Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC

Facility

$39,565.02

Service Code	MSDRG 084
Min. Negotiated Rate	$10,430.25
Max. Negotiated Rate	$39,565.02
Rate for Payer: Aetna Commercial	$32,229.47
Rate for Payer: Aetna Medicare Advantage	$10,430.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,361.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,361.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,188.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,361.64
Rate for Payer: Cigna Medicare Advantage	$13,188.34
Rate for Payer: Clover Medicare Advantage	$12,528.92
Rate for Payer: EmblemHealth Commercial	$39,565.02
Rate for Payer: Humana Medicare Advantage	$13,583.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,188.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,979.64
Rate for Payer: Wellcare Medicare Advantage	$13,188.34

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC

Facility

$54,551.01

Service Code	MSDRG 604
Min. Negotiated Rate	$16,064.41
Max. Negotiated Rate	$54,551.01
Rate for Payer: Aetna Commercial	$49,639.03
Rate for Payer: Aetna Medicare Advantage	$16,064.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,183.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,626.17
Rate for Payer: Cigna Commercial	$31,681.06
Rate for Payer: Cigna Medicare Advantage	$18,183.67
Rate for Payer: Clover Medicare Advantage	$17,274.49
Rate for Payer: EmblemHealth Commercial	$54,551.01
Rate for Payer: Humana Medicare Advantage	$18,729.18
Rate for Payer: Oxford Commercial	$19,799.74
Rate for Payer: UnitedHealthcare Commercial	$22,474.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,183.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,274.69
Rate for Payer: Wellcare Medicare Advantage	$18,183.67

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC

Facility

$38,409.81

Service Code	MSDRG 605
Min. Negotiated Rate	$9,995.93
Max. Negotiated Rate	$38,409.81
Rate for Payer: Aetna Commercial	$30,887.42
Rate for Payer: Aetna Medicare Advantage	$9,995.93
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	$12,803.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,085.97
Rate for Payer: Cigna Commercial	$19,713.24
Rate for Payer: Cigna Medicare Advantage	$12,803.27
Rate for Payer: Clover Medicare Advantage	$12,163.11
Rate for Payer: EmblemHealth Commercial	$38,409.81
Rate for Payer: Humana Medicare Advantage	$13,187.37
Rate for Payer: Oxford Commercial	$12,320.20
Rate for Payer: UnitedHealthcare Commercial	$13,984.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,803.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,571.47
Rate for Payer: Wellcare Medicare Advantage	$12,803.27

TRAVASE OINTMENT

Facility

$101.00

Hospital Charge Code	60634529
Hospital Revenue Code	250
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$50.50
Rate for Payer: Aetna Commercial	$30.30
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.13
Rate for Payer: Oxford Commercial	$50.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$50.50

TRAVASE OINTMENT

Facility

$101.00

Hospital Charge Code	60634529
Hospital Revenue Code	250
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

TRAVASOL 1000 (GLASS) *******

Facility

$18.00

Hospital Charge Code	7000243
Hospital Revenue Code	258
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

TRAVASOL 1000 (GLASS) *******

Facility

$18.00

Hospital Charge Code	7000243
Hospital Revenue Code	258
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

TRAVOPROST OPTHALM 0.0004% SOL

Facility

$174.45

Hospital Charge Code	60629907
Hospital Revenue Code	250
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$87.22
Rate for Payer: Aetna Commercial	$52.34
Rate for Payer: Aetna Medicare Advantage	$52.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.48
Rate for Payer: Cigna Commercial	$87.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.68
Rate for Payer: Oxford Commercial	$87.22
Rate for Payer: Qualcare PPO/HMO/WC	$26.17
Rate for Payer: UnitedHealthcare Commercial	$87.22

TRAVOPROST OPTHALM 0.0004% SOL

Facility

$174.45

Hospital Charge Code	60629907
Hospital Revenue Code	250
Min. Negotiated Rate	$26.17
Max. Negotiated Rate	$26.17
Rate for Payer: Qualcare PPO/HMO/WC	$26.17

TRAXLTON SNARE HEXAGONAL

Facility

$125.00

Hospital Charge Code	270664465
Hospital Revenue Code	272
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

TRAXLTON SNARE HEXAGONAL

Facility

$125.00

Hospital Charge Code	270664465
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TRAY****

Facility

$49.80

Hospital Charge Code	270605692
Hospital Revenue Code	272
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$24.90
Rate for Payer: Aetna Commercial	$14.94
Rate for Payer: Aetna Medicare Advantage	$14.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.70
Rate for Payer: Cigna Commercial	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.47
Rate for Payer: Oxford Commercial	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$7.47
Rate for Payer: UnitedHealthcare Commercial	$24.90

TRAY****

Facility

$49.80

Hospital Charge Code	270605692
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$7.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.47

