Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIT SYN DR JAC CHK 1.5MM 31014

Facility

$224.00

Hospital Charge Code	270604446
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

BIT SYN DR JAC CHK 1.5MM 31016

Facility

$244.85

Hospital Charge Code	270604447
Hospital Revenue Code	272
Min. Negotiated Rate	$31.83
Max. Negotiated Rate	$122.42
Rate for Payer: Aetna Commercial	$73.45
Rate for Payer: Aetna Medicare Advantage	$73.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.44
Rate for Payer: Cigna Commercial	$122.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.83
Rate for Payer: Oxford Commercial	$122.42
Rate for Payer: Qualcare PPO/HMO/WC	$36.73
Rate for Payer: UnitedHealthcare Commercial	$122.42

BIT SYN DR JAC CHK 1.5MM 31016

Facility

$244.85

Hospital Charge Code	270604447
Hospital Revenue Code	272
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$36.73
Rate for Payer: Qualcare PPO/HMO/WC	$36.73

BIT SYN DR JAC CHK 2.0MM 31021

Facility

$224.00

Hospital Charge Code	270604130
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

BIT SYN DR JAC CHK 2.0MM 31021

Facility

$224.00

Hospital Charge Code	270604130
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

BIT SYN DR JAC CHK 2.7MM 31028

Facility

$224.00

Hospital Charge Code	270604452
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

BIT SYN DR JAC CHK 2.7MM 31028

Facility

$224.00

Hospital Charge Code	270604452
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

BIT SYN DR QK COUP 2.0MM 31019

Facility

$240.85

Hospital Charge Code	270604119
Hospital Revenue Code	272
Min. Negotiated Rate	$31.31
Max. Negotiated Rate	$120.42
Rate for Payer: Aetna Commercial	$72.25
Rate for Payer: Aetna Medicare Advantage	$72.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.42
Rate for Payer: Cigna Commercial	$120.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.31
Rate for Payer: Oxford Commercial	$120.42
Rate for Payer: Qualcare PPO/HMO/WC	$36.13
Rate for Payer: UnitedHealthcare Commercial	$120.42

BIT SYN DR QK COUP 2.0MM 31019

Facility

$240.85

Hospital Charge Code	270604119
Hospital Revenue Code	272
Min. Negotiated Rate	$36.13
Max. Negotiated Rate	$36.13
Rate for Payer: Qualcare PPO/HMO/WC	$36.13

BIT SYN DR QK GLD 2.5MM 31025

Facility

$160.85

Hospital Charge Code	270604440
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 QK GLD 2.5MM 31025

Facility

$160.85

Hospital Charge Code	270604440
Hospital Revenue Code	272
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

BIT THREAED LARGE BB-TAK

Facility

$750.00

Hospital Charge Code	270678711
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

BIT THREAED LARGE BB-TAK

Facility

$750.00

Hospital Charge Code	270678711
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

BIT WLZ DRILL 1.1 5 915-2015

Facility

$420.00

Hospital Charge Code	270621793
Hospital Revenue Code	272
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$210.00

BIT WLZ DRILL 1.1 5 915-2015

Facility

$420.00

Hospital Charge Code	270621793
Hospital Revenue Code	272
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

BIT ZIM DR PIOLET 3.2 22533332

Facility

$805.65

Hospital Charge Code	270618076
Hospital Revenue Code	272
Min. Negotiated Rate	$104.73
Max. Negotiated Rate	$402.82
Rate for Payer: Aetna Commercial	$241.69
Rate for Payer: Aetna Medicare Advantage	$241.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.44
Rate for Payer: Cigna Commercial	$402.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.73
Rate for Payer: Oxford Commercial	$402.82
Rate for Payer: Qualcare PPO/HMO/WC	$120.85
Rate for Payer: UnitedHealthcare Commercial	$402.82

BIT ZIM DR PIOLET 3.2 22533332

Facility

$805.65

Hospital Charge Code	270618076
Hospital Revenue Code	272
Min. Negotiated Rate	$120.85
Max. Negotiated Rate	$120.85
Rate for Payer: Qualcare PPO/HMO/WC	$120.85

BIT ZIM DR PIOLET 3.5 22533237

Facility

$920.00

Hospital Charge Code	270618078
Hospital Revenue Code	272
Min. Negotiated Rate	$119.60
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$276.00
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.60
Rate for Payer: Oxford Commercial	$460.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$460.00

BIT ZIM DR PIOLET 3.5 22533237

Facility

$920.00

Hospital Charge Code	270618078
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

BIT ZIM DR PIOLET 3.7 22533337

Facility

$805.65

Hospital Charge Code	270618077
Hospital Revenue Code	272
Min. Negotiated Rate	$120.85
Max. Negotiated Rate	$120.85
Rate for Payer: Qualcare PPO/HMO/WC	$120.85

BIT ZIM DR PIOLET 3.7 22533337

Facility

$805.65

Hospital Charge Code	270618077
Hospital Revenue Code	272
Min. Negotiated Rate	$104.73
Max. Negotiated Rate	$402.82
Rate for Payer: Aetna Commercial	$241.69
Rate for Payer: Aetna Medicare Advantage	$241.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.44
Rate for Payer: Cigna Commercial	$402.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.73
Rate for Payer: Oxford Commercial	$402.82
Rate for Payer: Qualcare PPO/HMO/WC	$120.85
Rate for Payer: UnitedHealthcare Commercial	$402.82

BIT ZIM DR QC 1.1MM 241011

Facility

$152.85

Hospital Charge Code	270601279
Hospital Revenue Code	272
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$22.93
Rate for Payer: Qualcare PPO/HMO/WC	$22.93

BIT ZIM DR QC 1.1MM 241011

Facility

$152.85

Hospital Charge Code	270601279
Hospital Revenue Code	272
Min. Negotiated Rate	$19.87
Max. Negotiated Rate	$76.42
Rate for Payer: Aetna Commercial	$45.85
Rate for Payer: Aetna Medicare Advantage	$45.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.98
Rate for Payer: Cigna Commercial	$76.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.87
Rate for Payer: Oxford Commercial	$76.42
Rate for Payer: Qualcare PPO/HMO/WC	$22.93
Rate for Payer: UnitedHealthcare Commercial	$76.42

BIT ZIM DR QC 1.5MM 241015

Facility

$152.85

Hospital Charge Code	270610159
Hospital Revenue Code	272
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$22.93
Rate for Payer: Qualcare PPO/HMO/WC	$22.93

BIT ZIM DR QC 1.5MM 241015

Facility

$152.85

Hospital Charge Code	270610159
Hospital Revenue Code	272
Min. Negotiated Rate	$19.87
Max. Negotiated Rate	$76.42
Rate for Payer: Aetna Commercial	$45.85
Rate for Payer: Aetna Medicare Advantage	$45.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.98
Rate for Payer: Cigna Commercial	$76.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.87
Rate for Payer: Oxford Commercial	$76.42
Rate for Payer: Qualcare PPO/HMO/WC	$22.93
Rate for Payer: UnitedHealthcare Commercial	$76.42

Know your out-of-pocket cost for care.

All Charges