Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE ZIM GUIDE BULL 3.0 900038

Facility

$1,164.85

Hospital Charge Code	270610837
Hospital Revenue Code	278
Min. Negotiated Rate	$174.73
Max. Negotiated Rate	$582.42
Rate for Payer: Aetna Commercial	$349.45
Rate for Payer: Aetna Medicare Advantage	$349.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$297.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$297.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$297.04
Rate for Payer: Cigna Commercial	$582.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.89
Rate for Payer: Qualcare PPO/HMO/WC	$174.73

WIRE ZIM GUIDE BULL 3.0 900038

Facility

$1,164.85

Hospital Charge Code	270610837
Hospital Revenue Code	278
Min. Negotiated Rate	$174.73
Max. Negotiated Rate	$281.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.89
Rate for Payer: Qualcare PPO/HMO/WC	$174.73

WIRE ZIM GUIDE IM 2.4 2255-25

Facility

$307.25

Hospital Charge Code	270618070
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$74.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

WIRE ZIM GUIDE IM 2.4 2255-25

Facility

$307.25

Hospital Charge Code	270618070
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$153.62
Rate for Payer: Aetna Commercial	$92.17
Rate for Payer: Aetna Medicare Advantage	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.35
Rate for Payer: Cigna Commercial	$153.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

WIRE ZIM GUIDE IM 2.4 2255-26

Facility

$346.45

Hospital Charge Code	270618071
Hospital Revenue Code	278
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$173.22
Rate for Payer: Aetna Commercial	$103.94
Rate for Payer: Aetna Medicare Advantage	$103.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.34
Rate for Payer: Cigna Commercial	$173.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.84
Rate for Payer: Qualcare PPO/HMO/WC	$51.97

WIRE ZIM GUIDE IM 2.4 2255-26

Facility

$346.45

Hospital Charge Code	270618071
Hospital Revenue Code	278
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$83.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.84
Rate for Payer: Qualcare PPO/HMO/WC	$51.97

WIRE ZIM GUIDE ZMS 47223733

Facility

$710.45

Hospital Charge Code	270610836
Hospital Revenue Code	278
Min. Negotiated Rate	$106.57
Max. Negotiated Rate	$171.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.93
Rate for Payer: Qualcare PPO/HMO/WC	$106.57

WIRE ZIM GUIDE ZMS 47223733

Facility

$710.45

Hospital Charge Code	270610836
Hospital Revenue Code	278
Min. Negotiated Rate	$106.57
Max. Negotiated Rate	$355.23
Rate for Payer: Aetna Commercial	$213.13
Rate for Payer: Aetna Medicare Advantage	$213.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.16
Rate for Payer: Cigna Commercial	$355.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.93
Rate for Payer: Qualcare PPO/HMO/WC	$106.57

WIRE ZIM GUIDE ZMS BT 47223738

Facility

$447.25

Hospital Charge Code	270620525
Hospital Revenue Code	278
Min. Negotiated Rate	$67.09
Max. Negotiated Rate	$223.62
Rate for Payer: Aetna Commercial	$134.18
Rate for Payer: Aetna Medicare Advantage	$134.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.05
Rate for Payer: Cigna Commercial	$223.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.23
Rate for Payer: Qualcare PPO/HMO/WC	$67.09

WIRE ZIM GUIDE ZMS BT 47223738

Facility

$447.25

Hospital Charge Code	270620525
Hospital Revenue Code	278
Min. Negotiated Rate	$67.09
Max. Negotiated Rate	$108.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.23
Rate for Payer: Qualcare PPO/HMO/WC	$67.09

WIRE ZIM GUIDE ZMS SM 47223737

Facility

$555.60

Hospital Charge Code	270620524
Hospital Revenue Code	278
Min. Negotiated Rate	$83.34
Max. Negotiated Rate	$277.80
Rate for Payer: Aetna Commercial	$166.68
Rate for Payer: Aetna Medicare Advantage	$166.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.68
Rate for Payer: Cigna Commercial	$277.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.46
Rate for Payer: Qualcare PPO/HMO/WC	$83.34

WIRE ZIM GUIDE ZMS SM 47223737

Facility

$555.60

Hospital Charge Code	270620524
Hospital Revenue Code	278
Min. Negotiated Rate	$83.34
Max. Negotiated Rate	$134.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.46
Rate for Payer: Qualcare PPO/HMO/WC	$83.34

