Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIT DR JAC CHK 1.5mm LG

Facility

$63.00

Hospital Charge Code	270604128
Hospital Revenue Code	279
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$18.90
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.19
Rate for Payer: Oxford Commercial	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$31.50

BIT DR JAC CHK 1.5mm LG

Facility

$63.00

Hospital Charge Code	270603579
Hospital Revenue Code	279
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

BIT DR JAC CHK 1.5mm LG

Facility

$63.00

Hospital Charge Code	270603579
Hospital Revenue Code	279
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$18.90
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.19
Rate for Payer: Oxford Commercial	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$31.50

BIT DR JAC CHK 1.5mm LG

Facility

$63.00

Hospital Charge Code	270604128
Hospital Revenue Code	279
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

BIT DR JAC CHK 2.0mm 603578

Facility

$53.50

Hospital Charge Code	270603578
Hospital Revenue Code	279
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$26.75
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.64
Rate for Payer: Cigna Commercial	$26.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.96
Rate for Payer: Oxford Commercial	$26.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.03
Rate for Payer: UnitedHealthcare Commercial	$26.75

BIT DR JAC CHK 2.0mm 603578

Facility

$53.50

Hospital Charge Code	270603578
Hospital Revenue Code	279
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.03

BIT DR JAC CHK 2.0mm 604129

Facility

$53.50

Hospital Charge Code	270604129
Hospital Revenue Code	279
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.03

BIT DR JAC CHK 2.0mm 604129

Facility

$53.50

Hospital Charge Code	270604129
Hospital Revenue Code	279
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$26.75
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.64
Rate for Payer: Cigna Commercial	$26.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.96
Rate for Payer: Oxford Commercial	$26.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.03
Rate for Payer: UnitedHealthcare Commercial	$26.75

BIT DR JAC CHK 2.0mm L

Facility

$57.50

Hospital Charge Code	270603580
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 2.0mm L

Facility

$57.50

Hospital Charge Code	270603580
Hospital Revenue Code	279
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

BIT DR JAC CHK 2.0mm LG

Facility

$57.50

Hospital Charge Code	27060449
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 2.0mm LG

Facility

$57.50

Hospital Charge Code	27060449
Hospital Revenue Code	279
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

BIT DR JAC CHK 2.7mm 603582

Facility

$53.50

Hospital Charge Code	270603682
Hospital Revenue Code	279
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$26.75
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.64
Rate for Payer: Cigna Commercial	$26.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.96
Rate for Payer: Oxford Commercial	$26.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.03
Rate for Payer: UnitedHealthcare Commercial	$26.75

BIT DR JAC CHK 2.7mm 603582

Facility

$53.50

Hospital Charge Code	270603682
Hospital Revenue Code	279
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.03

BIT DR JAC CHK 2.7mm 604132

Facility

$53.50

Hospital Charge Code	270604132
Hospital Revenue Code	279
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.03

BIT DR JAC CHK 2.7mm 604132

Facility

$53.50

Hospital Charge Code	270604132
Hospital Revenue Code	279
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$26.75
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.64
Rate for Payer: Cigna Commercial	$26.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.96
Rate for Payer: Oxford Commercial	$26.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.03
Rate for Payer: UnitedHealthcare Commercial	$26.75

BIT DR JAC CHK 2.7mm L 603583

Facility

$57.50

Hospital Charge Code	270603583
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 2.7mm L 603583

Facility

$57.50

Hospital Charge Code	270603583
Hospital Revenue Code	279
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

BIT DR JAC CHK 2.7mm LG

Facility

$57.50

Hospital Charge Code	270604133
Hospital Revenue Code	279
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

BIT DR JAC CHK 2.7mm LG

Facility

$57.50

Hospital Charge Code	270604133
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 3.5mm 603585

Facility

$53.00

Hospital Charge Code	270603585
Hospital Revenue Code	279
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

BIT DR JAC CHK 3.5mm 603585

Facility

$53.00

Hospital Charge Code	270603585
Hospital Revenue Code	279
Min. Negotiated Rate	$6.89
Max. Negotiated Rate	$26.50
Rate for Payer: Aetna Commercial	$15.90
Rate for Payer: Aetna Medicare Advantage	$15.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.52
Rate for Payer: Cigna Commercial	$26.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.89
Rate for Payer: Oxford Commercial	$26.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$26.50

BIT DR JAC CHK 3.5mm 604134

Facility

$43.00

Hospital Charge Code	270604134
Hospital Revenue Code	279
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$21.50
Rate for Payer: Aetna Commercial	$12.90
Rate for Payer: Aetna Medicare Advantage	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.96
Rate for Payer: Cigna Commercial	$21.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.59
Rate for Payer: Oxford Commercial	$21.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.45
Rate for Payer: UnitedHealthcare Commercial	$21.50

BIT DR JAC CHK 3.5mm 604134

Facility

$43.00

Hospital Charge Code	270604134
Hospital Revenue Code	279
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.45

BIT DR JAC CHK 3.5MM LG

Facility

$79.00

Hospital Charge Code	270604135
Hospital Revenue Code	279
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

Know your out-of-pocket cost for care.

All Charges