Heights University Hospital

All Charges

Charge

Type

Setting

Price

CELLSERCH CIRC TUMRCELLS COLON

Facility

$1,671.85

Hospital Charge Code	397043303
Hospital Revenue Code	301
Min. Negotiated Rate	$250.78
Max. Negotiated Rate	$250.78
Rate for Payer: Qualcare PPO/HMO/WC	$250.78

CELLULAR BONE MARTIX MED.

Facility

$15,875.00

Service Code	HCPCS C1762
Hospital Charge Code	270667698
Hospital Revenue Code	278
Min. Negotiated Rate	$2,381.25
Max. Negotiated Rate	$3,841.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,841.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.25

CELLULAR BONE MARTIX MED.

Facility

$15,875.00

Service Code	HCPCS C1762
Hospital Charge Code	270667698
Hospital Revenue Code	278
Min. Negotiated Rate	$2,381.25
Max. Negotiated Rate	$7,937.50
Rate for Payer: Aetna Commercial	$4,762.50
Rate for Payer: Aetna Medicare Advantage	$4,762.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,048.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,048.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,048.12
Rate for Payer: Cigna Commercial	$7,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,841.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.25

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$23,554.25

Service Code	APR-DRG 3834
Min. Negotiated Rate	$20,535.57
Max. Negotiated Rate	$23,554.25
Rate for Payer: Aetna Better Health Medicaid	$23,092.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,554.25
Rate for Payer: Wellpoint Medicaid Managed Care	$20,535.57

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$12,281.35

Service Code	APR-DRG 3833
Min. Negotiated Rate	$8,680.22
Max. Negotiated Rate	$12,281.35
Rate for Payer: Aetna Better Health Medicaid	$12,040.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,281.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8,680.22

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$5,984.05

Service Code	APR-DRG 3831
Min. Negotiated Rate	$4,247.94
Max. Negotiated Rate	$5,984.05
Rate for Payer: Aetna Better Health Medicaid	$5,866.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,984.05
Rate for Payer: Wellpoint Medicaid Managed Care	$4,247.94

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$8,152.43

Service Code	APR-DRG 3832
Min. Negotiated Rate	$5,653.68
Max. Negotiated Rate	$8,152.43
Rate for Payer: Aetna Better Health Medicaid	$7,992.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,152.43
Rate for Payer: Wellpoint Medicaid Managed Care	$5,653.68

CELLULITIS WITH MCC

Facility

$53,076.51

Service Code	MSDRG 602
Min. Negotiated Rate	$15,510.05
Max. Negotiated Rate	$53,076.51
Rate for Payer: Aetna Commercial	$47,926.05
Rate for Payer: Aetna Medicare Advantage	$15,510.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,692.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,074.83
Rate for Payer: Cigna Commercial	$30,587.80
Rate for Payer: Cigna Medicare Advantage	$17,692.17
Rate for Payer: Clover Medicare Advantage	$16,807.56
Rate for Payer: EmblemHealth Commercial	$53,076.51
Rate for Payer: Humana Medicare Advantage	$18,222.94
Rate for Payer: Oxford Commercial	$19,116.49
Rate for Payer: UnitedHealthcare Commercial	$21,698.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,692.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,753.70
Rate for Payer: Wellcare Medicare Advantage	$17,692.17

CELLULITIS WITHOUT MCC

Facility

$37,100.73

Service Code	MSDRG 603
Min. Negotiated Rate	$9,503.77
Max. Negotiated Rate	$37,100.73
Rate for Payer: Aetna Commercial	$29,366.65
Rate for Payer: Aetna Medicare Advantage	$9,503.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,258.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,258.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,366.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,258.96
Rate for Payer: Cigna Commercial	$18,742.64
Rate for Payer: Cigna Medicare Advantage	$12,366.91
Rate for Payer: Clover Medicare Advantage	$11,748.56
Rate for Payer: EmblemHealth Commercial	$37,100.73
Rate for Payer: Humana Medicare Advantage	$12,737.92
Rate for Payer: Oxford Commercial	$11,713.60
Rate for Payer: UnitedHealthcare Commercial	$13,296.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,366.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,108.92
Rate for Payer: Wellcare Medicare Advantage	$12,366.91

