Heights University Hospital

All Charges

Charge

Type

Setting

Price

ER-DISLOC KNEE NO ANES-BI

Facility

$453.00

Hospital Charge Code	5790570
Hospital Revenue Code	450
Min. Negotiated Rate	$58.89
Max. Negotiated Rate	$226.50
Rate for Payer: Aetna Commercial	$135.90
Rate for Payer: Aetna Medicare Advantage	$135.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.52
Rate for Payer: Cigna Commercial	$226.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.89
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-DISLOC KNEE NO ANES-BI

Facility

$453.00

Hospital Charge Code	5790570
Hospital Revenue Code	450
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-DISLOC P HIP ARTHRO-BI

Facility

$4,536.00

Hospital Charge Code	5790555
Hospital Revenue Code	450
Min. Negotiated Rate	$680.40
Max. Negotiated Rate	$680.40
Rate for Payer: Qualcare PPO/HMO/WC	$680.40

ER-DISLOC P HIP ARTHRO-BI

Facility

$4,536.00

Hospital Charge Code	5790555
Hospital Revenue Code	450
Min. Negotiated Rate	$589.68
Max. Negotiated Rate	$2,268.00
Rate for Payer: Aetna Commercial	$1,360.80
Rate for Payer: Aetna Medicare Advantage	$1,360.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,156.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,156.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,156.68
Rate for Payer: Cigna Commercial	$2,268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.68
Rate for Payer: Qualcare PPO/HMO/WC	$680.40

ER-DISTAL FIB FX W/MAN-BI

Facility

$453.00

Hospital Charge Code	5790600
Hospital Revenue Code	450
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-DISTAL FIB FX W/MAN-BI

Facility

$453.00

Hospital Charge Code	5790600
Hospital Revenue Code	450
Min. Negotiated Rate	$58.89
Max. Negotiated Rate	$226.50
Rate for Payer: Aetna Commercial	$135.90
Rate for Payer: Aetna Medicare Advantage	$135.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.52
Rate for Payer: Cigna Commercial	$226.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.89
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-DRAIN ABSCES BREAST-BI

Facility

$5,146.00

Hospital Charge Code	5790285
Hospital Revenue Code	450
Min. Negotiated Rate	$771.90
Max. Negotiated Rate	$771.90
Rate for Payer: Qualcare PPO/HMO/WC	$771.90

ER-DRAIN ABSCES BREAST-BI

Facility

$5,146.00

Hospital Charge Code	5790285
Hospital Revenue Code	450
Min. Negotiated Rate	$668.98
Max. Negotiated Rate	$2,573.00
Rate for Payer: Aetna Commercial	$1,543.80
Rate for Payer: Aetna Medicare Advantage	$1,543.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,312.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,312.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,312.23
Rate for Payer: Cigna Commercial	$2,573.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$668.98
Rate for Payer: Qualcare PPO/HMO/WC	$771.90

ER-DRAINAGE NOSE LESION

Facility

$1,019.00

Service Code	HCPCS 30000
Hospital Charge Code	5790070
Hospital Revenue Code	450
Min. Negotiated Rate	$38.64
Max. Negotiated Rate	$564.04
Rate for Payer: Aetna Commercial	$305.70
Rate for Payer: Aetna Medicare Advantage	$305.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.85
Rate for Payer: Cigna Commercial	$564.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.47
Rate for Payer: Qualcare PPO/HMO/WC	$152.85

ER-DRAINAGE NOSE LESION

Facility

$1,019.00

Service Code	HCPCS 30000
Hospital Charge Code	5790070
Hospital Revenue Code	450
Min. Negotiated Rate	$152.85
Max. Negotiated Rate	$152.85
Rate for Payer: Qualcare PPO/HMO/WC	$152.85

ER DRAINAGE SKIN ABCESS

Facility

$980.02

Service Code	HCPCS 10060
Hospital Charge Code	5700345
Hospital Revenue Code	450
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$147.00
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

ER DRAINAGE SKIN ABCESS

Facility

$980.02

Service Code	HCPCS 10060
Hospital Charge Code	5700345
Hospital Revenue Code	450
Min. Negotiated Rate	$29.34
Max. Negotiated Rate	$962.01
Rate for Payer: Qualcare PPO/HMO/WC	$147.00
Rate for Payer: Aetna Better Health Medicaid	$943.15
Rate for Payer: Aetna Commercial	$294.01
Rate for Payer: Aetna Medicare Advantage	$294.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.91
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$962.01

ER-DRAIN FNGR ABSC SIM-BI

Facility

$397.00

Hospital Charge Code	5790470
Hospital Revenue Code	450
Min. Negotiated Rate	$59.55
Max. Negotiated Rate	$59.55
Rate for Payer: Qualcare PPO/HMO/WC	$59.55