WIRE ZIM K .032 186-01-69

Facility

$36.51

Service Code	HCPCS C1769
Hospital Charge Code	270601978
Hospital Revenue Code	278
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$18.25
Rate for Payer: Aetna Commercial	$10.95
Rate for Payer: Aetna Medicare Advantage	$10.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$18.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.84
Rate for Payer: Qualcare PPO/HMO/WC	$5.48

WIRE ZIM K .032 186-01-69

Facility

$36.51

Service Code	HCPCS C1769
Hospital Charge Code	270601978
Hospital Revenue Code	278
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$8.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.84
Rate for Payer: Qualcare PPO/HMO/WC	$5.48

WIRE ZIM K .045 186-02-69

Facility

$36.81

Service Code	HCPCS C1769
Hospital Charge Code	270601917
Hospital Revenue Code	278
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$18.41
Rate for Payer: Aetna Commercial	$11.04
Rate for Payer: Aetna Medicare Advantage	$11.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.39
Rate for Payer: Cigna Commercial	$18.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.91
Rate for Payer: Qualcare PPO/HMO/WC	$5.52

WIRE ZIM K .045 186-02-69

Facility

$36.81

Service Code	HCPCS C1769
Hospital Charge Code	270601917
Hospital Revenue Code	278
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.91
Rate for Payer: Qualcare PPO/HMO/WC	$5.52

WIRE ZIM K .062 186-03-69

Facility

$39.56

Service Code	HCPCS C1769
Hospital Charge Code	270609825
Hospital Revenue Code	278
Min. Negotiated Rate	$5.93
Max. Negotiated Rate	$19.78
Rate for Payer: Aetna Commercial	$11.87
Rate for Payer: Aetna Medicare Advantage	$11.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.09
Rate for Payer: Cigna Commercial	$19.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.93

WIRE ZIM K .062 186-03-69

Facility

$39.56

Service Code	HCPCS C1769
Hospital Charge Code	270609825
Hospital Revenue Code	278
Min. Negotiated Rate	$5.93
Max. Negotiated Rate	$9.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.93

WIRE ZIM K .079 186-27-20

Facility

$1,380.00

Hospital Charge Code	270601980
Hospital Revenue Code	272
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

WIRE ZIM K .079 186-27-20

Facility

$1,380.00

Hospital Charge Code	270601980
Hospital Revenue Code	272
Min. Negotiated Rate	$179.40
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$414.00
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.40
Rate for Payer: Oxford Commercial	$690.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Commercial	$690.00

WIRE ZIM K 1.0 152 186-074

Facility

$24.00

Hospital Charge Code	270610156
Hospital Revenue Code	278
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

WIRE ZIM K 1.0 152 186-074

Facility

$24.00

Hospital Charge Code	270610156
Hospital Revenue Code	278
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

WIRE ZIM K 1 1.1MM 47-186-60

Facility

$61.92

Service Code	HCPCS C1769
Hospital Charge Code	270610637
Hospital Revenue Code	278
Min. Negotiated Rate	$9.29
Max. Negotiated Rate	$30.96
Rate for Payer: Aetna Commercial	$18.58
Rate for Payer: Aetna Medicare Advantage	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.79
Rate for Payer: Cigna Commercial	$30.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.98
Rate for Payer: Qualcare PPO/HMO/WC	$9.29

WIRE ZIM K 1 1.1MM 47-186-60

Facility

$61.92

Service Code	HCPCS C1769
Hospital Charge Code	270610637
Hospital Revenue Code	278
Min. Negotiated Rate	$9.29
Max. Negotiated Rate	$14.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.98
Rate for Payer: Qualcare PPO/HMO/WC	$9.29

WIRE ZIM K 1 1.6MM 47-186-76

Facility

$447.25

Service Code	HCPCS C1769
Hospital Charge Code	270610638
Hospital Revenue Code	278
Min. Negotiated Rate	$67.09
Max. Negotiated Rate	$223.62
Rate for Payer: Aetna Commercial	$134.18
Rate for Payer: Aetna Medicare Advantage	$134.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.05
Rate for Payer: Cigna Commercial	$223.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.23
Rate for Payer: Qualcare PPO/HMO/WC	$67.09

Know your out-of-pocket cost for care.

All Charges