Heights University Hospital

All Charges

Charge

Type

Setting

Price

CERCLAGE CERVIX PREGNANT,VAG

Facility

$16,333.80

Service Code	HCPCS 59320
Hospital Charge Code	1600000486
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$4,900.14
Rate for Payer: Aetna Medicare Advantage	$4,900.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,165.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,165.12
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	$4,165.12
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,123.39
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,450.07
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

CERCLAGE OF UTENE CERVIX NONOB

Facility

$29,961.70

Service Code	HCPCS 57700
Hospital Charge Code	1600000728
Hospital Revenue Code	360
Min. Negotiated Rate	$4,494.26
Max. Negotiated Rate	$4,494.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,494.26

CERCLAGE OF UTENE CERVIX NONOB

Facility

$29,961.70

Service Code	HCPCS 57700
Hospital Charge Code	1600000728
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,062.33
Rate for Payer: Aetna Better Health Medicaid	$8,884.64
Rate for Payer: Aetna Commercial	$8,988.51
Rate for Payer: Aetna Medicare Advantage	$8,988.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,640.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,640.23
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	$7,640.23
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,895.02
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,494.26
Rate for Payer: UnitedHealthcare Commercial	$5,529.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,062.33
Rate for Payer: Wellpoint Medicaid Managed Care	$8,884.64

CERCLAGE SUTURE REMOVAL ANESTH

Facility

$8,582.36

Service Code	HCPCS 59871
Hospital Charge Code	74308080
Hospital Revenue Code	361
Min. Negotiated Rate	$1,115.71
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$2,574.71
Rate for Payer: Aetna Medicare Advantage	$2,574.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,188.50
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	$2,188.50
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,115.71
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CERCLAGE SUTURE REMOVAL ANESTH

Facility

$8,582.36

Service Code	HCPCS 59871
Hospital Charge Code	83653020
Hospital Revenue Code	361
Min. Negotiated Rate	$1,287.35
Max. Negotiated Rate	$1,287.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35

CERCLAGE SUTURE REMOVAL ANESTH

Facility

$8,582.36

Service Code	HCPCS 59871
Hospital Charge Code	74308080
Hospital Revenue Code	361
Min. Negotiated Rate	$1,287.35
Max. Negotiated Rate	$1,287.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35

CERCLAGE SUTURE REMOVAL ANESTH

Facility

$8,582.36

Service Code	HCPCS 59871
Hospital Charge Code	83653020
Hospital Revenue Code	361
Min. Negotiated Rate	$1,115.71
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$2,574.71
Rate for Payer: Aetna Medicare Advantage	$2,574.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,188.50
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	$2,188.50
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,115.71
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CERES-C SPACER 12X15X12 0 DEG

Facility

$7,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270692516
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.50
Max. Negotiated Rate	$3,875.00
Rate for Payer: Aetna Commercial	$2,325.00
Rate for Payer: Aetna Medicare Advantage	$2,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,976.25
Rate for Payer: Cigna Commercial	$3,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50

CERES-C SPACER 12X15X12 0 DEG

Facility

$7,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270692516
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.50
Max. Negotiated Rate	$1,875.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50

CERES-C SPACER 12X15X6 6 DEG

Facility

$7,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270692515
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.50
Max. Negotiated Rate	$1,875.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50

CERES-C SPACER 12X15X6 6 DEG

Facility

$7,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270692515
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.50
Max. Negotiated Rate	$3,875.00
Rate for Payer: Aetna Commercial	$2,325.00
Rate for Payer: Aetna Medicare Advantage	$2,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,976.25
Rate for Payer: Cigna Commercial	$3,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50

CERIANNA FLUORESTRAD F-18 1MCI

Facility

$1,566.46

Service Code	HCPCS A9591
Hospital Charge Code	80000053
Hospital Revenue Code	343
Min. Negotiated Rate	$203.64
Max. Negotiated Rate	$469.94
Rate for Payer: Aetna Commercial	$469.94
Rate for Payer: Aetna Medicare Advantage	$469.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$373.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.64
Rate for Payer: Qualcare PPO/HMO/WC	$234.97

