Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY MYELOGRAM 18G

Facility

$220.85

Hospital Charge Code	270601456
Hospital Revenue Code	272
Min. Negotiated Rate	$28.71
Max. Negotiated Rate	$110.42
Rate for Payer: Aetna Commercial	$66.25
Rate for Payer: Aetna Medicare Advantage	$66.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.32
Rate for Payer: Cigna Commercial	$110.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.71
Rate for Payer: Oxford Commercial	$110.42
Rate for Payer: Qualcare PPO/HMO/WC	$33.13
Rate for Payer: UnitedHealthcare Commercial	$110.42

TRAY MYELOGRAM W/18G NEEDLE

Facility

$64.51

Hospital Charge Code	270601456S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.39
Max. Negotiated Rate	$32.26
Rate for Payer: Aetna Commercial	$19.35
Rate for Payer: Aetna Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.45
Rate for Payer: Cigna Commercial	$32.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.39
Rate for Payer: Oxford Commercial	$32.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.68
Rate for Payer: UnitedHealthcare Commercial	$32.26

TRAY MYELOGRAM W/18G NEEDLE

Facility

$64.51

Hospital Charge Code	270601456S
Hospital Revenue Code	272
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$9.68

TRAY NASAL****

Facility

$166.00

Hospital Charge Code	8002313
Hospital Revenue Code	279
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$49.80
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$83.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$83.00

TRAY NASAL****

Facility

$166.00

Hospital Charge Code	8002313
Hospital Revenue Code	279
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

TRAY NASAL NON-DISP

Facility

$235.25

Hospital Charge Code	2708004277
Hospital Revenue Code	272
Min. Negotiated Rate	$35.29
Max. Negotiated Rate	$35.29
Rate for Payer: Qualcare PPO/HMO/WC	$35.29

TRAY NASAL NON-DISP

Facility

$235.25

Hospital Charge Code	2708004277
Hospital Revenue Code	272
Min. Negotiated Rate	$30.58
Max. Negotiated Rate	$117.62
Rate for Payer: Aetna Commercial	$70.58
Rate for Payer: Aetna Medicare Advantage	$70.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.99
Rate for Payer: Cigna Commercial	$117.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.58
Rate for Payer: Oxford Commercial	$117.62
Rate for Payer: Qualcare PPO/HMO/WC	$35.29
Rate for Payer: UnitedHealthcare Commercial	$117.62

TRAY NEONATAL PICC PROCEDURE

Facility

$275.39

Hospital Charge Code	270689915
Hospital Revenue Code	272
Min. Negotiated Rate	$41.31
Max. Negotiated Rate	$41.31
Rate for Payer: Qualcare PPO/HMO/WC	$41.31

TRAY NEONATAL PICC PROCEDURE

Facility

$275.39

Hospital Charge Code	270689915
Hospital Revenue Code	272
Min. Negotiated Rate	$35.80
Max. Negotiated Rate	$137.69
Rate for Payer: Aetna Commercial	$82.62
Rate for Payer: Aetna Medicare Advantage	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.22
Rate for Payer: Cigna Commercial	$137.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.80
Rate for Payer: Oxford Commercial	$137.69
Rate for Payer: Qualcare PPO/HMO/WC	$41.31
Rate for Payer: UnitedHealthcare Commercial	$137.69

TRAY NERVE BLOCK

Facility

$72.81

Hospital Charge Code	270649895
Hospital Revenue Code	272
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$36.41
Rate for Payer: Aetna Commercial	$21.84
Rate for Payer: Aetna Medicare Advantage	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.57
Rate for Payer: Cigna Commercial	$36.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.47
Rate for Payer: Oxford Commercial	$36.41
Rate for Payer: Qualcare PPO/HMO/WC	$10.92
Rate for Payer: UnitedHealthcare Commercial	$36.41

TRAY NERVE BLOCK

Facility

$72.81

Hospital Charge Code	270649895
Hospital Revenue Code	272
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$10.92
Rate for Payer: Qualcare PPO/HMO/WC	$10.92

TRAY NERVE BLOCK 332114

Facility

$35.51

Hospital Charge Code	270690777
Hospital Revenue Code	272
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$17.75
Rate for Payer: Aetna Commercial	$10.65
Rate for Payer: Aetna Medicare Advantage	$10.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.06
Rate for Payer: Cigna Commercial	$17.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.62
Rate for Payer: Oxford Commercial	$17.75
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$17.75

TRAY NERVE BLOCK 332114

Facility

$35.51

Hospital Charge Code	270690777
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

TRAY NUR PIC EVOLN S/L 4.5F 40

Facility

$199.60

Hospital Charge Code	270648323
Hospital Revenue Code	272
Min. Negotiated Rate	$25.95
Max. Negotiated Rate	$99.80
Rate for Payer: Aetna Commercial	$59.88
Rate for Payer: Aetna Medicare Advantage	$59.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.90
Rate for Payer: Cigna Commercial	$99.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.95
Rate for Payer: Oxford Commercial	$99.80
Rate for Payer: Qualcare PPO/HMO/WC	$29.94
Rate for Payer: UnitedHealthcare Commercial	$99.80

