Heights University Hospital

All Charges

Charge

Type

Setting

Price

BECLOMETHASONE NSL INH 42MCG

Facility

$268.80

Hospital Charge Code	60628035
Hospital Revenue Code	250
Min. Negotiated Rate	$34.94
Max. Negotiated Rate	$134.40
Rate for Payer: Aetna Commercial	$80.64
Rate for Payer: Aetna Medicare Advantage	$80.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.54
Rate for Payer: Cigna Commercial	$134.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.94
Rate for Payer: Oxford Commercial	$134.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.32
Rate for Payer: UnitedHealthcare Commercial	$134.40

BECLOMETHASONE NSL INH 42MCG

Facility

$268.80

Hospital Charge Code	60628035
Hospital Revenue Code	250
Min. Negotiated Rate	$40.32
Max. Negotiated Rate	$40.32
Rate for Payer: Qualcare PPO/HMO/WC	$40.32

BECLOMETHASONE ORL INH 42MCG

Facility

$321.65

Hospital Charge Code	60628180
Hospital Revenue Code	250
Min. Negotiated Rate	$41.81
Max. Negotiated Rate	$160.82
Rate for Payer: Aetna Commercial	$96.50
Rate for Payer: Aetna Medicare Advantage	$96.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.02
Rate for Payer: Cigna Commercial	$160.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.81
Rate for Payer: Oxford Commercial	$160.82
Rate for Payer: Qualcare PPO/HMO/WC	$48.25
Rate for Payer: UnitedHealthcare Commercial	$160.82

BECLOMETHASONE ORL INH 42MCG

Facility

$321.65

Hospital Charge Code	60628180
Hospital Revenue Code	250
Min. Negotiated Rate	$48.25
Max. Negotiated Rate	$48.25
Rate for Payer: Qualcare PPO/HMO/WC	$48.25

BECLOMETHASONE ORL INH 84MCG

Facility

$272.00

Hospital Charge Code	60628181
Hospital Revenue Code	250
Min. Negotiated Rate	$35.36
Max. Negotiated Rate	$136.00
Rate for Payer: Aetna Commercial	$81.60
Rate for Payer: Aetna Medicare Advantage	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.36
Rate for Payer: Cigna Commercial	$136.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.36
Rate for Payer: Oxford Commercial	$136.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.80
Rate for Payer: UnitedHealthcare Commercial	$136.00

BECLOMETHASONE ORL INH 84MCG

Facility

$272.00

Hospital Charge Code	60628181
Hospital Revenue Code	250
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.80

BECLOVENT/16.8GM

Facility

$149.00

Hospital Charge Code	60632534
Hospital Revenue Code	250
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

BECLOVENT/16.8GM

Facility

$149.00

Hospital Charge Code	60632534
Hospital Revenue Code	250
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

BECLOVENT/BECONASE/16.8GM

Facility

$100.00

Hospital Charge Code	60632535
Hospital Revenue Code	250
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

BECLOVENT/BECONASE/16.8GM

Facility

$100.00

Hospital Charge Code	60632535
Hospital Revenue Code	250
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$50.00

BECONASE/16.8GM

Facility

$108.00

Hospital Charge Code	60632536
Hospital Revenue Code	250
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$32.40
Rate for Payer: Aetna Medicare Advantage	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.54
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$54.00

BECONASE/16.8GM

Facility

$108.00

Hospital Charge Code	60632536
Hospital Revenue Code	250
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

BECONASE AQ 0.042% NASAL

Facility

$158.00

Hospital Charge Code	60632537
Hospital Revenue Code	250
Min. Negotiated Rate	$23.70
Max. Negotiated Rate	$23.70
Rate for Payer: Qualcare PPO/HMO/WC	$23.70

BECONASE AQ 0.042% NASAL

Facility

$158.00

Hospital Charge Code	60632537
Hospital Revenue Code	250
Min. Negotiated Rate	$20.54
Max. Negotiated Rate	$79.00
Rate for Payer: Aetna Commercial	$47.40
Rate for Payer: Aetna Medicare Advantage	$47.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.29
Rate for Payer: Cigna Commercial	$79.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.54
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.70
Rate for Payer: UnitedHealthcare Commercial	$79.00

BEDPAN FRACTURE DISP

Facility

$7.25

Hospital Charge Code	270300325
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

BEDPAN FRACTURE DISP

Facility

$7.25

Hospital Charge Code	270300325
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.17
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.94
Rate for Payer: Oxford Commercial	$3.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$3.62

BEDPAN REGULAR DISP

Facility

$9.65

Hospital Charge Code	270300330
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

BEDPAN REGULAR DISP

Facility

$9.65

Hospital Charge Code	270300330
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

BEDSIDE PROCEDURE

Facility

$4,950.47

Hospital Charge Code	100033
Hospital Revenue Code	361
Min. Negotiated Rate	$643.56
Max. Negotiated Rate	$2,475.24
Rate for Payer: Aetna Commercial	$1,485.14
Rate for Payer: Aetna Medicare Advantage	$1,485.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,262.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,262.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,262.37
Rate for Payer: Cigna Commercial	$2,475.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.56
Rate for Payer: Qualcare PPO/HMO/WC	$742.57

BEDSIDE PROCEDURE

Facility

$4,950.47

Hospital Charge Code	100033
Hospital Revenue Code	361
Min. Negotiated Rate	$742.57
Max. Negotiated Rate	$742.57
Rate for Payer: Qualcare PPO/HMO/WC	$742.57

BEEF

Facility

$52.00

Service Code	HCPCS 86003
Hospital Charge Code	3000198
Hospital Revenue Code	305
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

BEEF

Facility

$52.00

Service Code	HCPCS 86003
Hospital Charge Code	3000198
Hospital Revenue Code	305
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

BEHAV CHNG SMOKING > 10 MIN

Facility

$2,700.00

Service Code	HCPCS 99407
Hospital Charge Code	412399407
Hospital Revenue Code	942
Min. Negotiated Rate	$89.22
Max. Negotiated Rate	$810.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$89.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

BEHAV CHNG SMOKING > 10 MIN

Facility

$2,700.00

Service Code	HCPCS 99407
Hospital Charge Code	395099407
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

BEHAV CHNG SMOKING > 10 MIN

Facility

$2,700.00

Service Code	HCPCS 99407
Hospital Charge Code	412399407
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

Know your out-of-pocket cost for care.

All Charges