Heights University Hospital

All Charges

Charge

Type

Setting

Price

STOCKING ANTI-EM THIGH LG LONG

Facility

$23.05

Hospital Charge Code	270648989
Hospital Revenue Code	270
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$11.53
Rate for Payer: Aetna Commercial	$6.92
Rate for Payer: Aetna Medicare Advantage	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.88
Rate for Payer: Cigna Commercial	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.46
Rate for Payer: UnitedHealthcare Commercial	$11.53

STOCKING ANTI-EM THIGH LG LONG

Facility

$23.05

Hospital Charge Code	270648989
Hospital Revenue Code	270
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$3.46

STOCKING ANTI-EM THIGH LG REG

Facility

$23.05

Hospital Charge Code	270648990
Hospital Revenue Code	272
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$11.53
Rate for Payer: Aetna Commercial	$6.92
Rate for Payer: Aetna Medicare Advantage	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.88
Rate for Payer: Cigna Commercial	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.46
Rate for Payer: UnitedHealthcare Commercial	$11.53

STOCKING ANTI-EM THIGH LG REG

Facility

$23.05

Hospital Charge Code	270648990
Hospital Revenue Code	272
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$3.46

STOCKING ANTI EM THIGH MED

Facility

$49.05

Hospital Charge Code	270649861
Hospital Revenue Code	271
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$7.36
Rate for Payer: Qualcare PPO/HMO/WC	$7.36

STOCKING ANTI EM THIGH MED

Facility

$49.05

Hospital Charge Code	270649861
Hospital Revenue Code	271
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$24.52
Rate for Payer: Aetna Commercial	$14.71
Rate for Payer: Aetna Medicare Advantage	$14.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.51
Rate for Payer: Cigna Commercial	$24.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.38
Rate for Payer: Oxford Commercial	$24.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.36
Rate for Payer: UnitedHealthcare Commercial	$24.52

STOCKING ANTI-EM THIGH MED

Facility

$23.05

Hospital Charge Code	270648983
Hospital Revenue Code	272
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$3.46

STOCKING ANTI-EM THIGH MED

Facility

$23.05

Hospital Charge Code	270648983
Hospital Revenue Code	272
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$11.53
Rate for Payer: Aetna Commercial	$6.92
Rate for Payer: Aetna Medicare Advantage	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.88
Rate for Payer: Cigna Commercial	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.46
Rate for Payer: UnitedHealthcare Commercial	$11.53

STOCKING ANTI-EM THIGH MED REG

Facility

$13.05

Hospital Charge Code	270648991
Hospital Revenue Code	272
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$1.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.96

STOCKING ANTI-EM THIGH MED REG

Facility

$13.05

Hospital Charge Code	270648991
Hospital Revenue Code	272
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$6.53
Rate for Payer: Aetna Commercial	$3.92
Rate for Payer: Aetna Medicare Advantage	$3.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.33
Rate for Payer: Cigna Commercial	$6.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$6.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.96
Rate for Payer: UnitedHealthcare Commercial	$6.53

STOCKING ANTI EM THIGH SM

Facility

$77.85

Hospital Charge Code	270649868
Hospital Revenue Code	272
Min. Negotiated Rate	$11.68
Max. Negotiated Rate	$11.68
Rate for Payer: Qualcare PPO/HMO/WC	$11.68

STOCKING ANTI EM THIGH SM

Facility

$77.85

Hospital Charge Code	270649868
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$38.92
Rate for Payer: Aetna Commercial	$23.36
Rate for Payer: Aetna Medicare Advantage	$23.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.85
Rate for Payer: Cigna Commercial	$38.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.12
Rate for Payer: Oxford Commercial	$38.92
Rate for Payer: Qualcare PPO/HMO/WC	$11.68
Rate for Payer: UnitedHealthcare Commercial	$38.92

STOCKING/JOBST

Facility

$1,124.85

Hospital Charge Code	270606574
Hospital Revenue Code	270
Min. Negotiated Rate	$146.23
Max. Negotiated Rate	$562.42
Rate for Payer: Aetna Commercial	$337.45
Rate for Payer: Aetna Medicare Advantage	$337.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.84
Rate for Payer: Cigna Commercial	$562.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.23
Rate for Payer: Oxford Commercial	$562.42
Rate for Payer: Qualcare PPO/HMO/WC	$168.73
Rate for Payer: UnitedHealthcare Commercial	$562.42

STOCKING/JOBST

Facility

$1,124.85

Hospital Charge Code	270606574
Hospital Revenue Code	270
Min. Negotiated Rate	$168.73
Max. Negotiated Rate	$168.73
Rate for Payer: Qualcare PPO/HMO/WC	$168.73

STOCKING/JOBST COMPRESS

Facility

$1,124.85

Hospital Charge Code	270606215
Hospital Revenue Code	270
Min. Negotiated Rate	$168.73
Max. Negotiated Rate	$168.73
Rate for Payer: Qualcare PPO/HMO/WC	$168.73

