Heights University Hospital

All Charges

Charge

Type

Setting

Price

DEL C SEC W/ TUBAL EA ADD HR

Facility

$10,100.00

Hospital Charge Code	73190143
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL C SEC W/TUBAL EA ADD HR

Facility

$6,141.59

Hospital Charge Code	73190151
Hospital Revenue Code	720
Min. Negotiated Rate	$798.41
Max. Negotiated Rate	$3,070.80
Rate for Payer: Aetna Commercial	$1,842.48
Rate for Payer: Aetna Medicare Advantage	$1,842.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,566.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,566.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,566.11
Rate for Payer: Cigna Commercial	$3,070.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.41
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$921.24
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DEL C SEC W/TUBAL EA ADD HR

Facility

$6,141.59

Hospital Charge Code	73190151
Hospital Revenue Code	720
Min. Negotiated Rate	$921.24
Max. Negotiated Rate	$921.24
Rate for Payer: Qualcare PPO/HMO/WC	$921.24

DEL D&C

Facility

$10,100.00

Service Code	HCPCS 59160
Hospital Charge Code	73190025
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL D&C

Facility

$10,100.00

Service Code	HCPCS 59160
Hospital Charge Code	73190025
Hospital Revenue Code	720
Min. Negotiated Rate	$115.92
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$3,030.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,313.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DEL DELIVER PLACENTA

Facility

$10,100.00

Service Code	HCPCS 59414
Hospital Charge Code	73190037
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL DELIVER PLACENTA

Facility

$10,100.00

Service Code	HCPCS 59414
Hospital Charge Code	73190037
Hospital Revenue Code	720
Min. Negotiated Rate	$48.30
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$3,030.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,313.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DEL ECHO EXAM OF FETAL HEART

Facility

$587.00

Service Code	HCPCS 76827
Hospital Charge Code	73190079
Hospital Revenue Code	402
Min. Negotiated Rate	$76.31
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$176.10
Rate for Payer: Aetna Medicare Advantage	$176.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.69
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.31
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.05
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

DEL ECHO EXAM OF FETAL HEART

Facility

$587.00

Service Code	HCPCS 76827
Hospital Charge Code	73190079
Hospital Revenue Code	402
Min. Negotiated Rate	$88.05
Max. Negotiated Rate	$88.05
Rate for Payer: Qualcare PPO/HMO/WC	$88.05

DEL EPIS OR VAGINAL REPAIR

Facility

$10,100.00

Service Code	HCPCS 59300
Hospital Charge Code	73190027
Hospital Revenue Code	720
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$3,030.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,313.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DEL EPIS OR VAGINAL REPAIR

Facility

$10,100.00

Service Code	HCPCS 59300
Hospital Charge Code	73190027
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL EVACUATION OF HEMATOMA

Facility

$1,671.00

Service Code	HCPCS 10160
Hospital Charge Code	73190001
Hospital Revenue Code	361
Min. Negotiated Rate	$250.65
Max. Negotiated Rate	$250.65
Rate for Payer: Qualcare PPO/HMO/WC	$250.65

DEL EVACUATION OF HEMATOMA

Facility

$1,671.00

Service Code	HCPCS 10160
Hospital Charge Code	73190001
Hospital Revenue Code	361
Min. Negotiated Rate	$217.23
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$1,037.98
Rate for Payer: Aetna Commercial	$501.30
Rate for Payer: Aetna Medicare Advantage	$501.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$426.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$426.11
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	$426.11
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$250.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

DEL EXAM UNDER ANESTHESIA

Facility

$10,100.00

Service Code	HCPCS 57410
Hospital Charge Code	73190007
Hospital Revenue Code	720
Min. Negotiated Rate	$44.27
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$3,030.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,313.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DEL EXAM UNDER ANESTHESIA

Facility

$10,100.00

Service Code	HCPCS 57410
Hospital Charge Code	73190007
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL EXTERNAL VERSION

Facility

$10,100.00

Service Code	HCPCS 59412
Hospital Charge Code	73190035
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL EXTERNAL VERSION

Facility

$10,100.00

Service Code	HCPCS 59412
Hospital Charge Code	73190035
Hospital Revenue Code	720
Min. Negotiated Rate	$54.61
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$3,030.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,313.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DEL FETAL BIOPHY PRFILE W/NST

Facility

$555.00

Service Code	HCPCS 76818
Hospital Charge Code	73190075
Hospital Revenue Code	402
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$83.25
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

DEL FETAL BIOPHY PRFILE W/NST

Facility

$555.00

Service Code	HCPCS 76818
Hospital Charge Code	73190075
Hospital Revenue Code	402
Min. Negotiated Rate	$72.15
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$166.50
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.15
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.25
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

DEL FETAL DOPPLER-UMBIL ART

Facility

$721.00

Service Code	HCPCS 76820
Hospital Charge Code	73190077
Hospital Revenue Code	402
Min. Negotiated Rate	$108.15
Max. Negotiated Rate	$108.15
Rate for Payer: Qualcare PPO/HMO/WC	$108.15

DEL FETAL DOPPLER-UMBIL ART

Facility

$721.00

Service Code	HCPCS 76820
Hospital Charge Code	73190077
Hospital Revenue Code	402
Min. Negotiated Rate	$48.64
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$216.30
Rate for Payer: Aetna Medicare Advantage	$216.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.85
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.73
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.15
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

DEL FETAL MONITOR - EXTERNAL

Facility

$1,005.20

Hospital Charge Code	73190021
Hospital Revenue Code	720
Min. Negotiated Rate	$130.68
Max. Negotiated Rate	$2,979.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.78
Rate for Payer: Aetna Commercial	$301.56
Rate for Payer: Aetna Medicare Advantage	$301.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.33
Rate for Payer: Cigna Commercial	$502.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DEL FETAL MONITOR - EXTERNAL

Facility

$1,005.20

Hospital Charge Code	73190021
Hospital Revenue Code	720
Min. Negotiated Rate	$150.78
Max. Negotiated Rate	$150.78
Rate for Payer: Qualcare PPO/HMO/WC	$150.78

DEL FINGERSTICK

Facility

$14.00

Service Code	HCPCS 36416
Hospital Charge Code	73190003
Hospital Revenue Code	300
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

DEL FINGERSTICK

Facility

$14.00

Service Code	HCPCS 36416
Hospital Charge Code	73190003
Hospital Revenue Code	300
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$4.20
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges