Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY DRSG CHG CENTRAL LINE

Facility

$20.80

Hospital Charge Code	270302225
Hospital Revenue Code	272
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$3.12
Rate for Payer: Qualcare PPO/HMO/WC	$3.12

TRAY DRSG CHG CENTRAL LINE

Facility

$20.80

Hospital Charge Code	270302225
Hospital Revenue Code	272
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$10.40
Rate for Payer: Aetna Commercial	$6.24
Rate for Payer: Aetna Medicare Advantage	$6.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.30
Rate for Payer: Cigna Commercial	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$3.12
Rate for Payer: UnitedHealthcare Commercial	$10.40

TRAY EAR IRRIGATION

Facility

$133.65

Hospital Charge Code	2708002248
Hospital Revenue Code	270
Min. Negotiated Rate	$17.37
Max. Negotiated Rate	$66.83
Rate for Payer: Aetna Commercial	$40.09
Rate for Payer: Aetna Medicare Advantage	$40.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$66.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.37
Rate for Payer: Oxford Commercial	$66.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.05
Rate for Payer: UnitedHealthcare Commercial	$66.83

TRAY EAR IRRIGATION

Facility

$133.65

Hospital Charge Code	2708002248
Hospital Revenue Code	270
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$20.05

TRAY EENT

Facility

$247.25

Hospital Charge Code	270654146
Hospital Revenue Code	270
Min. Negotiated Rate	$32.14
Max. Negotiated Rate	$123.62
Rate for Payer: Aetna Commercial	$74.17
Rate for Payer: Aetna Medicare Advantage	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.05
Rate for Payer: Cigna Commercial	$123.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.14
Rate for Payer: Oxford Commercial	$123.62
Rate for Payer: Qualcare PPO/HMO/WC	$37.09
Rate for Payer: UnitedHealthcare Commercial	$123.62

TRAY EENT

Facility

$247.25

Hospital Charge Code	270654146
Hospital Revenue Code	270
Min. Negotiated Rate	$37.09
Max. Negotiated Rate	$37.09
Rate for Payer: Qualcare PPO/HMO/WC	$37.09

TRAY ENT/NASAL DISP

Facility

$190.45

Hospital Charge Code	270600758
Hospital Revenue Code	272
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$95.22
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$95.22
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$95.22

TRAY ENT/NASAL DISP

Facility

$190.45

Hospital Charge Code	270600758
Hospital Revenue Code	272
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

TRAY ENT/NASAL - RECYCLABLE***

Facility

$92.00

Hospital Charge Code	8004277
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

TRAY ENT/NASAL - RECYCLABLE***

Facility

$92.00

Hospital Charge Code	8004277
Hospital Revenue Code	272
Min. Negotiated Rate	$11.96
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$27.60
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.96
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$46.00

TRAY EPIDURAL

Facility

$184.00

Hospital Charge Code	270070090
Hospital Revenue Code	272
Min. Negotiated Rate	$23.92
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Commercial	$92.00

TRAY EPIDURAL

Facility

$184.00

Hospital Charge Code	270070090
Hospital Revenue Code	272
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

TRAY EPIDURAL 18G

Facility

$100.44

Hospital Charge Code	270649872
Hospital Revenue Code	272
Min. Negotiated Rate	$13.06
Max. Negotiated Rate	$50.22
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.61
Rate for Payer: Cigna Commercial	$50.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.06
Rate for Payer: Oxford Commercial	$50.22
Rate for Payer: Qualcare PPO/HMO/WC	$15.07
Rate for Payer: UnitedHealthcare Commercial	$50.22

TRAY EPIDURAL 18G

Facility

$100.44

Hospital Charge Code	270649872
Hospital Revenue Code	272
Min. Negotiated Rate	$15.07
Max. Negotiated Rate	$15.07
Rate for Payer: Qualcare PPO/HMO/WC	$15.07

TRAY EPIDURAL AK05502

Facility

$112.70

Hospital Charge Code	270613197
Hospital Revenue Code	272
Min. Negotiated Rate	$14.65
Max. Negotiated Rate	$56.35
Rate for Payer: Aetna Commercial	$33.81
Rate for Payer: Aetna Medicare Advantage	$33.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.74
Rate for Payer: Cigna Commercial	$56.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.65
Rate for Payer: Oxford Commercial	$56.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.91
Rate for Payer: UnitedHealthcare Commercial	$56.35

TRAY EPIDURAL AK05502

Facility

$112.70

Hospital Charge Code	270613197
Hospital Revenue Code	272
Min. Negotiated Rate	$16.91
Max. Negotiated Rate	$16.91
Rate for Payer: Qualcare PPO/HMO/WC	$16.91

TRAY EPIDURAL AK-05502

Facility

$131.00

Hospital Charge Code	270641262
Hospital Revenue Code	272
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

TRAY EPIDURAL AK-05502

Facility

$131.00

Hospital Charge Code	270641262
Hospital Revenue Code	272
Min. Negotiated Rate	$17.03
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$39.30
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.03
Rate for Payer: Oxford Commercial	$65.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$65.50

TRAY EPIDURAL ANESTHESIA*****

Facility

$78.00

Hospital Charge Code	1800150
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$11.70
Rate for Payer: Qualcare PPO/HMO/WC	$11.70

TRAY EPIDURAL ANESTHESIA*****

Facility

$78.00

Hospital Charge Code	1800150
Hospital Revenue Code	272
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$39.00
Rate for Payer: Aetna Commercial	$23.40
Rate for Payer: Aetna Medicare Advantage	$23.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.89
Rate for Payer: Cigna Commercial	$39.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.14
Rate for Payer: Oxford Commercial	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.70
Rate for Payer: UnitedHealthcare Commercial	$39.00

TRAY EPIDURAL CONTINOUS

Facility

$97.71

Hospital Charge Code	270650092
Hospital Revenue Code	270
Min. Negotiated Rate	$12.70
Max. Negotiated Rate	$48.85
Rate for Payer: Aetna Commercial	$29.31
Rate for Payer: Aetna Medicare Advantage	$29.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.92
Rate for Payer: Cigna Commercial	$48.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.70
Rate for Payer: Oxford Commercial	$48.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.66
Rate for Payer: UnitedHealthcare Commercial	$48.85

TRAY EPIDURAL CONTINOUS

Facility

$97.71

Hospital Charge Code	270650092
Hospital Revenue Code	270
Min. Negotiated Rate	$14.66
Max. Negotiated Rate	$14.66
Rate for Payer: Qualcare PPO/HMO/WC	$14.66

TRAY EPIDURAL CONTINOUS

Facility

$107.48

Hospital Charge Code	270621149
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$16.12

TRAY EPIDURAL CONTINOUS

Facility

$107.48

Hospital Charge Code	270621149
Hospital Revenue Code	272
Min. Negotiated Rate	$13.97
Max. Negotiated Rate	$53.74
Rate for Payer: Aetna Commercial	$32.24
Rate for Payer: Aetna Medicare Advantage	$32.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.41
Rate for Payer: Cigna Commercial	$53.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.97
Rate for Payer: Oxford Commercial	$53.74
Rate for Payer: Qualcare PPO/HMO/WC	$16.12
Rate for Payer: UnitedHealthcare Commercial	$53.74

TRAY EPIDURAL PERIFIX 20G

Facility

$120.59

Hospital Charge Code	270692059
Hospital Revenue Code	272
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$60.30
Rate for Payer: Aetna Commercial	$36.18
Rate for Payer: Aetna Medicare Advantage	$36.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.75
Rate for Payer: Cigna Commercial	$60.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.68
Rate for Payer: Oxford Commercial	$60.30
Rate for Payer: Qualcare PPO/HMO/WC	$18.09
Rate for Payer: UnitedHealthcare Commercial	$60.30

Know your out-of-pocket cost for care.

All Charges