Heights University Hospital

All Charges

Charge

Type

Setting

Price

ABSB COLLAGEN HEMOSTATIC SPNGE

Facility

$91.25

Hospital Charge Code	60628901
Hospital Revenue Code	250
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

ABSB COLLAGEN HEMOSTATIC SPNGE

Facility

$91.25

Hospital Charge Code	60628901
Hospital Revenue Code	250
Min. Negotiated Rate	$11.86
Max. Negotiated Rate	$45.62
Rate for Payer: Aetna Commercial	$27.38
Rate for Payer: Aetna Medicare Advantage	$27.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$45.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$45.62
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$45.62

ABSCESS DRAINAGE

Facility

$4,880.92

Service Code	HCPCS 49406
Hospital Charge Code	2200392
Hospital Revenue Code	361
Min. Negotiated Rate	$634.52
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,464.28
Rate for Payer: Aetna Medicare Advantage	$1,464.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,244.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,244.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,244.63
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$634.52
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$732.14
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

ABSCESS DRAINAGE

Facility

$4,880.92

Service Code	HCPCS 49406
Hospital Charge Code	2200392
Hospital Revenue Code	361
Min. Negotiated Rate	$732.14
Max. Negotiated Rate	$732.14
Rate for Payer: Qualcare PPO/HMO/WC	$732.14

ABSCESSOGRAM

Facility

$770.00

Hospital Charge Code	2200401
Hospital Revenue Code	350
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$115.50

ABSCESSOGRAM

Facility

$770.00

Hospital Charge Code	2200401
Hospital Revenue Code	350
Min. Negotiated Rate	$100.10
Max. Negotiated Rate	$2,773.00
Rate for Payer: Aetna Commercial	$231.00
Rate for Payer: Aetna Medicare Advantage	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.35
Rate for Payer: Cigna Commercial	$385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$115.50
Rate for Payer: UnitedHealthcare Commercial	$2,773.00

ABS LYMPHO & NAT KILL CELLS

Facility

$188.65

Service Code	HCPCS 86357
Hospital Charge Code	401386357
Hospital Revenue Code	306
Min. Negotiated Rate	$18.86
Max. Negotiated Rate	$138.24
Rate for Payer: Aetna Commercial	$122.25
Rate for Payer: Aetna Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.24
Rate for Payer: Cigna Commercial	$37.73
Rate for Payer: Cigna Medicare Advantage	$18.86
Rate for Payer: Clover Medicare Advantage	$35.84
Rate for Payer: EmblemHealth Commercial	$113.19
Rate for Payer: Humana Medicare Advantage	$38.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39.99
Rate for Payer: Wellcare Medicare Advantage	$37.73

ABS LYMPHO & NAT KILL CELLS

Facility

$188.65

Service Code	HCPCS 86357
Hospital Charge Code	401386357
Hospital Revenue Code	306
Min. Negotiated Rate	$28.30
Max. Negotiated Rate	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$28.30

ABSOLUTE CD4&CD8 COUNT

Facility

$641.00

Service Code	HCPCS 86360
Hospital Charge Code	38476298
Hospital Revenue Code	302
Min. Negotiated Rate	$96.15
Max. Negotiated Rate	$96.15
Rate for Payer: Qualcare PPO/HMO/WC	$96.15

ABSOLUTE CD4&CD8 COUNT

Facility

$641.00

Service Code	HCPCS 86360
Hospital Charge Code	38476298
Hospital Revenue Code	302
Min. Negotiated Rate	$23.49
Max. Negotiated Rate	$172.13
Rate for Payer: Aetna Commercial	$152.22
Rate for Payer: Aetna Medicare Advantage	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.13
Rate for Payer: Cigna Commercial	$46.98
Rate for Payer: Cigna Medicare Advantage	$23.49
Rate for Payer: Clover Medicare Advantage	$44.63
Rate for Payer: EmblemHealth Commercial	$140.94
Rate for Payer: Humana Medicare Advantage	$48.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$46.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$49.80
Rate for Payer: Wellcare Medicare Advantage	$46.98