TRAY NUR PIC EVOLN S/L 4.5F 40

Facility

$199.60

Hospital Charge Code	270648323
Hospital Revenue Code	272
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$29.94
Rate for Payer: Qualcare PPO/HMO/WC	$29.94

TRAY NUR PIC EVOLN S/L 4.5F 50

Facility

$199.60

Hospital Charge Code	270648324
Hospital Revenue Code	272
Min. Negotiated Rate	$25.95
Max. Negotiated Rate	$99.80
Rate for Payer: Aetna Commercial	$59.88
Rate for Payer: Aetna Medicare Advantage	$59.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.90
Rate for Payer: Cigna Commercial	$99.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.95
Rate for Payer: Oxford Commercial	$99.80
Rate for Payer: Qualcare PPO/HMO/WC	$29.94
Rate for Payer: UnitedHealthcare Commercial	$99.80

TRAY NUR PIC EVOLN S/L 4.5F 50

Facility

$199.60

Hospital Charge Code	270648324
Hospital Revenue Code	272
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$29.94
Rate for Payer: Qualcare PPO/HMO/WC	$29.94

TRAY NUR PIC EVOLN S/L 5.5F 40

Facility

$199.60

Hospital Charge Code	270648325
Hospital Revenue Code	272
Min. Negotiated Rate	$25.95
Max. Negotiated Rate	$99.80
Rate for Payer: Aetna Commercial	$59.88
Rate for Payer: Aetna Medicare Advantage	$59.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.90
Rate for Payer: Cigna Commercial	$99.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.95
Rate for Payer: Oxford Commercial	$99.80
Rate for Payer: Qualcare PPO/HMO/WC	$29.94
Rate for Payer: UnitedHealthcare Commercial	$99.80

TRAY NUR PIC EVOLN S/L 5.5F 40

Facility

$199.60

Hospital Charge Code	270648325
Hospital Revenue Code	272
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$29.94
Rate for Payer: Qualcare PPO/HMO/WC	$29.94

TRAY NUR PIC EVOLN S/L 5.5F 50

Facility

$199.60

Hospital Charge Code	270648327
Hospital Revenue Code	272
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$29.94
Rate for Payer: Qualcare PPO/HMO/WC	$29.94

TRAY NUR PIC EVOLN S/L 5.5F 50

Facility

$199.60

Hospital Charge Code	270648327
Hospital Revenue Code	272
Min. Negotiated Rate	$25.95
Max. Negotiated Rate	$99.80
Rate for Payer: Aetna Commercial	$59.88
Rate for Payer: Aetna Medicare Advantage	$59.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.90
Rate for Payer: Cigna Commercial	$99.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.95
Rate for Payer: Oxford Commercial	$99.80
Rate for Payer: Qualcare PPO/HMO/WC	$29.94
Rate for Payer: UnitedHealthcare Commercial	$99.80

TRAY ON/OFF FOR PERITON

Facility

$151.25

Hospital Charge Code	270606377
Hospital Revenue Code	272
Min. Negotiated Rate	$19.66
Max. Negotiated Rate	$75.62
Rate for Payer: Aetna Commercial	$45.38
Rate for Payer: Aetna Medicare Advantage	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.57
Rate for Payer: Cigna Commercial	$75.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.66
Rate for Payer: Oxford Commercial	$75.62
Rate for Payer: Qualcare PPO/HMO/WC	$22.69
Rate for Payer: UnitedHealthcare Commercial	$75.62

TRAY ON/OFF FOR PERITON

Facility

$151.25

Hospital Charge Code	270606377
Hospital Revenue Code	272
Min. Negotiated Rate	$22.69
Max. Negotiated Rate	$22.69
Rate for Payer: Qualcare PPO/HMO/WC	$22.69

TRAY ON-Q T-BLOC CONTINUOUS

Facility

$376.00

Hospital Charge Code	270678113
Hospital Revenue Code	272
Min. Negotiated Rate	$56.40
Max. Negotiated Rate	$56.40
Rate for Payer: Qualcare PPO/HMO/WC	$56.40

TRAY ON-Q T-BLOC CONTINUOUS

Facility

$376.00

Hospital Charge Code	270678113
Hospital Revenue Code	272
Min. Negotiated Rate	$48.88
Max. Negotiated Rate	$188.00
Rate for Payer: Aetna Commercial	$112.80
Rate for Payer: Aetna Medicare Advantage	$112.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.88
Rate for Payer: Cigna Commercial	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: Oxford Commercial	$188.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.40
Rate for Payer: UnitedHealthcare Commercial	$188.00

Know your out-of-pocket cost for care.

All Charges