Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAP MUCOUS SPECIMEN STERILE

Facility

$8.18

Hospital Charge Code	270649775
Hospital Revenue Code	270
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.23

TRAP MUCOUS SPECIMEN STERILE

Facility

$8.18

Hospital Charge Code	270649775
Hospital Revenue Code	270
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$4.09
Rate for Payer: Aetna Commercial	$2.45
Rate for Payer: Aetna Medicare Advantage	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.09
Rate for Payer: Cigna Commercial	$4.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.06
Rate for Payer: Oxford Commercial	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.23
Rate for Payer: UnitedHealthcare Commercial	$4.09

TRAP SPECIMEN

Facility

$7.52

Hospital Charge Code	270302215
Hospital Revenue Code	270
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

TRAP SPECIMEN

Facility

$7.52

Hospital Charge Code	270302215
Hospital Revenue Code	270
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$3.76
Rate for Payer: Aetna Commercial	$2.26
Rate for Payer: Aetna Medicare Advantage	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.92
Rate for Payer: Cigna Commercial	$3.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.98
Rate for Payer: Oxford Commercial	$3.76
Rate for Payer: Qualcare PPO/HMO/WC	$1.13
Rate for Payer: UnitedHealthcare Commercial	$3.76

TRAP SPECIMEN STER 40cc

Facility

$5.86

Hospital Charge Code	270651478
Hospital Revenue Code	272
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$2.93
Rate for Payer: Aetna Commercial	$1.76
Rate for Payer: Aetna Medicare Advantage	$1.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.76
Rate for Payer: Oxford Commercial	$2.93
Rate for Payer: Qualcare PPO/HMO/WC	$0.88
Rate for Payer: UnitedHealthcare Commercial	$2.93

TRAP SPECIMEN STER 40cc

Facility

$5.86

Hospital Charge Code	270651478
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.88

TRAP SPUTUM****

Facility

$30.00

Hospital Charge Code	8001588
Hospital Revenue Code	279
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

TRAP SPUTUM****

Facility

$30.00

Hospital Charge Code	8001588
Hospital Revenue Code	279
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

TRAP WATER AIRLIFE***

Facility

$9.00

Hospital Charge Code	9501107
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TRAP WATER AIRLIFE***

Facility

$9.00

Hospital Charge Code	9501107
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

TRASTUZUMAB 10 mg

Facility

$742.16

Service Code	HCPCS J9355
Hospital Charge Code	60628881
Hospital Revenue Code	636
Min. Negotiated Rate	$111.32
Max. Negotiated Rate	$222.65
Rate for Payer: Aetna Commercial	$222.65
Rate for Payer: Aetna Medicare Advantage	$222.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.60
Rate for Payer: Qualcare PPO/HMO/WC	$111.32

TRASTUZUMAB 10 mg

Facility

$742.16

Service Code	HCPCS J9355
Hospital Charge Code	60628881
Hospital Revenue Code	636
Min. Negotiated Rate	$111.32
Max. Negotiated Rate	$179.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.60
Rate for Payer: Qualcare PPO/HMO/WC	$111.32

TRASTUZUMAB-DKST 150MG

Facility

$4,018.86

Service Code	HCPCS Q5114
Hospital Charge Code	606390427
Hospital Revenue Code	636
Min. Negotiated Rate	$602.83
Max. Negotiated Rate	$972.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$972.56
Rate for Payer: Qualcare PPO/HMO/WC	$602.83

TRASTUZUMAB-DKST 150MG

Facility

$4,018.86

Service Code	HCPCS Q5114
Hospital Charge Code	606390427
Hospital Revenue Code	636
Min. Negotiated Rate	$602.83
Max. Negotiated Rate	$1,205.66
Rate for Payer: Aetna Commercial	$1,205.66
Rate for Payer: Aetna Medicare Advantage	$1,205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,024.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,024.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,024.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$972.56
Rate for Payer: Qualcare PPO/HMO/WC	$602.83

TRASTUZUMAB-DKST 420MG

Facility

$11,245.15

Service Code	HCPCS Q5114
Hospital Charge Code	606390426
Hospital Revenue Code	636
Min. Negotiated Rate	$1,686.77
Max. Negotiated Rate	$2,721.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,721.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,686.77

TRASTUZUMAB-DKST 420MG

Facility

$11,245.15

Service Code	HCPCS Q5114
Hospital Charge Code	606390426
Hospital Revenue Code	636
Min. Negotiated Rate	$1,686.77
Max. Negotiated Rate	$3,373.55
Rate for Payer: Aetna Commercial	$3,373.55
Rate for Payer: Aetna Medicare Advantage	$3,373.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,867.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,867.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,867.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,721.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,686.77

TRAUMA ISTRUMENT FEE

Facility

$8,338.90

Hospital Charge Code	270698351
Hospital Revenue Code	279
Min. Negotiated Rate	$1,084.06
Max. Negotiated Rate	$4,169.45
Rate for Payer: Aetna Commercial	$2,501.67
Rate for Payer: Aetna Medicare Advantage	$2,501.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,126.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,126.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,126.42
Rate for Payer: Cigna Commercial	$4,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,084.06
Rate for Payer: Oxford Commercial	$4,169.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.84
Rate for Payer: UnitedHealthcare Commercial	$4,169.45

TRAUMA ISTRUMENT FEE

Facility

$8,338.90

Hospital Charge Code	270698351
Hospital Revenue Code	279
Min. Negotiated Rate	$1,250.84
Max. Negotiated Rate	$1,250.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.84

