Heights University Hospital

All Charges

Charge

Type

Setting

Price

CL TX HUMERUS FX W MANIP

Facility

$2,060.30

Service Code	HCPCS 24505
Hospital Charge Code	16000824
Hospital Revenue Code	360
Min. Negotiated Rate	$267.84
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$618.09
Rate for Payer: Aetna Medicare Advantage	$618.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$525.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$525.38
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	$525.38
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.84
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$309.05
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CL TX HUMERUS FX W MANIP

Facility

$2,060.30

Service Code	HCPCS 24505
Hospital Charge Code	16000824
Hospital Revenue Code	360
Min. Negotiated Rate	$309.05
Max. Negotiated Rate	$309.05
Rate for Payer: Qualcare PPO/HMO/WC	$309.05

CLTX MED ANKLE FX W/MNPJ

Facility

$10,964.50

Service Code	HCPCS 27762
Hospital Charge Code	1600000481
Hospital Revenue Code	360
Min. Negotiated Rate	$1,644.67
Max. Negotiated Rate	$1,644.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,644.67

CLTX MED ANKLE FX W/MNPJ

Facility

$10,964.50

Service Code	HCPCS 27762
Hospital Charge Code	1600000481
Hospital Revenue Code	360
Min. Negotiated Rate	$1,425.38
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$3,289.35
Rate for Payer: Aetna Medicare Advantage	$3,289.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,795.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,795.95
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	$2,795.95
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,425.38
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,644.67
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

CL TX METATARSAL FX; W MANIP

Facility

$2,519.70

Service Code	HCPCS 28475
Hospital Charge Code	16000429
Hospital Revenue Code	360
Min. Negotiated Rate	$377.95
Max. Negotiated Rate	$377.95
Rate for Payer: Qualcare PPO/HMO/WC	$377.95

CL TX METATARSAL FX; W MANIP

Facility

$2,519.70

Service Code	HCPCS 28475
Hospital Charge Code	16000429
Hospital Revenue Code	360
Min. Negotiated Rate	$327.56
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$755.91
Rate for Payer: Aetna Medicare Advantage	$755.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.52
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	$642.52
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.56
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$377.95
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CL TX NASAL SEPTAL FX

Facility

$14,464.70

Service Code	HCPCS 21337
Hospital Charge Code	16000604
Hospital Revenue Code	360
Min. Negotiated Rate	$2,169.70
Max. Negotiated Rate	$2,169.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,169.70

CL TX NASAL SEPTAL FX

Facility

$14,464.70

Service Code	HCPCS 21337
Hospital Charge Code	16000604
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Commercial	$4,339.41
Rate for Payer: Aetna Medicare Advantage	$4,339.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,688.50
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	$3,688.50
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,880.41
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,169.70
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

CL TX NAVICULAR FX W/MANIP

Facility

$6,087.10

Service Code	HCPCS 25624
Hospital Charge Code	5780060
Hospital Revenue Code	450
Min. Negotiated Rate	$137.66
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$1,826.13
Rate for Payer: Aetna Medicare Advantage	$1,826.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,552.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,552.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,552.21
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.32
Rate for Payer: Qualcare PPO/HMO/WC	$913.07

CL TX NAVICULAR FX W/MANIP

Facility

$6,087.10

Service Code	HCPCS 25624
Hospital Charge Code	5780060
Hospital Revenue Code	450
Min. Negotiated Rate	$913.07
Max. Negotiated Rate	$913.07
Rate for Payer: Qualcare PPO/HMO/WC	$913.07

CL TX OF NASAL BNE FX,W STILZ

Facility

$19,264.86

Service Code	HCPCS 21320
Hospital Charge Code	1600000710
Hospital Revenue Code	360
Min. Negotiated Rate	$2,889.73
Max. Negotiated Rate	$2,889.73
Rate for Payer: Qualcare PPO/HMO/WC	$2,889.73

CL TX OF NASAL BNE FX,W STILZ

Facility

$19,264.86

Service Code	HCPCS 21320
Hospital Charge Code	1600000710
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Commercial	$5,779.46
Rate for Payer: Aetna Medicare Advantage	$5,779.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,912.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,912.54
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	$4,912.54
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,504.43
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,889.73
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

CL TX OF NSL BNE FX,WO STABILZ

Facility

$15,651.38

Service Code	HCPCS 21315
Hospital Charge Code	16000672
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$4,695.41
Rate for Payer: Aetna Commercial	$4,695.41
Rate for Payer: Aetna Medicare Advantage	$4,695.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,991.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,991.10
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	$3,991.10
Rate for Payer: Cigna Commercial	$3,694.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,034.68
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,347.71
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

