Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIT SYN DR 1 X 8 316.448

Facility

$634.45

Hospital Charge Code	270620361
Hospital Revenue Code	272
Min. Negotiated Rate	$82.48
Max. Negotiated Rate	$317.23
Rate for Payer: Aetna Commercial	$190.34
Rate for Payer: Aetna Medicare Advantage	$190.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.78
Rate for Payer: Cigna Commercial	$317.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.48
Rate for Payer: Oxford Commercial	$317.23
Rate for Payer: Qualcare PPO/HMO/WC	$95.17
Rate for Payer: UnitedHealthcare Commercial	$317.23

BIT SYN DR 1 X 8 316.448

Facility

$634.45

Hospital Charge Code	270620361
Hospital Revenue Code	272
Min. Negotiated Rate	$95.17
Max. Negotiated Rate	$95.17
Rate for Payer: Qualcare PPO/HMO/WC	$95.17

BIT SYN DR 2.5MM 310.25*******

Facility

$130.00

Hospital Charge Code	1605476
Hospital Revenue Code	272
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$39.00
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.90
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$65.00

BIT SYN DR 2.5MM 310.25*******

Facility

$130.00

Hospital Charge Code	1605476
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

BIT SYN DR 3.2MM 356.97

Facility

$724.00

Hospital Charge Code	270612763
Hospital Revenue Code	272
Min. Negotiated Rate	$94.12
Max. Negotiated Rate	$362.00
Rate for Payer: Aetna Commercial	$217.20
Rate for Payer: Aetna Medicare Advantage	$217.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.62
Rate for Payer: Cigna Commercial	$362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.12
Rate for Payer: Oxford Commercial	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.60
Rate for Payer: UnitedHealthcare Commercial	$362.00

BIT SYN DR 3.2MM 356.97

Facility

$724.00

Hospital Charge Code	270612763
Hospital Revenue Code	272
Min. Negotiated Rate	$108.60
Max. Negotiated Rate	$108.60
Rate for Payer: Qualcare PPO/HMO/WC	$108.60

BIT SYN DR 3.5MM 310.35

Facility

$160.85

Hospital Charge Code	270603571
Hospital Revenue Code	272
Min. Negotiated Rate	$20.91
Max. Negotiated Rate	$80.42
Rate for Payer: Aetna Commercial	$48.26
Rate for Payer: Aetna Medicare Advantage	$48.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.02
Rate for Payer: Cigna Commercial	$80.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.91
Rate for Payer: Oxford Commercial	$80.42
Rate for Payer: Qualcare PPO/HMO/WC	$24.13
Rate for Payer: UnitedHealthcare Commercial	$80.42

BIT SYN DR 3.5MM 310.35

Facility

$160.85

Hospital Charge Code	270603571
Hospital Revenue Code	272
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

BIT SYN DR 3.5MM 310.35*****

Facility

$130.00

Hospital Charge Code	1605468
Hospital Revenue Code	272
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$39.00
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.90
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$65.00

BIT SYN DR 3.5MM 310.35*****

Facility

$130.00

Hospital Charge Code	1605468
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

BIT SYN DR 3 FLUT 2.0MM 315.19

Facility

$312.85

Hospital Charge Code	270604144
Hospital Revenue Code	272
Min. Negotiated Rate	$40.67
Max. Negotiated Rate	$156.43
Rate for Payer: Aetna Commercial	$93.86
Rate for Payer: Aetna Medicare Advantage	$93.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.78
Rate for Payer: Cigna Commercial	$156.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.67
Rate for Payer: Oxford Commercial	$156.43
Rate for Payer: Qualcare PPO/HMO/WC	$46.93
Rate for Payer: UnitedHealthcare Commercial	$156.43

BIT SYN DR 3 FLUT 2.0MM 315.19

Facility

$312.85

Hospital Charge Code	270604144
Hospital Revenue Code	272
Min. Negotiated Rate	$46.93
Max. Negotiated Rate	$46.93
Rate for Payer: Qualcare PPO/HMO/WC	$46.93

BIT SYN DR 3 FLUT 2.5MM 315.25

Facility

$312.85

Hospital Charge Code	270604146
Hospital Revenue Code	272
Min. Negotiated Rate	$46.93
Max. Negotiated Rate	$46.93
Rate for Payer: Qualcare PPO/HMO/WC	$46.93

BIT SYN DR 3 FLUT 2.5MM 315.25

Facility

$312.85

Hospital Charge Code	270604146
Hospital Revenue Code	272
Min. Negotiated Rate	$40.67
Max. Negotiated Rate	$156.43
Rate for Payer: Aetna Commercial	$93.86
Rate for Payer: Aetna Medicare Advantage	$93.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.78
Rate for Payer: Cigna Commercial	$156.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.67
Rate for Payer: Oxford Commercial	$156.43
Rate for Payer: Qualcare PPO/HMO/WC	$46.93
Rate for Payer: UnitedHealthcare Commercial	$156.43

