Heights University Hospital

All Charges

Charge

Type

Setting

Price

COMPREHENSIVE METABOLIC PANL**

Facility

$26.00

Service Code	HCPCS 80054
Hospital Charge Code	3001050
Hospital Revenue Code	301
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$7.80
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$114.00

COMPREHENSIVE METABOLIC PROFIL

Facility

$1,406.54

Service Code	HCPCS 80053
Hospital Charge Code	3001049
Hospital Revenue Code	301
Min. Negotiated Rate	$210.98
Max. Negotiated Rate	$210.98
Rate for Payer: Qualcare PPO/HMO/WC	$210.98

COMPREHENSIVE METABOLIC PROFIL

Facility

$1,406.54

Service Code	HCPCS 80053
Hospital Charge Code	3001049
Hospital Revenue Code	301
Min. Negotiated Rate	$5.28
Max. Negotiated Rate	$210.98
Rate for Payer: Aetna Commercial	$34.21
Rate for Payer: Aetna Medicare Advantage	$10.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.69
Rate for Payer: Cigna Commercial	$10.56
Rate for Payer: Cigna Medicare Advantage	$5.28
Rate for Payer: Clover Medicare Advantage	$10.03
Rate for Payer: EmblemHealth Commercial	$31.68
Rate for Payer: Humana Medicare Advantage	$10.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.98
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.56
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.19
Rate for Payer: Wellcare Medicare Advantage	$10.56

COMPRESSED AIR STAND-BY****

Facility

$27.00

Hospital Charge Code	9500273
Hospital Revenue Code	279
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

COMPRESSED AIR STAND-BY****

Facility

$27.00

Hospital Charge Code	9500273
Hospital Revenue Code	279
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$8.10
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$13.50

COMPRESSION BONE SCREW

Facility

$162.00

Hospital Charge Code	270335082
Hospital Revenue Code	278
Min. Negotiated Rate	$24.30
Max. Negotiated Rate	$81.00
Rate for Payer: Aetna Commercial	$48.60
Rate for Payer: Aetna Medicare Advantage	$48.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.31
Rate for Payer: Cigna Commercial	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.30

COMPRESSION BONE SCREW

Facility

$162.00

Hospital Charge Code	270335082
Hospital Revenue Code	278
Min. Negotiated Rate	$24.30
Max. Negotiated Rate	$39.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.30

COMPRESSION NUT FOR SCREW

Facility

$878.40

Hospital Charge Code	270691500
Hospital Revenue Code	272
Min. Negotiated Rate	$131.76
Max. Negotiated Rate	$131.76
Rate for Payer: Qualcare PPO/HMO/WC	$131.76

COMPRESSION NUT FOR SCREW

Facility

$878.40

Hospital Charge Code	270691500
Hospital Revenue Code	272
Min. Negotiated Rate	$114.19
Max. Negotiated Rate	$439.20
Rate for Payer: Aetna Commercial	$263.52
Rate for Payer: Aetna Medicare Advantage	$263.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.99
Rate for Payer: Cigna Commercial	$439.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.19
Rate for Payer: Oxford Commercial	$439.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.76
Rate for Payer: UnitedHealthcare Commercial	$439.20

COMPRESSION ROD

Facility

$2,810.50

Hospital Charge Code	270666231
Hospital Revenue Code	272
Min. Negotiated Rate	$365.37
Max. Negotiated Rate	$1,405.25
Rate for Payer: Aetna Commercial	$843.15
Rate for Payer: Aetna Medicare Advantage	$843.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$716.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$716.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$716.68
Rate for Payer: Cigna Commercial	$1,405.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$365.37
Rate for Payer: Oxford Commercial	$1,405.25
Rate for Payer: Qualcare PPO/HMO/WC	$421.57
Rate for Payer: UnitedHealthcare Commercial	$1,405.25

COMPRESSION ROD

Facility

$2,810.50

Hospital Charge Code	270666231
Hospital Revenue Code	272
Min. Negotiated Rate	$421.57
Max. Negotiated Rate	$421.57
Rate for Payer: Qualcare PPO/HMO/WC	$421.57

