Heights University Hospital

All Charges

Charge

Type

Setting

Price

STEM BMT FEM 15MM 162615

Facility

$19,349.00

Hospital Charge Code	270616308
Hospital Revenue Code	278
Min. Negotiated Rate	$2,902.35
Max. Negotiated Rate	$4,682.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,869.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,682.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,902.35

STEM BMT FEM 16 160 162676

Facility

$17,519.25

Hospital Charge Code	270628864
Hospital Revenue Code	278
Min. Negotiated Rate	$2,627.89
Max. Negotiated Rate	$8,759.62
Rate for Payer: Aetna Commercial	$5,255.77
Rate for Payer: Aetna Medicare Advantage	$5,255.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,467.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,467.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,503.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,467.41
Rate for Payer: Cigna Commercial	$8,759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,239.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,627.89

STEM BMT FEM 16 160 162676

Facility

$17,519.25

Hospital Charge Code	270628864
Hospital Revenue Code	278
Min. Negotiated Rate	$2,627.89
Max. Negotiated Rate	$4,239.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,503.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,239.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,627.89

STEM BMT FEM 16MM 162904

Facility

$6,472.85

Hospital Charge Code	270615750
Hospital Revenue Code	278
Min. Negotiated Rate	$970.93
Max. Negotiated Rate	$1,566.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,294.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.43
Rate for Payer: Qualcare PPO/HMO/WC	$970.93

STEM BMT FEM 16MM 162904

Facility

$6,472.85

Hospital Charge Code	270615750
Hospital Revenue Code	278
Min. Negotiated Rate	$970.93
Max. Negotiated Rate	$3,236.43
Rate for Payer: Aetna Commercial	$1,941.86
Rate for Payer: Aetna Medicare Advantage	$1,941.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,650.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,650.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,294.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,650.58
Rate for Payer: Cigna Commercial	$3,236.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.43
Rate for Payer: Qualcare PPO/HMO/WC	$970.93

STEM BMT FEM 17 200MM 129118

Facility

$13,650.00

Hospital Charge Code	270612028
Hospital Revenue Code	278
Min. Negotiated Rate	$2,047.50
Max. Negotiated Rate	$3,303.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,303.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,047.50

STEM BMT FEM 17 200MM 129118

Facility

$13,650.00

Hospital Charge Code	270612028
Hospital Revenue Code	278
Min. Negotiated Rate	$2,047.50
Max. Negotiated Rate	$6,825.00
Rate for Payer: Aetna Commercial	$4,095.00
Rate for Payer: Aetna Medicare Advantage	$4,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,480.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,480.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,730.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,480.75
Rate for Payer: Cigna Commercial	$6,825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,303.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,047.50

STEM BMT HIP FIX 14MM 162903

Facility

$6,472.85

Hospital Charge Code	270608619
Hospital Revenue Code	278
Min. Negotiated Rate	$970.93
Max. Negotiated Rate	$3,236.43
Rate for Payer: Aetna Commercial	$1,941.86
Rate for Payer: Aetna Medicare Advantage	$1,941.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,650.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,650.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,294.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,650.58
Rate for Payer: Cigna Commercial	$3,236.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.43
Rate for Payer: Qualcare PPO/HMO/WC	$970.93

STEM BMT HIP FIX 14MM 162903

Facility

$6,472.85

Hospital Charge Code	270608619
Hospital Revenue Code	278
Min. Negotiated Rate	$970.93
Max. Negotiated Rate	$1,566.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,294.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.43
Rate for Payer: Qualcare PPO/HMO/WC	$970.93

STEM BMT HUMERAL 113757

Facility

$3,869.65

Hospital Charge Code	270610921
Hospital Revenue Code	278
Min. Negotiated Rate	$580.45
Max. Negotiated Rate	$936.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.46
Rate for Payer: Qualcare PPO/HMO/WC	$580.45

STEM BMT HUMERAL 113757

Facility

$3,869.65

Hospital Charge Code	270610921
Hospital Revenue Code	278
Min. Negotiated Rate	$580.45
Max. Negotiated Rate	$1,934.83
Rate for Payer: Aetna Commercial	$1,160.89
Rate for Payer: Aetna Medicare Advantage	$1,160.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$986.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$986.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$986.76
Rate for Payer: Cigna Commercial	$1,934.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.46
Rate for Payer: Qualcare PPO/HMO/WC	$580.45

STEM BMT HUMERAL 8MM 113704

Facility

$11,140.00

Hospital Charge Code	270627729
Hospital Revenue Code	278
Min. Negotiated Rate	$1,671.00
Max. Negotiated Rate	$5,570.00
Rate for Payer: Aetna Commercial	$3,342.00
Rate for Payer: Aetna Medicare Advantage	$3,342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,840.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,840.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,840.70
Rate for Payer: Cigna Commercial	$5,570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,695.88
Rate for Payer: Qualcare PPO/HMO/WC	$1,671.00

STEM BMT HUMERAL 8MM 113704

Facility

$11,140.00

Hospital Charge Code	270627729
Hospital Revenue Code	278
Min. Negotiated Rate	$1,671.00
Max. Negotiated Rate	$2,695.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,695.88
Rate for Payer: Qualcare PPO/HMO/WC	$1,671.00