TRAUMATIC INJURY WITH MCC

Facility

$59,267.70

Service Code	MSDRG 913
Min. Negotiated Rate	$17,837.71
Max. Negotiated Rate	$59,267.70
Rate for Payer: Aetna Commercial	$55,118.52
Rate for Payer: Aetna Medicare Advantage	$17,837.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,755.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,074.83
Rate for Payer: Cigna Commercial	$35,178.23
Rate for Payer: Cigna Medicare Advantage	$19,755.90
Rate for Payer: Clover Medicare Advantage	$18,768.10
Rate for Payer: EmblemHealth Commercial	$59,267.70
Rate for Payer: Humana Medicare Advantage	$20,348.58
Rate for Payer: Oxford Commercial	$21,985.37
Rate for Payer: UnitedHealthcare Commercial	$24,955.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,755.90
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,941.25
Rate for Payer: Wellcare Medicare Advantage	$19,755.90

TRAUMATIC INJURY WITHOUT MCC

Facility

$37,524.51

Service Code	MSDRG 914
Min. Negotiated Rate	$9,663.09
Max. Negotiated Rate	$37,524.51
Rate for Payer: Aetna Commercial	$29,858.95
Rate for Payer: Aetna Medicare Advantage	$9,663.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,085.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,085.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,508.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,085.97
Rate for Payer: Cigna Commercial	$19,056.85
Rate for Payer: Cigna Medicare Advantage	$12,508.17
Rate for Payer: Clover Medicare Advantage	$11,882.76
Rate for Payer: EmblemHealth Commercial	$37,524.51
Rate for Payer: Humana Medicare Advantage	$12,883.42
Rate for Payer: Oxford Commercial	$11,909.98
Rate for Payer: UnitedHealthcare Commercial	$13,518.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,508.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,258.66
Rate for Payer: Wellcare Medicare Advantage	$12,508.17

TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC

Facility

$49,634.04

Service Code	MSDRG 086
Min. Negotiated Rate	$14,215.82
Max. Negotiated Rate	$49,634.04
Rate for Payer: Aetna Commercial	$43,926.88
Rate for Payer: Aetna Medicare Advantage	$14,215.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,388.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,388.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,544.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,388.44
Rate for Payer: Cigna Medicare Advantage	$16,544.68
Rate for Payer: Clover Medicare Advantage	$15,717.45
Rate for Payer: EmblemHealth Commercial	$49,634.04
Rate for Payer: Humana Medicare Advantage	$17,041.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,544.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,537.36
Rate for Payer: Wellcare Medicare Advantage	$16,544.68

TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC

Facility

$52,336.35

Service Code	MSDRG 083
Min. Negotiated Rate	$15,231.78
Max. Negotiated Rate	$52,336.35
Rate for Payer: Aetna Commercial	$47,066.20
Rate for Payer: Aetna Medicare Advantage	$15,231.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,445.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,491.12
Rate for Payer: Cigna Medicare Advantage	$17,445.45
Rate for Payer: Clover Medicare Advantage	$16,573.18
Rate for Payer: EmblemHealth Commercial	$52,336.35
Rate for Payer: Humana Medicare Advantage	$17,968.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,445.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,492.18
Rate for Payer: Wellcare Medicare Advantage	$17,445.45

TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC

Facility

$77,765.79

Service Code	MSDRG 085
Min. Negotiated Rate	$24,625.83
Max. Negotiated Rate	$77,765.79
Rate for Payer: Aetna Commercial	$76,608.21
Rate for Payer: Aetna Medicare Advantage	$24,792.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62,577.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62,577.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,921.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62,577.09
Rate for Payer: Cigna Medicare Advantage	$25,921.93
Rate for Payer: Clover Medicare Advantage	$24,625.83
Rate for Payer: EmblemHealth Commercial	$77,765.79
Rate for Payer: Humana Medicare Advantage	$26,699.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,921.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27,477.25
Rate for Payer: Wellcare Medicare Advantage	$25,921.93

TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC

Facility

$78,163.44

Service Code	MSDRG 082
Min. Negotiated Rate	$24,751.76
Max. Negotiated Rate	$78,163.44
Rate for Payer: Aetna Commercial	$77,070.16
Rate for Payer: Aetna Medicare Advantage	$24,941.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62,852.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62,852.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,054.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62,852.76
Rate for Payer: Cigna Medicare Advantage	$26,054.48
Rate for Payer: Clover Medicare Advantage	$24,751.76
Rate for Payer: EmblemHealth Commercial	$78,163.44
Rate for Payer: Humana Medicare Advantage	$26,836.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,054.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27,617.75
Rate for Payer: Wellcare Medicare Advantage	$26,054.48

TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC

Facility

$38,372.07

Service Code	MSDRG 087
Min. Negotiated Rate	$9,981.74
Max. Negotiated Rate	$38,372.07
Rate for Payer: Aetna Commercial	$30,843.58
Rate for Payer: Aetna Medicare Advantage	$9,981.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,534.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,534.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,790.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,534.63
Rate for Payer: Cigna Medicare Advantage	$12,790.69
Rate for Payer: Clover Medicare Advantage	$12,151.16
Rate for Payer: EmblemHealth Commercial	$38,372.07
Rate for Payer: Humana Medicare Advantage	$13,174.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,790.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,558.13
Rate for Payer: Wellcare Medicare Advantage	$12,790.69

Know your out-of-pocket cost for care.

All Charges