Heights University Hospital

All Charges

Charge

Type

Setting

Price

TOWELLETS DISINFECTING CAVI

Facility

$22.53

Hospital Charge Code	270659016
Hospital Revenue Code	270
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$11.27
Rate for Payer: Aetna Commercial	$6.76
Rate for Payer: Aetna Medicare Advantage	$6.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.75
Rate for Payer: Cigna Commercial	$11.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.93
Rate for Payer: Oxford Commercial	$11.27
Rate for Payer: Qualcare PPO/HMO/WC	$3.38
Rate for Payer: UnitedHealthcare Commercial	$11.27

TOWEL OR BLUE DISPOSABLE STRLE

Facility

$4.00

Hospital Charge Code	270619839
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

TOWEL OR BLUE DISPOSABLE STRLE

Facility

$4.00

Hospital Charge Code	270619839
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TOWEL OR BLUE STERILE DISP

Facility

$3.33

Hospital Charge Code	270617993C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$1.67
Rate for Payer: Aetna Commercial	$1.00
Rate for Payer: Aetna Medicare Advantage	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.85
Rate for Payer: Cigna Commercial	$1.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.43
Rate for Payer: Oxford Commercial	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$0.50
Rate for Payer: UnitedHealthcare Commercial	$1.67

TOWEL OR BLUE STERILE DISP

Facility

$3.33

Hospital Charge Code	270617993C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.50

TOWER

Facility

$3,300.00

Hospital Charge Code	270702853
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$798.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

TOWER

Facility

$3,300.00

Hospital Charge Code	270702853
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$990.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

TOWER OPEN SHUNT

Facility

$2,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270692305
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

TOWER OPEN SHUNT

Facility

$2,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270692305
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$765.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

TOWNLEY FEMUR CALIPER 4

Facility

$783.65

Hospital Charge Code	270665868
Hospital Revenue Code	270
Min. Negotiated Rate	$101.87
Max. Negotiated Rate	$391.82
Rate for Payer: Aetna Commercial	$235.09
Rate for Payer: Aetna Medicare Advantage	$235.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.83
Rate for Payer: Cigna Commercial	$391.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.87
Rate for Payer: Oxford Commercial	$391.82
Rate for Payer: Qualcare PPO/HMO/WC	$117.55
Rate for Payer: UnitedHealthcare Commercial	$391.82

TOWNLEY FEMUR CALIPER 4

Facility

$783.65

Hospital Charge Code	270665868
Hospital Revenue Code	270
Min. Negotiated Rate	$117.55
Max. Negotiated Rate	$117.55
Rate for Payer: Qualcare PPO/HMO/WC	$117.55

TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$19,224.56

Service Code	APR-DRG 8164
Min. Negotiated Rate	$18,286.25
Max. Negotiated Rate	$19,224.56
Rate for Payer: Aetna Better Health Medicaid	$18,847.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,224.56
Rate for Payer: Wellpoint Medicaid Managed Care	$18,286.25

TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$7,114.57

Service Code	APR-DRG 8161
Min. Negotiated Rate	$4,959.58
Max. Negotiated Rate	$7,114.57
Rate for Payer: Aetna Better Health Medicaid	$6,975.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,114.57
Rate for Payer: Wellpoint Medicaid Managed Care	$4,959.58

TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$10,225.30

Service Code	APR-DRG 8163
Min. Negotiated Rate	$7,978.93
Max. Negotiated Rate	$10,225.30
Rate for Payer: Aetna Better Health Medicaid	$10,024.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,225.30
Rate for Payer: Wellpoint Medicaid Managed Care	$7,978.93

TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$7,704.44

Service Code	APR-DRG 8162
Min. Negotiated Rate	$5,510.66
Max. Negotiated Rate	$7,704.44
Rate for Payer: Aetna Better Health Medicaid	$7,553.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,704.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5,510.66