ABSOLUTE CD4 COUNT

Facility

$306.00

Service Code	HCPCS 86361
Hospital Charge Code	38476299
Hospital Revenue Code	302
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.77
Rate for Payer: Aetna Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.12
Rate for Payer: Cigna Commercial	$26.78
Rate for Payer: Cigna Medicare Advantage	$13.39
Rate for Payer: Clover Medicare Advantage	$25.44
Rate for Payer: EmblemHealth Commercial	$80.34
Rate for Payer: Humana Medicare Advantage	$27.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.39
Rate for Payer: Wellcare Medicare Advantage	$26.78

ABSOLUTE CD4 COUNT

Facility

$306.00

Service Code	HCPCS 86361
Hospital Charge Code	38476299
Hospital Revenue Code	302
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$45.90
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

ABSORABLE PIN (50MM X 1.3MM)

Facility

$279.00

Hospital Charge Code	270335505
Hospital Revenue Code	278
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$67.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.52
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

ABSORABLE PIN (50MM X 1.3MM)

Facility

$279.00

Hospital Charge Code	270335505
Hospital Revenue Code	278
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$139.50
Rate for Payer: Aetna Commercial	$83.70
Rate for Payer: Aetna Medicare Advantage	$83.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.52
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

ABSORBABLE ANCHORS

Facility

$555.00

Hospital Charge Code	270335620
Hospital Revenue Code	278
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

ABSORBABLE ANCHORS

Facility

$555.00

Hospital Charge Code	270335620
Hospital Revenue Code	278
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$166.50
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

ABSORBABLE GELATIN POWDER

Facility

$380.00

Hospital Charge Code	60627524
Hospital Revenue Code	250
Min. Negotiated Rate	$57.00
Max. Negotiated Rate	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.00

ABSORBABLE GELATIN POWDER

Facility

$380.00

Hospital Charge Code	60627524
Hospital Revenue Code	250
Min. Negotiated Rate	$49.40
Max. Negotiated Rate	$190.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.90
Rate for Payer: Cigna Commercial	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.00
Rate for Payer: UnitedHealthcare Commercial	$190.00

ABSORBABLE GELATIN POWDER 1GM

Facility

$245.80

Hospital Charge Code	6017735
Hospital Revenue Code	250
Min. Negotiated Rate	$36.87
Max. Negotiated Rate	$36.87
Rate for Payer: Qualcare PPO/HMO/WC	$36.87

ABSORBABLE GELATIN POWDER 1GM

Facility

$245.80

Hospital Charge Code	6017735
Hospital Revenue Code	250
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$122.90
Rate for Payer: Aetna Commercial	$73.74
Rate for Payer: Aetna Medicare Advantage	$73.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.68
Rate for Payer: Cigna Commercial	$122.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.95
Rate for Payer: Oxford Commercial	$122.90
Rate for Payer: Qualcare PPO/HMO/WC	$36.87
Rate for Payer: UnitedHealthcare Commercial	$122.90

ABSORBATCK30 ABSATACK

Facility

$21.40

Hospital Charge Code	270659393
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

ABSORBATCK30 ABSATACK

Facility

$21.40

Hospital Charge Code	270659393
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.78
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$10.70

ABSORB COLLAGEN HEMOSTA SPONGE

Facility

$217.65

Hospital Charge Code	60627522
Hospital Revenue Code	250
Min. Negotiated Rate	$28.29
Max. Negotiated Rate	$108.83
Rate for Payer: Aetna Commercial	$65.30
Rate for Payer: Aetna Medicare Advantage	$65.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.50
Rate for Payer: Cigna Commercial	$108.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.29
Rate for Payer: Oxford Commercial	$108.83
Rate for Payer: Qualcare PPO/HMO/WC	$32.65
Rate for Payer: UnitedHealthcare Commercial	$108.83

ABSORB COLLAGEN HEMOSTA SPONGE

Facility

$217.65

Hospital Charge Code	60627522
Hospital Revenue Code	250
Min. Negotiated Rate	$32.65
Max. Negotiated Rate	$32.65
Rate for Payer: Qualcare PPO/HMO/WC	$32.65

ABSORB COLLAGEN HEMOSTAT 1X2

Facility

$88.00

Hospital Charge Code	6016109
Hospital Revenue Code	272
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

Know your out-of-pocket cost for care.

All Charges