BIT SYN DR 3 FLUT 3.2MM 315.31

Facility

$340.85

Hospital Charge Code	270603601
Hospital Revenue Code	272
Min. Negotiated Rate	$51.13
Max. Negotiated Rate	$51.13
Rate for Payer: Qualcare PPO/HMO/WC	$51.13

BIT SYN DR 3 FLUT 3.2MM 315.31

Facility

$340.85

Hospital Charge Code	270603601
Hospital Revenue Code	272
Min. Negotiated Rate	$44.31
Max. Negotiated Rate	$170.43
Rate for Payer: Aetna Commercial	$102.25
Rate for Payer: Aetna Medicare Advantage	$102.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.92
Rate for Payer: Cigna Commercial	$170.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.31
Rate for Payer: Oxford Commercial	$170.43
Rate for Payer: Qualcare PPO/HMO/WC	$51.13
Rate for Payer: UnitedHealthcare Commercial	$170.43

BIT SYN DR 4.0MM 317.14

Facility

$668.00

Hospital Charge Code	270621202
Hospital Revenue Code	272
Min. Negotiated Rate	$86.84
Max. Negotiated Rate	$334.00
Rate for Payer: Aetna Commercial	$200.40
Rate for Payer: Aetna Medicare Advantage	$200.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.34
Rate for Payer: Cigna Commercial	$334.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.84
Rate for Payer: Oxford Commercial	$334.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.20
Rate for Payer: UnitedHealthcare Commercial	$334.00

BIT SYN DR 4.0MM 317.14

Facility

$668.00

Hospital Charge Code	270621202
Hospital Revenue Code	272
Min. Negotiated Rate	$100.20
Max. Negotiated Rate	$100.20
Rate for Payer: Qualcare PPO/HMO/WC	$100.20

BIT SYN DR 7.6MM 316.18

Facility

$755.25

Hospital Charge Code	270607188
Hospital Revenue Code	272
Min. Negotiated Rate	$98.18
Max. Negotiated Rate	$377.62
Rate for Payer: Aetna Commercial	$226.57
Rate for Payer: Aetna Medicare Advantage	$226.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.59
Rate for Payer: Cigna Commercial	$377.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.18
Rate for Payer: Oxford Commercial	$377.62
Rate for Payer: Qualcare PPO/HMO/WC	$113.29
Rate for Payer: UnitedHealthcare Commercial	$377.62

BIT SYN DR 7.6MM 316.18

Facility

$755.25

Hospital Charge Code	270607188
Hospital Revenue Code	272
Min. Negotiated Rate	$113.29
Max. Negotiated Rate	$113.29
Rate for Payer: Qualcare PPO/HMO/WC	$113.29

BIT SYN DR CANN 13.0MM 351.27

Facility

$2,374.45

Hospital Charge Code	270611970
Hospital Revenue Code	272
Min. Negotiated Rate	$308.68
Max. Negotiated Rate	$1,187.22
Rate for Payer: Aetna Commercial	$712.34
Rate for Payer: Aetna Medicare Advantage	$712.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.48
Rate for Payer: Cigna Commercial	$1,187.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.68
Rate for Payer: Oxford Commercial	$1,187.22
Rate for Payer: Qualcare PPO/HMO/WC	$356.17
Rate for Payer: UnitedHealthcare Commercial	$1,187.22

BIT SYN DR CANN 13.0MM 351.27

Facility

$2,374.45

Hospital Charge Code	270611970
Hospital Revenue Code	272
Min. Negotiated Rate	$356.17
Max. Negotiated Rate	$356.17
Rate for Payer: Qualcare PPO/HMO/WC	$356.17

BIT SYN DR GLD 2.5MM LG 310.23

Facility

$402.45

Hospital Charge Code	270603566
Hospital Revenue Code	272
Min. Negotiated Rate	$52.32
Max. Negotiated Rate	$201.22
Rate for Payer: Aetna Commercial	$120.73
Rate for Payer: Aetna Medicare Advantage	$120.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.62
Rate for Payer: Cigna Commercial	$201.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.32
Rate for Payer: Oxford Commercial	$201.22
Rate for Payer: Qualcare PPO/HMO/WC	$60.37
Rate for Payer: UnitedHealthcare Commercial	$201.22

BIT SYN DR GLD 2.5MM LG 310.23

Facility

$402.45

Hospital Charge Code	270603566
Hospital Revenue Code	272
Min. Negotiated Rate	$60.37
Max. Negotiated Rate	$60.37
Rate for Payer: Qualcare PPO/HMO/WC	$60.37

BIT SYN DR JAC CHK 1.5MM 31014

Facility

$224.00

Hospital Charge Code	270604446
Hospital Revenue Code	272
Min. Negotiated Rate	$29.12
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$67.20
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.12
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Commercial	$112.00

Know your out-of-pocket cost for care.

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