Heights University Hospital

All Charges

Charge

Type

Setting

Price

Ruby Coil 40mmx60cm

Facility

$6,450.00

Hospital Charge Code	270687054
Hospital Revenue Code	278
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$1,560.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.90
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

RUBY COIL SOFT 4MMX15CM

Facility

$4,950.00

Service Code	HCPCS C1884
Hospital Charge Code	270677078
Hospital Revenue Code	278
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$2,475.00
Rate for Payer: Aetna Commercial	$1,485.00
Rate for Payer: Aetna Medicare Advantage	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,262.25
Rate for Payer: Cigna Commercial	$2,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.90
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

RUBY COIL SOFT 4MMX15CM

Facility

$4,950.00

Service Code	HCPCS C1884
Hospital Charge Code	270677078
Hospital Revenue Code	278
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$1,197.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.90
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

RUFINAMIDE (BANZEL)

Facility

$181.65

Service Code	HCPCS 82542
Hospital Charge Code	3035990
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

RUFINAMIDE (BANZEL)

Facility

$181.65

Service Code	HCPCS 82542
Hospital Charge Code	3035990
Hospital Revenue Code	301
Min. Negotiated Rate	$27.25
Max. Negotiated Rate	$27.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.25

RUN DATA & VOICE DRP

Facility

$1,819.00

Hospital Charge Code	270659147
Hospital Revenue Code	278
Min. Negotiated Rate	$272.85
Max. Negotiated Rate	$440.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$363.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.20
Rate for Payer: Qualcare PPO/HMO/WC	$272.85

RUN DATA & VOICE DRP

Facility

$1,819.00

Hospital Charge Code	270659147
Hospital Revenue Code	278
Min. Negotiated Rate	$272.85
Max. Negotiated Rate	$909.50
Rate for Payer: Aetna Commercial	$545.70
Rate for Payer: Aetna Medicare Advantage	$545.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$463.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$463.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$363.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$463.85
Rate for Payer: Cigna Commercial	$909.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.20
Rate for Payer: Qualcare PPO/HMO/WC	$272.85

RUSH MEDULLARY PINS

Facility

$147.00

Hospital Charge Code	270335009
Hospital Revenue Code	278
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$35.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

RUSH MEDULLARY PINS

Facility

$147.00

Hospital Charge Code	270335009
Hospital Revenue Code	278
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$73.50
Rate for Payer: Aetna Commercial	$44.10
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

RUSSELL GASTROSTOMY KIT CK****

Facility

$823.00

Hospital Charge Code	2300580
Hospital Revenue Code	279
Min. Negotiated Rate	$123.45
Max. Negotiated Rate	$123.45
Rate for Payer: Qualcare PPO/HMO/WC	$123.45

RUSSELL GASTROSTOMY KIT CK****

Facility

$823.00

Hospital Charge Code	2300580
Hospital Revenue Code	279
Min. Negotiated Rate	$106.99
Max. Negotiated Rate	$411.50
Rate for Payer: Aetna Commercial	$246.90
Rate for Payer: Aetna Medicare Advantage	$246.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.87
Rate for Payer: Cigna Commercial	$411.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.99
Rate for Payer: Oxford Commercial	$411.50
Rate for Payer: Qualcare PPO/HMO/WC	$123.45
Rate for Payer: UnitedHealthcare Commercial	$411.50

RUSSELL VIPER VENOM

Facility

$226.45

Service Code	HCPCS 85613
Hospital Charge Code	3007607
Hospital Revenue Code	305
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.04
Rate for Payer: Aetna Medicare Advantage	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.10
Rate for Payer: Cigna Commercial	$9.58
Rate for Payer: Cigna Medicare Advantage	$4.79
Rate for Payer: Clover Medicare Advantage	$9.10
Rate for Payer: EmblemHealth Commercial	$28.74
Rate for Payer: Humana Medicare Advantage	$9.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.97
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.58
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.15
Rate for Payer: Wellcare Medicare Advantage	$9.58

RUSSELL VIPER VENOM

Facility

$226.45

Service Code	HCPCS 85613
Hospital Charge Code	3007607
Hospital Revenue Code	305
Min. Negotiated Rate	$33.97
Max. Negotiated Rate	$33.97
Rate for Payer: Qualcare PPO/HMO/WC	$33.97

RV-RIGHT VENTRICLE

Facility

$2,000.00

Hospital Charge Code	270702378
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

RV-RIGHT VENTRICLE

Facility

$2,000.00

Hospital Charge Code	270702378
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

RVSC EVSC FPVT ST ATHRC SF 1

Facility

$80,096.45

Service Code	HCPCS 37275
Hospital Charge Code	403437275
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$24,028.94
Rate for Payer: Aetna Medicare Advantage	$24,028.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,424.59
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,412.54
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

RVSC EVSC FPVT ST ATHRC SF 1

Facility

$80,096.45

Service Code	HCPCS 37275
Hospital Charge Code	403437275
Hospital Revenue Code	481
Min. Negotiated Rate	$12,014.47
Max. Negotiated Rate	$12,014.47
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

RVSC EVSC FPVT ST ATHRC SF 1

Facility

$80,096.45

Service Code	HCPCS 37275
Hospital Charge Code	404637275
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$24,028.94
Rate for Payer: Aetna Medicare Advantage	$24,028.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,424.59
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,412.54
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

RVSC EVSC FPVT ST ATHRC SF 1

Facility

$80,096.45

Service Code	HCPCS 37275
Hospital Charge Code	404637275
Hospital Revenue Code	481
Min. Negotiated Rate	$12,014.47
Max. Negotiated Rate	$12,014.47
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

RVSC EVSC TPVT ANGIO CPLX 1

Facility

$52,548.60

Service Code	HCPCS 37282
Hospital Charge Code	403437282
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,399.89
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

RVSC EVSC TPVT ANGIO CPLX 1

Facility

$52,548.60

Service Code	HCPCS 37282
Hospital Charge Code	404637282
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,399.89
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

RVSC EVSC TPVT ANGIO CPLX 1

Facility

$52,548.60

Service Code	HCPCS 37282
Hospital Charge Code	404637282
Hospital Revenue Code	481
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

RVSC EVSC TPVT ANGIO CPLX 1

Facility

$52,548.60

Service Code	HCPCS 37282
Hospital Charge Code	403437282
Hospital Revenue Code	481
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

RVSC EVSC TPVT ST ATHR CP X1

Facility

$87,891.48

Service Code	HCPCS 37294
Hospital Charge Code	404637294
Hospital Revenue Code	481
Min. Negotiated Rate	$13,183.72
Max. Negotiated Rate	$13,183.72
Rate for Payer: Qualcare PPO/HMO/WC	$13,183.72

RVSC EVSC TPVT ST ATHR CP X1

Facility

$87,891.48

Service Code	HCPCS 37294
Hospital Charge Code	404637294
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$26,367.44
Rate for Payer: Aetna Medicare Advantage	$26,367.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,412.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,412.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,412.33
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,425.89
Rate for Payer: Qualcare PPO/HMO/WC	$13,183.72

Know your out-of-pocket cost for care.

All Charges