Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY PERCU-SET BIOPSY 43825A

Facility

$73.43

Hospital Charge Code	270605455
Hospital Revenue Code	270
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$36.72
Rate for Payer: Aetna Commercial	$22.03
Rate for Payer: Aetna Medicare Advantage	$22.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.72
Rate for Payer: Cigna Commercial	$36.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.55
Rate for Payer: Oxford Commercial	$36.72
Rate for Payer: Qualcare PPO/HMO/WC	$11.01
Rate for Payer: UnitedHealthcare Commercial	$36.72

TRAY PERCUTANEOUS INTROD 9FR

Facility

$271.27

Hospital Charge Code	270644536
Hospital Revenue Code	272
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$135.63
Rate for Payer: Aetna Commercial	$81.38
Rate for Payer: Aetna Medicare Advantage	$81.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.17
Rate for Payer: Cigna Commercial	$135.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.27
Rate for Payer: Oxford Commercial	$135.63
Rate for Payer: Qualcare PPO/HMO/WC	$40.69
Rate for Payer: UnitedHealthcare Commercial	$135.63

TRAY PERCUTANEOUS INTROD 9FR

Facility

$271.27

Hospital Charge Code	270644536
Hospital Revenue Code	272
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$40.69
Rate for Payer: Qualcare PPO/HMO/WC	$40.69

TRAY PERCUTANEOUS S DIL 7.0

Facility

$1,678.75

Hospital Charge Code	270690630
Hospital Revenue Code	272
Min. Negotiated Rate	$251.81
Max. Negotiated Rate	$251.81
Rate for Payer: Qualcare PPO/HMO/WC	$251.81

TRAY PERCUTANEOUS S DIL 7.0

Facility

$1,678.75

Hospital Charge Code	270690630
Hospital Revenue Code	272
Min. Negotiated Rate	$218.24
Max. Negotiated Rate	$839.38
Rate for Payer: Aetna Commercial	$503.62
Rate for Payer: Aetna Medicare Advantage	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.08
Rate for Payer: Cigna Commercial	$839.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.24
Rate for Payer: Oxford Commercial	$839.38
Rate for Payer: Qualcare PPO/HMO/WC	$251.81
Rate for Payer: UnitedHealthcare Commercial	$839.38

TRAY PERCUTANEOUS S DIL 8.0

Facility

$1,678.75

Hospital Charge Code	270689357
Hospital Revenue Code	272
Min. Negotiated Rate	$251.81
Max. Negotiated Rate	$251.81
Rate for Payer: Qualcare PPO/HMO/WC	$251.81

TRAY PERCUTANEOUS S DIL 8.0

Facility

$1,678.75

Hospital Charge Code	270689357
Hospital Revenue Code	272
Min. Negotiated Rate	$218.24
Max. Negotiated Rate	$839.38
Rate for Payer: Aetna Commercial	$503.62
Rate for Payer: Aetna Medicare Advantage	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.08
Rate for Payer: Cigna Commercial	$839.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.24
Rate for Payer: Oxford Commercial	$839.38
Rate for Payer: Qualcare PPO/HMO/WC	$251.81
Rate for Payer: UnitedHealthcare Commercial	$839.38

TRAY PERICARDIOCENTESIS

Facility

$827.60

Hospital Charge Code	2709003162
Hospital Revenue Code	272
Min. Negotiated Rate	$107.59
Max. Negotiated Rate	$413.80
Rate for Payer: Aetna Commercial	$248.28
Rate for Payer: Aetna Medicare Advantage	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.04
Rate for Payer: Cigna Commercial	$413.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.59
Rate for Payer: Oxford Commercial	$413.80
Rate for Payer: Qualcare PPO/HMO/WC	$124.14
Rate for Payer: UnitedHealthcare Commercial	$413.80

TRAY PERICARDIOCENTESIS

Facility

$172.14

Hospital Charge Code	270658313
Hospital Revenue Code	272
Min. Negotiated Rate	$25.82
Max. Negotiated Rate	$25.82
Rate for Payer: Qualcare PPO/HMO/WC	$25.82

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631
Hospital Revenue Code	272
Min. Negotiated Rate	$133.60
Max. Negotiated Rate	$513.85
Rate for Payer: Aetna Commercial	$308.31
Rate for Payer: Aetna Medicare Advantage	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.06
Rate for Payer: Cigna Commercial	$513.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.60
Rate for Payer: Oxford Commercial	$513.85
Rate for Payer: Qualcare PPO/HMO/WC	$154.16
Rate for Payer: UnitedHealthcare Commercial	$513.85

TRAY PERICARDIOCENTESIS

Facility

$172.14

Hospital Charge Code	270658313
Hospital Revenue Code	272
Min. Negotiated Rate	$22.38
Max. Negotiated Rate	$86.07
Rate for Payer: Aetna Commercial	$51.64
Rate for Payer: Aetna Medicare Advantage	$51.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.90
Rate for Payer: Cigna Commercial	$86.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.38
Rate for Payer: Oxford Commercial	$86.07
Rate for Payer: Qualcare PPO/HMO/WC	$25.82
Rate for Payer: UnitedHealthcare Commercial	$86.07

