Heights University Hospital

All Charges

Charge

Type

Setting

Price

EMERGENCY PROCEDURE MINOR

Facility

$3,598.75

Service Code	HCPCS 99281
Hospital Charge Code	5700024
Hospital Revenue Code	450
Min. Negotiated Rate	$539.81
Max. Negotiated Rate	$539.81
Rate for Payer: Qualcare PPO/HMO/WC	$539.81

EMERGENCY PROCEDURE MINOR

Facility

$3,598.75

Service Code	HCPCS 99281
Hospital Charge Code	5700024
Hospital Revenue Code	450
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$1,079.62
Rate for Payer: Aetna Commercial	$1,079.62
Rate for Payer: Aetna Medicare Advantage	$1,079.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$917.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$917.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$917.68
Rate for Payer: Cigna Commercial	$200.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.00
Rate for Payer: Oxford Commercial	$673.00
Rate for Payer: Qualcare PPO/HMO/WC	$539.81
Rate for Payer: UnitedHealthcare Commercial	$763.00
Rate for Payer: Wellpoint Medicaid Managed Care	$450.00

Emergency Procedure Minor I

Facility

$510.75

Hospital Charge Code	5700020
Hospital Revenue Code	450
Min. Negotiated Rate	$66.40
Max. Negotiated Rate	$255.38
Rate for Payer: Aetna Commercial	$153.22
Rate for Payer: Aetna Medicare Advantage	$153.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.24
Rate for Payer: Cigna Commercial	$255.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.40
Rate for Payer: Qualcare PPO/HMO/WC	$76.61

Emergency Procedure Minor I

Facility

$510.75

Hospital Charge Code	5700020
Hospital Revenue Code	450
Min. Negotiated Rate	$76.61
Max. Negotiated Rate	$76.61
Rate for Payer: Qualcare PPO/HMO/WC	$76.61

EMERGENCY PROCEDURE MINOR II

Facility

$715.55

Hospital Charge Code	5700022
Hospital Revenue Code	450
Min. Negotiated Rate	$93.02
Max. Negotiated Rate	$357.77
Rate for Payer: Aetna Commercial	$214.66
Rate for Payer: Aetna Medicare Advantage	$214.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.47
Rate for Payer: Cigna Commercial	$357.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.02
Rate for Payer: Qualcare PPO/HMO/WC	$107.33

EMERGENCY PROCEDURE MINOR II

Facility

$715.55

Hospital Charge Code	5700022
Hospital Revenue Code	450
Min. Negotiated Rate	$107.33
Max. Negotiated Rate	$107.33
Rate for Payer: Qualcare PPO/HMO/WC	$107.33

EMERSON 2 BT *******

Facility

$55.00

Hospital Charge Code	8000598
Hospital Revenue Code	279
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$27.50

EMERSON 2 BT *******

Facility

$55.00

Hospital Charge Code	8000598
Hospital Revenue Code	279
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

EMG 1 EXTREMITY

Facility

$616.00

Service Code	HCPCS 95860
Hospital Charge Code	5500012
Hospital Revenue Code	922
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

EMG 1 EXTREMITY

Facility

$616.00

Service Code	HCPCS 95860
Hospital Charge Code	5500012
Hospital Revenue Code	922
Min. Negotiated Rate	$80.08
Max. Negotiated Rate	$1,673.00
Rate for Payer: Aetna Commercial	$184.80
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.08
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.40
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

EMG-1 EXTREMITY

Facility

$5,700.00

Hospital Charge Code	9109105
Hospital Revenue Code	922
Min. Negotiated Rate	$741.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.00
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

EMG-1 EXTREMITY

Facility

$5,700.00

Hospital Charge Code	9109105
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

EMG 2 EXTREMITIES

Facility

$664.85

Service Code	HCPCS 95861
Hospital Charge Code	5500014
Hospital Revenue Code	922
Min. Negotiated Rate	$86.43
Max. Negotiated Rate	$1,673.00
Rate for Payer: Aetna Commercial	$199.46
Rate for Payer: Aetna Medicare Advantage	$199.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.54
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.43
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.73
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

EMG 2 EXTREMITIES

Facility

$664.85

Service Code	HCPCS 95861
Hospital Charge Code	5500014
Hospital Revenue Code	922
Min. Negotiated Rate	$99.73
Max. Negotiated Rate	$99.73
Rate for Payer: Qualcare PPO/HMO/WC	$99.73

EMG-2 EXTREMITIES

Facility

$5,700.00

Hospital Charge Code	9109085
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

EMG-2 EXTREMITIES

Facility

$5,700.00

Hospital Charge Code	9109085
Hospital Revenue Code	922
Min. Negotiated Rate	$741.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.00
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

EMG 3 EXTREMITIES

Facility

$777.65

Service Code	HCPCS 95863
Hospital Charge Code	5500016
Hospital Revenue Code	922
Min. Negotiated Rate	$101.09
Max. Negotiated Rate	$1,673.00
Rate for Payer: Aetna Commercial	$233.29
Rate for Payer: Aetna Medicare Advantage	$233.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.30
Rate for Payer: Cigna Commercial	$306.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.09
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.65
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

EMG 3 EXTREMITIES

Facility

$777.65

Service Code	HCPCS 95863
Hospital Charge Code	5500016
Hospital Revenue Code	922
Min. Negotiated Rate	$116.65
Max. Negotiated Rate	$116.65
Rate for Payer: Qualcare PPO/HMO/WC	$116.65

EMG-3 EXTREMITIES

Facility

$5,700.00

Hospital Charge Code	9109055
Hospital Revenue Code	922
Min. Negotiated Rate	$741.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.00
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

EMG-3 EXTREMITIES

Facility

$5,700.00

Hospital Charge Code	9109055
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

EMG 4 EXTREMITIES

Facility

$1,035.25

Service Code	HCPCS 95864
Hospital Charge Code	5500018
Hospital Revenue Code	922
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

EMG 4 EXTREMITIES

Facility

$1,035.25

Service Code	HCPCS 95864
Hospital Charge Code	5500018
Hospital Revenue Code	922
Min. Negotiated Rate	$134.58
Max. Negotiated Rate	$1,673.00
Rate for Payer: Aetna Commercial	$310.57
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$306.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.58
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

EMG-4 EXTREMITIES

Facility

$5,700.00

Hospital Charge Code	9109060
Hospital Revenue Code	922
Min. Negotiated Rate	$741.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.00
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

EMG-4 EXTREMITIES

Facility

$5,700.00

Hospital Charge Code	9109060
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

EMG-CRANIAL NERV MSCL-BIL

Facility

$5,700.00

Hospital Charge Code	9109070
Hospital Revenue Code	922
Min. Negotiated Rate	$741.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.00
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$1,673.00

Know your out-of-pocket cost for care.

All Charges