Heights University Hospital

All Charges

Charge

Type

Setting

Price

ER FINE NDL ASPIR W/O IMAGING

Facility

$1,870.85

Service Code	HCPCS 10021
Hospital Charge Code	5700501
Hospital Revenue Code	450
Min. Negotiated Rate	$280.63
Max. Negotiated Rate	$280.63
Rate for Payer: Qualcare PPO/HMO/WC	$280.63

ER FINE NDL ASPIR W/O IMAGING

Facility

$1,870.85

Service Code	HCPCS 10021
Hospital Charge Code	5700501
Hospital Revenue Code	450
Min. Negotiated Rate	$95.68
Max. Negotiated Rate	$968.07
Rate for Payer: Aetna Commercial	$561.25
Rate for Payer: Aetna Medicare Advantage	$561.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$477.07
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.21
Rate for Payer: Qualcare PPO/HMO/WC	$280.63

ER-FINE NEEDLE ASPIRATION

Facility

$768.00

Service Code	HCPCS 10022
Hospital Charge Code	5790001
Hospital Revenue Code	450
Min. Negotiated Rate	$99.84
Max. Negotiated Rate	$384.00
Rate for Payer: Aetna Commercial	$230.40
Rate for Payer: Aetna Medicare Advantage	$230.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.84
Rate for Payer: Cigna Commercial	$384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.84
Rate for Payer: Qualcare PPO/HMO/WC	$115.20

ER-FINE NEEDLE ASPIRATION

Facility

$768.00

Service Code	HCPCS 10022
Hospital Charge Code	5790001
Hospital Revenue Code	450
Min. Negotiated Rate	$115.20
Max. Negotiated Rate	$115.20
Rate for Payer: Qualcare PPO/HMO/WC	$115.20

ER FINGER SPLINT DYNAMIC

Facility

$322.82

Service Code	HCPCS 29131
Hospital Charge Code	5700311
Hospital Revenue Code	450
Min. Negotiated Rate	$25.67
Max. Negotiated Rate	$140.48
Rate for Payer: Aetna Commercial	$96.85
Rate for Payer: Aetna Medicare Advantage	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.32
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.97
Rate for Payer: Qualcare PPO/HMO/WC	$48.42

ER FINGER SPLINT DYNAMIC

Facility

$322.82

Service Code	HCPCS 29131
Hospital Charge Code	5700311
Hospital Revenue Code	450
Min. Negotiated Rate	$48.42
Max. Negotiated Rate	$48.42
Rate for Payer: Qualcare PPO/HMO/WC	$48.42

ER FINGR/HAND FLEXOR TENDN REP

Facility

$15,445.10

Service Code	HCPCS 26350
Hospital Charge Code	5700750
Hospital Revenue Code	450
Min. Negotiated Rate	$236.90
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$4,633.53
Rate for Payer: Aetna Medicare Advantage	$4,633.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,938.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,938.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,938.50
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,007.86
Rate for Payer: Qualcare PPO/HMO/WC	$2,316.76

ER FINGR/HAND FLEXOR TENDN REP

Facility

$15,445.10

Service Code	HCPCS 26350
Hospital Charge Code	5700750
Hospital Revenue Code	450
Min. Negotiated Rate	$2,316.76
Max. Negotiated Rate	$2,316.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,316.76

ER-FNGR FX ARTICU-BI

Facility

$466.00

Hospital Charge Code	5790520
Hospital Revenue Code	450
Min. Negotiated Rate	$60.58
Max. Negotiated Rate	$233.00
Rate for Payer: Aetna Commercial	$139.80
Rate for Payer: Aetna Medicare Advantage	$139.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.83
Rate for Payer: Cigna Commercial	$233.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.58
Rate for Payer: Qualcare PPO/HMO/WC	$69.90

ER-FNGR FX ARTICU-BI

Facility

$466.00

Hospital Charge Code	5790520
Hospital Revenue Code	450
Min. Negotiated Rate	$69.90
Max. Negotiated Rate	$69.90
Rate for Payer: Qualcare PPO/HMO/WC	$69.90

