Heights University Hospital

All Charges

Charge

Type

Setting

Price

ROSIGLITAZONE 8 MG TAB

Facility

$37.65

Hospital Charge Code	60629056
Hospital Revenue Code	250
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

ROSS REPLCMNT GASTROST TUBE***

Facility

$348.00

Hospital Charge Code	2300655
Hospital Revenue Code	279
Min. Negotiated Rate	$52.20
Max. Negotiated Rate	$52.20
Rate for Payer: Qualcare PPO/HMO/WC	$52.20

ROSS REPLCMNT GASTROST TUBE***

Facility

$348.00

Hospital Charge Code	2300655
Hospital Revenue Code	279
Min. Negotiated Rate	$45.24
Max. Negotiated Rate	$174.00
Rate for Payer: Aetna Commercial	$104.40
Rate for Payer: Aetna Medicare Advantage	$104.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.74
Rate for Payer: Cigna Commercial	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: Oxford Commercial	$174.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.20
Rate for Payer: UnitedHealthcare Commercial	$174.00

ROSUVASTATIN CALCIUM 40MG TAB

Facility

$59.90

Service Code	NDC 16729028715
Hospital Charge Code	606390536
Hospital Revenue Code	250
Min. Negotiated Rate	$8.98
Max. Negotiated Rate	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.98

ROSUVASTATIN CALCIUM 40MG TAB

Facility

$59.90

Service Code	NDC 16729028715
Hospital Charge Code	606390536
Hospital Revenue Code	250
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$29.95
Rate for Payer: Aetna Commercial	$17.97
Rate for Payer: Aetna Medicare Advantage	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.27
Rate for Payer: Cigna Commercial	$29.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.79
Rate for Payer: Oxford Commercial	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.98
Rate for Payer: UnitedHealthcare Commercial	$29.95

ROTABLE SNARES

Facility

$90.66

Hospital Charge Code	270663898
Hospital Revenue Code	272
Min. Negotiated Rate	$11.79
Max. Negotiated Rate	$45.33
Rate for Payer: Aetna Commercial	$27.20
Rate for Payer: Aetna Medicare Advantage	$27.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.12
Rate for Payer: Cigna Commercial	$45.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.79
Rate for Payer: Oxford Commercial	$45.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.60
Rate for Payer: UnitedHealthcare Commercial	$45.33

ROTABLE SNARES

Facility

$90.66

Hospital Charge Code	270663898
Hospital Revenue Code	272
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$13.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.60

ROTARIX 2ML(ROTAVIRUS)2 D ORAL

Facility

$672.14

Service Code	HCPCS 90681
Hospital Charge Code	83652615
Hospital Revenue Code	636
Min. Negotiated Rate	$100.82
Max. Negotiated Rate	$336.07
Rate for Payer: Aetna Commercial	$201.64
Rate for Payer: Aetna Medicare Advantage	$201.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.40
Rate for Payer: Cigna Commercial	$336.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.66
Rate for Payer: Qualcare PPO/HMO/WC	$100.82

ROTARIX 2ML(ROTAVIRUS)2 D ORAL

Facility

$672.14

Service Code	HCPCS 90681
Hospital Charge Code	83652615
Hospital Revenue Code	636
Min. Negotiated Rate	$100.82
Max. Negotiated Rate	$162.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.66
Rate for Payer: Qualcare PPO/HMO/WC	$100.82

ROTATABLE RETRIEVAL DEVICE

Facility

$360.05

Hospital Charge Code	270663899
Hospital Revenue Code	272
Min. Negotiated Rate	$46.81
Max. Negotiated Rate	$180.03
Rate for Payer: Aetna Commercial	$108.02
Rate for Payer: Aetna Medicare Advantage	$108.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.81
Rate for Payer: Cigna Commercial	$180.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.81
Rate for Payer: Oxford Commercial	$180.03
Rate for Payer: Qualcare PPO/HMO/WC	$54.01
Rate for Payer: UnitedHealthcare Commercial	$180.03

ROTATABLE RETRIEVAL DEVICE

Facility

$360.05

Hospital Charge Code	270663899
Hospital Revenue Code	272
Min. Negotiated Rate	$54.01
Max. Negotiated Rate	$54.01
Rate for Payer: Qualcare PPO/HMO/WC	$54.01

ROTA TEQ 2ML(ROTAVIRUS)

Facility

$227.73

Service Code	HCPCS 90680
Hospital Charge Code	83652589
Hospital Revenue Code	636
Min. Negotiated Rate	$34.16
Max. Negotiated Rate	$113.86
Rate for Payer: Aetna Commercial	$68.32
Rate for Payer: Aetna Medicare Advantage	$68.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.07
Rate for Payer: Cigna Commercial	$113.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.11
Rate for Payer: Qualcare PPO/HMO/WC	$34.16

