Heights University Hospital

All Charges

Charge

Type

Setting

Price

DECMPRES SPINAL CORD THORACIC

Facility

$71,323.35

Service Code	HCPCS 63055
Hospital Charge Code	1600000641
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$21,397.01
Rate for Payer: Aetna Commercial	$21,397.01
Rate for Payer: Aetna Medicare Advantage	$21,397.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,187.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,187.45
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	$18,187.45
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,272.04
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$10,698.50
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

DECMPRES SPINAL CORD THORACIC

Facility

$71,323.35

Service Code	HCPCS 63055
Hospital Charge Code	1600000641
Hospital Revenue Code	360
Min. Negotiated Rate	$10,698.50
Max. Negotiated Rate	$10,698.50
Rate for Payer: Qualcare PPO/HMO/WC	$10,698.50

DECOFED/30MG/5ML

Facility

$13.00

Hospital Charge Code	60632786
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

DECOFED/30MG/5ML

Facility

$13.00

Hospital Charge Code	60632786
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

DECOMPRES EPIDURAL NERVE ROOTS

Facility

$7,850.29

Service Code	HCPCS 64722
Hospital Charge Code	84506065
Hospital Revenue Code	361
Min. Negotiated Rate	$1,177.54
Max. Negotiated Rate	$1,177.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,177.54

DECOMPRES EPIDURAL NERVE ROOTS

Facility

$7,850.29

Service Code	HCPCS 64722
Hospital Charge Code	84506065
Hospital Revenue Code	361
Min. Negotiated Rate	$1,020.54
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$2,355.09
Rate for Payer: Aetna Medicare Advantage	$2,355.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,001.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,001.82
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	$2,001.82
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,020.54
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,177.54
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

DECOMPRESS FOREARM 1 SPACE

Facility

$5,399.78

Service Code	HCPCS 25020
Hospital Charge Code	16000828
Hospital Revenue Code	360
Min. Negotiated Rate	$701.97
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$1,619.93
Rate for Payer: Aetna Medicare Advantage	$1,619.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,376.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,376.94
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	$1,376.94
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.97
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$809.97
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

DECOMPRESS FOREARM 1 SPACE

Facility

$5,399.78

Service Code	HCPCS 25020
Hospital Charge Code	16000828
Hospital Revenue Code	360
Min. Negotiated Rate	$809.97
Max. Negotiated Rate	$809.97
Rate for Payer: Qualcare PPO/HMO/WC	$809.97

DECOMPRESS FOREARM 2 SPACES

Facility

$7,538.96

Service Code	HCPCS 25025
Hospital Charge Code	16000159
Hospital Revenue Code	360
Min. Negotiated Rate	$1,130.84
Max. Negotiated Rate	$1,130.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,130.84

DECOMPRESS FOREARM 2 SPACES

Facility

$7,538.96

Service Code	HCPCS 25025
Hospital Charge Code	16000159
Hospital Revenue Code	360
Min. Negotiated Rate	$980.06
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$2,261.69
Rate for Payer: Aetna Medicare Advantage	$2,261.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,922.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,922.43
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	$1,922.43
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$980.06
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,130.84
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

DECOMPRESSIVE LOBECTOMY

Facility

$51,153.80

Service Code	HCPCS 61323
Hospital Charge Code	1600000755
Hospital Revenue Code	360
Min. Negotiated Rate	$7,673.07
Max. Negotiated Rate	$7,673.07
Rate for Payer: Qualcare PPO/HMO/WC	$7,673.07

DECOMPRESSIVE LOBECTOMY

Facility

$51,153.80

Service Code	HCPCS 61323
Hospital Charge Code	1600000755
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,346.14
Rate for Payer: Aetna Commercial	$15,346.14
Rate for Payer: Aetna Medicare Advantage	$15,346.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,044.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,044.22
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	$13,044.22
Rate for Payer: Cigna Commercial	$2,511.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,649.99
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,673.07
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

DECOMPRESS SPINE CORD ADD--ON

Facility

$26,295.79

Service Code	HCPCS 63057
Hospital Charge Code	16001025
Hospital Revenue Code	360
Min. Negotiated Rate	$311.60
Max. Negotiated Rate	$7,888.74
Rate for Payer: Aetna Commercial	$7,888.74
Rate for Payer: Aetna Medicare Advantage	$7,888.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,705.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,705.43
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	$6,705.43
Rate for Payer: Cigna Commercial	$311.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.45
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DECOMPRESS SPINE CORD ADD--ON

Facility

$26,295.79

Service Code	HCPCS 63057
Hospital Charge Code	16001025
Hospital Revenue Code	360
Min. Negotiated Rate	$3,944.37
Max. Negotiated Rate	$3,944.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37

DECOMPRESS,UNSPECIFID NERVE(S)

Facility

$16,437.00

Service Code	HCPCS 64722
Hospital Charge Code	16000594
Hospital Revenue Code	360
Min. Negotiated Rate	$2,465.55
Max. Negotiated Rate	$2,465.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55

DECOMPRESS,UNSPECIFID NERVE(S)

Facility

$16,437.00

Service Code	HCPCS 64722
Hospital Charge Code	16000594
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$4,931.10
Rate for Payer: Aetna Medicare Advantage	$4,931.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,191.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,191.44
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	$4,191.44
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,136.81
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

DECONAMINE

Facility

$3.00

Hospital Charge Code	60634472
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

DECONAMINE

Facility

$3.00

Hospital Charge Code	60634472
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

DECONAMINE SR/CAP

Facility

$3.00

Hospital Charge Code	60632787
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

DECONAMINE SR/CAP

Facility

$3.00

Hospital Charge Code	60632787
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

DECOPRESS SPINAL CORD LUMBARS

Facility

$29,387.89

Service Code	HCPCS 63056
Hospital Charge Code	16001024
Hospital Revenue Code	360
Min. Negotiated Rate	$4,408.18
Max. Negotiated Rate	$4,408.18
Rate for Payer: Qualcare PPO/HMO/WC	$4,408.18

DECOPRESS SPINAL CORD LUMBARS

Facility

$29,387.89

Service Code	HCPCS 63056
Hospital Charge Code	16001024
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$8,816.37
Rate for Payer: Aetna Medicare Advantage	$8,816.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,493.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,493.91
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	$7,493.91
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,820.43
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,408.18
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

DEEP DISSECT FOOT INF; MULTI

Facility

$17,164.20

Service Code	HCPCS 28003
Hospital Charge Code	1600000604
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

DEEP DISSECT FOOT INF; MULTI

Facility

$17,164.20

Service Code	HCPCS 28003
Hospital Charge Code	1600000604
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,149.26
Rate for Payer: Aetna Medicare Advantage	$5,149.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,376.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,376.87
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	$4,376.87
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,231.35
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

DEEP DISSECT FOOT INF; SGL BUR

Facility

$17,164.20

Service Code	HCPCS 28002
Hospital Charge Code	160000248
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

Know your out-of-pocket cost for care.

All Charges