Heights University Hospital

All Charges

Charge

Type

Setting

Price

TREATMENT RM/P 30-60 MIN/A DNR

Facility

$175.20

Hospital Charge Code	3400041
Hospital Revenue Code	769
Min. Negotiated Rate	$22.78
Max. Negotiated Rate	$621.00
Rate for Payer: Aetna Commercial	$52.56
Rate for Payer: Aetna Medicare Advantage	$52.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.68
Rate for Payer: Cigna Commercial	$87.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.78
Rate for Payer: Oxford Commercial	$87.60
Rate for Payer: Qualcare PPO/HMO/WC	$26.28
Rate for Payer: UnitedHealthcare Commercial	$87.60

TREATMENT RM/P 30-60 MIN/A DNR

Facility

$175.20

Hospital Charge Code	3400041
Hospital Revenue Code	769
Min. Negotiated Rate	$26.28
Max. Negotiated Rate	$26.28
Rate for Payer: Qualcare PPO/HMO/WC	$26.28

TREATMENT RM - U4

Facility

$638.45

Hospital Charge Code	6900013
Hospital Revenue Code	361
Min. Negotiated Rate	$95.77
Max. Negotiated Rate	$95.77
Rate for Payer: Qualcare PPO/HMO/WC	$95.77

TREATMENT RM - U4

Facility

$638.45

Hospital Charge Code	6900013
Hospital Revenue Code	361
Min. Negotiated Rate	$83.00
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$191.53
Rate for Payer: Aetna Medicare Advantage	$191.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.80
Rate for Payer: Cigna Commercial	$319.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.77

TREATMENT ROOM 30 MI*******

Facility

$75.00

Hospital Charge Code	34010005
Hospital Revenue Code	769
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$621.00
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

TREATMENT ROOM 30 MI*******

Facility

$75.00

Hospital Charge Code	34010005
Hospital Revenue Code	769
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

TREATMENT TIBIAL FX

Facility

$645.00

Service Code	HCPCS 27760
Hospital Charge Code	9808210
Hospital Revenue Code	361
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

TREATMENT TIBIAL FX

Facility

$645.00

Service Code	HCPCS 27760
Hospital Charge Code	9808210
Hospital Revenue Code	361
Min. Negotiated Rate	$83.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$193.50
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.47
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

TREATMENT ZONE 12CM ENDO 135CM

Facility

$12,975.00

Hospital Charge Code	2709003198
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 12CM ENDO 135CM

Facility

$12,975.00

Hospital Charge Code	2709003198
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 12CM ENDOVASULA

Facility

$12,975.00

Hospital Charge Code	2709003192
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 12CM ENDOVASULA

Facility

$12,975.00

Hospital Charge Code	2709003192
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 18CM ENDOVASCUL

Facility

$12,975.00

Hospital Charge Code	2709003193
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 18CM ENDOVASCUL

Facility

$12,975.00

Hospital Charge Code	2709003193
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 24CM ENDOVASCUL

Facility

$12,975.00

Hospital Charge Code	2709003194
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 24CM ENDOVASCUL

Facility

$12,975.00

Hospital Charge Code	2709003194
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 30CM ENDO 106CM

Facility

$12,975.00

Hospital Charge Code	2709003195
Hospital Revenue Code	275
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$3,139.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,139.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 30CM ENDO 106CM

Facility

$12,975.00

Hospital Charge Code	2709003195
Hospital Revenue Code	275
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,139.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 40CM ENDO 106CM

Facility

$12,975.00

Hospital Charge Code	2709003196
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 40CM ENDO 106CM

Facility

$12,975.00

Hospital Charge Code	2709003196
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 40CM ENDO 135CM

Facility

$12,975.00

Hospital Charge Code	2709003199
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 40CM ENDO 135CM

Facility

$12,975.00

Hospital Charge Code	2709003199
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 50CM ENDO 135CM

Facility

$12,975.00

Hospital Charge Code	2709003200
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREATMENT ZONE 50CM ENDO 135CM

Facility

$12,975.00

Hospital Charge Code	2709003200
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 50 ENDO 106CM

Facility

$12,975.00

Hospital Charge Code	2709003197
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

Know your out-of-pocket cost for care.

All Charges