CERIANNA FLUORESTRAD F-18 1MCI

Facility

$1,566.46

Service Code	HCPCS A9591
Hospital Charge Code	80000053
Hospital Revenue Code	343
Min. Negotiated Rate	$234.97
Max. Negotiated Rate	$234.97
Rate for Payer: Qualcare PPO/HMO/WC	$234.97

CERIVCAL LAMINOPLASTY 2/>SEG

Facility

$7,064.40

Service Code	HCPCS 63050
Hospital Charge Code	160000182
Hospital Revenue Code	360
Min. Negotiated Rate	$918.37
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$2,119.32
Rate for Payer: Aetna Medicare Advantage	$2,119.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,801.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,801.42
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	$1,801.42
Rate for Payer: Cigna Commercial	$1,534.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.37
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,059.66
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CERIVCAL LAMINOPLASTY 2/>SEG

Facility

$7,064.40

Service Code	HCPCS 63050
Hospital Charge Code	160000182
Hospital Revenue Code	360
Min. Negotiated Rate	$1,059.66
Max. Negotiated Rate	$1,059.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,059.66

CERUBIDINE/20MG/INJECTION

Facility

$647.00

Hospital Charge Code	60634883
Hospital Revenue Code	636
Min. Negotiated Rate	$97.05
Max. Negotiated Rate	$323.50
Rate for Payer: Aetna Commercial	$194.10
Rate for Payer: Aetna Medicare Advantage	$194.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.99
Rate for Payer: Cigna Commercial	$323.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.57
Rate for Payer: Qualcare PPO/HMO/WC	$97.05

CERUBIDINE/20MG/INJECTION

Facility

$647.00

Hospital Charge Code	60634883
Hospital Revenue Code	636
Min. Negotiated Rate	$97.05
Max. Negotiated Rate	$156.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.57
Rate for Payer: Qualcare PPO/HMO/WC	$97.05

CERULOPLASMIN

Facility

$667.59

Service Code	HCPCS 82390
Hospital Charge Code	39900058
Hospital Revenue Code	301
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.35
Rate for Payer: Cigna Commercial	$10.74
Rate for Payer: Cigna Medicare Advantage	$5.37
Rate for Payer: Clover Medicare Advantage	$10.20
Rate for Payer: EmblemHealth Commercial	$32.22
Rate for Payer: Humana Medicare Advantage	$11.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.38
Rate for Payer: Wellcare Medicare Advantage	$10.74

CERULOPLASMIN

Facility

$131.25

Service Code	HCPCS 82390
Hospital Charge Code	3000734
Hospital Revenue Code	301
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

CERULOPLASMIN

Facility

$384.00

Service Code	HCPCS 82390
Hospital Charge Code	38472179
Hospital Revenue Code	301
Min. Negotiated Rate	$57.60
Max. Negotiated Rate	$57.60
Rate for Payer: Qualcare PPO/HMO/WC	$57.60

CERULOPLASMIN

Facility

$131.25

Service Code	HCPCS 82390
Hospital Charge Code	3000734
Hospital Revenue Code	301
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.35
Rate for Payer: Cigna Commercial	$10.74
Rate for Payer: Cigna Medicare Advantage	$5.37
Rate for Payer: Clover Medicare Advantage	$10.20
Rate for Payer: EmblemHealth Commercial	$32.22
Rate for Payer: Humana Medicare Advantage	$11.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.38
Rate for Payer: Wellcare Medicare Advantage	$10.74

CERULOPLASMIN

Facility

$384.00

Service Code	HCPCS 82390
Hospital Charge Code	38472179
Hospital Revenue Code	301
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.35
Rate for Payer: Cigna Commercial	$10.74
Rate for Payer: Cigna Medicare Advantage	$5.37
Rate for Payer: Clover Medicare Advantage	$10.20
Rate for Payer: EmblemHealth Commercial	$32.22
Rate for Payer: Humana Medicare Advantage	$11.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.38
Rate for Payer: Wellcare Medicare Advantage	$10.74

CERULOPLASMIN

Facility

$667.59

Service Code	HCPCS 82390
Hospital Charge Code	39900058
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CERULOPLASMIN (COPPER OXIDES**

Facility

$50.00

Hospital Charge Code	3010733
Hospital Revenue Code	309
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CERULOPLASMIN (COPPER OXIDES**

Facility

$50.00

Hospital Charge Code	3010733
Hospital Revenue Code	309
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges