Heights University Hospital

All Charges

Charge

Type

Setting

Price

ZINC, URINE II

Facility

$113.00

Service Code	HCPCS 84166
Hospital Charge Code	3030483B
Hospital Revenue Code	301
Min. Negotiated Rate	$8.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.77
Rate for Payer: Aetna Medicare Advantage	$17.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.33
Rate for Payer: Cigna Commercial	$17.83
Rate for Payer: Cigna Medicare Advantage	$8.91
Rate for Payer: Clover Medicare Advantage	$16.94
Rate for Payer: EmblemHealth Commercial	$53.49
Rate for Payer: Humana Medicare Advantage	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.83
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.90
Rate for Payer: Wellcare Medicare Advantage	$17.83

ZINC, URINE II

Facility

$113.00

Service Code	HCPCS 84166
Hospital Charge Code	3030483B
Hospital Revenue Code	301
Min. Negotiated Rate	$16.95
Max. Negotiated Rate	$16.95
Rate for Payer: Qualcare PPO/HMO/WC	$16.95

ZINZ,SERUM

Facility

$169.00

Service Code	HCPCS 84630
Hospital Charge Code	38479114
Hospital Revenue Code	301
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$25.35

ZINZ,SERUM

Facility

$169.00

Service Code	HCPCS 84630
Hospital Charge Code	38479114
Hospital Revenue Code	301
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$36.90
Rate for Payer: Aetna Medicare Advantage	$11.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.73
Rate for Payer: Cigna Commercial	$11.39
Rate for Payer: Cigna Medicare Advantage	$5.70
Rate for Payer: Clover Medicare Advantage	$10.82
Rate for Payer: EmblemHealth Commercial	$34.17
Rate for Payer: Humana Medicare Advantage	$11.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.07
Rate for Payer: Wellcare Medicare Advantage	$11.39

ZIO XT EXT ECG>48HR<7DREC&CONN

Facility

$5,400.00

Service Code	HCPCS 93242
Hospital Charge Code	365493242
Hospital Revenue Code	731
Min. Negotiated Rate	$10.02
Max. Negotiated Rate	$1,620.00
Rate for Payer: Aetna Commercial	$1,620.00
Rate for Payer: Aetna Medicare Advantage	$1,620.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,377.00
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.00
Rate for Payer: Oxford Commercial	$1,404.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00
Rate for Payer: UnitedHealthcare Commercial	$1,592.00

ZIO XT EXT ECG>48HR<7DREC&CONN

Facility

$5,400.00

Service Code	HCPCS 93242
Hospital Charge Code	365493242
Hospital Revenue Code	731
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$810.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

ZIO XT EXT ECG<=48HR REC&CONN

Facility

$5,400.00

Service Code	HCPCS 93225
Hospital Charge Code	365493225
Hospital Revenue Code	731
Min. Negotiated Rate	$193.20
Max. Negotiated Rate	$1,620.00
Rate for Payer: Aetna Commercial	$1,620.00
Rate for Payer: Aetna Medicare Advantage	$1,620.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,377.00
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.00
Rate for Payer: Oxford Commercial	$1,404.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00
Rate for Payer: UnitedHealthcare Commercial	$1,592.00

ZIO XT EXT ECG<=48HR REC&CONN

Facility

$5,400.00

Service Code	HCPCS 93225
Hospital Charge Code	365493225
Hospital Revenue Code	731
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$810.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

ZIO XT EXT ECG >7D<15DREC&CONN

Facility

$5,400.00

Service Code	HCPCS 93246
Hospital Charge Code	365493246
Hospital Revenue Code	731
Min. Negotiated Rate	$10.02
Max. Negotiated Rate	$1,620.00
Rate for Payer: Aetna Commercial	$1,620.00
Rate for Payer: Aetna Medicare Advantage	$1,620.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,377.00
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.00
Rate for Payer: Oxford Commercial	$1,404.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00
Rate for Payer: UnitedHealthcare Commercial	$1,592.00

ZIO XT EXT ECG >7D<15DREC&CONN

Facility

$5,400.00

Service Code	HCPCS 93246
Hospital Charge Code	365493246
Hospital Revenue Code	731
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$810.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

ZIPLOOP TOGGLELOC 904754

Facility

$3,140.00

Hospital Charge Code	270647897
Hospital Revenue Code	272
Min. Negotiated Rate	$408.20
Max. Negotiated Rate	$1,570.00
Rate for Payer: Aetna Commercial	$942.00
Rate for Payer: Aetna Medicare Advantage	$942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$800.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$800.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$800.70
Rate for Payer: Cigna Commercial	$1,570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$408.20
Rate for Payer: Oxford Commercial	$1,570.00
Rate for Payer: Qualcare PPO/HMO/WC	$471.00
Rate for Payer: UnitedHealthcare Commercial	$1,570.00

