	270651489
Hospital Revenue Code	272
Min. Negotiated Rate	$26.38
Max. Negotiated Rate	$26.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.38

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364R
Hospital Revenue Code	272
Min. Negotiated Rate	$42.64
Max. Negotiated Rate	$164.00
Rate for Payer: Aetna Commercial	$98.40
Rate for Payer: Aetna Medicare Advantage	$98.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.64
Rate for Payer: Cigna Commercial	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.64
Rate for Payer: Oxford Commercial	$164.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.20
Rate for Payer: UnitedHealthcare Commercial	$164.00

RESOLVE 10FR PIGTAIL UNIV.

Facility

$202.50

Hospital Charge Code	270654364N
Hospital Revenue Code	272
Min. Negotiated Rate	$30.38
Max. Negotiated Rate	$30.38
Rate for Payer: Qualcare PPO/HMO/WC	$30.38

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364S
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

RESOLVE 10FR PIGTAIL UNIV.

Facility

$202.50

Hospital Charge Code	270654364N
Hospital Revenue Code	272
Min. Negotiated Rate	$26.32
Max. Negotiated Rate	$101.25
Rate for Payer: Aetna Commercial	$60.75
Rate for Payer: Aetna Medicare Advantage	$60.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.64
Rate for Payer: Cigna Commercial	$101.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: Oxford Commercial	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$30.38
Rate for Payer: UnitedHealthcare Commercial	$101.25

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364S
Hospital Revenue Code	272
Min. Negotiated Rate	$42.64
Max. Negotiated Rate	$164.00
Rate for Payer: Aetna Commercial	$98.40
Rate for Payer: Aetna Medicare Advantage	$98.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.64
Rate for Payer: Cigna Commercial	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.64
Rate for Payer: Oxford Commercial	$164.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.20
Rate for Payer: UnitedHealthcare Commercial	$164.00

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364R
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

Know your out-of-pocket cost for care.

All Charges