Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHELL AT 3 58mm HD RD CP158125

Facility

$10,090.00

Hospital Charge Code	270639959
Hospital Revenue Code	278
Min. Negotiated Rate	$1,513.50
Max. Negotiated Rate	$5,045.00
Rate for Payer: Aetna Commercial	$3,027.00
Rate for Payer: Aetna Medicare Advantage	$3,027.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,572.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,572.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,018.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,572.95
Rate for Payer: Cigna Commercial	$5,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,441.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,513.50

SHELL BIPOLAR 42mm 500142

Facility

$2,208.50

Hospital Charge Code	270633144
Hospital Revenue Code	278
Min. Negotiated Rate	$331.27
Max. Negotiated Rate	$1,104.25
Rate for Payer: Aetna Commercial	$662.55
Rate for Payer: Aetna Medicare Advantage	$662.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.17
Rate for Payer: Cigna Commercial	$1,104.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.46
Rate for Payer: Qualcare PPO/HMO/WC	$331.27

SHELL BIPOLAR 42mm 500142

Facility

$2,208.50

Hospital Charge Code	270633144
Hospital Revenue Code	278
Min. Negotiated Rate	$331.27
Max. Negotiated Rate	$534.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.46
Rate for Payer: Qualcare PPO/HMO/WC	$331.27

SHELL BIPOLAR 43mm 500143

Facility

$2,208.50

Hospital Charge Code	270633145
Hospital Revenue Code	278
Min. Negotiated Rate	$331.27
Max. Negotiated Rate	$1,104.25
Rate for Payer: Aetna Commercial	$662.55
Rate for Payer: Aetna Medicare Advantage	$662.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.17
Rate for Payer: Cigna Commercial	$1,104.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.46
Rate for Payer: Qualcare PPO/HMO/WC	$331.27

SHELL BIPOLAR 43mm 500143

Facility

$2,208.50

Hospital Charge Code	270633145
Hospital Revenue Code	278
Min. Negotiated Rate	$331.27
Max. Negotiated Rate	$534.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.46
Rate for Payer: Qualcare PPO/HMO/WC	$331.27

SHELL BIPOLAR METAL 41 500141

Facility

$2,482.00

Hospital Charge Code	270633290
Hospital Revenue Code	278
Min. Negotiated Rate	$372.30
Max. Negotiated Rate	$1,241.00
Rate for Payer: Aetna Commercial	$744.60
Rate for Payer: Aetna Medicare Advantage	$744.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.91
Rate for Payer: Cigna Commercial	$1,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.64
Rate for Payer: Qualcare PPO/HMO/WC	$372.30

SHELL BIPOLAR METAL 41 500141

Facility

$2,482.00

Hospital Charge Code	270633290
Hospital Revenue Code	278
Min. Negotiated Rate	$372.30
Max. Negotiated Rate	$600.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.64
Rate for Payer: Qualcare PPO/HMO/WC	$372.30

SHELL BIPOLR METL 48OD 5001-48

Facility

$2,706.20

Hospital Charge Code	270625798
Hospital Revenue Code	278
Min. Negotiated Rate	$405.93
Max. Negotiated Rate	$654.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$541.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.90
Rate for Payer: Qualcare PPO/HMO/WC	$405.93

SHELL BIPOLR METL 48OD 5001-48

Facility

$2,706.20

Hospital Charge Code	270625798
Hospital Revenue Code	278
Min. Negotiated Rate	$405.93
Max. Negotiated Rate	$1,353.10
Rate for Payer: Aetna Commercial	$811.86
Rate for Payer: Aetna Medicare Advantage	$811.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$690.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$690.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$541.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$690.08
Rate for Payer: Cigna Commercial	$1,353.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.90
Rate for Payer: Qualcare PPO/HMO/WC	$405.93

SHELL BMT ACET 22 48MM 106048

Facility

$3,681.65

Hospital Charge Code	270615808
Hospital Revenue Code	278
Min. Negotiated Rate	$552.25
Max. Negotiated Rate	$1,840.83
Rate for Payer: Aetna Commercial	$1,104.49
Rate for Payer: Aetna Medicare Advantage	$1,104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$938.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$938.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$736.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$938.82
Rate for Payer: Cigna Commercial	$1,840.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$890.96
Rate for Payer: Qualcare PPO/HMO/WC	$552.25

SHELL BMT ACET 22 48MM 106048

Facility

$3,681.65

Hospital Charge Code	270615808
Hospital Revenue Code	278
Min. Negotiated Rate	$552.25
Max. Negotiated Rate	$890.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$736.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$890.96
Rate for Payer: Qualcare PPO/HMO/WC	$552.25

SHELL BMT ACET 24 56MM 106056

Facility

$5,902.45

Hospital Charge Code	270618981
Hospital Revenue Code	278
Min. Negotiated Rate	$885.37
Max. Negotiated Rate	$2,951.22
Rate for Payer: Aetna Commercial	$1,770.73
Rate for Payer: Aetna Medicare Advantage	$1,770.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,505.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,505.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,180.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,505.12
Rate for Payer: Cigna Commercial	$2,951.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,428.39
Rate for Payer: Qualcare PPO/HMO/WC	$885.37

