Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY TOTAL HIP

Facility

$690.00

Hospital Charge Code	270654124
Hospital Revenue Code	272
Min. Negotiated Rate	$89.70
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$207.00
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.70
Rate for Payer: Oxford Commercial	$345.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Commercial	$345.00

TRAY TOTAL HIP

Facility

$690.00

Hospital Charge Code	270654124
Hospital Revenue Code	272
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

TRAY TOTAL KNEE

Facility

$1,431.40

Hospital Charge Code	270654127
Hospital Revenue Code	272
Min. Negotiated Rate	$186.08
Max. Negotiated Rate	$715.70
Rate for Payer: Aetna Commercial	$429.42
Rate for Payer: Aetna Medicare Advantage	$429.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.01
Rate for Payer: Cigna Commercial	$715.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.08
Rate for Payer: Oxford Commercial	$715.70
Rate for Payer: Qualcare PPO/HMO/WC	$214.71
Rate for Payer: UnitedHealthcare Commercial	$715.70

TRAY TOTAL KNEE

Facility

$1,431.40

Hospital Charge Code	270654127
Hospital Revenue Code	272
Min. Negotiated Rate	$214.71
Max. Negotiated Rate	$214.71
Rate for Payer: Qualcare PPO/HMO/WC	$214.71

TRAY TPN CO #0637 *******

Facility

$25.00

Hospital Charge Code	8001703
Hospital Revenue Code	279
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

TRAY TPN CO #0637 *******

Facility

$25.00

Hospital Charge Code	8001703
Hospital Revenue Code	279
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

TRAY TPN CO #0769 *******

Facility

$40.00

Hospital Charge Code	8002917
Hospital Revenue Code	279
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

TRAY TPN CO #0769 *******

Facility

$40.00

Hospital Charge Code	8002917
Hospital Revenue Code	279
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

TRAY TRACH

Facility

$757.65

Hospital Charge Code	270805001
Hospital Revenue Code	270
Min. Negotiated Rate	$98.49
Max. Negotiated Rate	$378.82
Rate for Payer: Aetna Commercial	$227.29
Rate for Payer: Aetna Medicare Advantage	$227.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.20
Rate for Payer: Cigna Commercial	$378.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.49
Rate for Payer: Oxford Commercial	$378.82
Rate for Payer: Qualcare PPO/HMO/WC	$113.65
Rate for Payer: UnitedHealthcare Commercial	$378.82

TRAY TRACH

Facility

$757.65

Hospital Charge Code	270805001
Hospital Revenue Code	270
Min. Negotiated Rate	$113.65
Max. Negotiated Rate	$113.65
Rate for Payer: Qualcare PPO/HMO/WC	$113.65

TRAY TRACH CATH DRESSG

Facility

$10.29

Hospital Charge Code	270110140
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

TRAY TRACH CATH DRESSG

Facility

$10.29

Hospital Charge Code	270110140
Hospital Revenue Code	272
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$5.14
Rate for Payer: Aetna Commercial	$3.09
Rate for Payer: Aetna Medicare Advantage	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.62
Rate for Payer: Cigna Commercial	$5.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.34
Rate for Payer: Oxford Commercial	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$5.14

TRAY TRACHEOSTOMY CLEANING

Facility

$8.75

Hospital Charge Code	270649789
Hospital Revenue Code	270
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$4.38
Rate for Payer: Aetna Commercial	$2.62
Rate for Payer: Aetna Medicare Advantage	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.23
Rate for Payer: Cigna Commercial	$4.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.14
Rate for Payer: Oxford Commercial	$4.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.31
Rate for Payer: UnitedHealthcare Commercial	$4.38

TRAY TRACHEOSTOMY CLEANING

Facility

$8.75

Hospital Charge Code	270649789
Hospital Revenue Code	270
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.31

TRAY TRANSPARENT C.V.C

Facility

$15.30

Hospital Charge Code	270649273
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$7.65
Rate for Payer: Aetna Commercial	$4.59
Rate for Payer: Aetna Medicare Advantage	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.90
Rate for Payer: Cigna Commercial	$7.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.99
Rate for Payer: Oxford Commercial	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$2.29
Rate for Payer: UnitedHealthcare Commercial	$7.65

TRAY TRANSPARENT C.V.C

Facility

$15.30

Hospital Charge Code	270649273
Hospital Revenue Code	272
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$2.29
Rate for Payer: Qualcare PPO/HMO/WC	$2.29

TRAY TRIO CT BASIC SET 15CM

Facility

$700.00

Hospital Charge Code	270689090
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

TRAY TRIO CT BASIC SET 15CM

Facility

$700.00

Hospital Charge Code	270689090
Hospital Revenue Code	272
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$350.00

TRAY TRIPLE LEMEN MULTI 7FR

Facility

$642.75

Hospital Charge Code	270665276
Hospital Revenue Code	272
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$96.41
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

TRAY TRIPLE LEMEN MULTI 7FR

Facility

$642.75

Hospital Charge Code	270665276
Hospital Revenue Code	272
Min. Negotiated Rate	$83.56
Max. Negotiated Rate	$321.38
Rate for Payer: Aetna Commercial	$192.82
Rate for Payer: Aetna Medicare Advantage	$192.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.90
Rate for Payer: Cigna Commercial	$321.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.56
Rate for Payer: Oxford Commercial	$321.38
Rate for Payer: Qualcare PPO/HMO/WC	$96.41
Rate for Payer: UnitedHealthcare Commercial	$321.38

TRAY TRIPLE LUM CATH AK25703A

Facility

$642.75

Service Code	HCPCS C1751
Hospital Charge Code	270302270
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$321.38
Rate for Payer: Aetna Commercial	$192.82
Rate for Payer: Aetna Medicare Advantage	$192.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.90
Rate for Payer: Cigna Commercial	$321.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.55
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

TRAY TRIPLE LUM CATH AK25703A

Facility

$642.75

Service Code	HCPCS C1751
Hospital Charge Code	270302270
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.55
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

TRAY TROCATH ADULT *******

Facility

$234.00

Hospital Charge Code	7000391
Hospital Revenue Code	279
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$35.10
Rate for Payer: Qualcare PPO/HMO/WC	$35.10

TRAY TROCATH ADULT *******

Facility

$234.00

Hospital Charge Code	7000391
Hospital Revenue Code	279
Min. Negotiated Rate	$30.42
Max. Negotiated Rate	$117.00
Rate for Payer: Aetna Commercial	$70.20
Rate for Payer: Aetna Medicare Advantage	$70.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.67
Rate for Payer: Cigna Commercial	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.42
Rate for Payer: Oxford Commercial	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.10
Rate for Payer: UnitedHealthcare Commercial	$117.00

TRAY TSR SHOULDER REV 0MM OFFS

Facility

$17,420.00

Service Code	HCPCS C1776
Hospital Charge Code	270697092
Hospital Revenue Code	278
Min. Negotiated Rate	$2,613.00
Max. Negotiated Rate	$8,710.00
Rate for Payer: Aetna Commercial	$5,226.00
Rate for Payer: Aetna Medicare Advantage	$5,226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,442.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,442.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,442.10
Rate for Payer: Cigna Commercial	$8,710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,215.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,613.00

Know your out-of-pocket cost for care.

All Charges