CL TX OF NSL BNE FX,WO STABILZ

Facility

$15,651.38

Service Code	HCPCS 21315
Hospital Charge Code	16000672
Hospital Revenue Code	360
Min. Negotiated Rate	$2,347.71
Max. Negotiated Rate	$2,347.71
Rate for Payer: Qualcare PPO/HMO/WC	$2,347.71

CL TX OLECRN-COROND PROC FX W/

Facility

$6,749.20

Service Code	HCPCS 24675
Hospital Charge Code	5780055
Hospital Revenue Code	450
Min. Negotiated Rate	$1,012.38
Max. Negotiated Rate	$1,012.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.38

CL TX OLECRN-COROND PROC FX W/

Facility

$6,749.20

Service Code	HCPCS 24675
Hospital Charge Code	5780055
Hospital Revenue Code	450
Min. Negotiated Rate	$220.18
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,024.76
Rate for Payer: Aetna Medicare Advantage	$2,024.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.05
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.38

CLTXPOSTHIPARTHROPDISLREQANES

Facility

$8,757.05

Service Code	HCPCS 27266
Hospital Charge Code	323027266
Hospital Revenue Code	450
Min. Negotiated Rate	$288.52
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,627.11
Rate for Payer: Aetna Medicare Advantage	$2,627.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,233.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,233.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$288.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,233.05
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,138.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,313.56

CLTXPOSTHIPARTHROPDISLREQANES

Facility

$8,757.05

Service Code	HCPCS 27266
Hospital Charge Code	323027266
Hospital Revenue Code	450
Min. Negotiated Rate	$1,313.56
Max. Negotiated Rate	$1,313.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,313.56

CL TX POSTOP HIP DISLC W ANSTH

Facility

$13,711.90

Service Code	HCPCS 27266
Hospital Charge Code	16000707
Hospital Revenue Code	360
Min. Negotiated Rate	$1,782.55
Max. Negotiated Rate	$4,113.57
Rate for Payer: Aetna Commercial	$4,113.57
Rate for Payer: Aetna Medicare Advantage	$4,113.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,496.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,496.53
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	$3,496.53
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,782.55
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,056.78
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

CL TX POSTOP HIP DISLC W ANSTH

Facility

$13,711.90

Service Code	HCPCS 27266
Hospital Charge Code	16000707
Hospital Revenue Code	360
Min. Negotiated Rate	$2,056.78
Max. Negotiated Rate	$2,056.78
Rate for Payer: Qualcare PPO/HMO/WC	$2,056.78

CL TX PROX FIB/SHAFT FX WMANIP

Facility

$5,332.00

Service Code	HCPCS 27781
Hospital Charge Code	16000627
Hospital Revenue Code	360
Min. Negotiated Rate	$693.16
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$1,599.60
Rate for Payer: Aetna Medicare Advantage	$1,599.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,359.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,359.66
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	$1,359.66
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$693.16
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$799.80
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

CL TX PROX FIB/SHAFT FX WMANIP

Facility

$5,332.00

Service Code	HCPCS 27781
Hospital Charge Code	16000627
Hospital Revenue Code	360
Min. Negotiated Rate	$799.80
Max. Negotiated Rate	$799.80
Rate for Payer: Qualcare PPO/HMO/WC	$799.80

CLTXPROXTIBFIB JTDISLC WO ANES

Facility

$1,241.80

Service Code	HCPCS 27830
Hospital Charge Code	323027830
Hospital Revenue Code	450
Min. Negotiated Rate	$186.27
Max. Negotiated Rate	$186.27
Rate for Payer: Qualcare PPO/HMO/WC	$186.27

CLTXPROXTIBFIB JTDISLC WO ANES

Facility

$1,241.80

Service Code	HCPCS 27830
Hospital Charge Code	323027830
Hospital Revenue Code	450
Min. Negotiated Rate	$125.23
Max. Negotiated Rate	$587.42
Rate for Payer: Aetna Commercial	$372.54
Rate for Payer: Aetna Medicare Advantage	$372.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.66
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.43
Rate for Payer: Qualcare PPO/HMO/WC	$186.27

CL TX PROX TIBIAL FX W SK TRCN

Facility

$14,872.30

Service Code	HCPCS 27532
Hospital Charge Code	16000887
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$4,461.69
Rate for Payer: Aetna Medicare Advantage	$4,461.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,792.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,792.44
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	$3,792.44
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,933.40
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,230.84
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges