Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY LUMBAR PUNCTURE 20G

Facility

$66.13

Hospital Charge Code	270649873
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

$66.13

Hospital Charge Code	270649873S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$33.06
Rate for Payer: Aetna Commercial	$19.84
Rate for Payer: Aetna Medicare Advantage	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.86
Rate for Payer: Cigna Commercial	$33.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.60
Rate for Payer: Oxford Commercial	$33.06
Rate for Payer: Qualcare PPO/HMO/WC	$9.92
Rate for Payer: UnitedHealthcare Commercial	$33.06

TRAY LUMBAR PUNCTURE 20G

Facility

$66.13

Hospital Charge Code	270649873
Hospital Revenue Code	272
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$33.06
Rate for Payer: Aetna Commercial	$19.84
Rate for Payer: Aetna Medicare Advantage	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.86
Rate for Payer: Cigna Commercial	$33.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.60
Rate for Payer: Oxford Commercial	$33.06
Rate for Payer: Qualcare PPO/HMO/WC	$9.92
Rate for Payer: UnitedHealthcare Commercial	$33.06

TRAY LUMBAR PUNCTURE 20G

Facility

$52.60

Hospital Charge Code	270649873N
Hospital Revenue Code	272
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$7.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.89

TRAY LUMBAR PUNCTURE 22G

Facility

$67.94

Hospital Charge Code	270649875
Hospital Revenue Code	272
Min. Negotiated Rate	$10.19
Max. Negotiated Rate	$10.19
Rate for Payer: Qualcare PPO/HMO/WC	$10.19

TRAY LUMBAR PUNCTURE 22G

Facility

$67.94

Hospital Charge Code	270649875
Hospital Revenue Code	272
Min. Negotiated Rate	$8.83
Max. Negotiated Rate	$33.97
Rate for Payer: Aetna Commercial	$20.38
Rate for Payer: Aetna Medicare Advantage	$20.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.32
Rate for Payer: Cigna Commercial	$33.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.83
Rate for Payer: Oxford Commercial	$33.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.19
Rate for Payer: UnitedHealthcare Commercial	$33.97

TRAY LUMBAR PUNCTURE ADULT

Facility

$38.10

Hospital Charge Code	270649762
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$5.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.71

TRAY LUMBAR PUNCTURE ADULT

Facility

$38.10

Hospital Charge Code	270649762
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$19.05
Rate for Payer: Aetna Commercial	$11.43
Rate for Payer: Aetna Medicare Advantage	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.72
Rate for Payer: Cigna Commercial	$19.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.95
Rate for Payer: Oxford Commercial	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.71
Rate for Payer: UnitedHealthcare Commercial	$19.05

TRAY LUMBAR PUNCTURE CHILD

Facility

$55.89

Hospital Charge Code	270649892
Hospital Revenue Code	272
Min. Negotiated Rate	$7.27
Max. Negotiated Rate	$27.95
Rate for Payer: Aetna Commercial	$16.77
Rate for Payer: Aetna Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.25
Rate for Payer: Cigna Commercial	$27.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.27
Rate for Payer: Oxford Commercial	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.38
Rate for Payer: UnitedHealthcare Commercial	$27.95

TRAY LUMBAR PUNCTURE CHILD

Facility

$55.89

Hospital Charge Code	270649892
Hospital Revenue Code	272
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$8.38
Rate for Payer: Qualcare PPO/HMO/WC	$8.38

TRAY LUMBAR PUNCTURE INFANT

Facility

$49.40

Hospital Charge Code	270649894
Hospital Revenue Code	270
Min. Negotiated Rate	$7.41
Max. Negotiated Rate	$7.41
Rate for Payer: Qualcare PPO/HMO/WC	$7.41

TRAY LUMBAR PUNCTURE INFANT

Facility

$49.40

Hospital Charge Code	270649894
Hospital Revenue Code	270
Min. Negotiated Rate	$6.42
Max. Negotiated Rate	$24.70
Rate for Payer: Aetna Commercial	$14.82
Rate for Payer: Aetna Medicare Advantage	$14.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.60
Rate for Payer: Cigna Commercial	$24.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.42
Rate for Payer: Oxford Commercial	$24.70
Rate for Payer: Qualcare PPO/HMO/WC	$7.41
Rate for Payer: UnitedHealthcare Commercial	$24.70

TRAY LUMBAR PUNCTURE/SE

Facility

$114.45

Hospital Charge Code	270603377
Hospital Revenue Code	272
Min. Negotiated Rate	$17.17
Max. Negotiated Rate	$17.17
Rate for Payer: Qualcare PPO/HMO/WC	$17.17

