Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY BONE MARROW

Facility

$99.98

Hospital Charge Code	270302219
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

TRAY BONE MARROW

Facility

$149.75

Hospital Charge Code	270652290
Hospital Revenue Code	272
Min. Negotiated Rate	$22.46
Max. Negotiated Rate	$22.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.46

TRAY BONE MARROW

Facility

$99.98

Hospital Charge Code	270302219
Hospital Revenue Code	272
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$49.99
Rate for Payer: Aetna Commercial	$29.99
Rate for Payer: Aetna Medicare Advantage	$29.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.49
Rate for Payer: Cigna Commercial	$49.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$49.99
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$49.99

TRAY BONE MARROW

Facility

$149.75

Hospital Charge Code	270652290
Hospital Revenue Code	272
Min. Negotiated Rate	$19.47
Max. Negotiated Rate	$74.88
Rate for Payer: Aetna Commercial	$44.92
Rate for Payer: Aetna Medicare Advantage	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.19
Rate for Payer: Cigna Commercial	$74.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.47
Rate for Payer: Oxford Commercial	$74.88
Rate for Payer: Qualcare PPO/HMO/WC	$22.46
Rate for Payer: UnitedHealthcare Commercial	$74.88

TRAY BONE MARROW 15G NEEDLE

Facility

$235.86

Hospital Charge Code	270649736
Hospital Revenue Code	270
Min. Negotiated Rate	$30.66
Max. Negotiated Rate	$117.93
Rate for Payer: Aetna Commercial	$70.76
Rate for Payer: Aetna Medicare Advantage	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.14
Rate for Payer: Cigna Commercial	$117.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.66
Rate for Payer: Oxford Commercial	$117.93
Rate for Payer: Qualcare PPO/HMO/WC	$35.38
Rate for Payer: UnitedHealthcare Commercial	$117.93

TRAY BONE MARROW 15G NEEDLE

Facility

$235.86

Hospital Charge Code	270649736
Hospital Revenue Code	270
Min. Negotiated Rate	$35.38
Max. Negotiated Rate	$35.38
Rate for Payer: Qualcare PPO/HMO/WC	$35.38

TRAY BONE MARROW BIOPSY

Facility

$214.98

Hospital Charge Code	270658281
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

TRAY BONE MARROW BIOPSY

Facility

$214.98

Hospital Charge Code	270658281
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.49
Rate for Payer: Aetna Commercial	$64.49
Rate for Payer: Aetna Medicare Advantage	$64.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.82
Rate for Payer: Cigna Commercial	$107.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.49
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.49

TRAY CATH 2 LUMEN HEMODIALYSIS

Facility

$583.51

Hospital Charge Code	270649794
Hospital Revenue Code	272
Min. Negotiated Rate	$87.53
Max. Negotiated Rate	$87.53
Rate for Payer: Qualcare PPO/HMO/WC	$87.53

TRAY CATH 2 LUMEN HEMODIALYSIS

Facility

$583.51

Hospital Charge Code	270649794
Hospital Revenue Code	272
Min. Negotiated Rate	$75.86
Max. Negotiated Rate	$291.75
Rate for Payer: Aetna Commercial	$175.05
Rate for Payer: Aetna Medicare Advantage	$175.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.80
Rate for Payer: Cigna Commercial	$291.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.86
Rate for Payer: Oxford Commercial	$291.75
Rate for Payer: Qualcare PPO/HMO/WC	$87.53
Rate for Payer: UnitedHealthcare Commercial	$291.75

TRAY CATH DUAL LM 6 DLC600TEC

Facility

$839.25

Hospital Charge Code	270302226
Hospital Revenue Code	272
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$125.89
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH DUAL LM 6 DLC600TEC

Facility

$839.25

Hospital Charge Code	270605600
Hospital Revenue Code	278
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$419.62
Rate for Payer: Aetna Commercial	$251.78
Rate for Payer: Aetna Medicare Advantage	$251.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.01
Rate for Payer: Cigna Commercial	$419.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.10
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH DUAL LM 6 DLC600TEC

Facility

$839.25

Hospital Charge Code	270605600
Hospital Revenue Code	278
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$203.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.10
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH DUAL LM 6 DLC600TEC

