Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY AMNIO *********

Facility

$38.00

Hospital Charge Code	1800200
Hospital Revenue Code	279
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

TRAY AMNIO *********

Facility

$38.00

Hospital Charge Code	1800200
Hospital Revenue Code	279
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

TRAY ANESTHESIA LOCAL

Facility

$44.00

Hospital Charge Code	270331216
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

TRAY ANESTHESIA LOCAL

Facility

$44.00

Hospital Charge Code	270331216
Hospital Revenue Code	272
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	2709002713
Hospital Revenue Code	272
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$53.69
Rate for Payer: Qualcare PPO/HMO/WC	$53.69

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	2709002713
Hospital Revenue Code	272
Min. Negotiated Rate	$46.53
Max. Negotiated Rate	$178.97
Rate for Payer: Aetna Commercial	$107.39
Rate for Payer: Aetna Medicare Advantage	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.28
Rate for Payer: Cigna Commercial	$178.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.53
Rate for Payer: Oxford Commercial	$178.97
Rate for Payer: Qualcare PPO/HMO/WC	$53.69
Rate for Payer: UnitedHealthcare Commercial	$178.97

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	270658352
Hospital Revenue Code	272
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$53.69
Rate for Payer: Qualcare PPO/HMO/WC	$53.69

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	270658352
Hospital Revenue Code	272
Min. Negotiated Rate	$46.53
Max. Negotiated Rate	$178.97
Rate for Payer: Oxford Commercial	$178.97
Rate for Payer: Aetna Commercial	$107.39
Rate for Payer: Aetna Medicare Advantage	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.28
Rate for Payer: Cigna Commercial	$178.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.53
Rate for Payer: Qualcare PPO/HMO/WC	$53.69
Rate for Payer: UnitedHealthcare Commercial	$178.97

TRAY ANGIO CHRIST HOSPITAL

Facility

$71.59

Hospital Charge Code	270653767
Hospital Revenue Code	272
Min. Negotiated Rate	$10.74
Max. Negotiated Rate	$10.74
Rate for Payer: Qualcare PPO/HMO/WC	$10.74

TRAY ANGIO CHRIST HOSPITAL

Facility

$71.59

Hospital Charge Code	270653767
Hospital Revenue Code	272
Min. Negotiated Rate	$9.31
Max. Negotiated Rate	$35.80
Rate for Payer: Aetna Commercial	$21.48
Rate for Payer: Aetna Medicare Advantage	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.26
Rate for Payer: Cigna Commercial	$35.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.31
Rate for Payer: Oxford Commercial	$35.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.74
Rate for Payer: UnitedHealthcare Commercial	$35.80

TRAY ANGIOGRAPHY

Facility

$221.45

Hospital Charge Code	270653945
Hospital Revenue Code	271
Min. Negotiated Rate	$33.22
Max. Negotiated Rate	$33.22
Rate for Payer: Qualcare PPO/HMO/WC	$33.22

TRAY ANGIOGRAPHY

Facility

$221.45

Hospital Charge Code	270653945
Hospital Revenue Code	271
Min. Negotiated Rate	$28.79
Max. Negotiated Rate	$110.72
Rate for Payer: Aetna Commercial	$66.44
Rate for Payer: Aetna Medicare Advantage	$66.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.47
Rate for Payer: Cigna Commercial	$110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.79
Rate for Payer: Oxford Commercial	$110.72
Rate for Payer: Qualcare PPO/HMO/WC	$33.22
Rate for Payer: UnitedHealthcare Commercial	$110.72

TRAY ARTHROGRAM

Facility

$46.92

Hospital Charge Code	270616283
Hospital Revenue Code	270
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$7.04
Rate for Payer: Qualcare PPO/HMO/WC	$7.04

TRAY ARTHROGRAM

Facility

$46.92

Hospital Charge Code	270616283
Hospital Revenue Code	270
Min. Negotiated Rate	$6.10
Max. Negotiated Rate	$23.46
Rate for Payer: Aetna Commercial	$14.08
Rate for Payer: Aetna Medicare Advantage	$14.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.96
Rate for Payer: Cigna Commercial	$23.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.10
Rate for Payer: Oxford Commercial	$23.46
Rate for Payer: Qualcare PPO/HMO/WC	$7.04
Rate for Payer: UnitedHealthcare Commercial	$23.46

