Heights University Hospital

All Charges

Charge

Type

Setting

Price

CONCERTA 27MG TAB

Facility

$50.12

Service Code	NDC 55289097590
Hospital Charge Code	6063943087
Hospital Revenue Code	250
Min. Negotiated Rate	$6.52
Max. Negotiated Rate	$25.06
Rate for Payer: Aetna Commercial	$15.04
Rate for Payer: Aetna Medicare Advantage	$15.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.78
Rate for Payer: Cigna Commercial	$25.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.52
Rate for Payer: Oxford Commercial	$25.06
Rate for Payer: Qualcare PPO/HMO/WC	$7.52
Rate for Payer: UnitedHealthcare Commercial	$25.06

CONCERTA 36MG TAB

Facility

$52.46

Service Code	NDC 55289085930
Hospital Charge Code	6063943088
Hospital Revenue Code	250
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$7.87
Rate for Payer: Qualcare PPO/HMO/WC	$7.87

CONCERTA 36MG TAB

Facility

$52.46

Service Code	NDC 55289085930
Hospital Charge Code	6063943088
Hospital Revenue Code	250
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$26.23
Rate for Payer: Aetna Commercial	$15.74
Rate for Payer: Aetna Medicare Advantage	$15.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.38
Rate for Payer: Cigna Commercial	$26.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.82
Rate for Payer: Oxford Commercial	$26.23
Rate for Payer: Qualcare PPO/HMO/WC	$7.87
Rate for Payer: UnitedHealthcare Commercial	$26.23

CONCERTA 54MG TAB

Facility

$32.16

Service Code	NDC 50458058701
Hospital Charge Code	6063943089
Hospital Revenue Code	250
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$16.08
Rate for Payer: Aetna Commercial	$9.65
Rate for Payer: Aetna Medicare Advantage	$9.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.20
Rate for Payer: Cigna Commercial	$16.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.18
Rate for Payer: Oxford Commercial	$16.08
Rate for Payer: Qualcare PPO/HMO/WC	$4.82
Rate for Payer: UnitedHealthcare Commercial	$16.08

CONCERTA 54MG TAB

Facility

$32.16

Service Code	NDC 50458058701
Hospital Charge Code	6063943089
Hospital Revenue Code	250
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$4.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.82

CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES

Facility

$366,673.37

Service Code	MSDRG 212
Min. Negotiated Rate	$103,692.82
Max. Negotiated Rate	$366,673.37
Rate for Payer: Aetna Commercial	$366,673.37
Rate for Payer: Aetna Medicare Advantage	$118,664.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$109,150.34
Rate for Payer: Cigna Commercial	$234,021.51
Rate for Payer: Cigna Medicare Advantage	$109,150.34
Rate for Payer: Clover Medicare Advantage	$103,692.82
Rate for Payer: EmblemHealth Commercial	$327,451.02
Rate for Payer: Humana Medicare Advantage	$112,424.85
Rate for Payer: Oxford Commercial	$146,256.64
Rate for Payer: UnitedHealthcare Commercial	$166,014.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$109,150.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$115,699.36
Rate for Payer: Wellcare Medicare Advantage	$109,150.34

CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION

Facility

$225,468.00

Service Code	MSDRG 317
Min. Negotiated Rate	$65,202.57
Max. Negotiated Rate	$225,468.00
Rate for Payer: Aetna Commercial	$225,468.00
Rate for Payer: Aetna Medicare Advantage	$72,966.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$68,634.28
Rate for Payer: Cigna Commercial	$143,900.17
Rate for Payer: Cigna Medicare Advantage	$68,634.28
Rate for Payer: Clover Medicare Advantage	$65,202.57
Rate for Payer: EmblemHealth Commercial	$205,902.84
Rate for Payer: Humana Medicare Advantage	$70,693.31
Rate for Payer: Oxford Commercial	$89,933.43
Rate for Payer: UnitedHealthcare Commercial	$102,082.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$68,634.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$72,752.34
Rate for Payer: Wellcare Medicare Advantage	$68,634.28

CONCORDE INLINE 9mmX13mmX21mm

Facility

$19,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270679700
Hospital Revenue Code	278
Min. Negotiated Rate	$2,887.50
Max. Negotiated Rate	$9,625.00
Rate for Payer: Aetna Commercial	$5,775.00
Rate for Payer: Aetna Medicare Advantage	$5,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,908.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,908.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,908.75
Rate for Payer: Cigna Commercial	$9,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,658.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,887.50

CONCORDE INLINE 9mmX13mmX21mm

Facility

$19,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270679700
Hospital Revenue Code	278
Min. Negotiated Rate	$2,887.50
Max. Negotiated Rate	$4,658.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,658.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,887.50

CONCORD INLINE 5 LOR 9x11x21

Facility

$30,400.00

Hospital Charge Code	270665204
Hospital Revenue Code	278
Min. Negotiated Rate	$4,560.00
Max. Negotiated Rate	$15,200.00
Rate for Payer: Aetna Commercial	$9,120.00
Rate for Payer: Aetna Medicare Advantage	$9,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,752.00
Rate for Payer: Cigna Commercial	$15,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,356.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,560.00

CONCORD INLINE 5 LOR 9x11x21

Facility

$30,400.00

Hospital Charge Code	270665204
Hospital Revenue Code	278
Min. Negotiated Rate	$4,560.00
Max. Negotiated Rate	$7,356.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,356.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,560.00

CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$25,997.59

Service Code	APR-DRG 0574
Min. Negotiated Rate	$25,104.00
Max. Negotiated Rate	$25,997.59
Rate for Payer: Aetna Better Health Medicaid	$25,104.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,606.08
Rate for Payer: Wellpoint Medicaid Managed Care	$25,997.59

CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$7,381.44

Service Code	APR-DRG 0571
Min. Negotiated Rate	$6,402.22
Max. Negotiated Rate	$7,381.44
Rate for Payer: Aetna Better Health Medicaid	$7,236.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,381.44
Rate for Payer: Wellpoint Medicaid Managed Care	$6,402.22

CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$16,302.09

Service Code	APR-DRG 0573
Min. Negotiated Rate	$11,348.01
Max. Negotiated Rate	$16,302.09
Rate for Payer: Aetna Better Health Medicaid	$15,982.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,302.09
Rate for Payer: Wellpoint Medicaid Managed Care	$11,348.01

CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$11,152.21

Service Code	APR-DRG 0572
Min. Negotiated Rate	$8,040.39
Max. Negotiated Rate	$11,152.21
Rate for Payer: Aetna Better Health Medicaid	$10,933.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,152.21
Rate for Payer: Wellpoint Medicaid Managed Care	$8,040.39

CONCUSSION WITH CC

Facility

$43,709.91

Service Code	MSDRG 089
Min. Negotiated Rate	$11,988.56
Max. Negotiated Rate	$43,709.91
Rate for Payer: Aetna Commercial	$37,044.65
Rate for Payer: Aetna Medicare Advantage	$11,988.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,702.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,702.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,569.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,702.05
Rate for Payer: Cigna Medicare Advantage	$14,569.97
Rate for Payer: Clover Medicare Advantage	$13,841.47
Rate for Payer: EmblemHealth Commercial	$43,709.91
Rate for Payer: Humana Medicare Advantage	$15,007.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,569.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,444.17
Rate for Payer: Wellcare Medicare Advantage	$14,569.97

CONCUSSION WITH MCC

Facility

$51,059.22

Service Code	MSDRG 088
Min. Negotiated Rate	$14,751.63
Max. Negotiated Rate	$51,059.22
Rate for Payer: Aetna Commercial	$45,582.54
Rate for Payer: Aetna Medicare Advantage	$14,751.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,177.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,177.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,019.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,177.51
Rate for Payer: Cigna Medicare Advantage	$17,019.74
Rate for Payer: Clover Medicare Advantage	$16,168.75
Rate for Payer: EmblemHealth Commercial	$51,059.22
Rate for Payer: Humana Medicare Advantage	$17,530.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,019.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,040.92
Rate for Payer: Wellcare Medicare Advantage	$17,019.74

CONCUSSION WITHOUT CC/MCC

Facility

$35,716.20

Service Code	MSDRG 090
Min. Negotiated Rate	$8,983.24
Max. Negotiated Rate	$35,716.20
Rate for Payer: Aetna Commercial	$27,758.21
Rate for Payer: Aetna Medicare Advantage	$8,983.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,637.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,637.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,905.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,637.31
Rate for Payer: Cigna Medicare Advantage	$11,905.40
Rate for Payer: Clover Medicare Advantage	$11,310.13
Rate for Payer: EmblemHealth Commercial	$35,716.20
Rate for Payer: Humana Medicare Advantage	$12,262.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,905.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,619.72
Rate for Payer: Wellcare Medicare Advantage	$11,905.40

CONDITIONER SKIN AV 4OZ

Facility

$3.39

Hospital Charge Code	270649379
Hospital Revenue Code	270
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$0.51
Rate for Payer: Qualcare PPO/HMO/WC	$0.51

CONDITIONER SKIN AV 4OZ

Facility

$3.39

Hospital Charge Code	270649379
Hospital Revenue Code	270
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$1.70
Rate for Payer: Aetna Commercial	$1.02
Rate for Payer: Aetna Medicare Advantage	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.86
Rate for Payer: Cigna Commercial	$1.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.44
Rate for Payer: Oxford Commercial	$1.70
Rate for Payer: Qualcare PPO/HMO/WC	$0.51
Rate for Payer: UnitedHealthcare Commercial	$1.70

CONDUIT DPY GRANULES 276101005

Facility

$1,430.00

Hospital Charge Code	270628749
Hospital Revenue Code	272
Min. Negotiated Rate	$185.90
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$429.00
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.90
Rate for Payer: Oxford Commercial	$715.00
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Commercial	$715.00

CONDUIT DPY GRANULES 276101005

Facility

$1,430.00

Hospital Charge Code	270628749
Hospital Revenue Code	272
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

CONDUIT TCP 276101030

Facility

$5,406.45

Hospital Charge Code	270633178
Hospital Revenue Code	272
Min. Negotiated Rate	$702.84
Max. Negotiated Rate	$2,703.22
Rate for Payer: Aetna Commercial	$1,621.93
Rate for Payer: Aetna Medicare Advantage	$1,621.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,378.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,378.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,378.64
Rate for Payer: Cigna Commercial	$2,703.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.84
Rate for Payer: Oxford Commercial	$2,703.22
Rate for Payer: Qualcare PPO/HMO/WC	$810.97
Rate for Payer: UnitedHealthcare Commercial	$2,703.22

CONDUIT TCP 276101030

Facility

$5,406.45

Hospital Charge Code	270633178
Hospital Revenue Code	272
Min. Negotiated Rate	$810.97
Max. Negotiated Rate	$810.97
Rate for Payer: Qualcare PPO/HMO/WC	$810.97

CONDYLE PEFT LATERA LHEM

Facility

$57,475.00

Service Code	HCPCS C1776
Hospital Charge Code	270686150
Hospital Revenue Code	278
Min. Negotiated Rate	$8,621.25
Max. Negotiated Rate	$13,908.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,908.95
Rate for Payer: Qualcare PPO/HMO/WC	$8,621.25

Know your out-of-pocket cost for care.

All Charges