Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY INTRO PERCUTANEOUS

Facility

$269.04

Hospital Charge Code	270110051
Hospital Revenue Code	272
Min. Negotiated Rate	$40.36
Max. Negotiated Rate	$40.36
Rate for Payer: Qualcare PPO/HMO/WC	$40.36

TRAY IRRIGATION PISTON

Facility

$6.07

Hospital Charge Code	270302231
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$3.04
Rate for Payer: Aetna Commercial	$1.82
Rate for Payer: Aetna Medicare Advantage	$1.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.55
Rate for Payer: Cigna Commercial	$3.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.79
Rate for Payer: Oxford Commercial	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$0.91
Rate for Payer: UnitedHealthcare Commercial	$3.04

TRAY IRRIGATION PISTON

Facility

$6.07

Hospital Charge Code	270302231
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$0.91
Rate for Payer: Qualcare PPO/HMO/WC	$0.91

TRAY IRRIGATION PISTON *****

Facility

$9.00

Hospital Charge Code	8001000
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TRAY IRRIGATION PISTON *****

Facility

$9.00

Hospital Charge Code	8001000
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

TRAY KNEE ARTHROSCOPY

Facility

$295.45

Hospital Charge Code	270654114
Hospital Revenue Code	270
Min. Negotiated Rate	$44.32
Max. Negotiated Rate	$44.32
Rate for Payer: Qualcare PPO/HMO/WC	$44.32

TRAY KNEE ARTHROSCOPY

Facility

$295.45

Hospital Charge Code	270654114
Hospital Revenue Code	270
Min. Negotiated Rate	$38.41
Max. Negotiated Rate	$147.72
Rate for Payer: Aetna Commercial	$88.64
Rate for Payer: Aetna Medicare Advantage	$88.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.34
Rate for Payer: Cigna Commercial	$147.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.41
Rate for Payer: Oxford Commercial	$147.72
Rate for Payer: Qualcare PPO/HMO/WC	$44.32
Rate for Payer: UnitedHealthcare Commercial	$147.72

TRAY KYPHOPAK

Facility

$19,000.00

Hospital Charge Code	270648849N
Hospital Revenue Code	272
Min. Negotiated Rate	$2,470.00
Max. Negotiated Rate	$9,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$5,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,845.00
Rate for Payer: Cigna Commercial	$9,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,470.00
Rate for Payer: Oxford Commercial	$9,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00
Rate for Payer: UnitedHealthcare Commercial	$9,500.00

TRAY KYPHOPAK

Facility

$14,968.80

Hospital Charge Code	270648849
Hospital Revenue Code	272
Min. Negotiated Rate	$1,945.94
Max. Negotiated Rate	$7,484.40
Rate for Payer: Aetna Commercial	$4,490.64
Rate for Payer: Aetna Medicare Advantage	$4,490.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,817.04
Rate for Payer: Cigna Commercial	$7,484.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,945.94
Rate for Payer: Oxford Commercial	$7,484.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32
Rate for Payer: UnitedHealthcare Commercial	$7,484.40

TRAY KYPHOPAK

Facility

$19,000.00

Hospital Charge Code	270648849N
Hospital Revenue Code	272
Min. Negotiated Rate	$2,850.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00

TRAY KYPHOPAK

Facility

$14,968.80

Hospital Charge Code	270648849C
Hospital Revenue Code	270
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$2,245.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

TRAY KYPHOPAK

Facility

$14,968.80

Hospital Charge Code	270648849S
Hospital Revenue Code	272
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$2,245.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

TRAY KYPHOPAK

Facility

$14,968.80

Hospital Charge Code	270648849C
Hospital Revenue Code	270
Min. Negotiated Rate	$1,945.94
Max. Negotiated Rate	$7,484.40
Rate for Payer: Aetna Commercial	$4,490.64
Rate for Payer: Aetna Medicare Advantage	$4,490.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,817.04
Rate for Payer: Cigna Commercial	$7,484.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,945.94
Rate for Payer: Oxford Commercial	$7,484.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32
Rate for Payer: UnitedHealthcare Commercial	$7,484.40