ER-FORESKIN MANIPULATION

Facility

$1,345.70

Service Code	HCPCS 54450
Hospital Charge Code	5790180
Hospital Revenue Code	450
Min. Negotiated Rate	$201.85
Max. Negotiated Rate	$201.85
Rate for Payer: Qualcare PPO/HMO/WC	$201.85

ER-FORESKIN MANIPULATION

Facility

$1,345.70

Service Code	HCPCS 54450
Hospital Charge Code	5790180
Hospital Revenue Code	450
Min. Negotiated Rate	$40.25
Max. Negotiated Rate	$594.98
Rate for Payer: Aetna Commercial	$403.71
Rate for Payer: Aetna Medicare Advantage	$403.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.15
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.94
Rate for Payer: Qualcare PPO/HMO/WC	$201.85

ER-FX RADIAL SHAFT-BI

Facility

$453.00

Hospital Charge Code	5790430
Hospital Revenue Code	450
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-FX RADIAL SHAFT-BI

Facility

$453.00

Hospital Charge Code	5790430
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

ERGAMISOL

Facility

$25.00

Hospital Charge Code	60634480
Hospital Revenue Code	250
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

ERGAMISOL

Facility

$25.00

Hospital Charge Code	60634480
Hospital Revenue Code	250
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

ER GASTRIC LAVAGE

Facility

$831.60

Service Code	HCPCS 43753
Hospital Charge Code	5700811
Hospital Revenue Code	450
Min. Negotiated Rate	$124.74
Max. Negotiated Rate	$124.74
Rate for Payer: Qualcare PPO/HMO/WC	$124.74

ER GASTRIC LAVAGE

Facility

$831.60

Service Code	HCPCS 43753
Hospital Charge Code	5700811
Hospital Revenue Code	450
Min. Negotiated Rate	$10.04
Max. Negotiated Rate	$514.20
Rate for Payer: Aetna Commercial	$249.48
Rate for Payer: Aetna Medicare Advantage	$249.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.06
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.11
Rate for Payer: Qualcare PPO/HMO/WC	$124.74

ER GASTROCCULT

Facility

$32.05

Service Code	HCPCS 82271
Hospital Charge Code	5700808
Hospital Revenue Code	300
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.81
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

ER GASTROCCULT

Facility

$32.05

Service Code	HCPCS 82271
Hospital Charge Code	5700808
Hospital Revenue Code	300
Min. Negotiated Rate	$4.81
Max. Negotiated Rate	$4.81
Rate for Payer: Qualcare PPO/HMO/WC	$4.81

ER GENITAL SURGERY PROCEDURE

Facility

$1,336.45

Service Code	HCPCS 55899
Hospital Charge Code	5790190
Hospital Revenue Code	450
Min. Negotiated Rate	$200.47
Max. Negotiated Rate	$200.47
Rate for Payer: Qualcare PPO/HMO/WC	$200.47

ER GENITAL SURGERY PROCEDURE

Facility

$1,336.45

Service Code	HCPCS 55899
Hospital Charge Code	5790190
Hospital Revenue Code	450
Min. Negotiated Rate	$173.74
Max. Negotiated Rate	$594.98
Rate for Payer: Aetna Commercial	$400.94
Rate for Payer: Aetna Medicare Advantage	$400.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.79
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.74
Rate for Payer: Qualcare PPO/HMO/WC	$200.47

ER GLUCOSE FINGERSTICK

Facility

$390.00

Service Code	HCPCS 82948
Hospital Charge Code	5700999
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

ER GLUCOSE FINGERSTICK

Facility

$390.00

Service Code	HCPCS 82948
Hospital Charge Code	5700999
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ERGOCALCIFEROL 400 IU/0.05 ML

Facility

$9.60

Hospital Charge Code	6063943197
Hospital Revenue Code	250
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.44

Know your out-of-pocket cost for care.

All Charges