Heights University Hospital

All Charges

Charge

Type

Setting

Price

RONDEC DM 30ML

Facility

$4.00

Hospital Charge Code	60635482
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

RONDEC-DM/30ML

Facility

$125.00

Hospital Charge Code	60633849
Hospital Revenue Code	250
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

RONDEC-DM/30ML

Facility

$125.00

Hospital Charge Code	60633849
Hospital Revenue Code	250
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

RONDEC-DM/480ML

Facility

$172.00

Hospital Charge Code	60633848
Hospital Revenue Code	250
Min. Negotiated Rate	$22.36
Max. Negotiated Rate	$86.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$51.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.86
Rate for Payer: Cigna Commercial	$86.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.36
Rate for Payer: Oxford Commercial	$86.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.80
Rate for Payer: UnitedHealthcare Commercial	$86.00

RONDEC-DM/480ML

Facility

$172.00

Hospital Charge Code	60633848
Hospital Revenue Code	250
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

RONGEURS LEMPERT

Facility

$2,652.02

Hospital Charge Code	270659124
Hospital Revenue Code	278
Min. Negotiated Rate	$397.80
Max. Negotiated Rate	$1,326.01
Rate for Payer: Aetna Commercial	$795.61
Rate for Payer: Aetna Medicare Advantage	$795.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$676.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$676.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$676.27
Rate for Payer: Cigna Commercial	$1,326.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.79
Rate for Payer: Qualcare PPO/HMO/WC	$397.80

RONGEURS LEMPERT

Facility

$2,652.02

Hospital Charge Code	270659124
Hospital Revenue Code	278
Min. Negotiated Rate	$397.80
Max. Negotiated Rate	$641.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.79
Rate for Payer: Qualcare PPO/HMO/WC	$397.80

RONGEURS STRAIGHT LOVE-GRUENWA

Facility

$2,680.40

Hospital Charge Code	270665978
Hospital Revenue Code	270
Min. Negotiated Rate	$348.45
Max. Negotiated Rate	$1,340.20
Rate for Payer: Aetna Commercial	$804.12
Rate for Payer: Aetna Medicare Advantage	$804.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$683.50
Rate for Payer: Cigna Commercial	$1,340.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.45
Rate for Payer: Oxford Commercial	$1,340.20
Rate for Payer: Qualcare PPO/HMO/WC	$402.06
Rate for Payer: UnitedHealthcare Commercial	$1,340.20

RONGEURS STRAIGHT LOVE-GRUENWA

Facility

$2,680.40

Hospital Charge Code	270665978
Hospital Revenue Code	270
Min. Negotiated Rate	$402.06
Max. Negotiated Rate	$402.06
Rate for Payer: Qualcare PPO/HMO/WC	$402.06

RONGEURS STRAIGHT SPURLING

Facility

$2,680.40

Hospital Charge Code	270665977
Hospital Revenue Code	270
Min. Negotiated Rate	$348.45
Max. Negotiated Rate	$1,340.20
Rate for Payer: Aetna Commercial	$804.12
Rate for Payer: Aetna Medicare Advantage	$804.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$683.50
Rate for Payer: Cigna Commercial	$1,340.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.45
Rate for Payer: Oxford Commercial	$1,340.20
Rate for Payer: Qualcare PPO/HMO/WC	$402.06
Rate for Payer: UnitedHealthcare Commercial	$1,340.20

RONGEURS STRAIGHT SPURLING

Facility

$2,680.40

Hospital Charge Code	270665977
Hospital Revenue Code	270
Min. Negotiated Rate	$402.06
Max. Negotiated Rate	$402.06
Rate for Payer: Qualcare PPO/HMO/WC	$402.06

RONGUER 2X10MM, 7IN

Facility

$2,680.40

Hospital Charge Code	270659125
Hospital Revenue Code	278
Min. Negotiated Rate	$402.06
Max. Negotiated Rate	$648.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$536.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.66
Rate for Payer: Qualcare PPO/HMO/WC	$402.06

RONGUER 2X10MM, 7IN

Facility

$2,680.40

Hospital Charge Code	270659125
Hospital Revenue Code	278
Min. Negotiated Rate	$402.06
Max. Negotiated Rate	$1,340.20
Rate for Payer: Aetna Commercial	$804.12
Rate for Payer: Aetna Medicare Advantage	$804.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$536.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$683.50
Rate for Payer: Cigna Commercial	$1,340.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.66
Rate for Payer: Qualcare PPO/HMO/WC	$402.06

