Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRAIN/INJ JOINT/BURSA

Facility

$1,630.99

Service Code	HCPCS 20605
Hospital Charge Code	1600000852
Hospital Revenue Code	360
Min. Negotiated Rate	$212.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$489.30
Rate for Payer: Aetna Medicare Advantage	$489.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.90
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	$415.90
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.03
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ JOINT/BURSA W/O US

Facility

$1,630.99

Service Code	HCPCS 20605
Hospital Charge Code	321520605
Hospital Revenue Code	361
Min. Negotiated Rate	$212.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$489.30
Rate for Payer: Aetna Medicare Advantage	$489.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.90
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	$415.90
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.03
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ JOINT/BURSA W/O US

Facility

$1,147.71

Service Code	HCPCS 20600
Hospital Charge Code	16000388
Hospital Revenue Code	360
Min. Negotiated Rate	$149.20
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$344.31
Rate for Payer: Aetna Medicare Advantage	$344.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.67
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	$292.67
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.20
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.16
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ JOINT/BURSA W/O US

Facility

$1,630.99

Service Code	HCPCS 20605
Hospital Charge Code	321520605
Hospital Revenue Code	361
Min. Negotiated Rate	$244.65
Max. Negotiated Rate	$244.65
Rate for Payer: Qualcare PPO/HMO/WC	$244.65

DRAIN/INJ JOINT/BURSA W/O US

Facility

$1,630.99

Service Code	HCPCS 20600
Hospital Charge Code	321520600
Hospital Revenue Code	361
Min. Negotiated Rate	$212.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$489.30
Rate for Payer: Aetna Medicare Advantage	$489.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.90
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	$415.90
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.03
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ JOINT/BURSA W/O US

Facility

$1,630.99

Service Code	HCPCS 20600
Hospital Charge Code	321520600
Hospital Revenue Code	361
Min. Negotiated Rate	$244.65
Max. Negotiated Rate	$244.65
Rate for Payer: Qualcare PPO/HMO/WC	$244.65

DRAIN/INJ JOINT/BURSA W/O US

Facility

$1,630.99

Service Code	HCPCS 20610
Hospital Charge Code	321520610
Hospital Revenue Code	361
Min. Negotiated Rate	$212.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$489.30
Rate for Payer: Aetna Medicare Advantage	$489.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.90
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	$415.90
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.03
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ JOINT/BURSA W/O US

Facility

$1,630.99

Service Code	HCPCS 20610
Hospital Charge Code	321520610
Hospital Revenue Code	361
Min. Negotiated Rate	$244.65
Max. Negotiated Rate	$244.65
Rate for Payer: Qualcare PPO/HMO/WC	$244.65

DRAIN/INJ JOINT/BURSA W/O US

Facility

$1,147.71

Service Code	HCPCS 20600
Hospital Charge Code	16000388
Hospital Revenue Code	360
Min. Negotiated Rate	$172.16
Max. Negotiated Rate	$172.16
Rate for Payer: Qualcare PPO/HMO/WC	$172.16

DRAIN/INJ JOINT/BURSA W/US

Facility

$1,630.99

Service Code	HCPCS 20611
Hospital Charge Code	321520611
Hospital Revenue Code	361
Min. Negotiated Rate	$244.65
Max. Negotiated Rate	$244.65
Rate for Payer: Qualcare PPO/HMO/WC	$244.65

DRAIN/INJ JOINT/BURSA W/US

Facility

$1,147.71

Service Code	HCPCS 20611
Hospital Charge Code	16000794
Hospital Revenue Code	360
Min. Negotiated Rate	$172.16
Max. Negotiated Rate	$172.16
Rate for Payer: Qualcare PPO/HMO/WC	$172.16

DRAIN/INJ JOINT/BURSA W/US

Facility

$1,630.99

Service Code	HCPCS 20604
Hospital Charge Code	321520604
Hospital Revenue Code	361
Min. Negotiated Rate	$212.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$489.30
Rate for Payer: Aetna Medicare Advantage	$489.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.90
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	$415.90
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.03
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ JOINT/BURSA W/US

Facility

$1,630.99

Service Code	HCPCS 20611
Hospital Charge Code	321520611
Hospital Revenue Code	361
Min. Negotiated Rate	$212.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$489.30
Rate for Payer: Aetna Medicare Advantage	$489.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.90
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	$415.90
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.03
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ JOINT/BURSA W/US

