Heights University Hospital

All Charges

Charge

Type

Setting

Price

VENTOLIN/17GM

Facility

$118.00

Hospital Charge Code	60634142
Hospital Revenue Code	250
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

VENTOLIN/2MG/5ML

Facility

$4.00

Hospital Charge Code	60634146
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

VENTOLIN/2MG/5ML

Facility

$4.00

Hospital Charge Code	60634146
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

VENTOLIN/2MG/TAB

Facility

$3.00

Hospital Charge Code	60634145
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

VENTOLIN/2MG/TAB

Facility

$3.00

Hospital Charge Code	60634143
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

VENTOLIN/2MG/TAB

Facility

$3.00

Hospital Charge Code	60634143
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

VENTOLIN/2MG/TAB

Facility

$3.00

Hospital Charge Code	60634145
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

VENTOLIN/4MG/TAB

Facility

$3.00

Hospital Charge Code	60634144
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

VENTOLIN/4MG/TAB

Facility

$3.00

Hospital Charge Code	60634144
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

VENTRALIGHT ST

Facility

$4,700.00

Service Code	HCPCS C1781
Hospital Charge Code	270685166
Hospital Revenue Code	278
Min. Negotiated Rate	$705.00
Max. Negotiated Rate	$1,137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: Qualcare PPO/HMO/WC	$705.00

VENTRALIGHT ST

Facility

$4,700.00

Service Code	HCPCS C1781
Hospital Charge Code	270685166
Hospital Revenue Code	278
Min. Negotiated Rate	$705.00
Max. Negotiated Rate	$2,350.00
Rate for Payer: Aetna Commercial	$1,410.00
Rate for Payer: Aetna Medicare Advantage	$1,410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,198.50
Rate for Payer: Cigna Commercial	$2,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: Qualcare PPO/HMO/WC	$705.00

VENTRALIGHT ST MESH WECHO 2

Facility

$6,000.00

Service Code	HCPCS C1789
Hospital Charge Code	270686763
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

VENTRALIGHT ST MESH WECHO 2

Facility

$6,000.00

Service Code	HCPCS C1789
Hospital Charge Code	270686763
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00

VENTRALIGHT ST MESH WITH ECHO

Facility

$8,750.00

Service Code	HCPCS C1781
Hospital Charge Code	270686899
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

VENTRALIGHT ST MESH WITH ECHO

Facility

$8,750.00

Service Code	HCPCS C1781
Hospital Charge Code	270686899
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

VENTRICULAR CATHETER 20CM

Facility

$165.00

Hospital Charge Code	270335583
Hospital Revenue Code	272
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$49.50
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.45
Rate for Payer: Oxford Commercial	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$82.50

VENTRICULAR CATHETER 20CM

Facility

$165.00

Hospital Charge Code	270335583
Hospital Revenue Code	272
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

VENTRICULAR CATHETER 23CM

Facility

$214.00

Hospital Charge Code	270335577
Hospital Revenue Code	272
Min. Negotiated Rate	$32.10
Max. Negotiated Rate	$32.10
Rate for Payer: Qualcare PPO/HMO/WC	$32.10

VENTRICULAR CATHETER 23CM

Facility

$214.00

Hospital Charge Code	270335577
Hospital Revenue Code	272
Min. Negotiated Rate	$27.82
Max. Negotiated Rate	$107.00
Rate for Payer: Aetna Commercial	$64.20
Rate for Payer: Aetna Medicare Advantage	$64.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.57
Rate for Payer: Cigna Commercial	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.82
Rate for Payer: Oxford Commercial	$107.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.10
Rate for Payer: UnitedHealthcare Commercial	$107.00

VENTRICULAR SHUNT PROCEDURES

Facility

$21,353.63

Service Code	APR-DRG 0222
Min. Negotiated Rate	$15,415.61
Max. Negotiated Rate	$21,353.63
Rate for Payer: Aetna Better Health Medicaid	$20,934.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,353.63
Rate for Payer: Wellpoint Medicaid Managed Care	$15,415.61

VENTRICULAR SHUNT PROCEDURES

Facility

$29,692.85

Service Code	APR-DRG 0223
Min. Negotiated Rate	$26,140.06
Max. Negotiated Rate	$29,692.85
Rate for Payer: Aetna Better Health Medicaid	$29,110.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,692.85
Rate for Payer: Wellpoint Medicaid Managed Care	$26,140.06

VENTRICULAR SHUNT PROCEDURES

Facility

$61,987.06

Service Code	APR-DRG 0224
Min. Negotiated Rate	$54,615.30
Max. Negotiated Rate	$61,987.06
Rate for Payer: Aetna Better Health Medicaid	$54,615.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,707.61
Rate for Payer: Wellpoint Medicaid Managed Care	$61,987.06

VENTRICULAR SHUNT PROCEDURES WITH CC

Facility

$73,676.07

Service Code	MSDRG 032
Min. Negotiated Rate	$23,254.71
Max. Negotiated Rate	$73,676.07
Rate for Payer: Aetna Commercial	$71,857.05
Rate for Payer: Aetna Medicare Advantage	$23,254.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59,269.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59,269.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,558.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59,269.05
Rate for Payer: Cigna Medicare Advantage	$24,558.69
Rate for Payer: Clover Medicare Advantage	$23,330.76
Rate for Payer: EmblemHealth Commercial	$73,676.07
Rate for Payer: Humana Medicare Advantage	$25,295.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,558.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,032.21
Rate for Payer: Wellcare Medicare Advantage	$24,558.69

VENTRICULAR SHUNT PROCEDURES WITH MCC

Facility

$151,081.93

Service Code	MSDRG 031
Min. Negotiated Rate	$44,926.15
Max. Negotiated Rate	$151,081.93
Rate for Payer: Aetna Commercial	$151,081.93
Rate for Payer: Aetna Medicare Advantage	$48,893.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113,576.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113,576.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47,290.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113,576.04
Rate for Payer: Cigna Medicare Advantage	$47,290.68
Rate for Payer: Clover Medicare Advantage	$44,926.15
Rate for Payer: EmblemHealth Commercial	$141,872.04
Rate for Payer: Humana Medicare Advantage	$48,709.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$47,290.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50,128.12
Rate for Payer: Wellcare Medicare Advantage	$47,290.68

VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC

Facility

$60,089.13

Service Code	MSDRG 033
Min. Negotiated Rate	$18,146.53
Max. Negotiated Rate	$60,089.13
Rate for Payer: Aetna Commercial	$56,072.78
Rate for Payer: Aetna Medicare Advantage	$18,146.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,658.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,658.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,029.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,658.54
Rate for Payer: Cigna Medicare Advantage	$20,029.71
Rate for Payer: Clover Medicare Advantage	$19,028.22
Rate for Payer: EmblemHealth Commercial	$60,089.13
Rate for Payer: Humana Medicare Advantage	$20,630.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,029.71
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,231.49
Rate for Payer: Wellcare Medicare Advantage	$20,029.71

Know your out-of-pocket cost for care.

All Charges