Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUR ZIM ULPR RD 3.0MM 5093-162

Facility

$953.65

Hospital Charge Code	270603896
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 3.0MM 5093-162

Facility

$953.65

Hospital Charge Code	270603896
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 3.0MM 7021-137

Facility

$872.00

Hospital Charge Code	270603869
Hospital Revenue Code	272
Min. Negotiated Rate	$130.80
Max. Negotiated Rate	$130.80
Rate for Payer: Qualcare PPO/HMO/WC	$130.80

BUR ZIM ULPR RD 3.0MM 7021-137

Facility

$872.00

Hospital Charge Code	270603869
Hospital Revenue Code	272
Min. Negotiated Rate	$113.36
Max. Negotiated Rate	$436.00
Rate for Payer: Aetna Commercial	$261.60
Rate for Payer: Aetna Medicare Advantage	$261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.36
Rate for Payer: Cigna Commercial	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.36
Rate for Payer: Oxford Commercial	$436.00
Rate for Payer: Qualcare PPO/HMO/WC	$130.80
Rate for Payer: UnitedHealthcare Commercial	$436.00

BUR ZIM ULPR RD 3.0MM 7021-237

Facility

$302.65

Hospital Charge Code	270603876
Hospital Revenue Code	272
Min. Negotiated Rate	$39.34
Max. Negotiated Rate	$151.32
Rate for Payer: Aetna Commercial	$90.80
Rate for Payer: Aetna Medicare Advantage	$90.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.18
Rate for Payer: Cigna Commercial	$151.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.34
Rate for Payer: Oxford Commercial	$151.32
Rate for Payer: Qualcare PPO/HMO/WC	$45.40
Rate for Payer: UnitedHealthcare Commercial	$151.32

BUR ZIM ULPR RD 3.0MM 7021-237

Facility

$302.65

Hospital Charge Code	270603876
Hospital Revenue Code	272
Min. Negotiated Rate	$45.40
Max. Negotiated Rate	$45.40
Rate for Payer: Qualcare PPO/HMO/WC	$45.40

BUR ZIM ULPR RD 3.0MM 7021-337

Facility

$793.65

Hospital Charge Code	270603879
Hospital Revenue Code	272
Min. Negotiated Rate	$103.17
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$238.09
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.17
Rate for Payer: Oxford Commercial	$396.82
Rate for Payer: Qualcare PPO/HMO/WC	$119.05
Rate for Payer: UnitedHealthcare Commercial	$396.82

BUR ZIM ULPR RD 3.0MM 7021-337

Facility

$793.65

Hospital Charge Code	270603879
Hospital Revenue Code	272
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$119.05
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

BUR ZIM ULPR RD 4.0MM 5092-128

Facility

$211.25

Hospital Charge Code	270603885
Hospital Revenue Code	272
Min. Negotiated Rate	$27.46
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$63.38
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.46
Rate for Payer: Oxford Commercial	$105.62
Rate for Payer: Qualcare PPO/HMO/WC	$31.69
Rate for Payer: UnitedHealthcare Commercial	$105.62

BUR ZIM ULPR RD 4.0MM 5092-128

Facility

$211.25

Hospital Charge Code	270603885
Hospital Revenue Code	272
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$31.69
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

BUR ZIM ULPR RD 4.0MM 5092-164

Facility

$683.25

Hospital Charge Code	270603889
Hospital Revenue Code	272
Min. Negotiated Rate	$88.82
Max. Negotiated Rate	$341.62
Rate for Payer: Aetna Commercial	$204.97
Rate for Payer: Aetna Medicare Advantage	$204.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.23
Rate for Payer: Cigna Commercial	$341.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.82
Rate for Payer: Oxford Commercial	$341.62
Rate for Payer: Qualcare PPO/HMO/WC	$102.49
Rate for Payer: UnitedHealthcare Commercial	$341.62

BUR ZIM ULPR RD 4.0MM 5092-164

Facility

$683.25

Hospital Charge Code	270603889
Hospital Revenue Code	272
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$102.49
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

BUR ZIM ULPR RD 4.0MM 5093-128

Facility

$484.00

Hospital Charge Code	270603893
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 4.0MM 5093-128

Facility

$484.00

Hospital Charge Code	270603893
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 4.0MM 5093-164

Facility

$953.65

Hospital Charge Code	270603897
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 4.0MM 5093-164

Facility

$953.65

Hospital Charge Code	270603897
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 5.0MM 5092-130

Facility

$280.00

Hospital Charge Code	270603886
Hospital Revenue Code	272
Min. Negotiated Rate	$36.40
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

BUR ZIM ULPR RD 5.0MM 5092-130

Facility

$280.00

Hospital Charge Code	270603886
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

BUR ZIM ULPR RD 5.0MM 5092-166

Facility

$760.00

Hospital Charge Code	270603890
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

BUR ZIM ULPR RD 5.0MM 5092-166

Facility

$760.00

Hospital Charge Code	270603890
Hospital Revenue Code	272
Min. Negotiated Rate	$98.80
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.80
Rate for Payer: Oxford Commercial	$380.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Commercial	$380.00

BUR ZIM ULPR RD 5.0MM 5093-130

Facility

$363.25

Hospital Charge Code	270603894
Hospital Revenue Code	272
Min. Negotiated Rate	$47.22
Max. Negotiated Rate	$181.62
Rate for Payer: Aetna Commercial	$108.97
Rate for Payer: Aetna Medicare Advantage	$108.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.63
Rate for Payer: Cigna Commercial	$181.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.22
Rate for Payer: Oxford Commercial	$181.62
Rate for Payer: Qualcare PPO/HMO/WC	$54.49
Rate for Payer: UnitedHealthcare Commercial	$181.62

BUR ZIM ULPR RD 5.0MM 5093-130

Facility

$363.25

Hospital Charge Code	270603894
Hospital Revenue Code	272
Min. Negotiated Rate	$54.49
Max. Negotiated Rate	$54.49
Rate for Payer: Qualcare PPO/HMO/WC	$54.49

BUR ZIM ULPR RD 5.0MM 5093-166

Facility

$953.65

Hospital Charge Code	270603898
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 5.0MM 5093-166

Facility

$953.65

Hospital Charge Code	270603898
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 6.0MM 5092-168

Facility

$760.00

Hospital Charge Code	270603891
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

Know your out-of-pocket cost for care.

All Charges