Heights University Hospital

All Charges

Charge

Type

Setting

Price

BSS BRAUNSTEIN S 500ML

Facility

$180.00

Hospital Charge Code	270654888
Hospital Revenue Code	270
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

BSS BRAUNSTEIN S 500ML

Facility

$180.00

Hospital Charge Code	270654888
Hospital Revenue Code	270
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

BSS IRRIG 500ML

Facility

$108.92

Hospital Charge Code	60635869
Hospital Revenue Code	272
Min. Negotiated Rate	$14.16
Max. Negotiated Rate	$54.46
Rate for Payer: Aetna Commercial	$32.68
Rate for Payer: Aetna Medicare Advantage	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.77
Rate for Payer: Cigna Commercial	$54.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.16
Rate for Payer: Oxford Commercial	$54.46
Rate for Payer: Qualcare PPO/HMO/WC	$16.34
Rate for Payer: UnitedHealthcare Commercial	$54.46

BSS IRRIG 500ML

Facility

$108.92

Hospital Charge Code	60635869
Hospital Revenue Code	272
Min. Negotiated Rate	$16.34
Max. Negotiated Rate	$16.34
Rate for Payer: Qualcare PPO/HMO/WC	$16.34

BSS OPTH SOL

Facility

$55.34

Service Code	NDC 65079515
Hospital Charge Code	6063943066
Hospital Revenue Code	250
Min. Negotiated Rate	$7.19
Max. Negotiated Rate	$27.67
Rate for Payer: Aetna Commercial	$16.60
Rate for Payer: Aetna Medicare Advantage	$16.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.11
Rate for Payer: Cigna Commercial	$27.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.19
Rate for Payer: Oxford Commercial	$27.67
Rate for Payer: Qualcare PPO/HMO/WC	$8.30
Rate for Payer: UnitedHealthcare Commercial	$27.67

BSS OPTH SOL

Facility

$55.34

Service Code	NDC 65079515
Hospital Charge Code	6063943066
Hospital Revenue Code	250
Min. Negotiated Rate	$8.30
Max. Negotiated Rate	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$8.30

BSS PANARIELLO

Facility

$107.00

Hospital Charge Code	60635599
Hospital Revenue Code	250
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$32.10
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$53.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$53.50

BSS PANARIELLO

Facility

$107.00

Hospital Charge Code	60635599
Hospital Revenue Code	250
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

BSS RICCIARDELLI

Facility

$107.00

Hospital Charge Code	60635602
Hospital Revenue Code	250
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$32.10
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$53.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$53.50

BSS RICCIARDELLI

Facility

$107.00

Hospital Charge Code	60635602
Hospital Revenue Code	250
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

BSS VORA

Facility

$107.00

Hospital Charge Code	60635603
Hospital Revenue Code	250
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

BSS VORA

Facility

$107.00

Hospital Charge Code	60635603
Hospital Revenue Code	250
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$32.10
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$53.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$53.50

BSS YEE

Facility

$107.00

Hospital Charge Code	60635604
Hospital Revenue Code	250
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

BSS YEE

Facility

$107.00

Hospital Charge Code	60635604
Hospital Revenue Code	250
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$32.10
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$53.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$53.50

BT30 CANN HLOBE DRIVER W/ZH

Facility

$4,550.00

Hospital Charge Code	270704599
Hospital Revenue Code	279
Min. Negotiated Rate	$591.50
Max. Negotiated Rate	$2,275.00
Rate for Payer: Aetna Commercial	$1,365.00
Rate for Payer: Aetna Medicare Advantage	$1,365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.25
Rate for Payer: Cigna Commercial	$2,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.50
Rate for Payer: Oxford Commercial	$2,275.00
Rate for Payer: Qualcare PPO/HMO/WC	$682.50
Rate for Payer: UnitedHealthcare Commercial	$2,275.00

BT30 CANN HLOBE DRIVER W/ZH

Facility

$4,550.00

Hospital Charge Code	270704599
Hospital Revenue Code	279
Min. Negotiated Rate	$682.50
Max. Negotiated Rate	$682.50
Rate for Payer: Qualcare PPO/HMO/WC	$682.50

BTB TIGHT ROPE RT

Facility

$2,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270656498
Hospital Revenue Code	278
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$637.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

BTB TIGHT ROPE RT

Facility

$2,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270656498
Hospital Revenue Code	278
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$514.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

BTB TIGHTROPE WITH SUTURE

Facility

$2,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270678335
Hospital Revenue Code	278
Min. Negotiated Rate	$333.75
Max. Negotiated Rate	$1,112.50
Rate for Payer: Aetna Commercial	$667.50
Rate for Payer: Aetna Medicare Advantage	$667.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$567.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$567.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$567.38
Rate for Payer: Cigna Commercial	$1,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$538.45
Rate for Payer: Qualcare PPO/HMO/WC	$333.75

BTB TIGHTROPE WITH SUTURE

Facility

$2,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270678335
Hospital Revenue Code	278
Min. Negotiated Rate	$333.75
Max. Negotiated Rate	$538.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$538.45
Rate for Payer: Qualcare PPO/HMO/WC	$333.75

BTL SPRAY FILM BARRIER 28ML

Facility

$35.61

Hospital Charge Code	270649950
Hospital Revenue Code	270
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$5.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.34

BTL SPRAY FILM BARRIER 28ML

Facility

$35.61

Hospital Charge Code	270649950
Hospital Revenue Code	270
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$17.80
Rate for Payer: Aetna Commercial	$10.68
Rate for Payer: Aetna Medicare Advantage	$10.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.08
Rate for Payer: Cigna Commercial	$17.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.63
Rate for Payer: Oxford Commercial	$17.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.34
Rate for Payer: UnitedHealthcare Commercial	$17.80

BTL SPRAY FILM BARRIER 28ML

Facility

$35.61

Hospital Charge Code	2706499950
Hospital Revenue Code	270
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$5.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.34

BTL SPRAY FILM BARRIER 28ML

Facility

$35.61

Hospital Charge Code	2706499950
Hospital Revenue Code	270
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$17.80
Rate for Payer: Aetna Commercial	$10.68
Rate for Payer: Aetna Medicare Advantage	$10.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.08
Rate for Payer: Cigna Commercial	$17.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.63
Rate for Payer: Oxford Commercial	$17.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.34
Rate for Payer: UnitedHealthcare Commercial	$17.80

B-TYPE NATRIURETIC PEPTIDE

Facility

$585.17

Service Code	HCPCS 83519
Hospital Charge Code	3009045
Hospital Revenue Code	301
Min. Negotiated Rate	$87.78
Max. Negotiated Rate	$87.78
Rate for Payer: Qualcare PPO/HMO/WC	$87.78

Know your out-of-pocket cost for care.

All Charges