Heights University Hospital

All Charges

Charge

Type

Setting

Price

SET GBA WIRE GRFT TRFX AR1978

Facility

$414.45

Hospital Charge Code	270614982
Hospital Revenue Code	272
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

SET GRT TOE SIZR SWNSN 4933000

Facility

$2,356.00

Hospital Charge Code	270611662
Hospital Revenue Code	272
Min. Negotiated Rate	$306.28
Max. Negotiated Rate	$1,178.00
Rate for Payer: Aetna Commercial	$706.80
Rate for Payer: Aetna Medicare Advantage	$706.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$600.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$600.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$600.78
Rate for Payer: Cigna Commercial	$1,178.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.28
Rate for Payer: Oxford Commercial	$1,178.00
Rate for Payer: Qualcare PPO/HMO/WC	$353.40
Rate for Payer: UnitedHealthcare Commercial	$1,178.00

SET GRT TOE SIZR SWNSN 4933000

Facility

$2,356.00

Hospital Charge Code	270611662
Hospital Revenue Code	272
Min. Negotiated Rate	$353.40
Max. Negotiated Rate	$353.40
Rate for Payer: Qualcare PPO/HMO/WC	$353.40

SET HYPERINFLATION 3L BAG

Facility

$41.25

Hospital Charge Code	270684594
Hospital Revenue Code	272
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$6.19

SET HYPERINFLATION 3L BAG

Facility

$41.25

Hospital Charge Code	270684594
Hospital Revenue Code	272
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$20.62
Rate for Payer: Aetna Commercial	$12.38
Rate for Payer: Aetna Medicare Advantage	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.52
Rate for Payer: Cigna Commercial	$20.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.36
Rate for Payer: Oxford Commercial	$20.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.19
Rate for Payer: UnitedHealthcare Commercial	$20.62

SET HY THERMABLATR PROC 55015A

Facility

$3,224.00

Hospital Charge Code	270634096
Hospital Revenue Code	272
Min. Negotiated Rate	$419.12
Max. Negotiated Rate	$1,612.00
Rate for Payer: Aetna Commercial	$967.20
Rate for Payer: Aetna Medicare Advantage	$967.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.12
Rate for Payer: Cigna Commercial	$1,612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.12
Rate for Payer: Oxford Commercial	$1,612.00
Rate for Payer: Qualcare PPO/HMO/WC	$483.60
Rate for Payer: UnitedHealthcare Commercial	$1,612.00

SET HY THERMABLATR PROC 55015A

Facility

$3,224.00

Hospital Charge Code	270634096
Hospital Revenue Code	272
Min. Negotiated Rate	$483.60
Max. Negotiated Rate	$483.60
Rate for Payer: Qualcare PPO/HMO/WC	$483.60

SET,INFANT SUCTION

Facility

$16.00

Hospital Charge Code	270331481
Hospital Revenue Code	272
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

SET,INFANT SUCTION

Facility

$16.00

Hospital Charge Code	270331481
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$4.80
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.08
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$8.00

SET INFILTRATION KLEIN S SPIKE

Facility

$75.00

Hospital Charge Code	270703802
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

SET INFILTRATION KLEIN S SPIKE

Facility

$75.00

Hospital Charge Code	270703802
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

SET INFUS LIPID Y-SITE LPS3009

Facility

$44.00

Hospital Charge Code	270619304
Hospital Revenue Code	272
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

SET INFUS LIPID Y-SITE LPS3009

Facility

$44.00

Hospital Charge Code	270619304
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

SET INTERMEDIARY TUBING 281142

Facility

$145.84

Hospital Charge Code	270643525
Hospital Revenue Code	272
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$21.88

SET INTERMEDIARY TUBING 281142

Facility

$145.84

Hospital Charge Code	270643525
Hospital Revenue Code	272
Min. Negotiated Rate	$18.96
Max. Negotiated Rate	$72.92
Rate for Payer: Aetna Commercial	$43.75
Rate for Payer: Aetna Medicare Advantage	$43.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.19
Rate for Payer: Cigna Commercial	$72.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.96
Rate for Payer: Oxford Commercial	$72.92
Rate for Payer: Qualcare PPO/HMO/WC	$21.88
Rate for Payer: UnitedHealthcare Commercial	$72.92