ER-DRAIN FNGR ABSC SIM-BI

Facility

$397.00

Hospital Charge Code	5790470
Hospital Revenue Code	450
Min. Negotiated Rate	$51.61
Max. Negotiated Rate	$198.50
Rate for Payer: Aetna Commercial	$119.10
Rate for Payer: Aetna Medicare Advantage	$119.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.23
Rate for Payer: Cigna Commercial	$198.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.61
Rate for Payer: Qualcare PPO/HMO/WC	$59.55

ER DRAIN SCROTAL WALL ABSCESS

Facility

$8,041.95

Service Code	HCPCS 55100
Hospital Charge Code	5700799
Hospital Revenue Code	450
Min. Negotiated Rate	$1,206.29
Max. Negotiated Rate	$1,206.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,206.29

ER DRAIN SCROTAL WALL ABSCESS

Facility

$8,041.95

Service Code	HCPCS 55100
Hospital Charge Code	5700799
Hospital Revenue Code	450
Min. Negotiated Rate	$48.30
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,412.59
Rate for Payer: Aetna Medicare Advantage	$2,412.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,050.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,050.70
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	$2,050.70
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,045.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,206.29

ER EKG

Facility

$2,050.00

Service Code	HCPCS 93005
Hospital Charge Code	5780290
Hospital Revenue Code	730
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$307.50
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

ER EKG

Facility

$2,050.00

Service Code	HCPCS 93005
Hospital Charge Code	5780290
Hospital Revenue Code	730
Min. Negotiated Rate	$70.15
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$615.00
Rate for Payer: Aetna Medicare Advantage	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.75
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$531.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.50
Rate for Payer: UnitedHealthcare Commercial	$603.00

ER EMERGENT CRICOTHYROTOMY

Facility

$4,167.70

Service Code	HCPCS 31605
Hospital Charge Code	5700776
Hospital Revenue Code	450
Min. Negotiated Rate	$131.10
Max. Negotiated Rate	$1,601.46
Rate for Payer: Aetna Better Health Medicaid	$1,570.06
Rate for Payer: Aetna Commercial	$1,250.31
Rate for Payer: Aetna Medicare Advantage	$1,250.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,062.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,062.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,062.76
Rate for Payer: Cigna Commercial	$564.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$541.80
Rate for Payer: Qualcare PPO/HMO/WC	$625.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,601.46

ER EMERGENT CRICOTHYROTOMY

Facility

$4,167.70

Service Code	HCPCS 31605
Hospital Charge Code	5700776
Hospital Revenue Code	450
Min. Negotiated Rate	$625.15
Max. Negotiated Rate	$625.15
Rate for Payer: Qualcare PPO/HMO/WC	$625.15

E.R. EQUIPMENT RE-LOCATION

Facility

$3,076.25

Hospital Charge Code	270659142
Hospital Revenue Code	278
Min. Negotiated Rate	$461.44
Max. Negotiated Rate	$1,538.12
Rate for Payer: Aetna Commercial	$922.88
Rate for Payer: Aetna Medicare Advantage	$922.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.44
Rate for Payer: Cigna Commercial	$1,538.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.45
Rate for Payer: Qualcare PPO/HMO/WC	$461.44

E.R. EQUIPMENT RE-LOCATION

Facility

$3,076.25

Hospital Charge Code	270659142
Hospital Revenue Code	278
Min. Negotiated Rate	$461.44
Max. Negotiated Rate	$744.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.45
Rate for Payer: Qualcare PPO/HMO/WC	$461.44

ER ESCHAROTOMY INITIAL

Facility

$843.05

Service Code	HCPCS 16035
Hospital Charge Code	5700721
Hospital Revenue Code	450
Min. Negotiated Rate	$126.46
Max. Negotiated Rate	$126.46
Rate for Payer: Qualcare PPO/HMO/WC	$126.46

ER ESCHAROTOMY INITIAL

Facility

$843.05

Service Code	HCPCS 16035
Hospital Charge Code	5700721
Hospital Revenue Code	450
Min. Negotiated Rate	$38.64
Max. Negotiated Rate	$968.07
Rate for Payer: Aetna Commercial	$252.91
Rate for Payer: Aetna Medicare Advantage	$252.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.98
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.60
Rate for Payer: Qualcare PPO/HMO/WC	$126.46

ER-EVAC SUBUNG HEMATO-BIL

Facility

$214.00

Hospital Charge Code	5790270
Hospital Revenue Code	450
Min. Negotiated Rate	$27.82
Max. Negotiated Rate	$107.00
Rate for Payer: Aetna Commercial	$64.20
Rate for Payer: Aetna Medicare Advantage	$64.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.57
Rate for Payer: Cigna Commercial	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.82
Rate for Payer: Qualcare PPO/HMO/WC	$32.10

Know your out-of-pocket cost for care.

All Charges