ROTA TEQ 2ML(ROTAVIRUS)

Facility

$227.73

Service Code	HCPCS 90680
Hospital Charge Code	83652589
Hospital Revenue Code	636
Min. Negotiated Rate	$34.16
Max. Negotiated Rate	$55.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.11
Rate for Payer: Qualcare PPO/HMO/WC	$34.16

ROTATIONAL PLATE 2.0

Facility

$4,095.00

Service Code	HCPCS C1713
Hospital Charge Code	270702062
Hospital Revenue Code	278
Min. Negotiated Rate	$614.25
Max. Negotiated Rate	$2,047.50
Rate for Payer: Aetna Commercial	$1,228.50
Rate for Payer: Aetna Medicare Advantage	$1,228.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,044.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,044.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,044.22
Rate for Payer: Cigna Commercial	$2,047.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$990.99
Rate for Payer: Qualcare PPO/HMO/WC	$614.25

ROTATIONAL PLATE 2.0

Facility

$4,095.00

Service Code	HCPCS C1713
Hospital Charge Code	270702062
Hospital Revenue Code	278
Min. Negotiated Rate	$614.25
Max. Negotiated Rate	$990.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$990.99
Rate for Payer: Qualcare PPO/HMO/WC	$614.25

ROTATOR CUFF GRASPER

Facility

$4,975.00

Hospital Charge Code	270656555
Hospital Revenue Code	272
Min. Negotiated Rate	$646.75
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,492.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$646.75
Rate for Payer: Oxford Commercial	$2,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$2,487.50

ROTATOR CUFF GRASPER

Facility

$4,975.00

Hospital Charge Code	270656555
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

ROTATOR CUFF,REP ARTHROSCOPY

Facility

$50,586.00

Service Code	HCPCS 29827
Hospital Charge Code	16000197
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$15,175.80
Rate for Payer: Aetna Medicare Advantage	$15,175.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,899.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,899.43
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	$12,899.43
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,576.18
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,587.90
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

ROTATOR CUFF,REP ARTHROSCOPY

Facility

$50,586.00

Service Code	HCPCS 29827
Hospital Charge Code	16000197
Hospital Revenue Code	360
Min. Negotiated Rate	$7,587.90
Max. Negotiated Rate	$7,587.90
Rate for Payer: Qualcare PPO/HMO/WC	$7,587.90

ROTAVIRUS AG

Facility

$103.25

Service Code	HCPCS 87425
Hospital Charge Code	3006709
Hospital Revenue Code	306
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$15.49
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

ROTAVIRUS AG

Facility

$390.00

Service Code	HCPCS 87425
Hospital Charge Code	39900289
Hospital Revenue Code	306
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.82
Rate for Payer: Aetna Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.89
Rate for Payer: Cigna Commercial	$11.98
Rate for Payer: Cigna Medicare Advantage	$5.99
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.70
Rate for Payer: Wellcare Medicare Advantage	$11.98

ROTAVIRUS AG

Facility

$103.25

Service Code	HCPCS 87425
Hospital Charge Code	3006709
Hospital Revenue Code	306
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.82
Rate for Payer: Aetna Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.89
Rate for Payer: Cigna Commercial	$11.98
Rate for Payer: Cigna Medicare Advantage	$5.99
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.42
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.70
Rate for Payer: Wellcare Medicare Advantage	$11.98

ROTAVIRUS AG

Facility

$390.00

Service Code	HCPCS 87425
Hospital Charge Code	39900289
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ROTAVIRUS ANTIGEN

Facility

$329.00

Service Code	HCPCS 86759
Hospital Charge Code	38476036
Hospital Revenue Code	302
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

ROTAVIRUS ANTIGEN

Facility

$329.00

Service Code	HCPCS 86759
Hospital Charge Code	38476036
Hospital Revenue Code	302
Min. Negotiated Rate	$9.12
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.07
Rate for Payer: Aetna Medicare Advantage	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.79
Rate for Payer: Cigna Commercial	$18.23
Rate for Payer: Cigna Medicare Advantage	$9.12
Rate for Payer: Clover Medicare Advantage	$17.32
Rate for Payer: EmblemHealth Commercial	$54.69
Rate for Payer: Humana Medicare Advantage	$18.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.23
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.32
Rate for Payer: Wellcare Medicare Advantage	$18.23

Know your out-of-pocket cost for care.

All Charges