TRAY 14FR W/URINEMETER

Facility

$256.81

Hospital Charge Code	270649655
Hospital Revenue Code	270
Min. Negotiated Rate	$33.39
Max. Negotiated Rate	$128.41
Rate for Payer: Aetna Commercial	$77.04
Rate for Payer: Aetna Medicare Advantage	$77.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.49
Rate for Payer: Cigna Commercial	$128.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.39
Rate for Payer: Oxford Commercial	$128.41
Rate for Payer: Qualcare PPO/HMO/WC	$38.52
Rate for Payer: UnitedHealthcare Commercial	$128.41

TRAY 14FR W/URINEMETER

Facility

$256.81

Hospital Charge Code	270649655
Hospital Revenue Code	270
Min. Negotiated Rate	$38.52
Max. Negotiated Rate	$38.52
Rate for Payer: Qualcare PPO/HMO/WC	$38.52

TRAY 16FR W/URINEMETER

Facility

$107.14

Hospital Charge Code	270649658
Hospital Revenue Code	270
Min. Negotiated Rate	$13.93
Max. Negotiated Rate	$53.57
Rate for Payer: Aetna Commercial	$32.14
Rate for Payer: Aetna Medicare Advantage	$32.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.32
Rate for Payer: Cigna Commercial	$53.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.93
Rate for Payer: Oxford Commercial	$53.57
Rate for Payer: Qualcare PPO/HMO/WC	$16.07
Rate for Payer: UnitedHealthcare Commercial	$53.57

TRAY 16FR W/URINEMETER

Facility

$107.14

Hospital Charge Code	270649658
Hospital Revenue Code	270
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$16.07
Rate for Payer: Qualcare PPO/HMO/WC	$16.07

TRAY 605695****

Facility

$49.80

Hospital Charge Code	270605695
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$7.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.47

TRAY 605695****

Facility

$49.80

Hospital Charge Code	270605695
Hospital Revenue Code	272
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$24.90
Rate for Payer: Aetna Commercial	$14.94
Rate for Payer: Aetna Medicare Advantage	$14.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.70
Rate for Payer: Cigna Commercial	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.47
Rate for Payer: Oxford Commercial	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$7.47
Rate for Payer: UnitedHealthcare Commercial	$24.90

TRAY 605696****

Facility

$33.04

Hospital Charge Code	270605696
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$16.52
Rate for Payer: Aetna Commercial	$9.91
Rate for Payer: Aetna Medicare Advantage	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.43
Rate for Payer: Cigna Commercial	$16.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.30
Rate for Payer: Oxford Commercial	$16.52
Rate for Payer: Qualcare PPO/HMO/WC	$4.96
Rate for Payer: UnitedHealthcare Commercial	$16.52

TRAY 605696****

Facility

$33.04

Hospital Charge Code	270605696
Hospital Revenue Code	272
Min. Negotiated Rate	$4.96
Max. Negotiated Rate	$4.96
Rate for Payer: Qualcare PPO/HMO/WC	$4.96

TRAY ADAPTER HUMERAL +0MM

Facility

$8,392.35

Hospital Charge Code	270668558
Hospital Revenue Code	272
Min. Negotiated Rate	$1,091.01
Max. Negotiated Rate	$4,196.18
Rate for Payer: Aetna Commercial	$2,517.70
Rate for Payer: Aetna Medicare Advantage	$2,517.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,140.05
Rate for Payer: Cigna Commercial	$4,196.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,091.01
Rate for Payer: Oxford Commercial	$4,196.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85
Rate for Payer: UnitedHealthcare Commercial	$4,196.18

TRAY ADAPTER HUMERAL +0MM

Facility

$8,392.35

Hospital Charge Code	270668558
Hospital Revenue Code	272
Min. Negotiated Rate	$1,258.85
Max. Negotiated Rate	$1,258.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85

TRAY AMINIOCENTESIS

Facility

$186.45

Hospital Charge Code	270600589
Hospital Revenue Code	272
Min. Negotiated Rate	$24.24
Max. Negotiated Rate	$93.22
Rate for Payer: Aetna Commercial	$55.94
Rate for Payer: Aetna Medicare Advantage	$55.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.54
Rate for Payer: Cigna Commercial	$93.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.24
Rate for Payer: Oxford Commercial	$93.22
Rate for Payer: Qualcare PPO/HMO/WC	$27.97
Rate for Payer: UnitedHealthcare Commercial	$93.22

TRAY AMINIOCENTESIS

Facility

$186.45

Hospital Charge Code	270600589
Hospital Revenue Code	272
Min. Negotiated Rate	$27.97
Max. Negotiated Rate	$27.97
Rate for Payer: Qualcare PPO/HMO/WC	$27.97

Know your out-of-pocket cost for care.

All Charges