Heights University Hospital

All Charges

Charge

Type

Setting

Price

CHOLECALCIFEROL 1,000 IU TAB

Facility

$4.00

Service Code	NDC 904582460
Hospital Charge Code	6063943190
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CHOLECALCIFEROL 50MCG TAB

Facility

$26.47

Service Code	NDC 80681013200
Hospital Charge Code	606390394
Hospital Revenue Code	250
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.23
Rate for Payer: Aetna Commercial	$7.94
Rate for Payer: Aetna Medicare Advantage	$7.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.75
Rate for Payer: Cigna Commercial	$13.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.23
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.23

CHOLECALCIFEROL 50MCG TAB

Facility

$26.47

Service Code	NDC 80681013200
Hospital Charge Code	606390394
Hospital Revenue Code	250
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

CHOLECYSTCTMY,W CHOLANGIGRPHY

Facility

$12,472.00

Service Code	HCPCS 47605
Hospital Charge Code	16000984
Hospital Revenue Code	360
Min. Negotiated Rate	$1,158.62
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$3,741.60
Rate for Payer: Aetna Medicare Advantage	$3,741.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,180.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,180.36
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	$3,180.36
Rate for Payer: Cigna Commercial	$1,158.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.36
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,870.80
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CHOLECYSTCTMY,W CHOLANGIGRPHY

Facility

$12,472.00

Service Code	HCPCS 47605
Hospital Charge Code	16000984
Hospital Revenue Code	360
Min. Negotiated Rate	$1,870.80
Max. Negotiated Rate	$1,870.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,870.80

CHOLECYSTCTMY W EXP OF CMN DCT

Facility

$13,892.20

Service Code	HCPCS 47610
Hospital Charge Code	160000252
Hospital Revenue Code	360
Min. Negotiated Rate	$2,083.83
Max. Negotiated Rate	$2,083.83
Rate for Payer: Qualcare PPO/HMO/WC	$2,083.83

CHOLECYSTCTMY W EXP OF CMN DCT

Facility

$13,892.20

Service Code	HCPCS 47610
Hospital Charge Code	160000252
Hospital Revenue Code	360
Min. Negotiated Rate	$1,279.12
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,167.66
Rate for Payer: Aetna Medicare Advantage	$4,167.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,542.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,542.51
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	$3,542.51
Rate for Payer: Cigna Commercial	$1,279.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,805.99
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,083.83
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CHOLECYSTECTOMY

Facility

$18,692.35

Service Code	APR-DRG 2632
Min. Negotiated Rate	$11,909.86
Max. Negotiated Rate	$18,692.35
Rate for Payer: Aetna Better Health Medicaid	$18,325.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,692.35
Rate for Payer: Wellpoint Medicaid Managed Care	$11,909.86

CHOLECYSTECTOMY

Facility

$14,799.36

Service Code	APR-DRG 2631
Min. Negotiated Rate	$9,411.46
Max. Negotiated Rate	$14,799.36
Rate for Payer: Aetna Better Health Medicaid	$14,509.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,799.36
Rate for Payer: Wellpoint Medicaid Managed Care	$9,411.46

CHOLECYSTECTOMY

Facility

$44,249.22

Service Code	APR-DRG 2634
Min. Negotiated Rate	$34,384.09
Max. Negotiated Rate	$44,249.22
Rate for Payer: Aetna Better Health Medicaid	$43,381.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,249.22
Rate for Payer: Wellpoint Medicaid Managed Care	$34,384.09

CHOLECYSTECTOMY

Facility

$23,649.76

Service Code	APR-DRG 2633
Min. Negotiated Rate	$16,224.53
Max. Negotiated Rate	$23,649.76
Rate for Payer: Aetna Better Health Medicaid	$23,186.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,649.76
Rate for Payer: Wellpoint Medicaid Managed Care	$16,224.53

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC

Facility

$71,809.71

Service Code	MSDRG 415
Min. Negotiated Rate	$22,553.04
Max. Negotiated Rate	$71,809.71
Rate for Payer: EmblemHealth Commercial	$71,809.71
Rate for Payer: Humana Medicare Advantage	$24,654.67
Rate for Payer: Aetna Commercial	$69,688.89
Rate for Payer: Aetna Medicare Advantage	$22,553.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54,582.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54,582.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,936.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54,582.66
Rate for Payer: Cigna Commercial	$44,477.45
Rate for Payer: Cigna Medicare Advantage	$23,936.57
Rate for Payer: Clover Medicare Advantage	$22,739.74
Rate for Payer: Oxford Commercial	$27,797.12
Rate for Payer: UnitedHealthcare Commercial	$31,552.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,936.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,372.76
Rate for Payer: Wellcare Medicare Advantage	$23,936.57

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC

Facility

$120,130.46

Service Code	MSDRG 414
Min. Negotiated Rate	$36,489.28
Max. Negotiated Rate	$120,130.46
Rate for Payer: Aetna Commercial	$120,130.46
Rate for Payer: Aetna Medicare Advantage	$38,877.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97,311.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97,311.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,409.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97,311.51
Rate for Payer: Cigna Commercial	$76,670.71
Rate for Payer: Cigna Medicare Advantage	$38,409.77
Rate for Payer: Clover Medicare Advantage	$36,489.28
Rate for Payer: EmblemHealth Commercial	$115,229.31
Rate for Payer: Humana Medicare Advantage	$39,562.06
Rate for Payer: Oxford Commercial	$47,916.97
Rate for Payer: UnitedHealthcare Commercial	$54,390.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,409.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$40,714.36
Rate for Payer: Wellcare Medicare Advantage	$38,409.77

