Heights University Hospital

All Charges

Charge

Type

Setting

Price

SURFACE ZIM ART L B10 59965010

Facility

$3,255.25

Hospital Charge Code	270619815
Hospital Revenue Code	270
Min. Negotiated Rate	$488.29
Max. Negotiated Rate	$488.29
Rate for Payer: Qualcare PPO/HMO/WC	$488.29

SURFACE ZIM ART L G14 55964014

Facility

$3,642.45

Hospital Charge Code	270626601
Hospital Revenue Code	272
Min. Negotiated Rate	$546.37
Max. Negotiated Rate	$546.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.37

SURFACE ZIM ART L G14 55964014

Facility

$3,642.45

Hospital Charge Code	270626601
Hospital Revenue Code	272
Min. Negotiated Rate	$473.52
Max. Negotiated Rate	$1,821.22
Rate for Payer: Aetna Commercial	$1,092.73
Rate for Payer: Aetna Medicare Advantage	$1,092.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$928.82
Rate for Payer: Cigna Commercial	$1,821.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$473.52
Rate for Payer: Oxford Commercial	$1,821.22
Rate for Payer: Qualcare PPO/HMO/WC	$546.37
Rate for Payer: UnitedHealthcare Commercial	$1,821.22

SURFACE ZIM ART L Y10 59963010

Facility

$4,672.50

Hospital Charge Code	270623542
Hospital Revenue Code	272
Min. Negotiated Rate	$607.42
Max. Negotiated Rate	$2,336.25
Rate for Payer: Aetna Commercial	$1,401.75
Rate for Payer: Aetna Medicare Advantage	$1,401.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,191.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,191.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,191.49
Rate for Payer: Cigna Commercial	$2,336.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.42
Rate for Payer: Oxford Commercial	$2,336.25
Rate for Payer: Qualcare PPO/HMO/WC	$700.88
Rate for Payer: UnitedHealthcare Commercial	$2,336.25

SURFACE ZIM ART L Y10 59963010

Facility

$4,672.50

Hospital Charge Code	270623542
Hospital Revenue Code	272
Min. Negotiated Rate	$700.88
Max. Negotiated Rate	$700.88
Rate for Payer: Qualcare PPO/HMO/WC	$700.88

SURFACE ZIM ART P G14 59824014

Facility

$2,956.00

Hospital Charge Code	270608661
Hospital Revenue Code	278
Min. Negotiated Rate	$443.40
Max. Negotiated Rate	$1,478.00
Rate for Payer: Aetna Commercial	$886.80
Rate for Payer: Aetna Medicare Advantage	$886.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$591.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$753.78
Rate for Payer: Cigna Commercial	$1,478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.35
Rate for Payer: Qualcare PPO/HMO/WC	$443.40

SURFACE ZIM ART P G14 59824014

Facility

$2,956.00

Hospital Charge Code	270608661
Hospital Revenue Code	278
Min. Negotiated Rate	$443.40
Max. Negotiated Rate	$715.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$591.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.35
Rate for Payer: Qualcare PPO/HMO/WC	$443.40

SURFACE ZIM ART P Y10 59823010

Facility

$2,956.00

Hospital Charge Code	270611704
Hospital Revenue Code	278
Min. Negotiated Rate	$443.40
Max. Negotiated Rate	$1,478.00
Rate for Payer: Aetna Commercial	$886.80
Rate for Payer: Aetna Medicare Advantage	$886.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$591.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$753.78
Rate for Payer: Cigna Commercial	$1,478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.35
Rate for Payer: Qualcare PPO/HMO/WC	$443.40

SURFACE ZIM ART P Y10 59823010

Facility

$2,956.00

Hospital Charge Code	270611704
Hospital Revenue Code	278
Min. Negotiated Rate	$443.40
Max. Negotiated Rate	$715.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$591.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.35
Rate for Payer: Qualcare PPO/HMO/WC	$443.40

SURFACE ZIM ART P Y14 59823014

Facility

$2,956.00

Hospital Charge Code	270607659
Hospital Revenue Code	270
Min. Negotiated Rate	$384.28
Max. Negotiated Rate	$1,478.00
Rate for Payer: Aetna Commercial	$886.80
Rate for Payer: Aetna Medicare Advantage	$886.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$753.78
Rate for Payer: Cigna Commercial	$1,478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.28
Rate for Payer: Oxford Commercial	$1,478.00
Rate for Payer: Qualcare PPO/HMO/WC	$443.40
Rate for Payer: UnitedHealthcare Commercial	$1,478.00