STEM BMT HUMERL 10MM 11-113706

Facility

$11,809.65

Hospital Charge Code	270615836
Hospital Revenue Code	278
Min. Negotiated Rate	$1,771.45
Max. Negotiated Rate	$2,857.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,361.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,857.94
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.45

STEM BMT HUMERL 10MM 11-113706

Facility

$11,809.65

Hospital Charge Code	270615836
Hospital Revenue Code	278
Min. Negotiated Rate	$1,771.45
Max. Negotiated Rate	$5,904.82
Rate for Payer: Aetna Commercial	$3,542.89
Rate for Payer: Aetna Medicare Advantage	$3,542.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,011.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,011.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,361.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,011.46
Rate for Payer: Cigna Commercial	$5,904.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,857.94
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.45

STEM BMT I BEAM *******

Facility

$954.00

Hospital Charge Code	270606316
Hospital Revenue Code	272
Min. Negotiated Rate	$143.10
Max. Negotiated Rate	$143.10
Rate for Payer: Qualcare PPO/HMO/WC	$143.10

STEM BMT I BEAM *******

Facility

$954.00

Hospital Charge Code	270606316
Hospital Revenue Code	272
Min. Negotiated Rate	$124.02
Max. Negotiated Rate	$477.00
Rate for Payer: Aetna Commercial	$286.20
Rate for Payer: Aetna Medicare Advantage	$286.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.27
Rate for Payer: Cigna Commercial	$477.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.02
Rate for Payer: Oxford Commercial	$477.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.10
Rate for Payer: UnitedHealthcare Commercial	$477.00

STEM BMT I BEAM 40MM 141310

Facility

$2,437.65

Hospital Charge Code	270606914
Hospital Revenue Code	278
Min. Negotiated Rate	$365.65
Max. Negotiated Rate	$589.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$487.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.91
Rate for Payer: Qualcare PPO/HMO/WC	$365.65

STEM BMT I BEAM 40MM 141310

Facility

$2,437.65

Hospital Charge Code	270606914
Hospital Revenue Code	278
Min. Negotiated Rate	$365.65
Max. Negotiated Rate	$1,218.83
Rate for Payer: Aetna Commercial	$731.29
Rate for Payer: Aetna Medicare Advantage	$731.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$621.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$621.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$487.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$621.60
Rate for Payer: Cigna Commercial	$1,218.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.91
Rate for Payer: Qualcare PPO/HMO/WC	$365.65

STEM BMT INT 12-162617

Facility

$7,675.00

Hospital Charge Code	270605339
Hospital Revenue Code	278
Min. Negotiated Rate	$1,151.25
Max. Negotiated Rate	$1,857.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,857.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,151.25

STEM BMT INT 12-162617

Facility

$7,675.00

Hospital Charge Code	270605339
Hospital Revenue Code	278
Min. Negotiated Rate	$1,151.25
Max. Negotiated Rate	$3,837.50
Rate for Payer: Aetna Commercial	$2,302.50
Rate for Payer: Aetna Medicare Advantage	$2,302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,957.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,957.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,535.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,957.12
Rate for Payer: Cigna Commercial	$3,837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,857.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,151.25

STEM CELL APHERESIS

Facility

$3,726.00

Service Code	HCPCS 38231
Hospital Charge Code	3400231
Hospital Revenue Code	761
Min. Negotiated Rate	$484.38
Max. Negotiated Rate	$1,863.00
Rate for Payer: Aetna Commercial	$1,117.80
Rate for Payer: Aetna Medicare Advantage	$1,117.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$950.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$950.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$950.13
Rate for Payer: Cigna Commercial	$1,863.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.38
Rate for Payer: Oxford Commercial	$1,863.00
Rate for Payer: Qualcare PPO/HMO/WC	$558.90
Rate for Payer: UnitedHealthcare Commercial	$1,863.00

STEM CELL APHERESIS

Facility

$3,726.00

Service Code	HCPCS 38231
Hospital Charge Code	3400231
Hospital Revenue Code	761
Min. Negotiated Rate	$558.90
Max. Negotiated Rate	$558.90
Rate for Payer: Qualcare PPO/HMO/WC	$558.90

STEM CELL APHERESIS KIT***

Facility

$1,146.00

Service Code	HCPCS 99999
Hospital Charge Code	3400249
Hospital Revenue Code	272
Min. Negotiated Rate	$148.98
Max. Negotiated Rate	$573.00
Rate for Payer: Aetna Commercial	$343.80
Rate for Payer: Aetna Medicare Advantage	$343.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.23
Rate for Payer: Cigna Commercial	$573.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.98
Rate for Payer: Oxford Commercial	$573.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.90
Rate for Payer: UnitedHealthcare Commercial	$573.00

STEM CELL APHERESIS KIT***

Facility

$1,146.00

Service Code	HCPCS 99999
Hospital Charge Code	3400249
Hospital Revenue Code	272
Min. Negotiated Rate	$171.90
Max. Negotiated Rate	$171.90
Rate for Payer: Qualcare PPO/HMO/WC	$171.90

Know your out-of-pocket cost for care.

All Charges