TRAY ASPIRATING *******

Facility

$202.00

Hospital Charge Code	8002214
Hospital Revenue Code	279
Min. Negotiated Rate	$26.26
Max. Negotiated Rate	$101.00
Rate for Payer: Aetna Commercial	$60.60
Rate for Payer: Aetna Medicare Advantage	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.51
Rate for Payer: Cigna Commercial	$101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.30
Rate for Payer: UnitedHealthcare Commercial	$101.00

TRAY ASPIRATING *******

Facility

$202.00

Hospital Charge Code	8002214
Hospital Revenue Code	279
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$30.30
Rate for Payer: Qualcare PPO/HMO/WC	$30.30

TRAY BASIC PORT A CATH

Facility

$4,267.25

Hospital Charge Code	270606963
Hospital Revenue Code	272
Min. Negotiated Rate	$554.74
Max. Negotiated Rate	$2,133.62
Rate for Payer: Aetna Commercial	$1,280.17
Rate for Payer: Aetna Medicare Advantage	$1,280.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,088.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,088.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,088.15
Rate for Payer: Cigna Commercial	$2,133.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.74
Rate for Payer: Oxford Commercial	$2,133.62
Rate for Payer: Qualcare PPO/HMO/WC	$640.09
Rate for Payer: UnitedHealthcare Commercial	$2,133.62

TRAY BASIC PORT A CATH

Facility

$4,267.25

Hospital Charge Code	270606963
Hospital Revenue Code	272
Min. Negotiated Rate	$640.09
Max. Negotiated Rate	$640.09
Rate for Payer: Qualcare PPO/HMO/WC	$640.09

TRAY BBL PROCEDRL AEROBIC PLUS

Facility

$15.05

Hospital Charge Code	270649879
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$2.26
Rate for Payer: Qualcare PPO/HMO/WC	$2.26

TRAY BBL PROCEDRL AEROBIC PLUS

Facility

$15.05

Hospital Charge Code	270649879
Hospital Revenue Code	272
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$7.53
Rate for Payer: Aetna Commercial	$4.51
Rate for Payer: Aetna Medicare Advantage	$4.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.84
Rate for Payer: Cigna Commercial	$7.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.96
Rate for Payer: Oxford Commercial	$7.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.26
Rate for Payer: UnitedHealthcare Commercial	$7.53

TRAY BBL PROCEDURAL ANAEROBIC

Facility

$11.90

Hospital Charge Code	270649880
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

TRAY BBL PROCEDURAL ANAEROBIC

Facility

$11.90

Hospital Charge Code	270649880
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$5.95
Rate for Payer: Aetna Commercial	$3.57
Rate for Payer: Aetna Medicare Advantage	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.03
Rate for Payer: Cigna Commercial	$5.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.55
Rate for Payer: Oxford Commercial	$5.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$5.95

TRAY BIOMET ILOK STM TIB 63MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270635586
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$3,426.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

TRAY BIOMET ILOK STM TIB 63MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270635586
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$7,080.00
Rate for Payer: Aetna Commercial	$4,248.00
Rate for Payer: Aetna Medicare Advantage	$4,248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,610.80
Rate for Payer: Cigna Commercial	$7,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

TRAY BIOPSY

Facility

$87.50

Hospital Charge Code	270662676
Hospital Revenue Code	270
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$43.75
Rate for Payer: Aetna Commercial	$26.25
Rate for Payer: Aetna Medicare Advantage	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.31
Rate for Payer: Cigna Commercial	$43.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.38
Rate for Payer: Oxford Commercial	$43.75
Rate for Payer: Qualcare PPO/HMO/WC	$13.12
Rate for Payer: UnitedHealthcare Commercial	$43.75

Know your out-of-pocket cost for care.

All Charges