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC

Facility

$51,393.00

Service Code	MSDRG 416
Min. Negotiated Rate	$14,877.12
Max. Negotiated Rate	$51,393.00
Rate for Payer: Aetna Commercial	$45,970.30
Rate for Payer: Aetna Medicare Advantage	$14,877.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,939.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,939.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,939.78
Rate for Payer: Cigna Commercial	$29,339.58
Rate for Payer: Cigna Medicare Advantage	$17,131.00
Rate for Payer: Clover Medicare Advantage	$16,274.45
Rate for Payer: EmblemHealth Commercial	$51,393.00
Rate for Payer: Humana Medicare Advantage	$17,644.93
Rate for Payer: Oxford Commercial	$18,336.38
Rate for Payer: UnitedHealthcare Commercial	$20,813.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,131.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,158.86
Rate for Payer: Wellcare Medicare Advantage	$17,131.00

CHOLECYSTECTOMY,OPEN

Facility

$11,857.60

Service Code	HCPCS 47600
Hospital Charge Code	16000983
Hospital Revenue Code	360
Min. Negotiated Rate	$1,778.64
Max. Negotiated Rate	$1,778.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,778.64

CHOLECYSTECTOMY,OPEN

Facility

$11,857.60

Service Code	HCPCS 47600
Hospital Charge Code	16000983
Hospital Revenue Code	360
Min. Negotiated Rate	$1,103.46
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$3,557.28
Rate for Payer: Aetna Medicare Advantage	$3,557.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,023.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,023.69
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	$3,023.69
Rate for Payer: Cigna Commercial	$1,103.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,541.49
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,778.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CHOLECYSTECTOMY WITH C.D.E. WITH CC

Facility

$72,848.85

Service Code	MSDRG 412
Min. Negotiated Rate	$22,943.71
Max. Negotiated Rate	$72,848.85
Rate for Payer: Aetna Commercial	$70,896.06
Rate for Payer: Aetna Medicare Advantage	$22,943.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57,063.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57,063.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,282.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57,063.69
Rate for Payer: Cigna Commercial	$45,247.90
Rate for Payer: Cigna Medicare Advantage	$24,282.95
Rate for Payer: Clover Medicare Advantage	$23,068.80
Rate for Payer: EmblemHealth Commercial	$72,848.85
Rate for Payer: Humana Medicare Advantage	$25,011.44
Rate for Payer: Oxford Commercial	$28,278.62
Rate for Payer: UnitedHealthcare Commercial	$32,098.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,282.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,739.93
Rate for Payer: Wellcare Medicare Advantage	$24,282.95

CHOLECYSTECTOMY WITH C.D.E. WITH MCC

Facility

$111,386.90

Service Code	MSDRG 411
Min. Negotiated Rate	$34,105.93
Max. Negotiated Rate	$111,386.90
Rate for Payer: Aetna Commercial	$111,386.90
Rate for Payer: Aetna Medicare Advantage	$36,047.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83,803.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83,803.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,900.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83,803.68
Rate for Payer: Cigna Commercial	$71,090.32
Rate for Payer: Cigna Medicare Advantage	$35,900.98
Rate for Payer: Clover Medicare Advantage	$34,105.93
Rate for Payer: EmblemHealth Commercial	$107,702.94
Rate for Payer: Humana Medicare Advantage	$36,978.01
Rate for Payer: Oxford Commercial	$44,429.39
Rate for Payer: UnitedHealthcare Commercial	$50,431.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,900.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$38,055.04
Rate for Payer: Wellcare Medicare Advantage	$35,900.98

CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC

Facility

$60,019.47

Service Code	MSDRG 413
Min. Negotiated Rate	$18,120.34
Max. Negotiated Rate	$60,019.47
Rate for Payer: Aetna Commercial	$55,991.85
Rate for Payer: Aetna Medicare Advantage	$18,120.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,006.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,626.17
Rate for Payer: Cigna Commercial	$35,735.62
Rate for Payer: Cigna Medicare Advantage	$20,006.49
Rate for Payer: Clover Medicare Advantage	$19,006.17
Rate for Payer: EmblemHealth Commercial	$60,019.47
Rate for Payer: Humana Medicare Advantage	$20,606.68
Rate for Payer: Oxford Commercial	$22,333.72
Rate for Payer: UnitedHealthcare Commercial	$25,350.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,006.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,206.88
Rate for Payer: Wellcare Medicare Advantage	$20,006.49

CHOLEDYL/200MG/TAB

Facility

$3.00

Hospital Charge Code	60632697
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

CHOLEDYL/200MG/TAB

Facility

$3.00

Hospital Charge Code	60632697
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

CHOLERA INJECTION 8U/IM

Facility

$40.35

Hospital Charge Code	60628807
Hospital Revenue Code	250
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$20.18
Rate for Payer: Aetna Commercial	$12.11
Rate for Payer: Aetna Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.29
Rate for Payer: Cigna Commercial	$20.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.25
Rate for Payer: Oxford Commercial	$20.18
Rate for Payer: Qualcare PPO/HMO/WC	$6.05
Rate for Payer: UnitedHealthcare Commercial	$20.18

CHOLERA INJECTION 8U/IM

Facility

$40.35

Hospital Charge Code	60628807
Hospital Revenue Code	250
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$6.05

CHOLESTEROL

Facility

$52.85

Service Code	HCPCS 82465CF
Hospital Charge Code	8200307RS
Hospital Revenue Code	301
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.86
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$114.00

CHOLESTEROL

Facility

$278.00

Service Code	HCPCS 82465
Hospital Charge Code	38472194
Hospital Revenue Code	301
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$41.70
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

Know your out-of-pocket cost for care.

All Charges