Heights University Hospital

All Charges

Charge

Type

Setting

Price

CABLE SURGICAL 12FT DISPOSABLE

Facility

$1,518.75

Hospital Charge Code	270635176S
Hospital Revenue Code	272
Min. Negotiated Rate	$227.81
Max. Negotiated Rate	$227.81
Rate for Payer: Qualcare PPO/HMO/WC	$227.81

CABLE SURGICAL 12FT DISPOSABLE

Facility

$1,518.75

Hospital Charge Code	270635176S
Hospital Revenue Code	272
Min. Negotiated Rate	$197.44
Max. Negotiated Rate	$759.38
Rate for Payer: Aetna Commercial	$455.62
Rate for Payer: Aetna Medicare Advantage	$455.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.28
Rate for Payer: Cigna Commercial	$759.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.44
Rate for Payer: Oxford Commercial	$759.38
Rate for Payer: Qualcare PPO/HMO/WC	$227.81
Rate for Payer: UnitedHealthcare Commercial	$759.38

CABLE SURGICAL 12FT DISPOSABLE

Facility

$1,518.75

Hospital Charge Code	270635176N
Hospital Revenue Code	272
Min. Negotiated Rate	$227.81
Max. Negotiated Rate	$227.81
Rate for Payer: Qualcare PPO/HMO/WC	$227.81

CABLE SURGICAL 12FT DISPOSABLE

Facility

$375.00

Hospital Charge Code	270635176
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

CABLE SURGICAL 12FT DISPOSABLE

Facility

$1,518.75

Hospital Charge Code	270635176N
Hospital Revenue Code	272
Min. Negotiated Rate	$197.44
Max. Negotiated Rate	$759.38
Rate for Payer: Aetna Commercial	$455.62
Rate for Payer: Aetna Medicare Advantage	$455.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.28
Rate for Payer: Cigna Commercial	$759.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.44
Rate for Payer: Oxford Commercial	$759.38
Rate for Payer: Qualcare PPO/HMO/WC	$227.81
Rate for Payer: UnitedHealthcare Commercial	$759.38

CABLE SURGICAL 12FT DISPOSABLE

Facility

$375.00

Hospital Charge Code	270635176
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

CABLE SURVEY TACH I/O C******

Facility

$590.00

Hospital Charge Code	270606089
Hospital Revenue Code	270
Min. Negotiated Rate	$76.70
Max. Negotiated Rate	$295.00
Rate for Payer: Aetna Commercial	$177.00
Rate for Payer: Aetna Medicare Advantage	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.45
Rate for Payer: Cigna Commercial	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.70
Rate for Payer: Oxford Commercial	$295.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.50
Rate for Payer: UnitedHealthcare Commercial	$295.00

CABLE SURVEY TACH I/O C******

Facility

$590.00

Hospital Charge Code	270606089
Hospital Revenue Code	270
Min. Negotiated Rate	$88.50
Max. Negotiated Rate	$88.50
Rate for Payer: Qualcare PPO/HMO/WC	$88.50

CABLE TEMP PACEMAKER

Facility

$875.00

Hospital Charge Code	270661504S
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

CABLE TEMP PACEMAKER

Facility

$875.00

Hospital Charge Code	270661504S
Hospital Revenue Code	272
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

CABLE TRIAL LEAD

Facility

$1,500.00

Hospital Charge Code	270683668
Hospital Revenue Code	272
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$750.00

CABLE TRIAL LEAD

Facility

$1,500.00

Hospital Charge Code	270683668
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

CABLE TROCH 2.0 750MM 120002

Facility

$2,170.00

Service Code	HCPCS C1713
Hospital Charge Code	270611651
Hospital Revenue Code	278
Min. Negotiated Rate	$325.50
Max. Negotiated Rate	$1,085.00
Rate for Payer: Aetna Commercial	$651.00
Rate for Payer: Aetna Medicare Advantage	$651.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$434.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$553.35
Rate for Payer: Cigna Commercial	$1,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.14
Rate for Payer: Qualcare PPO/HMO/WC	$325.50

CABLE TROCH 2.0 750MM 120002

Facility

$2,170.00

Service Code	HCPCS C1713
Hospital Charge Code	270611651
Hospital Revenue Code	278
Min. Negotiated Rate	$325.50
Max. Negotiated Rate	$525.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.14
Rate for Payer: Qualcare PPO/HMO/WC	$325.50

CABLE ZIM CERC 22 2232-02-18

Facility

$1,595.25

Hospital Charge Code	270620704
Hospital Revenue Code	278
Min. Negotiated Rate	$239.29
Max. Negotiated Rate	$797.62
Rate for Payer: Aetna Commercial	$478.57
Rate for Payer: Aetna Medicare Advantage	$478.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.79
Rate for Payer: Cigna Commercial	$797.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.05
Rate for Payer: Qualcare PPO/HMO/WC	$239.29

CABLE ZIM CERC 22 2232-02-18

Facility

$1,595.25

Hospital Charge Code	270620704
Hospital Revenue Code	278
Min. Negotiated Rate	$239.29
Max. Negotiated Rate	$386.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.05
Rate for Payer: Qualcare PPO/HMO/WC	$239.29

CADASIL

Facility

$121.00

Hospital Charge Code	3035094AD
Hospital Revenue Code	301
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

CADASIL

Facility

$128.00

Hospital Charge Code	3035094O
Hospital Revenue Code	301
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CADASIL

Facility

$128.00

Hospital Charge Code	3035094G
Hospital Revenue Code	301
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CADASIL

Facility

$121.00

Hospital Charge Code	3035094V
Hospital Revenue Code	301
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

CADASIL

Facility

$128.00

Hospital Charge Code	3035094N
Hospital Revenue Code	301
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CADASIL

Facility

$121.00

Hospital Charge Code	3035094Y
Hospital Revenue Code	301
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

CADASIL

Facility

$128.00

Hospital Charge Code	3035094N
Hospital Revenue Code	301
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

CADASIL

Facility

$128.00

Hospital Charge Code	3035094G
Hospital Revenue Code	301
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

CADASIL

Facility

$128.00

Hospital Charge Code	3035094L
Hospital Revenue Code	301
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges