Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY PK CUST ARTH AVIBMBM01209

Facility

$211.70

Hospital Charge Code	270642245
Hospital Revenue Code	272
Min. Negotiated Rate	$31.75
Max. Negotiated Rate	$31.75
Rate for Payer: Qualcare PPO/HMO/WC	$31.75

TRAY PK CUST ARTH AVIBMBM01209

Facility

$211.70

Hospital Charge Code	270642245
Hospital Revenue Code	272
Min. Negotiated Rate	$27.52
Max. Negotiated Rate	$105.85
Rate for Payer: Aetna Commercial	$63.51
Rate for Payer: Aetna Medicare Advantage	$63.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.98
Rate for Payer: Cigna Commercial	$105.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.52
Rate for Payer: Oxford Commercial	$105.85
Rate for Payer: Qualcare PPO/HMO/WC	$31.75
Rate for Payer: UnitedHealthcare Commercial	$105.85

TRAY PNEUMOTHORAX

Facility

$705.65

Hospital Charge Code	270302237
Hospital Revenue Code	272
Min. Negotiated Rate	$105.85
Max. Negotiated Rate	$105.85
Rate for Payer: Qualcare PPO/HMO/WC	$105.85

TRAY PNEUMOTHORAX

Facility

$705.65

Hospital Charge Code	270302237
Hospital Revenue Code	272
Min. Negotiated Rate	$91.73
Max. Negotiated Rate	$352.82
Rate for Payer: Aetna Commercial	$211.69
Rate for Payer: Aetna Medicare Advantage	$211.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.94
Rate for Payer: Cigna Commercial	$352.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.73
Rate for Payer: Oxford Commercial	$352.82
Rate for Payer: Qualcare PPO/HMO/WC	$105.85
Rate for Payer: UnitedHealthcare Commercial	$352.82

TRAY PNEUMOTHORAX W/HEIMLCH

Facility

$426.91

Hospital Charge Code	270649735
Hospital Revenue Code	272
Min. Negotiated Rate	$64.04
Max. Negotiated Rate	$64.04
Rate for Payer: Qualcare PPO/HMO/WC	$64.04

TRAY PNEUMOTHORAX W/HEIMLCH

Facility

$426.91

Hospital Charge Code	270649735
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$213.46
Rate for Payer: Aetna Commercial	$128.07
Rate for Payer: Aetna Medicare Advantage	$128.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.86
Rate for Payer: Cigna Commercial	$213.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.50
Rate for Payer: Oxford Commercial	$213.46
Rate for Payer: Qualcare PPO/HMO/WC	$64.04
Rate for Payer: UnitedHealthcare Commercial	$213.46

TRAY PONSKI PULL PEG 20F 00330

Facility

$607.25

Hospital Charge Code	270616766
Hospital Revenue Code	272
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$91.09
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

TRAY PONSKI PULL PEG 20F 00330

Facility

$607.25

Hospital Charge Code	270616766
Hospital Revenue Code	272
Min. Negotiated Rate	$78.94
Max. Negotiated Rate	$303.62
Rate for Payer: Aetna Commercial	$182.18
Rate for Payer: Aetna Medicare Advantage	$182.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.85
Rate for Payer: Cigna Commercial	$303.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.94
Rate for Payer: Oxford Commercial	$303.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.09
Rate for Payer: UnitedHealthcare Commercial	$303.62

TRAY POWER TRIALYSIS CATH15

Facility

$1,050.00

Hospital Charge Code	270664145
Hospital Revenue Code	272
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$157.50
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

TRAY POWER TRIALYSIS CATH15

Facility

$1,050.00

Hospital Charge Code	270664145
Hospital Revenue Code	272
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$315.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Commercial	$525.00

TRAY POWER TRIALYSIS CATH20

Facility

$1,068.95

Hospital Charge Code	270664146
Hospital Revenue Code	272
Min. Negotiated Rate	$160.34
Max. Negotiated Rate	$160.34
Rate for Payer: Qualcare PPO/HMO/WC	$160.34