TRAY LUMBAR PUNCTURE/SE

Facility

$114.45

Hospital Charge Code	270603377
Hospital Revenue Code	272
Min. Negotiated Rate	$14.88
Max. Negotiated Rate	$57.23
Rate for Payer: Aetna Commercial	$34.34
Rate for Payer: Aetna Medicare Advantage	$34.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.18
Rate for Payer: Cigna Commercial	$57.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.88
Rate for Payer: Oxford Commercial	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$17.17
Rate for Payer: UnitedHealthcare Commercial	$57.23

TRAY LUMBAR PUNCT X RX TH INF

Facility

$29.75

Hospital Charge Code	270647910
Hospital Revenue Code	272
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$14.88
Rate for Payer: Aetna Commercial	$8.93
Rate for Payer: Aetna Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.59
Rate for Payer: Cigna Commercial	$14.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.87
Rate for Payer: Oxford Commercial	$14.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.46
Rate for Payer: UnitedHealthcare Commercial	$14.88

TRAY LUMBAR PUNCT X RX TH INF

Facility

$29.75

Hospital Charge Code	270647910
Hospital Revenue Code	272
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$4.46
Rate for Payer: Qualcare PPO/HMO/WC	$4.46

TRAY MAJOR PROCEDURE

Facility

$322.00

Hospital Charge Code	270654116
Hospital Revenue Code	270
Min. Negotiated Rate	$48.30
Max. Negotiated Rate	$48.30
Rate for Payer: Qualcare PPO/HMO/WC	$48.30

TRAY MAJOR PROCEDURE

Facility

$322.00

Hospital Charge Code	270654116
Hospital Revenue Code	270
Min. Negotiated Rate	$41.86
Max. Negotiated Rate	$161.00
Rate for Payer: Aetna Commercial	$96.60
Rate for Payer: Aetna Medicare Advantage	$96.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.11
Rate for Payer: Cigna Commercial	$161.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.86
Rate for Payer: Oxford Commercial	$161.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.30
Rate for Payer: UnitedHealthcare Commercial	$161.00

TRAY MAMMOSITE RTS 4-5 CM 2456

Facility

$11,904.00

Hospital Charge Code	270630230
Hospital Revenue Code	272
Min. Negotiated Rate	$1,785.60
Max. Negotiated Rate	$1,785.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,785.60

TRAY MAMMOSITE RTS 4-5 CM 2456

Facility

$11,904.00

Hospital Charge Code	270630230
Hospital Revenue Code	272
Min. Negotiated Rate	$1,547.52
Max. Negotiated Rate	$5,952.00
Rate for Payer: Aetna Commercial	$3,571.20
Rate for Payer: Aetna Medicare Advantage	$3,571.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,035.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,035.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,035.52
Rate for Payer: Cigna Commercial	$5,952.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,547.52
Rate for Payer: Oxford Commercial	$5,952.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,785.60
Rate for Payer: UnitedHealthcare Commercial	$5,952.00

TRAY MEDIAL TIBIAL LEFT SIZE B

Facility

$13,740.00

Hospital Charge Code	270645451
Hospital Revenue Code	278
Min. Negotiated Rate	$2,061.00
Max. Negotiated Rate	$3,325.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,748.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,325.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,061.00

TRAY MEDIAL TIBIAL LEFT SIZE B

Facility

$13,740.00

Hospital Charge Code	270645451
Hospital Revenue Code	278
Min. Negotiated Rate	$2,061.00
Max. Negotiated Rate	$6,870.00
Rate for Payer: Aetna Commercial	$4,122.00
Rate for Payer: Aetna Medicare Advantage	$4,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,503.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,503.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,748.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,503.70
Rate for Payer: Cigna Commercial	$6,870.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,325.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,061.00

TRAY MINOR PROCEDURE

Facility

$162.50

Hospital Charge Code	270654117
Hospital Revenue Code	270
Min. Negotiated Rate	$24.38
Max. Negotiated Rate	$24.38
Rate for Payer: Qualcare PPO/HMO/WC	$24.38

TRAY MINOR PROCEDURE

Facility

$162.50

Hospital Charge Code	270654117
Hospital Revenue Code	270
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$81.25
Rate for Payer: Aetna Commercial	$48.75
Rate for Payer: Aetna Medicare Advantage	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.44
Rate for Payer: Cigna Commercial	$81.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.12
Rate for Payer: Oxford Commercial	$81.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.38
Rate for Payer: UnitedHealthcare Commercial	$81.25

TRAY MYELOGRAM 18G

Facility

$220.85

Hospital Charge Code	270601456
Hospital Revenue Code	272
Min. Negotiated Rate	$33.13
Max. Negotiated Rate	$33.13
Rate for Payer: Qualcare PPO/HMO/WC	$33.13

Know your out-of-pocket cost for care.

All Charges