Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY BIOPSY

Facility

$90.15

Hospital Charge Code	270662672
Hospital Revenue Code	272
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$13.52
Rate for Payer: Qualcare PPO/HMO/WC	$13.52

TRAY BIOPSY

Facility

$90.15

Hospital Charge Code	270662672
Hospital Revenue Code	272
Min. Negotiated Rate	$11.72
Max. Negotiated Rate	$45.08
Rate for Payer: Aetna Commercial	$27.05
Rate for Payer: Aetna Medicare Advantage	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.99
Rate for Payer: Cigna Commercial	$45.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.72
Rate for Payer: Oxford Commercial	$45.08
Rate for Payer: Qualcare PPO/HMO/WC	$13.52
Rate for Payer: UnitedHealthcare Commercial	$45.08

TRAY BIOPSY

Facility

$87.50

Hospital Charge Code	270662676
Hospital Revenue Code	270
Min. Negotiated Rate	$13.12
Max. Negotiated Rate	$13.12
Rate for Payer: Qualcare PPO/HMO/WC	$13.12

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	2706000670
Hospital Revenue Code	272
Min. Negotiated Rate	$95.54
Max. Negotiated Rate	$367.48
Rate for Payer: Aetna Commercial	$220.49
Rate for Payer: Aetna Medicare Advantage	$220.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.41
Rate for Payer: Cigna Commercial	$367.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.54
Rate for Payer: Oxford Commercial	$367.48
Rate for Payer: Qualcare PPO/HMO/WC	$110.24
Rate for Payer: UnitedHealthcare Commercial	$367.48

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	270653753
Hospital Revenue Code	272
Min. Negotiated Rate	$95.54
Max. Negotiated Rate	$367.48
Rate for Payer: Aetna Commercial	$220.49
Rate for Payer: Aetna Medicare Advantage	$220.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.41
Rate for Payer: Cigna Commercial	$367.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.54
Rate for Payer: Oxford Commercial	$367.48
Rate for Payer: Qualcare PPO/HMO/WC	$110.24
Rate for Payer: UnitedHealthcare Commercial	$367.48

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	270653753
Hospital Revenue Code	272
Min. Negotiated Rate	$110.24
Max. Negotiated Rate	$110.24
Rate for Payer: Qualcare PPO/HMO/WC	$110.24

TRAY BIOPSY EXPANDED

Facility

$146.99

Hospital Charge Code	270617003
Hospital Revenue Code	278
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$35.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	2706000670
Hospital Revenue Code	272
Min. Negotiated Rate	$110.24
Max. Negotiated Rate	$110.24
Rate for Payer: Qualcare PPO/HMO/WC	$110.24

TRAY BIOPSY EXPANDED

Facility

$146.99

Hospital Charge Code	270617003
Hospital Revenue Code	278
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$73.50
Rate for Payer: Aetna Commercial	$44.10
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

TRAY BIOPSY PROCEDURE

Facility

$108.70

Hospital Charge Code	270654130
Hospital Revenue Code	272
Min. Negotiated Rate	$16.30
Max. Negotiated Rate	$16.30
Rate for Payer: Qualcare PPO/HMO/WC	$16.30

TRAY BIOPSY PROCEDURE

Facility

$108.70

Hospital Charge Code	270654130
Hospital Revenue Code	272
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$54.35
Rate for Payer: Aetna Commercial	$32.61
Rate for Payer: Aetna Medicare Advantage	$32.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.72
Rate for Payer: Cigna Commercial	$54.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.13
Rate for Payer: Oxford Commercial	$54.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.30
Rate for Payer: UnitedHealthcare Commercial	$54.35

TRAY BIOPSY SOFT TISSUE *****

Facility

$153.00

Hospital Charge Code	8003014
Hospital Revenue Code	279
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

TRAY BIOPSY SOFT TISSUE *****

Facility

$153.00

Hospital Charge Code	8003014
Hospital Revenue Code	279
Min. Negotiated Rate	$19.89
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$45.90
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.89
Rate for Payer: Oxford Commercial	$76.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$76.50

TRAY BIO-TENODESIS RENTA

Facility

$496.00

Hospital Charge Code	270636066
Hospital Revenue Code	272
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

TRAY BIO-TENODESIS RENTA

Facility

$496.00

Hospital Charge Code	270636066
Hospital Revenue Code	272
Min. Negotiated Rate	$64.48
Max. Negotiated Rate	$248.00
Rate for Payer: Aetna Commercial	$148.80
Rate for Payer: Aetna Medicare Advantage	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.48
Rate for Payer: Cigna Commercial	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.48
Rate for Payer: Oxford Commercial	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.40
Rate for Payer: UnitedHealthcare Commercial	$248.00

TRAY BIPOLAR****

Facility

$168.00

Hospital Charge Code	8002230
Hospital Revenue Code	279
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

TRAY BIPOLAR****

Facility

$168.00

Hospital Charge Code	8002230
Hospital Revenue Code	279
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$50.40
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$84.00

TRAY BLOOD GAS

Facility

$9.03

Hospital Charge Code	270200190
Hospital Revenue Code	270
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TRAY BLOOD GAS

Facility

$9.03

Hospital Charge Code	270200190
Hospital Revenue Code	270
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.51
Rate for Payer: Aetna Commercial	$2.71
Rate for Payer: Aetna Medicare Advantage	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.30
Rate for Payer: Cigna Commercial	$4.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.51

TRAY BLUE RHINO TRACH INTRODCR

Facility

$1,940.00

Hospital Charge Code	270660193
Hospital Revenue Code	272
Min. Negotiated Rate	$252.20
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$582.00
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.20
Rate for Payer: Oxford Commercial	$970.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00
Rate for Payer: UnitedHealthcare Commercial	$970.00

TRAY BLUE RHINO TRACH INTRODCR

Facility

$1,940.00

Hospital Charge Code	270660193
Hospital Revenue Code	272
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

TRAY BONE BIOPSY 152MM

Facility

$4,220.00

Hospital Charge Code	270668448
Hospital Revenue Code	272
Min. Negotiated Rate	$548.60
Max. Negotiated Rate	$2,110.00
Rate for Payer: Aetna Commercial	$1,266.00
Rate for Payer: Aetna Medicare Advantage	$1,266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,076.10
Rate for Payer: Cigna Commercial	$2,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$548.60
Rate for Payer: Oxford Commercial	$2,110.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.00
Rate for Payer: UnitedHealthcare Commercial	$2,110.00

TRAY BONE BIOPSY 152MM

Facility

$4,220.00

Hospital Charge Code	270668448
Hospital Revenue Code	272
Min. Negotiated Rate	$633.00
Max. Negotiated Rate	$633.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.00

TRAY BONE BX 10X14 CM

Facility

$2,000.00

Hospital Charge Code	270668449
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

TRAY BONE BX 10X14 CM

Facility

$2,000.00

Hospital Charge Code	270668449
Hospital Revenue Code	272
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00

Know your out-of-pocket cost for care.

All Charges