SHELL BMT ACET 24 56MM 106056

Facility

$5,902.45

Hospital Charge Code	270618981
Hospital Revenue Code	278
Min. Negotiated Rate	$885.37
Max. Negotiated Rate	$1,428.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,180.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,428.39
Rate for Payer: Qualcare PPO/HMO/WC	$885.37

SHELL BMT ACET 25 58MM 106058

Facility

$3,681.65

Hospital Charge Code	270613147
Hospital Revenue Code	278
Min. Negotiated Rate	$552.25
Max. Negotiated Rate	$890.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$736.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$890.96
Rate for Payer: Qualcare PPO/HMO/WC	$552.25

SHELL BMT ACET 25 58MM 106058

Facility

$3,681.65

Hospital Charge Code	270613147
Hospital Revenue Code	278
Min. Negotiated Rate	$552.25
Max. Negotiated Rate	$1,840.83
Rate for Payer: Aetna Commercial	$1,104.49
Rate for Payer: Aetna Medicare Advantage	$1,104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$938.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$938.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$736.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$938.82
Rate for Payer: Cigna Commercial	$1,840.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$890.96
Rate for Payer: Qualcare PPO/HMO/WC	$552.25

SHELL BMT ACET 25 60MM 107060

Facility

$5,139.25

Hospital Charge Code	270625256
Hospital Revenue Code	278
Min. Negotiated Rate	$770.89
Max. Negotiated Rate	$2,569.62
Rate for Payer: Aetna Commercial	$1,541.78
Rate for Payer: Aetna Medicare Advantage	$1,541.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,310.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,310.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,027.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,310.51
Rate for Payer: Cigna Commercial	$2,569.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,243.70
Rate for Payer: Qualcare PPO/HMO/WC	$770.89

SHELL BMT ACET 25 60MM 107060

Facility

$5,139.25

Hospital Charge Code	270625256
Hospital Revenue Code	278
Min. Negotiated Rate	$770.89
Max. Negotiated Rate	$1,243.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,027.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,243.70
Rate for Payer: Qualcare PPO/HMO/WC	$770.89

SHELL BMT ACET 38 58MM 118858

Facility

$13,178.75

Hospital Charge Code	270628144
Hospital Revenue Code	278
Min. Negotiated Rate	$1,976.81
Max. Negotiated Rate	$3,189.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,635.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,189.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,976.81

SHELL BMT ACET 38 58MM 118858

Facility

$13,178.75

Hospital Charge Code	270628144
Hospital Revenue Code	278
Min. Negotiated Rate	$1,976.81
Max. Negotiated Rate	$6,589.38
Rate for Payer: Aetna Commercial	$3,953.62
Rate for Payer: Aetna Medicare Advantage	$3,953.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,360.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,360.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,635.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,360.58
Rate for Payer: Cigna Commercial	$6,589.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,189.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,976.81

SHELL BMT ACET 38 60MM 118860

Facility

$14,071.25

Hospital Charge Code	270628618
Hospital Revenue Code	278
Min. Negotiated Rate	$2,110.69
Max. Negotiated Rate	$7,035.62
Rate for Payer: Aetna Commercial	$4,221.38
Rate for Payer: Aetna Medicare Advantage	$4,221.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,588.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,588.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,814.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,588.17
Rate for Payer: Cigna Commercial	$7,035.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,405.24
Rate for Payer: Qualcare PPO/HMO/WC	$2,110.69

SHELL BMT ACET 38 60MM 118860

Facility

$14,071.25

Hospital Charge Code	270628618
Hospital Revenue Code	278
Min. Negotiated Rate	$2,110.69
Max. Negotiated Rate	$3,405.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,814.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,405.24
Rate for Payer: Qualcare PPO/HMO/WC	$2,110.69

SHELL BMT ACET 52MM 106052

Facility

$7,765.00

Hospital Charge Code	270606920
Hospital Revenue Code	278
Min. Negotiated Rate	$1,164.75
Max. Negotiated Rate	$1,879.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,553.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,879.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,164.75

SHELL BMT ACET 52MM 106052

Facility

$7,765.00

Hospital Charge Code	270606920
Hospital Revenue Code	278
Min. Negotiated Rate	$1,164.75
Max. Negotiated Rate	$3,882.50
Rate for Payer: Aetna Commercial	$2,329.50
Rate for Payer: Aetna Medicare Advantage	$2,329.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,980.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,980.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,553.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,980.08
Rate for Payer: Cigna Commercial	$3,882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,879.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,164.75

SHELL BMT ACET 52MM 107052

Facility

$3,759.25

Hospital Charge Code	270617008
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SHELL BMT ACET 52MM 107052

Facility

$3,759.25

Hospital Charge Code	270617008
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

Know your out-of-pocket cost for care.

All Charges