Heights University Hospital

All Charges

Charge

Type

Setting

Price

SURFACE ART LP PRP 10 59962210

Facility

$4,859.40

Hospital Charge Code	270639221
Hospital Revenue Code	272
Min. Negotiated Rate	$631.72
Max. Negotiated Rate	$2,429.70
Rate for Payer: Aetna Commercial	$1,457.82
Rate for Payer: Aetna Medicare Advantage	$1,457.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,239.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,239.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,239.15
Rate for Payer: Cigna Commercial	$2,429.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.72
Rate for Payer: Oxford Commercial	$2,429.70
Rate for Payer: Qualcare PPO/HMO/WC	$728.91
Rate for Payer: UnitedHealthcare Commercial	$2,429.70

SURFACE ART LP PRP 10 59962210

Facility

$4,859.40

Hospital Charge Code	270639221
Hospital Revenue Code	272
Min. Negotiated Rate	$728.91
Max. Negotiated Rate	$728.91
Rate for Payer: Qualcare PPO/HMO/WC	$728.91

SURFACE ART LPS GR 17 59964017

Facility

$4,456.95

Hospital Charge Code	270635734
Hospital Revenue Code	272
Min. Negotiated Rate	$668.54
Max. Negotiated Rate	$668.54
Rate for Payer: Qualcare PPO/HMO/WC	$668.54

SURFACE ART LPS GR 17 59964017

Facility

$4,456.95

Hospital Charge Code	270635734
Hospital Revenue Code	272
Min. Negotiated Rate	$579.40
Max. Negotiated Rate	$2,228.47
Rate for Payer: Aetna Commercial	$1,337.09
Rate for Payer: Aetna Medicare Advantage	$1,337.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,136.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,136.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,136.52
Rate for Payer: Cigna Commercial	$2,228.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.40
Rate for Payer: Oxford Commercial	$2,228.47
Rate for Payer: Qualcare PPO/HMO/WC	$668.54
Rate for Payer: UnitedHealthcare Commercial	$2,228.47

SURFACE ART LPSYEL 14 59963014

Facility

$4,285.50

Hospital Charge Code	270633432
Hospital Revenue Code	272
Min. Negotiated Rate	$642.83
Max. Negotiated Rate	$642.83
Rate for Payer: Qualcare PPO/HMO/WC	$642.83

SURFACE ART LPSYEL 14 59963014

Facility

$4,285.50

Hospital Charge Code	270633432
Hospital Revenue Code	272
Min. Negotiated Rate	$557.12
Max. Negotiated Rate	$2,142.75
Rate for Payer: Aetna Commercial	$1,285.65
Rate for Payer: Aetna Medicare Advantage	$1,285.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,092.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,092.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,092.80
Rate for Payer: Cigna Commercial	$2,142.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.12
Rate for Payer: Oxford Commercial	$2,142.75
Rate for Payer: Qualcare PPO/HMO/WC	$642.83
Rate for Payer: UnitedHealthcare Commercial	$2,142.75

SURFACE ZIM ART C B10 59725010

Facility

$3,899.75

Hospital Charge Code	270606473
Hospital Revenue Code	270
Min. Negotiated Rate	$506.97
Max. Negotiated Rate	$1,949.88
Rate for Payer: Aetna Commercial	$1,169.92
Rate for Payer: Aetna Medicare Advantage	$1,169.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.44
Rate for Payer: Cigna Commercial	$1,949.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$506.97
Rate for Payer: Oxford Commercial	$1,949.88
Rate for Payer: Qualcare PPO/HMO/WC	$584.96
Rate for Payer: UnitedHealthcare Commercial	$1,949.88

SURFACE ZIM ART C B10 59725010

Facility

$3,899.75

Hospital Charge Code	270606473
Hospital Revenue Code	270
Min. Negotiated Rate	$584.96
Max. Negotiated Rate	$584.96
Rate for Payer: Qualcare PPO/HMO/WC	$584.96

SURFACE ZIM ART C B12 59725012

Facility

$3,749.85

Hospital Charge Code	270608718
Hospital Revenue Code	278
Min. Negotiated Rate	$562.48
Max. Negotiated Rate	$1,874.92
Rate for Payer: Aetna Commercial	$1,124.95
Rate for Payer: Aetna Medicare Advantage	$1,124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.21
Rate for Payer: Cigna Commercial	$1,874.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.46
Rate for Payer: Qualcare PPO/HMO/WC	$562.48

SURFACE ZIM ART C B12 59725012

Facility

$3,749.85

Hospital Charge Code	270608718
Hospital Revenue Code	278
Min. Negotiated Rate	$562.48
Max. Negotiated Rate	$907.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.46
Rate for Payer: Qualcare PPO/HMO/WC	$562.48

SURFACE ZIM ART C G10 59724010

Facility

$3,900.00

Hospital Charge Code	270608588
Hospital Revenue Code	278
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$943.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: Qualcare PPO/HMO/WC	$585.00

SURFACE ZIM ART C G10 59724010

Facility

$3,900.00

Hospital Charge Code	270608588
Hospital Revenue Code	278
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$1,950.00
Rate for Payer: Aetna Commercial	$1,170.00
Rate for Payer: Aetna Medicare Advantage	$1,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.50
Rate for Payer: Cigna Commercial	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: Qualcare PPO/HMO/WC	$585.00

SURFACE ZIM ART C G12 59724012

Facility

$2,766.45

Hospital Charge Code	270607282
Hospital Revenue Code	270
Min. Negotiated Rate	$359.64
Max. Negotiated Rate	$1,383.22
Rate for Payer: Aetna Commercial	$829.93
Rate for Payer: Aetna Medicare Advantage	$829.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$705.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$705.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$705.44
Rate for Payer: Cigna Commercial	$1,383.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.64
Rate for Payer: Oxford Commercial	$1,383.22
Rate for Payer: Qualcare PPO/HMO/WC	$414.97
Rate for Payer: UnitedHealthcare Commercial	$1,383.22