SURFACE ZIM ART P Y14 59823014

Facility

$2,956.00

Hospital Charge Code	270607659
Hospital Revenue Code	270
Min. Negotiated Rate	$443.40
Max. Negotiated Rate	$443.40
Rate for Payer: Qualcare PPO/HMO/WC	$443.40

SURFACE ZIM ART Y10 59963210

Facility

$4,672.50

Hospital Charge Code	270628378
Hospital Revenue Code	272
Min. Negotiated Rate	$700.88
Max. Negotiated Rate	$700.88
Rate for Payer: Qualcare PPO/HMO/WC	$700.88

SURFACE ZIM ART Y10 59963210

Facility

$4,672.50

Hospital Charge Code	270628378
Hospital Revenue Code	272
Min. Negotiated Rate	$607.42
Max. Negotiated Rate	$2,336.25
Rate for Payer: Aetna Commercial	$1,401.75
Rate for Payer: Aetna Medicare Advantage	$1,401.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,191.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,191.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,191.49
Rate for Payer: Cigna Commercial	$2,336.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.42
Rate for Payer: Oxford Commercial	$2,336.25
Rate for Payer: Qualcare PPO/HMO/WC	$700.88
Rate for Payer: UnitedHealthcare Commercial	$2,336.25

SURF ART CD 3-4/YEL145996-3012

Facility

$4,456.95

Hospital Charge Code	270635287
Hospital Revenue Code	272
Min. Negotiated Rate	$668.54
Max. Negotiated Rate	$668.54
Rate for Payer: Qualcare PPO/HMO/WC	$668.54

SURF ART CD 3-4/YEL145996-3012

Facility

$4,456.95

Hospital Charge Code	270635287
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

SURF ART LPS GH5-6 14m59964214

Facility

$4,456.95

Hospital Charge Code	270635685
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

SURF ART LPS GH5-6 14m59964214

Facility

$4,456.95

Hospital Charge Code	270635685
Hospital Revenue Code	272
Min. Negotiated Rate	$668.54
Max. Negotiated Rate	$668.54
Rate for Payer: Qualcare PPO/HMO/WC	$668.54

SURFAS WANDS

Facility

$724.00

Hospital Charge Code	270332651
Hospital Revenue Code	272
Min. Negotiated Rate	$94.12
Max. Negotiated Rate	$362.00
Rate for Payer: Aetna Commercial	$217.20
Rate for Payer: Aetna Medicare Advantage	$217.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.62
Rate for Payer: Cigna Commercial	$362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.12
Rate for Payer: Oxford Commercial	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.60
Rate for Payer: UnitedHealthcare Commercial	$362.00

SURFAS WANDS

Facility

$724.00

Hospital Charge Code	270332651
Hospital Revenue Code	272
Min. Negotiated Rate	$108.60
Max. Negotiated Rate	$108.60
Rate for Payer: Qualcare PPO/HMO/WC	$108.60

SURFCE NXGN LPS NSMRT 59643212

Facility

$9,245.00

Hospital Charge Code	270639736
Hospital Revenue Code	278
Min. Negotiated Rate	$1,386.75
Max. Negotiated Rate	$2,237.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,849.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,237.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,386.75

SURFCE NXGN LPS NSMRT 59643212

Facility

$9,245.00

Hospital Charge Code	270639736
Hospital Revenue Code	278
Min. Negotiated Rate	$1,386.75
Max. Negotiated Rate	$4,622.50
Rate for Payer: Aetna Commercial	$2,773.50
Rate for Payer: Aetna Medicare Advantage	$2,773.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,357.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,357.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,849.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,357.47
Rate for Payer: Cigna Commercial	$4,622.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,237.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,386.75

SUR-FIT NIGHT DRAINAGE

Facility

$207.00

Hospital Charge Code	270331470
Hospital Revenue Code	272
Min. Negotiated Rate	$26.91
Max. Negotiated Rate	$103.50
Rate for Payer: Aetna Commercial	$62.10
Rate for Payer: Aetna Medicare Advantage	$62.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.78
Rate for Payer: Cigna Commercial	$103.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.91
Rate for Payer: Oxford Commercial	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.05
Rate for Payer: UnitedHealthcare Commercial	$103.50

SUR-FIT NIGHT DRAINAGE

Facility

$207.00

Hospital Charge Code	270331470
Hospital Revenue Code	272
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

SURF ZIM ART NEX Y12 59723012

Facility

$3,900.00

Hospital Charge Code	270607474
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

SURF ZIM ART NEX Y12 59723012

Facility

$3,900.00

Hospital Charge Code	270607474
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

Know your out-of-pocket cost for care.

All Charges