Heights University Hospital

All Charges

Charge

Type

Setting

Price

SET ADMIN****

Facility

$23.00

Hospital Charge Code	7000383
Hospital Revenue Code	279
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

SET ADMIN****

Facility

$23.00

Hospital Charge Code	7000383
Hospital Revenue Code	279
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

SET ADM PUMP MED****

Facility

$38.00

Hospital Charge Code	7000441
Hospital Revenue Code	279
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

SET ADM PUMP MED****

Facility

$38.00

Hospital Charge Code	7000441
Hospital Revenue Code	279
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

SET ANGIO FOR CAT SCAN

Facility

$9.65

Hospital Charge Code	270600457
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

SET ANGIO FOR CAT SCAN

Facility

$9.65

Hospital Charge Code	270600457
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

SET ASEPTIC TRANSFER 3508400

Facility

$324.85

Hospital Charge Code	270624223
Hospital Revenue Code	272
Min. Negotiated Rate	$48.73
Max. Negotiated Rate	$48.73
Rate for Payer: Qualcare PPO/HMO/WC	$48.73

SET ASEPTIC TRANSFER 3508400

Facility

$324.85

Hospital Charge Code	270624223
Hospital Revenue Code	272
Min. Negotiated Rate	$42.23
Max. Negotiated Rate	$162.43
Rate for Payer: Aetna Commercial	$97.45
Rate for Payer: Aetna Medicare Advantage	$97.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.84
Rate for Payer: Cigna Commercial	$162.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.23
Rate for Payer: Oxford Commercial	$162.43
Rate for Payer: Qualcare PPO/HMO/WC	$48.73
Rate for Payer: UnitedHealthcare Commercial	$162.43

SET ATX HARVEST10/11 AR198010S

Facility

$3,069.65

Hospital Charge Code	270624403
Hospital Revenue Code	272
Min. Negotiated Rate	$460.45
Max. Negotiated Rate	$460.45
Rate for Payer: Qualcare PPO/HMO/WC	$460.45

SET ATX HARVEST10/11 AR198010S

Facility

$3,069.65

Hospital Charge Code	270624403
Hospital Revenue Code	272
Min. Negotiated Rate	$399.05
Max. Negotiated Rate	$1,534.83
Rate for Payer: Aetna Commercial	$920.89
Rate for Payer: Aetna Medicare Advantage	$920.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$782.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$782.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$782.76
Rate for Payer: Cigna Commercial	$1,534.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.05
Rate for Payer: Oxford Commercial	$1,534.83
Rate for Payer: Qualcare PPO/HMO/WC	$460.45
Rate for Payer: UnitedHealthcare Commercial	$1,534.83

SET ATX HARVEST 5/6 AR1980-05S

Facility

$3,250.45

Hospital Charge Code	270622880
Hospital Revenue Code	272
Min. Negotiated Rate	$487.57
Max. Negotiated Rate	$487.57
Rate for Payer: Qualcare PPO/HMO/WC	$487.57

SET ATX HARVEST 5/6 AR1980-05S

Facility

$3,250.45

Hospital Charge Code	270622880
Hospital Revenue Code	272
Min. Negotiated Rate	$422.56
Max. Negotiated Rate	$1,625.22
Rate for Payer: Aetna Commercial	$975.13
Rate for Payer: Aetna Medicare Advantage	$975.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.86
Rate for Payer: Cigna Commercial	$1,625.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.56
Rate for Payer: Oxford Commercial	$1,625.22
Rate for Payer: Qualcare PPO/HMO/WC	$487.57
Rate for Payer: UnitedHealthcare Commercial	$1,625.22

SET ATX HARVEST 6/7 AR1980-06S

Facility

$3,069.65

Hospital Charge Code	270624404
Hospital Revenue Code	272
Min. Negotiated Rate	$460.45
Max. Negotiated Rate	$460.45
Rate for Payer: Qualcare PPO/HMO/WC	$460.45

SET ATX HARVEST 6/7 AR1980-06S

Facility

$3,069.65

Hospital Charge Code	270624404
Hospital Revenue Code	272
Min. Negotiated Rate	$399.05
Max. Negotiated Rate	$1,534.83
Rate for Payer: Aetna Commercial	$920.89
Rate for Payer: Aetna Medicare Advantage	$920.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$782.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$782.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$782.76
Rate for Payer: Cigna Commercial	$1,534.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.05
Rate for Payer: Oxford Commercial	$1,534.83
Rate for Payer: Qualcare PPO/HMO/WC	$460.45
Rate for Payer: UnitedHealthcare Commercial	$1,534.83

SET ATX HARVEST 7/8 AR1980-07S

Facility

$3,250.45

Hospital Charge Code	270622881
Hospital Revenue Code	272
Min. Negotiated Rate	$487.57
Max. Negotiated Rate	$487.57
Rate for Payer: Qualcare PPO/HMO/WC	$487.57

SET ATX HARVEST 7/8 AR1980-07S

Facility

$3,250.45

Hospital Charge Code	270622881
Hospital Revenue Code	272
Min. Negotiated Rate	$422.56
Max. Negotiated Rate	$1,625.22
Rate for Payer: Aetna Commercial	$975.13
Rate for Payer: Aetna Medicare Advantage	$975.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.86
Rate for Payer: Cigna Commercial	$1,625.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.56
Rate for Payer: Oxford Commercial	$1,625.22
Rate for Payer: Qualcare PPO/HMO/WC	$487.57
Rate for Payer: UnitedHealthcare Commercial	$1,625.22

SET ATX HARVEST 8/9 AR1980-08S

Facility

$3,250.45

Hospital Charge Code	270622882
Hospital Revenue Code	272
Min. Negotiated Rate	$487.57
Max. Negotiated Rate	$487.57
Rate for Payer: Qualcare PPO/HMO/WC	$487.57

SET ATX HARVEST 8/9 AR1980-08S

Facility

$3,250.45

Hospital Charge Code	270622882
Hospital Revenue Code	272
Min. Negotiated Rate	$422.56
Max. Negotiated Rate	$1,625.22
Rate for Payer: Aetna Commercial	$975.13
Rate for Payer: Aetna Medicare Advantage	$975.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.86
Rate for Payer: Cigna Commercial	$1,625.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.56
Rate for Payer: Oxford Commercial	$1,625.22
Rate for Payer: Qualcare PPO/HMO/WC	$487.57
Rate for Payer: UnitedHealthcare Commercial	$1,625.22

SET AUTOSYRINGE HI-FLO 2N3349

Facility

$16.85

Hospital Charge Code	270600581
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

SET AUTOSYRINGE HI-FLO 2N3349

Facility

$16.85

Hospital Charge Code	270600581
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

SET AUTOSYRINGE HIGH FL OM8521

Facility

$16.85

Hospital Charge Code	270600877
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

SET AUTOSYRINGE HIGH FL OM8521

Facility

$16.85

Hospital Charge Code	270600877
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

SET CATH***

Facility

$30.00

Hospital Charge Code	8002784
Hospital Revenue Code	279
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

SET CATH***

Facility

$30.00

Hospital Charge Code	8002784
Hospital Revenue Code	279
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

SET CATH ARROW CS-01700 ******

Facility

$248.00

Hospital Charge Code	1608199
Hospital Revenue Code	272
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.40
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$124.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$124.00

Know your out-of-pocket cost for care.

All Charges