TRAY POWER TRIALYSIS CATH20

Facility

$1,068.95

Hospital Charge Code	270664146
Hospital Revenue Code	272
Min. Negotiated Rate	$138.96
Max. Negotiated Rate	$534.48
Rate for Payer: Aetna Commercial	$320.69
Rate for Payer: Aetna Medicare Advantage	$320.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.58
Rate for Payer: Cigna Commercial	$534.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.96
Rate for Payer: Oxford Commercial	$534.48
Rate for Payer: Qualcare PPO/HMO/WC	$160.34
Rate for Payer: UnitedHealthcare Commercial	$534.48

TRAY PREOPERATIVE SKIN PREP

Facility

$16.44

Hospital Charge Code	70620052
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

TRAY PREOPERATIVE SKIN PREP

Facility

$16.44

Hospital Charge Code	70620052
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$8.22
Rate for Payer: Aetna Commercial	$4.93
Rate for Payer: Aetna Medicare Advantage	$4.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.19
Rate for Payer: Cigna Commercial	$8.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.14
Rate for Payer: Oxford Commercial	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$8.22

TRAY PREOPERATIVE SKIN PREP

Facility

$16.44

Hospital Charge Code	270620052
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

TRAY PREOPERATIVE SKIN PREP

Facility

$16.44

Hospital Charge Code	270620052
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$8.22
Rate for Payer: Aetna Commercial	$4.93
Rate for Payer: Aetna Medicare Advantage	$4.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.19
Rate for Payer: Cigna Commercial	$8.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.14
Rate for Payer: Oxford Commercial	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$8.22

TRAY PREP

Facility

$9.65

Hospital Charge Code	270302250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

TRAY PREP

Facility

$9.65

Hospital Charge Code	270302250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

TRAY PREP *********

Facility

$28.00

Hospital Charge Code	8001208
Hospital Revenue Code	279
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

TRAY PREP *********

Facility

$28.00

Hospital Charge Code	8001208
Hospital Revenue Code	279
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TRAY RENTAL SHOULDER REPAIR

Facility

$500.00

Hospital Charge Code	270637784
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TRAY RENTAL SHOULDER REPAIR

Facility

$500.00

Hospital Charge Code	270637784
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

TRAY ROBOTIC PACK

Facility

$565.90

Hospital Charge Code	270664963
Hospital Revenue Code	270
Min. Negotiated Rate	$73.57
Max. Negotiated Rate	$282.95
Rate for Payer: Aetna Commercial	$169.77
Rate for Payer: Aetna Medicare Advantage	$169.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.30
Rate for Payer: Cigna Commercial	$282.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.57
Rate for Payer: Oxford Commercial	$282.95
Rate for Payer: Qualcare PPO/HMO/WC	$84.89
Rate for Payer: UnitedHealthcare Commercial	$282.95

TRAY ROBOTIC PACK

Facility

$565.90

Hospital Charge Code	270664963
Hospital Revenue Code	270
Min. Negotiated Rate	$84.89
Max. Negotiated Rate	$84.89
Rate for Payer: Qualcare PPO/HMO/WC	$84.89

TRAY SAFETY-T-CENTESIS 16FR

Facility

$294.40

Hospital Charge Code	270649763
Hospital Revenue Code	270
Min. Negotiated Rate	$38.27
Max. Negotiated Rate	$147.20
Rate for Payer: Aetna Commercial	$88.32
Rate for Payer: Aetna Medicare Advantage	$88.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.07
Rate for Payer: Cigna Commercial	$147.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.27
Rate for Payer: Oxford Commercial	$147.20
Rate for Payer: Qualcare PPO/HMO/WC	$44.16
Rate for Payer: UnitedHealthcare Commercial	$147.20

Know your out-of-pocket cost for care.

All Charges