SET INTRODUCER CATH VSTICK 5F

Facility

$116.68

Hospital Charge Code	270676899S
Hospital Revenue Code	272
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.50

SET INTRODUCER CATH VSTICK 5F

Facility

$116.68

Hospital Charge Code	270676899S
Hospital Revenue Code	272
Min. Negotiated Rate	$15.17
Max. Negotiated Rate	$58.34
Rate for Payer: Aetna Commercial	$35.00
Rate for Payer: Aetna Medicare Advantage	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.75
Rate for Payer: Cigna Commercial	$58.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.17
Rate for Payer: Oxford Commercial	$58.34
Rate for Payer: Qualcare PPO/HMO/WC	$17.50
Rate for Payer: UnitedHealthcare Commercial	$58.34

SET IRRIGATION COLOSTOMY

Facility

$621.65

Hospital Charge Code	270303210
Hospital Revenue Code	272
Min. Negotiated Rate	$80.81
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$186.50
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.81
Rate for Payer: Oxford Commercial	$310.82
Rate for Payer: Qualcare PPO/HMO/WC	$93.25
Rate for Payer: UnitedHealthcare Commercial	$310.82

SET IRRIGATION COLOSTOMY

Facility

$621.65

Hospital Charge Code	270303210
Hospital Revenue Code	272
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$93.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SET IRRIGATION FLUID

Facility

$564.85

Hospital Charge Code	270605497
Hospital Revenue Code	270
Min. Negotiated Rate	$73.43
Max. Negotiated Rate	$282.43
Rate for Payer: Aetna Commercial	$169.46
Rate for Payer: Aetna Medicare Advantage	$169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.04
Rate for Payer: Cigna Commercial	$282.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.43
Rate for Payer: Oxford Commercial	$282.43
Rate for Payer: Qualcare PPO/HMO/WC	$84.73
Rate for Payer: UnitedHealthcare Commercial	$282.43

SET IRRIGATION FLUID

Facility

$564.85

Hospital Charge Code	270605497
Hospital Revenue Code	270
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$84.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

SET IRRIG TUB STRYK 260-901-52

Facility

$287.25

Hospital Charge Code	270615504
Hospital Revenue Code	272
Min. Negotiated Rate	$43.09
Max. Negotiated Rate	$43.09
Rate for Payer: Qualcare PPO/HMO/WC	$43.09

SET IRRIG TUB STRYK 260-901-52

Facility

$287.25

Hospital Charge Code	270615504
Hospital Revenue Code	272
Min. Negotiated Rate	$37.34
Max. Negotiated Rate	$143.62
Rate for Payer: Aetna Commercial	$86.17
Rate for Payer: Aetna Medicare Advantage	$86.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.25
Rate for Payer: Cigna Commercial	$143.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.34
Rate for Payer: Oxford Commercial	$143.62
Rate for Payer: Qualcare PPO/HMO/WC	$43.09
Rate for Payer: UnitedHealthcare Commercial	$143.62

SET IV FLUID WARMING DISP D100

Facility

$321.25

Hospital Charge Code	270617276
Hospital Revenue Code	272
Min. Negotiated Rate	$41.76
Max. Negotiated Rate	$160.62
Rate for Payer: Aetna Commercial	$96.38
Rate for Payer: Aetna Medicare Advantage	$96.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.92
Rate for Payer: Cigna Commercial	$160.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.76
Rate for Payer: Oxford Commercial	$160.62
Rate for Payer: Qualcare PPO/HMO/WC	$48.19
Rate for Payer: UnitedHealthcare Commercial	$160.62

SET IV FLUID WARMING DISP D100

Facility

$321.25

Hospital Charge Code	270617276
Hospital Revenue Code	272
Min. Negotiated Rate	$48.19
Max. Negotiated Rate	$48.19
Rate for Payer: Qualcare PPO/HMO/WC	$48.19

Know your out-of-pocket cost for care.

All Charges