SURFACE ZIM ART C G12 59724012

Facility

$2,766.45

Hospital Charge Code	270607282
Hospital Revenue Code	270
Min. Negotiated Rate	$414.97
Max. Negotiated Rate	$414.97
Rate for Payer: Qualcare PPO/HMO/WC	$414.97

SURFACE ZIM ART C G14 59724014

Facility

$4,965.65

Hospital Charge Code	270613946
Hospital Revenue Code	278
Min. Negotiated Rate	$744.85
Max. Negotiated Rate	$2,482.82
Rate for Payer: Aetna Commercial	$1,489.69
Rate for Payer: Aetna Medicare Advantage	$1,489.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,266.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,266.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$993.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,266.24
Rate for Payer: Cigna Commercial	$2,482.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,201.69
Rate for Payer: Qualcare PPO/HMO/WC	$744.85

SURFACE ZIM ART C G14 59724014

Facility

$4,965.65

Hospital Charge Code	270613946
Hospital Revenue Code	278
Min. Negotiated Rate	$744.85
Max. Negotiated Rate	$1,201.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$993.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,201.69
Rate for Payer: Qualcare PPO/HMO/WC	$744.85

SURFACE ZIM ART C P10 59722110

Facility

$4,965.65

Hospital Charge Code	270616330
Hospital Revenue Code	270
Min. Negotiated Rate	$645.53
Max. Negotiated Rate	$2,482.82
Rate for Payer: Aetna Commercial	$1,489.69
Rate for Payer: Aetna Medicare Advantage	$1,489.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,266.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,266.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,266.24
Rate for Payer: Cigna Commercial	$2,482.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$645.53
Rate for Payer: Oxford Commercial	$2,482.82
Rate for Payer: Qualcare PPO/HMO/WC	$744.85
Rate for Payer: UnitedHealthcare Commercial	$2,482.82

SURFACE ZIM ART C P10 59722110

Facility

$4,965.65

Hospital Charge Code	270616330
Hospital Revenue Code	270
Min. Negotiated Rate	$744.85
Max. Negotiated Rate	$744.85
Rate for Payer: Qualcare PPO/HMO/WC	$744.85

SURFACE ZIM ART C Y10 59723010

Facility

$4,088.45

Hospital Charge Code	270607686
Hospital Revenue Code	278
Min. Negotiated Rate	$613.27
Max. Negotiated Rate	$2,044.22
Rate for Payer: Aetna Commercial	$1,226.54
Rate for Payer: Aetna Medicare Advantage	$1,226.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,042.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,042.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$817.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,042.55
Rate for Payer: Cigna Commercial	$2,044.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$989.40
Rate for Payer: Qualcare PPO/HMO/WC	$613.27

SURFACE ZIM ART C Y10 59723010

Facility

$4,088.45

Hospital Charge Code	270607686
Hospital Revenue Code	278
Min. Negotiated Rate	$613.27
Max. Negotiated Rate	$989.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$817.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$989.40
Rate for Payer: Qualcare PPO/HMO/WC	$613.27

SURFACE ZIM ART C Y14 59723014

Facility

$3,899.75

Hospital Charge Code	270608586
Hospital Revenue Code	278
Min. Negotiated Rate	$584.96
Max. Negotiated Rate	$1,949.88
Rate for Payer: Aetna Commercial	$1,169.92
Rate for Payer: Aetna Medicare Advantage	$1,169.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$779.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.44
Rate for Payer: Cigna Commercial	$1,949.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.74
Rate for Payer: Qualcare PPO/HMO/WC	$584.96

SURFACE ZIM ART C Y14 59723014

Facility

$3,899.75

Hospital Charge Code	270608586
Hospital Revenue Code	278
Min. Negotiated Rate	$584.96
Max. Negotiated Rate	$943.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$779.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.74
Rate for Payer: Qualcare PPO/HMO/WC	$584.96

SURFACE ZIM ART G14 59944014

Facility

$3,951.25

Hospital Charge Code	270625219
Hospital Revenue Code	272
Min. Negotiated Rate	$592.69
Max. Negotiated Rate	$592.69
Rate for Payer: Qualcare PPO/HMO/WC	$592.69

SURFACE ZIM ART G14 59944014

Facility

$3,951.25

Hospital Charge Code	270625219
Hospital Revenue Code	272
Min. Negotiated Rate	$513.66
Max. Negotiated Rate	$1,975.62
Rate for Payer: Aetna Commercial	$1,185.38
Rate for Payer: Aetna Medicare Advantage	$1,185.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,007.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,007.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,007.57
Rate for Payer: Cigna Commercial	$1,975.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.66
Rate for Payer: Oxford Commercial	$1,975.62
Rate for Payer: Qualcare PPO/HMO/WC	$592.69
Rate for Payer: UnitedHealthcare Commercial	$1,975.62

SURFACE ZIM ART L B10 59965010

Facility

$3,255.25

Hospital Charge Code	270619815
Hospital Revenue Code	270
Min. Negotiated Rate	$423.18
Max. Negotiated Rate	$1,627.62
Rate for Payer: Aetna Commercial	$976.58
Rate for Payer: Aetna Medicare Advantage	$976.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$830.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$830.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$830.09
Rate for Payer: Cigna Commercial	$1,627.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.18
Rate for Payer: Oxford Commercial	$1,627.62
Rate for Payer: Qualcare PPO/HMO/WC	$488.29
Rate for Payer: UnitedHealthcare Commercial	$1,627.62

Know your out-of-pocket cost for care.

All Charges