Facility

$839.25

Hospital Charge Code	270302226
Hospital Revenue Code	272
Min. Negotiated Rate	$109.10
Max. Negotiated Rate	$419.62
Rate for Payer: Aetna Commercial	$251.78
Rate for Payer: Aetna Medicare Advantage	$251.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.01
Rate for Payer: Cigna Commercial	$419.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.10
Rate for Payer: Oxford Commercial	$419.62
Rate for Payer: Qualcare PPO/HMO/WC	$125.89
Rate for Payer: UnitedHealthcare Commercial	$419.62

TRAY CATH DUAL LM 8 DLC800TEC

Facility

$839.25

Hospital Charge Code	270605602
Hospital Revenue Code	272
Min. Negotiated Rate	$109.10
Max. Negotiated Rate	$419.62
Rate for Payer: Aetna Commercial	$251.78
Rate for Payer: Aetna Medicare Advantage	$251.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.01
Rate for Payer: Cigna Commercial	$419.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.10
Rate for Payer: Oxford Commercial	$419.62
Rate for Payer: Qualcare PPO/HMO/WC	$125.89
Rate for Payer: UnitedHealthcare Commercial	$419.62

TRAY CATH DUAL LM 8 DLC800TEC

Facility

$839.25

Hospital Charge Code	270302227
Hospital Revenue Code	272
Min. Negotiated Rate	$109.10
Max. Negotiated Rate	$419.62
Rate for Payer: Aetna Commercial	$251.78
Rate for Payer: Aetna Medicare Advantage	$251.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.01
Rate for Payer: Cigna Commercial	$419.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.10
Rate for Payer: Oxford Commercial	$419.62
Rate for Payer: Qualcare PPO/HMO/WC	$125.89
Rate for Payer: UnitedHealthcare Commercial	$419.62

TRAY CATH DUAL LM 8 DLC800TEC

Facility

$839.25

Hospital Charge Code	270605602
Hospital Revenue Code	272
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$125.89
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH DUAL LM 8 DLC800TEC

Facility

$839.25

Hospital Charge Code	270302227
Hospital Revenue Code	272
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$125.89
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH FEMORAL 11.5FR

Facility

$412.00

Hospital Charge Code	270649890
Hospital Revenue Code	272
Min. Negotiated Rate	$61.80
Max. Negotiated Rate	$61.80
Rate for Payer: Qualcare PPO/HMO/WC	$61.80

TRAY CATH FEMORAL 11.5FR

Facility

$412.00

Hospital Charge Code	270649890
Hospital Revenue Code	272
Min. Negotiated Rate	$53.56
Max. Negotiated Rate	$206.00
Rate for Payer: Aetna Commercial	$123.60
Rate for Payer: Aetna Medicare Advantage	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.06
Rate for Payer: Cigna Commercial	$206.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.56
Rate for Payer: Oxford Commercial	$206.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.80
Rate for Payer: UnitedHealthcare Commercial	$206.00

TRAY CATH MAHURKAR 11.5FR 16cm

Facility

$646.33

Hospital Charge Code	270649133
Hospital Revenue Code	272
Min. Negotiated Rate	$96.95
Max. Negotiated Rate	$96.95
Rate for Payer: Qualcare PPO/HMO/WC	$96.95

TRAY CATH MAHURKAR 11.5FR 16cm

Facility

$646.33

Hospital Charge Code	270649133
Hospital Revenue Code	272
Min. Negotiated Rate	$84.02
Max. Negotiated Rate	$323.17
Rate for Payer: Aetna Commercial	$193.90
Rate for Payer: Aetna Medicare Advantage	$193.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.81
Rate for Payer: Cigna Commercial	$323.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.02
Rate for Payer: Oxford Commercial	$323.17
Rate for Payer: Qualcare PPO/HMO/WC	$96.95
Rate for Payer: UnitedHealthcare Commercial	$323.17

TRAY CATH RAUL 11.5 MCDLT116IJ

Facility

$760.00

Hospital Charge Code	270302230
Hospital Revenue Code	272
Min. Negotiated Rate	$98.80
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.80
Rate for Payer: Oxford Commercial	$380.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Commercial	$380.00

TRAY CATH RAUL 11.5 MCDLT116IJ

Facility

$760.00

Hospital Charge Code	270302230
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

TRAY CATH RAULERSON 11.5FR 6

Facility

$480.00

Service Code	HCPCS C1751
Hospital Charge Code	270615117
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$144.00
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

Know your out-of-pocket cost for care.

All Charges