CELL WASHING charge

Facility

$304.85

Service Code	HCPCS 86960
Hospital Charge Code	3100070
Hospital Revenue Code	309
Min. Negotiated Rate	$45.73
Max. Negotiated Rate	$45.73
Rate for Payer: Qualcare PPO/HMO/WC	$45.73

CELL WASHING charge

Facility

$304.85

Service Code	HCPCS 86960
Hospital Charge Code	3100070
Hospital Revenue Code	309
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$91.45
Rate for Payer: Aetna Medicare Advantage	$91.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.74
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.73
Rate for Payer: UnitedHealthcare Commercial	$114.00

CEMELESS EXT STEM 12MM/ 105 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687683
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$2,697.00
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 12MM/ 105 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687683
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$2,175.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 13 MM/ 150MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687962
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$2,697.00
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 13 MM/ 150MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687962
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$2,175.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 14MM/ 150 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687682
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$2,697.00
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 14MM/ 150 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687682
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$2,175.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMENT BC R 1 X 40 GM

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270682311
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

CEMENT BC R 1 X 40 GM

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270682311
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$75.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

CEMENT BMT BONE PK 402401

Facility

$1,816.00

Hospital Charge Code	270628842
Hospital Revenue Code	278
Min. Negotiated Rate	$272.40
Max. Negotiated Rate	$439.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$363.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$439.47
Rate for Payer: Qualcare PPO/HMO/WC	$272.40

CEMENT BMT BONE PK 402401

Facility

$1,816.00

Hospital Charge Code	270628842
Hospital Revenue Code	278
Min. Negotiated Rate	$272.40
Max. Negotiated Rate	$908.00
Rate for Payer: Aetna Commercial	$544.80
Rate for Payer: Aetna Medicare Advantage	$544.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$463.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$463.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$363.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$463.08
Rate for Payer: Cigna Commercial	$908.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$439.47
Rate for Payer: Qualcare PPO/HMO/WC	$272.40

CEMENT BMT OPTIVAC HIP 2006-12

Facility

$729.20

Hospital Charge Code	270417000
Hospital Revenue Code	278
Min. Negotiated Rate	$109.38
Max. Negotiated Rate	$176.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.47
Rate for Payer: Qualcare PPO/HMO/WC	$109.38

CEMENT BMT OPTIVAC HIP 2006-12

Facility

$729.20

Hospital Charge Code	270417000
Hospital Revenue Code	278
Min. Negotiated Rate	$109.38
Max. Negotiated Rate	$364.60
Rate for Payer: Aetna Commercial	$218.76
Rate for Payer: Aetna Medicare Advantage	$218.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.95
Rate for Payer: Cigna Commercial	$364.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.47
Rate for Payer: Qualcare PPO/HMO/WC	$109.38

CEMENT BONE 40/20

Facility

$4,405.00

Service Code	HCPCS C1776
Hospital Charge Code	270656673
Hospital Revenue Code	278
Min. Negotiated Rate	$660.75
Max. Negotiated Rate	$2,202.50
Rate for Payer: Aetna Commercial	$1,321.50
Rate for Payer: Aetna Medicare Advantage	$1,321.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,123.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,123.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$881.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,123.28
Rate for Payer: Cigna Commercial	$2,202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,066.01
Rate for Payer: Qualcare PPO/HMO/WC	$660.75

CEMENT BONE 40/20

Facility

$4,405.00

Service Code	HCPCS C1776
Hospital Charge Code	270656673
Hospital Revenue Code	278
Min. Negotiated Rate	$660.75
Max. Negotiated Rate	$1,066.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$881.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,066.01
Rate for Payer: Qualcare PPO/HMO/WC	$660.75

Know your out-of-pocket cost for care.

All Charges