Heights University Hospital

All Charges

Charge

Type

Setting

Price

STONETOME MCV 4 3514

Facility

$1,992.85

Hospital Charge Code	270604757
Hospital Revenue Code	270
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$597.86
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.07
Rate for Payer: Oxford Commercial	$996.42
Rate for Payer: Qualcare PPO/HMO/WC	$298.93
Rate for Payer: UnitedHealthcare Commercial	$996.42

STONETOME MCV 4 3514

Facility

$1,992.85

Hospital Charge Code	270604757
Hospital Revenue Code	270
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$298.93
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

STONETOME MCV 5 3515

Facility

$1,992.85

Hospital Charge Code	270604758
Hospital Revenue Code	270
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$597.86
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.07
Rate for Payer: Oxford Commercial	$996.42
Rate for Payer: Qualcare PPO/HMO/WC	$298.93
Rate for Payer: UnitedHealthcare Commercial	$996.42

STONETOME MCV 5 3515

Facility

$1,992.85

Hospital Charge Code	270604758
Hospital Revenue Code	270
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$298.93
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

STONETOME MCV 6 3516

Facility

$1,992.85

Hospital Charge Code	270604759
Hospital Revenue Code	270
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$298.93
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

STONETOME MCV 6 3516

Facility

$1,992.85

Hospital Charge Code	270604759
Hospital Revenue Code	270
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$597.86
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.07
Rate for Payer: Oxford Commercial	$996.42
Rate for Payer: Qualcare PPO/HMO/WC	$298.93
Rate for Payer: UnitedHealthcare Commercial	$996.42

STONETOME MCV 7 3517

Facility

$1,992.85

Hospital Charge Code	270604760
Hospital Revenue Code	270
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$597.86
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.07
Rate for Payer: Oxford Commercial	$996.42
Rate for Payer: Qualcare PPO/HMO/WC	$298.93
Rate for Payer: UnitedHealthcare Commercial	$996.42

STONETOME MCV 7 3517

Facility

$1,992.85

Hospital Charge Code	270604760
Hospital Revenue Code	270
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$298.93
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

STONETOME MCV 8 3518

Facility

$1,992.85

Hospital Charge Code	270604761
Hospital Revenue Code	270
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$597.86
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.07
Rate for Payer: Oxford Commercial	$996.42
Rate for Payer: Qualcare PPO/HMO/WC	$298.93
Rate for Payer: UnitedHealthcare Commercial	$996.42

STONETOME MCV 8 3518

Facility

$1,992.85

Hospital Charge Code	270604761
Hospital Revenue Code	270
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$298.93
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

STONETOME MCV 9 3519

Facility

$1,992.85

Hospital Charge Code	270604762
Hospital Revenue Code	270
Min. Negotiated Rate	$259.07
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$597.86
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.07
Rate for Payer: Oxford Commercial	$996.42
Rate for Payer: Qualcare PPO/HMO/WC	$298.93
Rate for Payer: UnitedHealthcare Commercial	$996.42

STONETOME MCV 9 3519

Facility

$1,992.85

Hospital Charge Code	270604762
Hospital Revenue Code	270
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$298.93
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

STOOL CULTURE

Facility

$508.00

Service Code	HCPCS 87045
Hospital Charge Code	38475062
Hospital Revenue Code	309
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$76.20
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

STOOL CULTURE

Facility

$508.00

Service Code	HCPCS 87045
Hospital Charge Code	38475062
Hospital Revenue Code	309
Min. Negotiated Rate	$4.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.59
Rate for Payer: Aetna Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.59
Rate for Payer: Cigna Commercial	$9.44
Rate for Payer: Cigna Medicare Advantage	$4.72
Rate for Payer: Clover Medicare Advantage	$8.97
Rate for Payer: EmblemHealth Commercial	$28.32
Rate for Payer: Humana Medicare Advantage	$9.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.04
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.44
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.01
Rate for Payer: Wellcare Medicare Advantage	$9.44

STOOL MNGT SYSTEM DIGNICARE

Facility

$866.13

Hospital Charge Code	270650193
Hospital Revenue Code	272
Min. Negotiated Rate	$129.92
Max. Negotiated Rate	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$129.92

STOOL MNGT SYSTEM DIGNICARE

Facility

$866.13

Hospital Charge Code	270650193
Hospital Revenue Code	272
Min. Negotiated Rate	$112.60
Max. Negotiated Rate	$433.06
Rate for Payer: Aetna Commercial	$259.84
Rate for Payer: Aetna Medicare Advantage	$259.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.86
Rate for Payer: Cigna Commercial	$433.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.60
Rate for Payer: Oxford Commercial	$433.06
Rate for Payer: Qualcare PPO/HMO/WC	$129.92
Rate for Payer: UnitedHealthcare Commercial	$433.06

Stool Reducing substance

Facility

$390.00

Service Code	HCPCS 84376
Hospital Charge Code	39708020
Hospital Revenue Code	301
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.82
Rate for Payer: Aetna Medicare Advantage	$5.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.15
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: Cigna Medicare Advantage	$2.75
Rate for Payer: Clover Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$16.50
Rate for Payer: Humana Medicare Advantage	$5.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.50
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.83
Rate for Payer: Wellcare Medicare Advantage	$5.50

Stool Reducing substance

Facility

$390.00

Service Code	HCPCS 84376
Hospital Charge Code	39708020
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STOPCOCK

Facility

$584.80

Hospital Charge Code	270665008
Hospital Revenue Code	270
Min. Negotiated Rate	$87.72
Max. Negotiated Rate	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$87.72

STOPCOCK

Facility

$584.80

Hospital Charge Code	270665008
Hospital Revenue Code	270
Min. Negotiated Rate	$76.02
Max. Negotiated Rate	$292.40
Rate for Payer: Aetna Commercial	$175.44
Rate for Payer: Aetna Medicare Advantage	$175.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.12
Rate for Payer: Cigna Commercial	$292.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.02
Rate for Payer: Oxford Commercial	$292.40
Rate for Payer: Qualcare PPO/HMO/WC	$87.72
Rate for Payer: UnitedHealthcare Commercial	$292.40

STOPCOCK 3-WAY ******

Facility

$5.00

Hospital Charge Code	8002701
Hospital Revenue Code	279
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

STOPCOCK 3-WAY ******

Facility

$5.00

Hospital Charge Code	8002701
Hospital Revenue Code	279
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

STOPCOCK 3-WAY 4917170030

Facility

$11.25

Hospital Charge Code	270302055
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

STOPCOCK 3-WAY 4917170030

Facility

$11.25

Hospital Charge Code	270302055
Hospital Revenue Code	270
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

STOPCOCK 3-WAY 70035002

Facility

$19.25

Hospital Charge Code	270600713
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

Know your out-of-pocket cost for care.

All Charges