STOCKING/JOBST COMPRESS

Facility

$1,124.85

Hospital Charge Code	270606215
Hospital Revenue Code	270
Min. Negotiated Rate	$146.23
Max. Negotiated Rate	$562.42
Rate for Payer: Aetna Commercial	$337.45
Rate for Payer: Aetna Medicare Advantage	$337.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.84
Rate for Payer: Cigna Commercial	$562.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.23
Rate for Payer: Oxford Commercial	$562.42
Rate for Payer: Qualcare PPO/HMO/WC	$168.73
Rate for Payer: UnitedHealthcare Commercial	$562.42

STOCKINGS SCD KENDALL *******

Facility

$149.00

Hospital Charge Code	1603117
Hospital Revenue Code	279
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

STOCKINGS SCD KENDALL *******

Facility

$149.00

Hospital Charge Code	1603117
Hospital Revenue Code	279
Min. Negotiated Rate	$19.37
Max. Negotiated Rate	$74.50
Rate for Payer: Aetna Commercial	$44.70
Rate for Payer: Aetna Medicare Advantage	$44.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.99
Rate for Payer: Cigna Commercial	$74.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.37
Rate for Payer: Oxford Commercial	$74.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.35
Rate for Payer: UnitedHealthcare Commercial	$74.50

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC

Facility

$82,766.94

Service Code	MSDRG 327
Min. Negotiated Rate	$26,209.53
Max. Negotiated Rate	$82,766.94
Rate for Payer: Aetna Commercial	$82,418.15
Rate for Payer: Aetna Medicare Advantage	$26,672.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68,917.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68,917.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,588.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68,917.50
Rate for Payer: Cigna Commercial	$52,601.63
Rate for Payer: Cigna Medicare Advantage	$27,588.98
Rate for Payer: Clover Medicare Advantage	$26,209.53
Rate for Payer: EmblemHealth Commercial	$82,766.94
Rate for Payer: Humana Medicare Advantage	$28,416.65
Rate for Payer: Oxford Commercial	$32,874.49
Rate for Payer: UnitedHealthcare Commercial	$37,315.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,588.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29,244.32
Rate for Payer: Wellcare Medicare Advantage	$27,588.98

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC

Facility

$168,174.55

Service Code	MSDRG 326
Min. Negotiated Rate	$49,585.32
Max. Negotiated Rate	$168,174.55
Rate for Payer: Aetna Commercial	$168,174.55
Rate for Payer: Aetna Medicare Advantage	$54,425.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140,040.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140,040.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$52,195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140,040.36
Rate for Payer: Cigna Commercial	$107,333.84
Rate for Payer: Cigna Medicare Advantage	$52,195.07
Rate for Payer: Clover Medicare Advantage	$49,585.32
Rate for Payer: EmblemHealth Commercial	$156,585.21
Rate for Payer: Humana Medicare Advantage	$53,760.92
Rate for Payer: Oxford Commercial	$67,080.53
Rate for Payer: UnitedHealthcare Commercial	$76,142.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$52,195.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$55,326.77
Rate for Payer: Wellcare Medicare Advantage	$52,195.07

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC

Facility

$58,330.17

Service Code	MSDRG 328
Min. Negotiated Rate	$17,485.23
Max. Negotiated Rate	$58,330.17
Rate for Payer: Aetna Commercial	$54,029.36
Rate for Payer: Aetna Medicare Advantage	$17,485.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,107.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,107.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,443.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,107.20
Rate for Payer: Cigna Commercial	$34,483.10
Rate for Payer: Cigna Medicare Advantage	$19,443.39
Rate for Payer: Clover Medicare Advantage	$18,471.22
Rate for Payer: EmblemHealth Commercial	$58,330.17
Rate for Payer: Humana Medicare Advantage	$20,026.69
Rate for Payer: Oxford Commercial	$21,550.94
Rate for Payer: UnitedHealthcare Commercial	$24,462.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,443.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,609.99
Rate for Payer: Wellcare Medicare Advantage	$19,443.39

STOMADHESIVE ********

Facility

$131.00

Hospital Charge Code	8001398
Hospital Revenue Code	279
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

STOMADHESIVE ********

Facility

$131.00

Hospital Charge Code	8001398
Hospital Revenue Code	279
Min. Negotiated Rate	$17.03
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$39.30
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.03
Rate for Payer: Oxford Commercial	$65.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$65.50

STOMA FLEX WAFER 1 1/2

Facility

$27.25

Hospital Charge Code	270303140
Hospital Revenue Code	272
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$4.09

STOMA FLEX WAFER 1 1/2

Facility

$27.25

Hospital Charge Code	270303140
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$13.62
Rate for Payer: Aetna Commercial	$8.18
Rate for Payer: Aetna Medicare Advantage	$8.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.95
Rate for Payer: Cigna Commercial	$13.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.54
Rate for Payer: Oxford Commercial	$13.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.09
Rate for Payer: UnitedHealthcare Commercial	$13.62

Know your out-of-pocket cost for care.

All Charges