TRAY PERICARDIOCENTESIS

Facility

$827.60

Hospital Charge Code	2709003162
Hospital Revenue Code	272
Min. Negotiated Rate	$124.14
Max. Negotiated Rate	$124.14
Rate for Payer: Qualcare PPO/HMO/WC	$124.14

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631N
Hospital Revenue Code	272
Min. Negotiated Rate	$154.16
Max. Negotiated Rate	$154.16
Rate for Payer: Qualcare PPO/HMO/WC	$154.16

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631
Hospital Revenue Code	272
Min. Negotiated Rate	$154.16
Max. Negotiated Rate	$154.16
Rate for Payer: Qualcare PPO/HMO/WC	$154.16

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631N
Hospital Revenue Code	272
Min. Negotiated Rate	$133.60
Max. Negotiated Rate	$513.85
Rate for Payer: Aetna Commercial	$308.31
Rate for Payer: Aetna Medicare Advantage	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.06
Rate for Payer: Cigna Commercial	$513.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.60
Rate for Payer: Oxford Commercial	$513.85
Rate for Payer: Qualcare PPO/HMO/WC	$154.16
Rate for Payer: UnitedHealthcare Commercial	$513.85

TRAY PERI GYN

Facility

$94.60

Hospital Charge Code	270654143
Hospital Revenue Code	270
Min. Negotiated Rate	$14.19
Max. Negotiated Rate	$14.19
Rate for Payer: Qualcare PPO/HMO/WC	$14.19

TRAY PERI GYN

Facility

$94.60

Hospital Charge Code	270654143
Hospital Revenue Code	270
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$47.30
Rate for Payer: Aetna Commercial	$28.38
Rate for Payer: Aetna Medicare Advantage	$28.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.12
Rate for Payer: Cigna Commercial	$47.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.30
Rate for Payer: Oxford Commercial	$47.30
Rate for Payer: Qualcare PPO/HMO/WC	$14.19
Rate for Payer: UnitedHealthcare Commercial	$47.30

TRAY PERIT DIALYSIS DRESS ****

Facility

$253.00

Hospital Charge Code	8002800
Hospital Revenue Code	279
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$37.95
Rate for Payer: Qualcare PPO/HMO/WC	$37.95

TRAY PERIT DIALYSIS DRESS ****

Facility

$253.00

Hospital Charge Code	8002800
Hospital Revenue Code	279
Min. Negotiated Rate	$32.89
Max. Negotiated Rate	$126.50
Rate for Payer: Aetna Commercial	$75.90
Rate for Payer: Aetna Medicare Advantage	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.52
Rate for Payer: Cigna Commercial	$126.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.89
Rate for Payer: Oxford Commercial	$126.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.95
Rate for Payer: UnitedHealthcare Commercial	$126.50

TRAY PICC CENTRAL LINE

Facility

$233.04

Hospital Charge Code	270654142
Hospital Revenue Code	270
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$116.52
Rate for Payer: Aetna Commercial	$69.91
Rate for Payer: Aetna Medicare Advantage	$69.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.43
Rate for Payer: Cigna Commercial	$116.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.30
Rate for Payer: Oxford Commercial	$116.52
Rate for Payer: Qualcare PPO/HMO/WC	$34.96
Rate for Payer: UnitedHealthcare Commercial	$116.52

TRAY PICC CENTRAL LINE

Facility

$233.04

Hospital Charge Code	270654142
Hospital Revenue Code	270
Min. Negotiated Rate	$34.96
Max. Negotiated Rate	$34.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.96

TRAY PICC CENTRAL LINE 751

Facility

$255.05

Hospital Charge Code	270655988
Hospital Revenue Code	272
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$127.53
Rate for Payer: Aetna Commercial	$76.52
Rate for Payer: Aetna Medicare Advantage	$76.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.04
Rate for Payer: Cigna Commercial	$127.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.16
Rate for Payer: Oxford Commercial	$127.53
Rate for Payer: Qualcare PPO/HMO/WC	$38.26
Rate for Payer: UnitedHealthcare Commercial	$127.53

TRAY PICC CENTRAL LINE 751

Facility

$255.05

Hospital Charge Code	270655988
Hospital Revenue Code	272
Min. Negotiated Rate	$38.26
Max. Negotiated Rate	$38.26
Rate for Payer: Qualcare PPO/HMO/WC	$38.26

TRAY PICC LINES PER-Q-CATH

Facility

$676.00

Hospital Charge Code	270305000
Hospital Revenue Code	272
Min. Negotiated Rate	$87.88
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$202.80
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.88
Rate for Payer: Oxford Commercial	$338.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.40
Rate for Payer: UnitedHealthcare Commercial	$338.00

TRAY PICC LINES PER-Q-CATH

Facility

$676.00

Hospital Charge Code	270305000
Hospital Revenue Code	272
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$101.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

Know your out-of-pocket cost for care.

All Charges