Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUR LVT UP RD DIAM 4 702134

Facility

$518.45

Hospital Charge Code	270629149
Hospital Revenue Code	272
Min. Negotiated Rate	$77.77
Max. Negotiated Rate	$77.77
Rate for Payer: Qualcare PPO/HMO/WC	$77.77

BUR MACH 3MM 15CM

Facility

$1,350.00

Hospital Charge Code	270692470
Hospital Revenue Code	272
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$202.50
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

BUR MACH 3MM 15CM

Facility

$1,350.00

Hospital Charge Code	270692470
Hospital Revenue Code	272
Min. Negotiated Rate	$175.50
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$405.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.50
Rate for Payer: UnitedHealthcare Commercial	$675.00

BUR MED ROUND END

Facility

$207.50

Hospital Charge Code	270675968
Hospital Revenue Code	272
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$103.75
Rate for Payer: Aetna Commercial	$62.25
Rate for Payer: Aetna Medicare Advantage	$62.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.91
Rate for Payer: Cigna Commercial	$103.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.98
Rate for Payer: Oxford Commercial	$103.75
Rate for Payer: Qualcare PPO/HMO/WC	$31.12
Rate for Payer: UnitedHealthcare Commercial	$103.75

BUR MED ROUND END

Facility

$207.50

Hospital Charge Code	270675968
Hospital Revenue Code	272
Min. Negotiated Rate	$31.12
Max. Negotiated Rate	$31.12
Rate for Payer: Qualcare PPO/HMO/WC	$31.12

BUR MIDAS REX TOOL 10CM 4MM

Facility

$745.75

Hospital Charge Code	270654985
Hospital Revenue Code	272
Min. Negotiated Rate	$96.95
Max. Negotiated Rate	$372.88
Rate for Payer: Aetna Commercial	$223.72
Rate for Payer: Aetna Medicare Advantage	$223.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$190.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$190.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$190.17
Rate for Payer: Cigna Commercial	$372.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.95
Rate for Payer: Oxford Commercial	$372.88
Rate for Payer: Qualcare PPO/HMO/WC	$111.86
Rate for Payer: UnitedHealthcare Commercial	$372.88

BUR MIDAS REX TOOL 10CM 4MM

Facility

$745.75

Hospital Charge Code	270654985
Hospital Revenue Code	272
Min. Negotiated Rate	$111.86
Max. Negotiated Rate	$111.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.86

BUR MIDUS REX TOOL 10CM 5MM

Facility

$717.25

Hospital Charge Code	270654834
Hospital Revenue Code	272
Min. Negotiated Rate	$107.59
Max. Negotiated Rate	$107.59
Rate for Payer: Qualcare PPO/HMO/WC	$107.59

BUR MIDUS REX TOOL 10CM 5MM

Facility

$717.25

Hospital Charge Code	270654834
Hospital Revenue Code	272
Min. Negotiated Rate	$93.24
Max. Negotiated Rate	$358.62
Rate for Payer: Aetna Commercial	$215.18
Rate for Payer: Aetna Medicare Advantage	$215.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.90
Rate for Payer: Cigna Commercial	$358.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.24
Rate for Payer: Oxford Commercial	$358.62
Rate for Payer: Qualcare PPO/HMO/WC	$107.59
Rate for Payer: UnitedHealthcare Commercial	$358.62

BURN CARE GOWN ********

Facility

$21.00

Hospital Charge Code	8000168
Hospital Revenue Code	279
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

BURN CARE GOWN ********

Facility

$21.00

Hospital Charge Code	8000168
Hospital Revenue Code	279
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

BURN CARE PILLOW*****

Facility

$9.00

Hospital Charge Code	8000176
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

BURN CARE PILLOW*****

Facility

$9.00

Hospital Charge Code	8000176
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BUR NEURO OVAL 4.0/8 5091-236

Facility

$89.00

Hospital Charge Code	1604875
Hospital Revenue Code	272
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

BUR NEURO OVAL 4.0/8 5091-236

Facility

$89.00

Hospital Charge Code	1604875
Hospital Revenue Code	272
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$44.50
Rate for Payer: Aetna Commercial	$26.70
Rate for Payer: Aetna Medicare Advantage	$26.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.70
Rate for Payer: Cigna Commercial	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$44.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$44.50

BUR NEURO PRECISION 3x3.8MM

Facility

$621.00

Hospital Charge Code	270672681
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR NEURO PRECISION 3x3.8MM

Facility

$621.00

Hospital Charge Code	270672681
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$46,921.77

Service Code	APR-DRG 8423
Min. Negotiated Rate	$41,744.30
Max. Negotiated Rate	$46,921.77
Rate for Payer: Aetna Better Health Medicaid	$46,001.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,921.77
Rate for Payer: Wellpoint Medicaid Managed Care	$41,744.30

BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$16,248.66

Service Code	APR-DRG 8421
Min. Negotiated Rate	$14,549.76
Max. Negotiated Rate	$16,248.66
Rate for Payer: Aetna Better Health Medicaid	$15,930.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,248.66
Rate for Payer: Wellpoint Medicaid Managed Care	$14,549.76

BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$25,260.59

Service Code	APR-DRG 8422
Min. Negotiated Rate	$21,816.50
Max. Negotiated Rate	$25,260.59
Rate for Payer: Aetna Better Health Medicaid	$24,765.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,260.59
Rate for Payer: Wellpoint Medicaid Managed Care	$21,816.50

BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$131,475.33

Service Code	APR-DRG 8424
Min. Negotiated Rate	$99,289.95
Max. Negotiated Rate	$131,475.33
Rate for Payer: Aetna Better Health Medicaid	$128,897.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$131,475.33
Rate for Payer: Wellpoint Medicaid Managed Care	$99,289.95

BUR OVAL 4.0/8MM 6010706****

Facility

$44.40

Hospital Charge Code	2706016070
Hospital Revenue Code	279
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$22.20
Rate for Payer: Aetna Commercial	$13.32
Rate for Payer: Aetna Medicare Advantage	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.32
Rate for Payer: Cigna Commercial	$22.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.77
Rate for Payer: Oxford Commercial	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.66
Rate for Payer: UnitedHealthcare Commercial	$22.20

BUR OVAL 4.0/8MM 6010706****

Facility

$44.40

Hospital Charge Code	2706016070
Hospital Revenue Code	279
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

BUR PEAR STD 8 FLUTE 5.0MM

Facility

$1,553.50

Hospital Charge Code	270658045
Hospital Revenue Code	278
Min. Negotiated Rate	$233.03
Max. Negotiated Rate	$776.75
Rate for Payer: Aetna Commercial	$466.05
Rate for Payer: Aetna Medicare Advantage	$466.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$396.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$396.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$310.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$396.14
Rate for Payer: Cigna Commercial	$776.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.95
Rate for Payer: Qualcare PPO/HMO/WC	$233.03

BUR PEAR STD 8 FLUTE 5.0MM

Facility

$1,553.50

Hospital Charge Code	270658045
Hospital Revenue Code	278
Min. Negotiated Rate	$233.03
Max. Negotiated Rate	$375.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$310.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.95
Rate for Payer: Qualcare PPO/HMO/WC	$233.03

Know your out-of-pocket cost for care.

All Charges