Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUR ZIM ST CRBD 5.5MM 5091-138

Facility

$295.25

Hospital Charge Code	270607173
Hospital Revenue Code	272
Min. Negotiated Rate	$44.29
Max. Negotiated Rate	$44.29
Rate for Payer: Qualcare PPO/HMO/WC	$44.29

BUR ZIM ST RD 5.0MM 5092-266

Facility

$248.25

Hospital Charge Code	270607733
Hospital Revenue Code	272
Min. Negotiated Rate	$37.24
Max. Negotiated Rate	$37.24
Rate for Payer: Qualcare PPO/HMO/WC	$37.24

BUR ZIM ST RD 5.0MM 5092-266

Facility

$248.25

Hospital Charge Code	270607733
Hospital Revenue Code	272
Min. Negotiated Rate	$32.27
Max. Negotiated Rate	$124.12
Rate for Payer: Aetna Commercial	$74.47
Rate for Payer: Aetna Medicare Advantage	$74.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.30
Rate for Payer: Cigna Commercial	$124.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.27
Rate for Payer: Oxford Commercial	$124.12
Rate for Payer: Qualcare PPO/HMO/WC	$37.24
Rate for Payer: UnitedHealthcare Commercial	$124.12

BUR ZIM ULPR AC 5.0MM 7021-380

Facility

$709.65

Hospital Charge Code	270603880
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$354.82
Rate for Payer: Aetna Commercial	$212.90
Rate for Payer: Aetna Medicare Advantage	$212.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.96
Rate for Payer: Cigna Commercial	$354.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.25
Rate for Payer: Oxford Commercial	$354.82
Rate for Payer: Qualcare PPO/HMO/WC	$106.45
Rate for Payer: UnitedHealthcare Commercial	$354.82

BUR ZIM ULPR AC 5.0MM 7021-380

Facility

$709.65

Hospital Charge Code	270603880
Hospital Revenue Code	272
Min. Negotiated Rate	$106.45
Max. Negotiated Rate	$106.45
Rate for Payer: Qualcare PPO/HMO/WC	$106.45

BUR ZIM ULPR AC 6.0MM 7021-381

Facility

$283.25

Hospital Charge Code	270603881
Hospital Revenue Code	272
Min. Negotiated Rate	$42.49
Max. Negotiated Rate	$42.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.49

BUR ZIM ULPR AC 6.0MM 7021-381

Facility

$283.25

Hospital Charge Code	270603881
Hospital Revenue Code	272
Min. Negotiated Rate	$36.82
Max. Negotiated Rate	$141.62
Rate for Payer: Aetna Commercial	$84.97
Rate for Payer: Aetna Medicare Advantage	$84.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.23
Rate for Payer: Cigna Commercial	$141.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.82
Rate for Payer: Oxford Commercial	$141.62
Rate for Payer: Qualcare PPO/HMO/WC	$42.49
Rate for Payer: UnitedHealthcare Commercial	$141.62

BUR ZIM ULPR AC 7.5MM 7021-182

Facility

$632.00

Hospital Charge Code	270603872
Hospital Revenue Code	272
Min. Negotiated Rate	$94.80
Max. Negotiated Rate	$94.80
Rate for Payer: Qualcare PPO/HMO/WC	$94.80

BUR ZIM ULPR AC 7.5MM 7021-182

Facility

$632.00

Hospital Charge Code	270603872
Hospital Revenue Code	272
Min. Negotiated Rate	$82.16
Max. Negotiated Rate	$316.00
Rate for Payer: Aetna Commercial	$189.60
Rate for Payer: Aetna Medicare Advantage	$189.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.16
Rate for Payer: Cigna Commercial	$316.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.16
Rate for Payer: Oxford Commercial	$316.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.80
Rate for Payer: UnitedHealthcare Commercial	$316.00

BUR ZIM ULPR AC 9.0MM 7021-183

Facility

$632.00

Hospital Charge Code	270603873
Hospital Revenue Code	272
Min. Negotiated Rate	$82.16
Max. Negotiated Rate	$316.00
Rate for Payer: Aetna Commercial	$189.60
Rate for Payer: Aetna Medicare Advantage	$189.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.16
Rate for Payer: Cigna Commercial	$316.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.16
Rate for Payer: Oxford Commercial	$316.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.80
Rate for Payer: UnitedHealthcare Commercial	$316.00

BUR ZIM ULPR AC 9.0MM 7021-183

Facility

$632.00

Hospital Charge Code	270603873
Hospital Revenue Code	272
Min. Negotiated Rate	$94.80
Max. Negotiated Rate	$94.80
Rate for Payer: Qualcare PPO/HMO/WC	$94.80

BUR ZIM ULPR RD 2.0MM 5092-124

Facility

$256.00

Hospital Charge Code	270603883
Hospital Revenue Code	272
Min. Negotiated Rate	$33.28
Max. Negotiated Rate	$128.00
Rate for Payer: Aetna Commercial	$76.80
Rate for Payer: Aetna Medicare Advantage	$76.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.28
Rate for Payer: Cigna Commercial	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.28
Rate for Payer: Oxford Commercial	$128.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$128.00