ZIPLOOP TOGGLELOC 904754

Facility

$3,140.00

Hospital Charge Code	270647897
Hospital Revenue Code	272
Min. Negotiated Rate	$471.00
Max. Negotiated Rate	$471.00
Rate for Payer: Qualcare PPO/HMO/WC	$471.00

ZIPRASIDONE 20 MG CAP

Facility

$60.03

Service Code	NDC 904626908
Hospital Charge Code	60629146
Hospital Revenue Code	250
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

ZIPRASIDONE 20 MG CAP

Facility

$60.03

Service Code	NDC 904626908
Hospital Charge Code	60629146
Hospital Revenue Code	250
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.02
Rate for Payer: Aetna Commercial	$18.01
Rate for Payer: Aetna Medicare Advantage	$18.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.31
Rate for Payer: Cigna Commercial	$30.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.02
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.02

ZIPRASIDONE 20 MG VIAL

Facility

$210.51

Service Code	HCPCS J3486
Hospital Charge Code	60629966
Hospital Revenue Code	636
Min. Negotiated Rate	$5.87
Max. Negotiated Rate	$63.15
Rate for Payer: Aetna Commercial	$63.15
Rate for Payer: Aetna Medicare Advantage	$63.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.68
Rate for Payer: Cigna Commercial	$5.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.94
Rate for Payer: Qualcare PPO/HMO/WC	$31.58

ZIPRASIDONE 20 MG VIAL

Facility

$210.51

Service Code	HCPCS J3486
Hospital Charge Code	60629966
Hospital Revenue Code	636
Min. Negotiated Rate	$31.58
Max. Negotiated Rate	$50.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.94
Rate for Payer: Qualcare PPO/HMO/WC	$31.58

ZIPRASIDONE 60 MG CAP

Facility

$72.90

Service Code	NDC 904627108
Hospital Charge Code	60629186
Hospital Revenue Code	250
Min. Negotiated Rate	$9.48
Max. Negotiated Rate	$36.45
Rate for Payer: Aetna Commercial	$21.87
Rate for Payer: Aetna Medicare Advantage	$21.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.59
Rate for Payer: Cigna Commercial	$36.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.48
Rate for Payer: Oxford Commercial	$36.45
Rate for Payer: Qualcare PPO/HMO/WC	$10.94
Rate for Payer: UnitedHealthcare Commercial	$36.45

ZIPRASIDONE 60 MG CAP

Facility

$72.90

Service Code	NDC 904627108
Hospital Charge Code	60629186
Hospital Revenue Code	250
Min. Negotiated Rate	$10.94
Max. Negotiated Rate	$10.94
Rate for Payer: Qualcare PPO/HMO/WC	$10.94

ZIPTIGHT ANKLE SYNDESMOSIS TI

Facility

$5,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270645491
Hospital Revenue Code	278
Min. Negotiated Rate	$859.50
Max. Negotiated Rate	$1,386.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.66
Rate for Payer: Qualcare PPO/HMO/WC	$859.50

ZIPTIGHT ANKLE SYNDESMOSIS TI

Facility

$5,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270645491
Hospital Revenue Code	278
Min. Negotiated Rate	$859.50
Max. Negotiated Rate	$2,865.00
Rate for Payer: Aetna Commercial	$1,719.00
Rate for Payer: Aetna Medicare Advantage	$1,719.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,461.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,461.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,461.15
Rate for Payer: Cigna Commercial	$2,865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.66
Rate for Payer: Qualcare PPO/HMO/WC	$859.50

ZIPWIRE .035 150cm ANGLED

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270605415
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

ZIPWIRE .035 150cm ANGLED

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270605415
Hospital Revenue Code	272
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

ZIPWIRE .035 150CM STIFF WIRE

Facility

$234.00

Service Code	HCPCS C1769
Hospital Charge Code	270664147
Hospital Revenue Code	278
Min. Negotiated Rate	$35.10
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) NJ Health	$46.80
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	$56.63
Rate for Payer: Qualcare PPO/HMO/WC	$35.10

ZIPWIRE .035 150CM STIFF WIRE

Facility

$234.00

Service Code	HCPCS C1769
Hospital Charge Code	270664147
Hospital Revenue Code	278
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$56.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.63
Rate for Payer: Qualcare PPO/HMO/WC	$35.10

ZIPWIRE .035 150cm STRAIGHT

Facility

$165.00

Service Code	HCPCS C1769
Hospital Charge Code	270601266
Hospital Revenue Code	278
Min. Negotiated Rate	$24.75
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) NJ Health	$33.00
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	$39.93
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

Know your out-of-pocket cost for care.

All Charges