Facility

$1,630.99

Service Code	HCPCS 20604
Hospital Charge Code	321520604
Hospital Revenue Code	361
Min. Negotiated Rate	$244.65
Max. Negotiated Rate	$244.65
Rate for Payer: Qualcare PPO/HMO/WC	$244.65

DRAIN/INJ JOINT/BURSA W/US

Facility

$1,147.71

Service Code	HCPCS 20611
Hospital Charge Code	16000794
Hospital Revenue Code	360
Min. Negotiated Rate	$149.20
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$344.31
Rate for Payer: Aetna Medicare Advantage	$344.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.67
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	$292.67
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.20
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.16
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ JOINT/BURSA W/US

Facility

$3,865.20

Service Code	HCPCS 20606
Hospital Charge Code	321520606
Hospital Revenue Code	361
Min. Negotiated Rate	$579.78
Max. Negotiated Rate	$579.78
Rate for Payer: Qualcare PPO/HMO/WC	$579.78

DRAIN/INJ JOINT/BURSA W/US

Facility

$3,865.20

Service Code	HCPCS 20606
Hospital Charge Code	321520606
Hospital Revenue Code	361
Min. Negotiated Rate	$502.48
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,159.56
Rate for Payer: Aetna Medicare Advantage	$1,159.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.63
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	$985.63
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.48
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$579.78
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

DRAIN/INJ MAJOR JNT/BURSA

Facility

$2,521.79

Service Code	HCPCS 20610
Hospital Charge Code	160000177
Hospital Revenue Code	360
Min. Negotiated Rate	$378.27
Max. Negotiated Rate	$378.27
Rate for Payer: Qualcare PPO/HMO/WC	$378.27

DRAIN/INJ MAJOR JNT/BURSA

Facility

$2,521.79

Service Code	HCPCS 20610
Hospital Charge Code	160000177
Hospital Revenue Code	360
Min. Negotiated Rate	$327.83
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$756.54
Rate for Payer: Aetna Medicare Advantage	$756.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$643.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$643.06
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	$643.06
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.83
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.27
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ MAJOR JNT W US

Facility

$1,449.20

Service Code	HCPCS 20611
Hospital Charge Code	2692116
Hospital Revenue Code	361
Min. Negotiated Rate	$217.38
Max. Negotiated Rate	$217.38
Rate for Payer: Qualcare PPO/HMO/WC	$217.38

DRAIN/INJ MAJOR JNT W US

Facility

$1,449.20

Service Code	HCPCS 20611
Hospital Charge Code	323020611
Hospital Revenue Code	450
Min. Negotiated Rate	$217.38
Max. Negotiated Rate	$217.38
Rate for Payer: Qualcare PPO/HMO/WC	$217.38

DRAIN/INJ MAJOR JNT W US

Facility

$1,449.20

Service Code	HCPCS 20611
Hospital Charge Code	323020611
Hospital Revenue Code	450
Min. Negotiated Rate	$60.13
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$434.76
Rate for Payer: Aetna Medicare Advantage	$434.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.55
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.40
Rate for Payer: Qualcare PPO/HMO/WC	$217.38

DRAIN/INJ MAJOR JNT W US

Facility

$1,253.85

Service Code	HCPCS 20611
Hospital Charge Code	7411347
Hospital Revenue Code	361
Min. Negotiated Rate	$163.00
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$376.15
Rate for Payer: Aetna Medicare Advantage	$376.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.73
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	$319.73
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$188.08
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ MAJOR JNT W US

Facility

$1,449.20

Service Code	HCPCS 20611
Hospital Charge Code	2692116
Hospital Revenue Code	361
Min. Negotiated Rate	$188.40
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$434.76
Rate for Payer: Aetna Medicare Advantage	$434.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.55
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	$369.55
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.40
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.38
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DRAIN/INJ MAJOR JNT W US

Facility

$1,449.20

Service Code	HCPCS 20611
Hospital Charge Code	321020611
Hospital Revenue Code	361
Min. Negotiated Rate	$217.38
Max. Negotiated Rate	$217.38
Rate for Payer: Qualcare PPO/HMO/WC	$217.38

Know your out-of-pocket cost for care.

All Charges