RONGUER 6X12MM

Facility

$3,200.00

Hospital Charge Code	270659123
Hospital Revenue Code	278
Min. Negotiated Rate	$480.00
Max. Negotiated Rate	$774.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$774.40
Rate for Payer: Qualcare PPO/HMO/WC	$480.00

RONGUER 6X12MM

Facility

$3,200.00

Hospital Charge Code	270659123
Hospital Revenue Code	278
Min. Negotiated Rate	$480.00
Max. Negotiated Rate	$1,600.00
Rate for Payer: Aetna Commercial	$960.00
Rate for Payer: Aetna Medicare Advantage	$960.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$640.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$816.00
Rate for Payer: Cigna Commercial	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$774.40
Rate for Payer: Qualcare PPO/HMO/WC	$480.00

RONGUER KERRISON 3M

Facility

$5,439.75

Hospital Charge Code	270664164
Hospital Revenue Code	270
Min. Negotiated Rate	$707.17
Max. Negotiated Rate	$2,719.88
Rate for Payer: Aetna Commercial	$1,631.92
Rate for Payer: Aetna Medicare Advantage	$1,631.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,387.14
Rate for Payer: Cigna Commercial	$2,719.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$707.17
Rate for Payer: Oxford Commercial	$2,719.88
Rate for Payer: Qualcare PPO/HMO/WC	$815.96
Rate for Payer: UnitedHealthcare Commercial	$2,719.88

RONGUER KERRISON 3M

Facility

$5,439.75

Hospital Charge Code	270664164
Hospital Revenue Code	270
Min. Negotiated Rate	$815.96
Max. Negotiated Rate	$815.96
Rate for Payer: Qualcare PPO/HMO/WC	$815.96

RONGUER KERRSION 2M

Facility

$5,439.75

Hospital Charge Code	270664165
Hospital Revenue Code	270
Min. Negotiated Rate	$707.17
Max. Negotiated Rate	$2,719.88
Rate for Payer: Aetna Commercial	$1,631.92
Rate for Payer: Aetna Medicare Advantage	$1,631.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,387.14
Rate for Payer: Cigna Commercial	$2,719.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$707.17
Rate for Payer: Oxford Commercial	$2,719.88
Rate for Payer: Qualcare PPO/HMO/WC	$815.96
Rate for Payer: UnitedHealthcare Commercial	$2,719.88

RONGUER KERRSION 2M

Facility

$5,439.75

Hospital Charge Code	270664165
Hospital Revenue Code	270
Min. Negotiated Rate	$815.96
Max. Negotiated Rate	$815.96
Rate for Payer: Qualcare PPO/HMO/WC	$815.96

RONGUER KERRSION 4M

Facility

$5,439.75

Hospital Charge Code	270664166
Hospital Revenue Code	270
Min. Negotiated Rate	$707.17
Max. Negotiated Rate	$2,719.88
Rate for Payer: Aetna Commercial	$1,631.92
Rate for Payer: Aetna Medicare Advantage	$1,631.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,387.14
Rate for Payer: Cigna Commercial	$2,719.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$707.17
Rate for Payer: Oxford Commercial	$2,719.88
Rate for Payer: Qualcare PPO/HMO/WC	$815.96
Rate for Payer: UnitedHealthcare Commercial	$2,719.88

RONGUER KERRSION 4M

Facility

$5,439.75

Hospital Charge Code	270664166
Hospital Revenue Code	270
Min. Negotiated Rate	$815.96
Max. Negotiated Rate	$815.96
Rate for Payer: Qualcare PPO/HMO/WC	$815.96

ROOM AND BOARD-MED SURG-ADULT

Facility

$18,000.00

Hospital Charge Code	100102
Hospital Revenue Code	120
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2A

Facility

$18,000.00

Hospital Charge Code	100016
Hospital Revenue Code	121
Min. Negotiated Rate	$2,086.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,086.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2A

Facility

$18,000.00

Hospital Charge Code	100032
Hospital Revenue Code	121
Min. Negotiated Rate	$2,086.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,086.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2A - PRIVATE

Facility

$18,000.00

Hospital Charge Code	100018
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

Know your out-of-pocket cost for care.

All Charges