BUR ZIM ULPR RD 2.0MM 5092-124

Facility

$256.00

Hospital Charge Code	270603883
Hospital Revenue Code	272
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

BUR ZIM ULPR RD 2.0MM 5092-160

Facility

$428.00

Hospital Charge Code	270603887
Hospital Revenue Code	272
Min. Negotiated Rate	$55.64
Max. Negotiated Rate	$214.00
Rate for Payer: Aetna Commercial	$128.40
Rate for Payer: Aetna Medicare Advantage	$128.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.14
Rate for Payer: Cigna Commercial	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.64
Rate for Payer: Oxford Commercial	$214.00
Rate for Payer: Qualcare PPO/HMO/WC	$64.20
Rate for Payer: UnitedHealthcare Commercial	$214.00

BUR ZIM ULPR RD 2.0MM 5092-160

Facility

$428.00

Hospital Charge Code	270603887
Hospital Revenue Code	272
Min. Negotiated Rate	$64.20
Max. Negotiated Rate	$64.20
Rate for Payer: Qualcare PPO/HMO/WC	$64.20

BUR ZIM ULPR RD 2.0MM 5093-124

Facility

$484.00

Hospital Charge Code	270603892
Hospital Revenue Code	272
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

BUR ZIM ULPR RD 2.0MM 5093-124

Facility

$484.00

Hospital Charge Code	270603892
Hospital Revenue Code	272
Min. Negotiated Rate	$62.92
Max. Negotiated Rate	$242.00
Rate for Payer: Aetna Commercial	$145.20
Rate for Payer: Aetna Medicare Advantage	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.92
Rate for Payer: Oxford Commercial	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.60
Rate for Payer: UnitedHealthcare Commercial	$242.00

BUR ZIM ULPR RD 2.0MM 5093-160

Facility

$953.65

Hospital Charge Code	270603895
Hospital Revenue Code	272
Min. Negotiated Rate	$123.97
Max. Negotiated Rate	$476.82
Rate for Payer: Aetna Commercial	$286.10
Rate for Payer: Aetna Medicare Advantage	$286.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.18
Rate for Payer: Cigna Commercial	$476.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.97
Rate for Payer: Oxford Commercial	$476.82
Rate for Payer: Qualcare PPO/HMO/WC	$143.05
Rate for Payer: UnitedHealthcare Commercial	$476.82

BUR ZIM ULPR RD 2.0MM 5093-160

Facility

$953.65

Hospital Charge Code	270603895
Hospital Revenue Code	272
Min. Negotiated Rate	$143.05
Max. Negotiated Rate	$143.05
Rate for Payer: Qualcare PPO/HMO/WC	$143.05

BUR ZIM ULPR RD 2.2MM 7021-236

Facility

$924.00

Hospital Charge Code	270603875
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

BUR ZIM ULPR RD 2.2MM 7021-236

Facility

$924.00

Hospital Charge Code	270603875
Hospital Revenue Code	272
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$277.20
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.12
Rate for Payer: Oxford Commercial	$462.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$462.00

BUR ZIM ULPR RD 3.0MM 5092-126

Facility

$433.65

Hospital Charge Code	270603884
Hospital Revenue Code	272
Min. Negotiated Rate	$56.37
Max. Negotiated Rate	$216.82
Rate for Payer: Aetna Commercial	$130.09
Rate for Payer: Aetna Medicare Advantage	$130.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.58
Rate for Payer: Cigna Commercial	$216.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.37
Rate for Payer: Oxford Commercial	$216.82
Rate for Payer: Qualcare PPO/HMO/WC	$65.05
Rate for Payer: UnitedHealthcare Commercial	$216.82

BUR ZIM ULPR RD 3.0MM 5092-126

Facility

$433.65

Hospital Charge Code	270603884
Hospital Revenue Code	272
Min. Negotiated Rate	$65.05
Max. Negotiated Rate	$65.05
Rate for Payer: Qualcare PPO/HMO/WC	$65.05

BUR ZIM ULPR RD 3.0MM 5092-162

Facility

$570.45

Hospital Charge Code	270603888
Hospital Revenue Code	272
Min. Negotiated Rate	$74.16
Max. Negotiated Rate	$285.23
Rate for Payer: Aetna Commercial	$171.13
Rate for Payer: Aetna Medicare Advantage	$171.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.46
Rate for Payer: Cigna Commercial	$285.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.16
Rate for Payer: Oxford Commercial	$285.23
Rate for Payer: Qualcare PPO/HMO/WC	$85.57
Rate for Payer: UnitedHealthcare Commercial	$285.23

BUR ZIM ULPR RD 3.0MM 5092-162

Facility

$570.45

Hospital Charge Code	270603888
Hospital Revenue Code	272
Min. Negotiated Rate	$85.57
Max. Negotiated Rate	$85.57
Rate for Payer: Qualcare PPO/HMO/WC	$85.57

Know your out-of-pocket cost for care.

All Charges