COMPRESSION TUBE PLATE

Facility

$988.00

Hospital Charge Code	270335021
Hospital Revenue Code	278
Min. Negotiated Rate	$148.20
Max. Negotiated Rate	$239.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.10
Rate for Payer: Qualcare PPO/HMO/WC	$148.20

COMPRESSION TUBE PLATE

Facility

$988.00

Hospital Charge Code	270335021
Hospital Revenue Code	278
Min. Negotiated Rate	$148.20
Max. Negotiated Rate	$494.00
Rate for Payer: Aetna Commercial	$296.40
Rate for Payer: Aetna Medicare Advantage	$296.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.94
Rate for Payer: Cigna Commercial	$494.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.10
Rate for Payer: Qualcare PPO/HMO/WC	$148.20

COMPRESSOR OPEN

Facility

$2,366.95

Hospital Charge Code	270646750
Hospital Revenue Code	272
Min. Negotiated Rate	$355.04
Max. Negotiated Rate	$355.04
Rate for Payer: Qualcare PPO/HMO/WC	$355.04

COMPRESSOR OPEN

Facility

$2,366.95

Hospital Charge Code	270646750
Hospital Revenue Code	272
Min. Negotiated Rate	$307.70
Max. Negotiated Rate	$1,183.47
Rate for Payer: Aetna Commercial	$710.09
Rate for Payer: Aetna Medicare Advantage	$710.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$603.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$603.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$603.57
Rate for Payer: Cigna Commercial	$1,183.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.70
Rate for Payer: Oxford Commercial	$1,183.47
Rate for Payer: Qualcare PPO/HMO/WC	$355.04
Rate for Payer: UnitedHealthcare Commercial	$1,183.47

COMPRESSOR OP FSM EX FIX 39551

Facility

$2,705.00

Hospital Charge Code	270608360
Hospital Revenue Code	278
Min. Negotiated Rate	$405.75
Max. Negotiated Rate	$1,352.50
Rate for Payer: Aetna Commercial	$811.50
Rate for Payer: Aetna Medicare Advantage	$811.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$689.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$689.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$689.77
Rate for Payer: Cigna Commercial	$1,352.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.61
Rate for Payer: Qualcare PPO/HMO/WC	$405.75

COMPRESSOR OP FSM EX FIX 39551

Facility

$2,705.00

Hospital Charge Code	270608360
Hospital Revenue Code	278
Min. Negotiated Rate	$405.75
Max. Negotiated Rate	$654.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$541.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.61
Rate for Payer: Qualcare PPO/HMO/WC	$405.75

COMPR FT SCREW 4.0 STD 38 MM L

Facility

$1,802.50

Hospital Charge Code	270699696
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$540.75
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

COMPR FT SCREW 4.0 STD 38 MM L

Facility

$1,802.50

Hospital Charge Code	270699696
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

COMPR FT SCRW 7.0XL 65MM

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270693861
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,042.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

COMPR FT SCRW 7.0XL 65MM

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270693861
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

COMPR FT SCRW 7.0 XL 75MM

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270693862
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,042.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

COMPR FT SCRW 7.0 XL 75MM

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270693862
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

COMP SCREEN MAMMO ADD ON-GL

Facility

$62.65

Service Code	HCPCS 77052
Hospital Charge Code	85000080
Hospital Revenue Code	403
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$9.40
Rate for Payer: Qualcare PPO/HMO/WC	$9.40

COMP SCREEN MAMMO ADD ON-GL

Facility

$62.65

Service Code	HCPCS 77052
Hospital Charge Code	85000080
Hospital Revenue Code	403
Min. Negotiated Rate	$8.14
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$18.80
Rate for Payer: Aetna Medicare Advantage	$18.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.98
Rate for Payer: Cigna Commercial	$31.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.14
Rate for Payer: Oxford Commercial	$1,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.40
Rate for Payer: UnitedHealthcare Commercial	$1,240.00

Know your out-of-pocket cost for care.

All Charges