Heights University Hospital

All Charges

Charge

Type

Setting

Price

C. PSITTACI IGM TITER

Facility

$153.65

Service Code	HCPCS 86632
Hospital Charge Code	3000940F
Hospital Revenue Code	302
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.08
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.46
Rate for Payer: Cigna Commercial	$12.68
Rate for Payer: Cigna Medicare Advantage	$6.34
Rate for Payer: Clover Medicare Advantage	$12.05
Rate for Payer: EmblemHealth Commercial	$38.04
Rate for Payer: Humana Medicare Advantage	$13.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.44
Rate for Payer: Wellcare Medicare Advantage	$12.68

CPTR-ASST DIR MS PX

Facility

$1,772.70

Service Code	HCPCS 20985
Hospital Charge Code	16000670
Hospital Revenue Code	360
Min. Negotiated Rate	$265.90
Max. Negotiated Rate	$265.90
Rate for Payer: Qualcare PPO/HMO/WC	$265.90

CPTR-ASST DIR MS PX

Facility

$1,772.70

Service Code	HCPCS 20985
Hospital Charge Code	16000670
Hospital Revenue Code	360
Min. Negotiated Rate	$134.30
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$531.81
Rate for Payer: Aetna Medicare Advantage	$531.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.04
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	$452.04
Rate for Payer: Cigna Commercial	$134.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.45
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$265.90
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

C-QUR V-PATCH MED RND 6.4CM

Facility

$2,211.15

Hospital Charge Code	270653390
Hospital Revenue Code	278
Min. Negotiated Rate	$331.67
Max. Negotiated Rate	$535.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$442.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$535.10
Rate for Payer: Qualcare PPO/HMO/WC	$331.67

C-QUR V-PATCH MED RND 6.4CM

Facility

$2,211.15

Hospital Charge Code	270653390
Hospital Revenue Code	278
Min. Negotiated Rate	$331.67
Max. Negotiated Rate	$1,105.58
Rate for Payer: Aetna Commercial	$663.35
Rate for Payer: Aetna Medicare Advantage	$663.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$442.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.84
Rate for Payer: Cigna Commercial	$1,105.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$535.10
Rate for Payer: Qualcare PPO/HMO/WC	$331.67

C-QUR V-PATCH SML RND 4.3CM

Facility

$1,757.50

Hospital Charge Code	270653389
Hospital Revenue Code	278
Min. Negotiated Rate	$263.62
Max. Negotiated Rate	$425.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.31
Rate for Payer: Qualcare PPO/HMO/WC	$263.62

C-QUR V-PATCH SML RND 4.3CM

Facility

$1,757.50

Hospital Charge Code	270653389
Hospital Revenue Code	278
Min. Negotiated Rate	$263.62
Max. Negotiated Rate	$878.75
Rate for Payer: Aetna Commercial	$527.25
Rate for Payer: Aetna Medicare Advantage	$527.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.16
Rate for Payer: Cigna Commercial	$878.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.31
Rate for Payer: Qualcare PPO/HMO/WC	$263.62

CRAB IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	401186003D
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CRAB IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	401186003D
Hospital Revenue Code	302
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

CRADLE BOOT ********

Facility

$135.75

Hospital Charge Code	8002826
Hospital Revenue Code	279
Min. Negotiated Rate	$17.65
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$40.73
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.65
Rate for Payer: Oxford Commercial	$67.88
Rate for Payer: Qualcare PPO/HMO/WC	$20.36
Rate for Payer: UnitedHealthcare Commercial	$67.88

CRADLE BOOT ********

Facility

$135.75

Hospital Charge Code	8002826
Hospital Revenue Code	279
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$20.36
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

CRANIAL ACCESS KIT W/O DRUG

Facility

$1,530.00

Hospital Charge Code	270667197
Hospital Revenue Code	272
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$229.50
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

CRANIAL ACCESS KIT W/O DRUG

Facility

$1,530.00

Hospital Charge Code	270667197
Hospital Revenue Code	272
Min. Negotiated Rate	$198.90
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$459.00
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.90
Rate for Payer: Oxford Commercial	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.50
Rate for Payer: UnitedHealthcare Commercial	$765.00

CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC

Facility

$58,388.22

Service Code	MSDRG 073
Min. Negotiated Rate	$17,507.06
Max. Negotiated Rate	$58,388.22
Rate for Payer: Aetna Commercial	$54,096.82
Rate for Payer: Aetna Medicare Advantage	$17,507.06
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	$19,462.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,626.17
Rate for Payer: Cigna Medicare Advantage	$19,462.74
Rate for Payer: Clover Medicare Advantage	$18,489.60
Rate for Payer: EmblemHealth Commercial	$58,388.22
Rate for Payer: Humana Medicare Advantage	$20,046.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,462.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,630.50
Rate for Payer: Wellcare Medicare Advantage	$19,462.74

CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC

Facility

$41,741.94

Service Code	MSDRG 074
Min. Negotiated Rate	$11,248.69
Max. Negotiated Rate	$41,741.94
Rate for Payer: Aetna Commercial	$34,758.45
Rate for Payer: Aetna Medicare Advantage	$11,248.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,394.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,394.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,913.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,394.01
Rate for Payer: Cigna Medicare Advantage	$13,913.98
Rate for Payer: Clover Medicare Advantage	$13,218.28
Rate for Payer: EmblemHealth Commercial	$41,741.94
Rate for Payer: Humana Medicare Advantage	$14,331.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,913.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,748.82
Rate for Payer: Wellcare Medicare Advantage	$13,913.98

CRANIAL NERVE SUPPD MUSCLES BI

Facility

$285.65

Service Code	HCPCS 95868
Hospital Charge Code	5500046
Hospital Revenue Code	922
Min. Negotiated Rate	$37.13
Max. Negotiated Rate	$1,673.00
Rate for Payer: Aetna Commercial	$85.69
Rate for Payer: Aetna Medicare Advantage	$85.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.84
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.13
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.85
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

CRANIAL NERVE SUPPD MUSCLES BI

Facility

$285.65

Service Code	HCPCS 95868
Hospital Charge Code	5500046
Hospital Revenue Code	922
Min. Negotiated Rate	$42.85
Max. Negotiated Rate	$42.85
Rate for Payer: Qualcare PPO/HMO/WC	$42.85

CRANIAL TONGS/ST FRAME

Facility

$5,332.00

Service Code	HCPCS 20660
Hospital Charge Code	1600000683
Hospital Revenue Code	360
Min. Negotiated Rate	$799.80
Max. Negotiated Rate	$799.80
Rate for Payer: Qualcare PPO/HMO/WC	$799.80

CRANIAL TONGS/ST FRAME

Facility

$5,332.00

Service Code	HCPCS 20660
Hospital Charge Code	1600000683
Hospital Revenue Code	360
Min. Negotiated Rate	$693.16
Max. Negotiated Rate	$4,404.80
Rate for Payer: Aetna Better Health Medicaid	$4,318.43
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	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$799.80
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,404.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4,318.43

CRANI-DRAFE INCISION SHEET****

Facility

$54.00

Hospital Charge Code	1608041
Hospital Revenue Code	251
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CRANI-DRAFE INCISION SHEET****

Facility

$54.00

Hospital Charge Code	1608041
Hospital Revenue Code	251
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$27.00

CRANIOFIX TITANIUM CLAMP 16MM

Facility

$360.48

Hospital Charge Code	270654481
Hospital Revenue Code	272
Min. Negotiated Rate	$54.07
Max. Negotiated Rate	$54.07
Rate for Payer: Qualcare PPO/HMO/WC	$54.07

CRANIOFIX TITANIUM CLAMP 16MM

Facility

$360.48

Hospital Charge Code	270654481
Hospital Revenue Code	272
Min. Negotiated Rate	$46.86
Max. Negotiated Rate	$180.24
Rate for Payer: Aetna Commercial	$108.14
Rate for Payer: Aetna Medicare Advantage	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.92
Rate for Payer: Cigna Commercial	$180.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.86
Rate for Payer: Oxford Commercial	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$54.07
Rate for Payer: UnitedHealthcare Commercial	$180.24

CRANIO SHEET

Facility

$87.00

Hospital Charge Code	270335604
Hospital Revenue Code	272
Min. Negotiated Rate	$11.31
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$26.10
Rate for Payer: Aetna Medicare Advantage	$26.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.18
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.31
Rate for Payer: Oxford Commercial	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$43.50

CRANIO SHEET

Facility

$87.00

Hospital Charge Code	270335604
Hospital Revenue Code	272
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

Know your out-of-pocket cost for care.

All Charges