Heights University Hospital

All Charges

Charge

Type

Setting

Price

DISSECTOR SONICISION 39CM

Facility

$2,074.00

Hospital Charge Code	270696171
Hospital Revenue Code	272
Min. Negotiated Rate	$311.10
Max. Negotiated Rate	$311.10
Rate for Payer: Qualcare PPO/HMO/WC	$311.10

DISSECTOR SONICISION 39CM

Facility

$2,074.00

Hospital Charge Code	270696171
Hospital Revenue Code	272
Min. Negotiated Rate	$269.62
Max. Negotiated Rate	$1,037.00
Rate for Payer: Aetna Commercial	$622.20
Rate for Payer: Aetna Medicare Advantage	$622.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$528.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$528.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$528.87
Rate for Payer: Cigna Commercial	$1,037.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.62
Rate for Payer: Oxford Commercial	$1,037.00
Rate for Payer: Qualcare PPO/HMO/WC	$311.10
Rate for Payer: UnitedHealthcare Commercial	$1,037.00

DISSECTOR SPACEMAKER BALLOON

Facility

$1,750.00

Hospital Charge Code	270658705
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

DISSECTOR SPACEMAKER BALLOON

Facility

$1,750.00

Hospital Charge Code	270658705
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

DISSECTOR TIP DOLP NOSE 3312

Facility

$332.50

Hospital Charge Code	270641140
Hospital Revenue Code	272
Min. Negotiated Rate	$43.23
Max. Negotiated Rate	$166.25
Rate for Payer: Aetna Commercial	$99.75
Rate for Payer: Aetna Medicare Advantage	$99.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.79
Rate for Payer: Cigna Commercial	$166.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.23
Rate for Payer: Oxford Commercial	$166.25
Rate for Payer: Qualcare PPO/HMO/WC	$49.88
Rate for Payer: UnitedHealthcare Commercial	$166.25

DISSECTOR TIP DOLP NOSE 3312

Facility

$332.50

Hospital Charge Code	270641140
Hospital Revenue Code	272
Min. Negotiated Rate	$49.88
Max. Negotiated Rate	$49.88
Rate for Payer: Qualcare PPO/HMO/WC	$49.88

DISSOLVE CLOT HEART VESSEL

Facility

$35,998.44

Service Code	HCPCS 93799
Hospital Charge Code	411092975
Hospital Revenue Code	481
Min. Negotiated Rate	$306.43
Max. Negotiated Rate	$10,799.53
Rate for Payer: Aetna Commercial	$10,799.53
Rate for Payer: Aetna Medicare Advantage	$10,799.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,179.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,179.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,179.60
Rate for Payer: Cigna Commercial	$306.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,679.80
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DISSOLVE CLOT HEART VESSEL

Facility

$35,998.44

Service Code	HCPCS 93799
Hospital Charge Code	411092975
Hospital Revenue Code	481
Min. Negotiated Rate	$5,399.77
Max. Negotiated Rate	$5,399.77
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77

DISTAL 5MM FEMORAL SZ 1

Facility

$3,861.00

Hospital Charge Code	270670057
Hospital Revenue Code	278
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$1,930.50
Rate for Payer: Aetna Commercial	$1,158.30
Rate for Payer: Aetna Medicare Advantage	$1,158.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$984.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$984.55
Rate for Payer: Cigna Commercial	$1,930.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: Qualcare PPO/HMO/WC	$579.15

DISTAL 5MM FEMORAL SZ 1

Facility

$3,861.00

Hospital Charge Code	270670057
Hospital Revenue Code	278
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$934.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$772.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$934.36
Rate for Payer: Qualcare PPO/HMO/WC	$579.15

DISTAL BICEPS REPAIR IMPLANT

Facility

$4,250.00

Hospital Charge Code	270656505
Hospital Revenue Code	278
Min. Negotiated Rate	$637.50
Max. Negotiated Rate	$1,028.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,028.50
Rate for Payer: Qualcare PPO/HMO/WC	$637.50