TRAY KYPHOPAK

Facility

$14,968.80

Hospital Charge Code	270648849
Hospital Revenue Code	272
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$2,245.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

TRAY KYPHOPAK

Facility

$14,968.80

Hospital Charge Code	270648849S
Hospital Revenue Code	272
Min. Negotiated Rate	$1,945.94
Max. Negotiated Rate	$7,484.40
Rate for Payer: Aetna Commercial	$4,490.64
Rate for Payer: Aetna Medicare Advantage	$4,490.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,817.04
Rate for Payer: Cigna Commercial	$7,484.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,945.94
Rate for Payer: Oxford Commercial	$7,484.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32
Rate for Payer: UnitedHealthcare Commercial	$7,484.40

TRAY KYPHOPAK PB

Facility

$14,968.80

Service Code	HCPCS C1713
Hospital Charge Code	270680226
Hospital Revenue Code	278
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$7,484.40
Rate for Payer: Aetna Commercial	$4,490.64
Rate for Payer: Aetna Medicare Advantage	$4,490.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,993.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,817.04
Rate for Payer: Cigna Commercial	$7,484.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,622.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

TRAY KYPHOPAK PB

Facility

$14,968.80

Service Code	HCPCS C1713
Hospital Charge Code	270680226
Hospital Revenue Code	278
Min. Negotiated Rate	$2,245.32
Max. Negotiated Rate	$3,622.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,993.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,622.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.32

TRAY LOCAL

Facility

$182.39

Hospital Charge Code	270654147
Hospital Revenue Code	270
Min. Negotiated Rate	$23.71
Max. Negotiated Rate	$91.19
Rate for Payer: Aetna Commercial	$54.72
Rate for Payer: Aetna Medicare Advantage	$54.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.51
Rate for Payer: Cigna Commercial	$91.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.71
Rate for Payer: Oxford Commercial	$91.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.36
Rate for Payer: UnitedHealthcare Commercial	$91.19

TRAY LOCAL

Facility

$182.39

Hospital Charge Code	270654147
Hospital Revenue Code	270
Min. Negotiated Rate	$27.36
Max. Negotiated Rate	$27.36
Rate for Payer: Qualcare PPO/HMO/WC	$27.36

TRAY LUMBAR PUNCTURE

Facility

$96.78

Hospital Charge Code	270302245
Hospital Revenue Code	272
Min. Negotiated Rate	$12.58
Max. Negotiated Rate	$48.39
Rate for Payer: Aetna Commercial	$29.03
Rate for Payer: Aetna Medicare Advantage	$29.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.68
Rate for Payer: Cigna Commercial	$48.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Oxford Commercial	$48.39
Rate for Payer: Qualcare PPO/HMO/WC	$14.52
Rate for Payer: UnitedHealthcare Commercial	$48.39

TRAY LUMBAR PUNCTURE

Facility

$96.78

Hospital Charge Code	270302245
Hospital Revenue Code	272
Min. Negotiated Rate	$14.52
Max. Negotiated Rate	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$14.52

TRAY LUMBAR PUNCTURE****

Facility

$45.00

Hospital Charge Code	8004467
Hospital Revenue Code	272
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.85
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$22.50

TRAY LUMBAR PUNCTURE****

Facility

$45.00

Hospital Charge Code	8004467
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

TRAY LUMBAR PUNCTURE 20G

Facility

$66.13

Hospital Charge Code	270649873S
Hospital Revenue Code	272
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$9.92
Rate for Payer: Qualcare PPO/HMO/WC	$9.92

TRAY LUMBAR PUNCTURE 20G

Facility

$52.60

Hospital Charge Code	270649873N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.84
Max. Negotiated Rate	$26.30
Rate for Payer: Aetna Commercial	$15.78
Rate for Payer: Aetna Medicare Advantage	$15.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.41
Rate for Payer: Cigna Commercial	$26.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.84
Rate for Payer: Oxford Commercial	$26.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.89
Rate for Payer: UnitedHealthcare Commercial	$26.30

Know your out-of-pocket cost for care.

All Charges