TOXOCARA ANTIBODY

Facility

$268.85

Service Code	HCPCS 86682
Hospital Charge Code	3009701
Hospital Revenue Code	302
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.15
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.67
Rate for Payer: Cigna Commercial	$13.01
Rate for Payer: Cigna Medicare Advantage	$6.50
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.33
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.79
Rate for Payer: Wellcare Medicare Advantage	$13.01

TOXOCARA ANTIBODY

Facility

$268.85

Service Code	HCPCS 86682
Hospital Charge Code	3009701
Hospital Revenue Code	302
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$40.33
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

TOXOPLASMA AB, IGG

Facility

$339.00

Service Code	HCPCS 86777
Hospital Charge Code	38476049
Hospital Revenue Code	302
Min. Negotiated Rate	$50.85
Max. Negotiated Rate	$50.85
Rate for Payer: Qualcare PPO/HMO/WC	$50.85

TOXOPLASMA AB, IGG

Facility

$339.00

Service Code	HCPCS 86777
Hospital Charge Code	38476049
Hospital Revenue Code	302
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.62
Rate for Payer: Aetna Medicare Advantage	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.72
Rate for Payer: Cigna Commercial	$14.39
Rate for Payer: Cigna Medicare Advantage	$7.20
Rate for Payer: Clover Medicare Advantage	$13.67
Rate for Payer: EmblemHealth Commercial	$43.17
Rate for Payer: Humana Medicare Advantage	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.07
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.25
Rate for Payer: Wellcare Medicare Advantage	$14.39

TOXOPLASMA AB (IGG) CSF

Facility

$131.25

Service Code	HCPCS 86777
Hospital Charge Code	3035134
Hospital Revenue Code	302
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.62
Rate for Payer: Aetna Medicare Advantage	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.72
Rate for Payer: Cigna Commercial	$14.39
Rate for Payer: Cigna Medicare Advantage	$7.20
Rate for Payer: Clover Medicare Advantage	$13.67
Rate for Payer: EmblemHealth Commercial	$43.17
Rate for Payer: Humana Medicare Advantage	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.25
Rate for Payer: Wellcare Medicare Advantage	$14.39

TOXOPLASMA AB (IGG) CSF

Facility

$131.25

Service Code	HCPCS 86777
Hospital Charge Code	3035134
Hospital Revenue Code	302
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

TOXOPLASMA AB,IGM

Facility

$311.00

Service Code	HCPCS 86778
Hospital Charge Code	38476050
Hospital Revenue Code	302
Min. Negotiated Rate	$7.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.69
Rate for Payer: Aetna Medicare Advantage	$14.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.80
Rate for Payer: Cigna Commercial	$14.41
Rate for Payer: Cigna Medicare Advantage	$7.21
Rate for Payer: Clover Medicare Advantage	$13.69
Rate for Payer: EmblemHealth Commercial	$43.23
Rate for Payer: Humana Medicare Advantage	$14.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.27
Rate for Payer: Wellcare Medicare Advantage	$14.41

TOXOPLASMA AB,IGM

Facility

$311.00

Service Code	HCPCS 86778
Hospital Charge Code	38476050
Hospital Revenue Code	302
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$46.65
Rate for Payer: Qualcare PPO/HMO/WC	$46.65

TOXOPLASMA GONDII AB IGM

Facility

$99.00

Service Code	HCPCS 86778
Hospital Charge Code	39900256
Hospital Revenue Code	302
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

TOXOPLASMA GONDII AB IGM

Facility

$99.00

Service Code	HCPCS 86778
Hospital Charge Code	39900256
Hospital Revenue Code	302
Min. Negotiated Rate	$7.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.69
Rate for Payer: Aetna Medicare Advantage	$14.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.80
Rate for Payer: Cigna Commercial	$14.41
Rate for Payer: Cigna Medicare Advantage	$7.21
Rate for Payer: Clover Medicare Advantage	$13.69
Rate for Payer: EmblemHealth Commercial	$43.23
Rate for Payer: Humana Medicare Advantage	$14.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.27
Rate for Payer: Wellcare Medicare Advantage	$14.41

Know your out-of-pocket cost for care.

All Charges