DISTAL BICEPS REPAIR IMPLANT

Facility

$4,250.00

Hospital Charge Code	270656505
Hospital Revenue Code	278
Min. Negotiated Rate	$637.50
Max. Negotiated Rate	$2,125.00
Rate for Payer: Aetna Commercial	$1,275.00
Rate for Payer: Aetna Medicare Advantage	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,083.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,083.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,083.75
Rate for Payer: Cigna Commercial	$2,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,028.50
Rate for Payer: Qualcare PPO/HMO/WC	$637.50

DISTAL FINGER TUMOR

Facility

$9,636.95

Service Code	HCPCS 26262
Hospital Charge Code	1600000810
Hospital Revenue Code	360
Min. Negotiated Rate	$1,252.80
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,891.09
Rate for Payer: Aetna Medicare Advantage	$2,891.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,457.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,457.42
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	$2,457.42
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,252.80
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,445.54
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

DISTAL FINGER TUMOR

Facility

$9,636.95

Service Code	HCPCS 26262
Hospital Charge Code	1600000810
Hospital Revenue Code	360
Min. Negotiated Rate	$1,445.54
Max. Negotiated Rate	$1,445.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,445.54

DISTAL FIXATION RING 22.5mm

Facility

$8,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270679732
Hospital Revenue Code	278
Min. Negotiated Rate	$1,286.25
Max. Negotiated Rate	$2,075.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,075.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.25

DISTAL FIXATION RING 22.5mm

Facility

$8,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270679732
Hospital Revenue Code	278
Min. Negotiated Rate	$1,286.25
Max. Negotiated Rate	$4,287.50
Rate for Payer: Aetna Commercial	$2,572.50
Rate for Payer: Aetna Medicare Advantage	$2,572.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,186.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,186.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,715.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,186.62
Rate for Payer: Cigna Commercial	$4,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,075.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.25

DISTAL LAT. FIBULAR LOCKING PL

Facility

$3,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270665201
Hospital Revenue Code	278
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$871.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

DISTAL LAT. FIBULAR LOCKING PL

Facility

$3,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270665201
Hospital Revenue Code	278
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,080.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

DISTAL LTRAL FIBULR PLT 4H LT

Facility

$2,156.95

Hospital Charge Code	270663179
Hospital Revenue Code	270
Min. Negotiated Rate	$323.54
Max. Negotiated Rate	$323.54
Rate for Payer: Qualcare PPO/HMO/WC	$323.54

DISTAL LTRAL FIBULR PLT 4H LT

Facility

$2,156.95

Hospital Charge Code	270663179
Hospital Revenue Code	270
Min. Negotiated Rate	$280.40
Max. Negotiated Rate	$1,078.47
Rate for Payer: Aetna Commercial	$647.09
Rate for Payer: Aetna Medicare Advantage	$647.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.02
Rate for Payer: Cigna Commercial	$1,078.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.40
Rate for Payer: Oxford Commercial	$1,078.47
Rate for Payer: Qualcare PPO/HMO/WC	$323.54
Rate for Payer: UnitedHealthcare Commercial	$1,078.47

DISTAL PLATE

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687654
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

DISTAL PLATE

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687654
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

DISTAL POSTERER LATERAL PLATE

Facility

$2,557.15

Hospital Charge Code	270656987
Hospital Revenue Code	278
Min. Negotiated Rate	$383.57
Max. Negotiated Rate	$1,278.58
Rate for Payer: Aetna Commercial	$767.14
Rate for Payer: Aetna Medicare Advantage	$767.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$652.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$652.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$511.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$652.07
Rate for Payer: Cigna Commercial	$1,278.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$618.83
Rate for Payer: Qualcare PPO/HMO/WC	$383.57

DISTAL POSTERER LATERAL PLATE

Facility

$2,557.15

Hospital Charge Code	270656987
Hospital Revenue Code	278
Min. Negotiated Rate	$383.57
Max. Negotiated Rate	$618.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$511.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$618.83
Rate for Payer: Qualcare PPO/HMO/WC	$383.57

DISTAL RADIAL PLATE 3 HOLE

Facility

$8,224.30

Service Code	HCPCS C1713
Hospital Charge Code	270704349
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.64
Max. Negotiated Rate	$4,112.15
Rate for Payer: Aetna Commercial	$2,467.29
Rate for Payer: Aetna Medicare Advantage	$2,467.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,644.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.20
Rate for Payer: Cigna Commercial	$4,112.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.64

Know your out-of-pocket cost for care.

All Charges