Heights University Hospital

All Charges

Charge

Type

Setting

Price

ER STRAPPING HAND/FINGER

Facility

$348.75

Service Code	HCPCS 29280
Hospital Charge Code	5700614
Hospital Revenue Code	450
Min. Negotiated Rate	$32.36
Max. Negotiated Rate	$140.48
Rate for Payer: Aetna Commercial	$104.62
Rate for Payer: Aetna Medicare Advantage	$104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.93
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING HAND/FINGER

Facility

$348.75

Service Code	HCPCS 29280
Hospital Charge Code	5700614
Hospital Revenue Code	450
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$52.31
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING OF ANKLE LEFT

Facility

$348.75

Service Code	HCPCS 29540LT
Hospital Charge Code	5700336
Hospital Revenue Code	450
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$52.31
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING OF ANKLE LEFT

Facility

$348.75

Service Code	HCPCS 29540LT
Hospital Charge Code	5700336
Hospital Revenue Code	450
Min. Negotiated Rate	$45.34
Max. Negotiated Rate	$174.38
Rate for Payer: Aetna Commercial	$104.62
Rate for Payer: Aetna Medicare Advantage	$104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.93
Rate for Payer: Cigna Commercial	$174.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING OF ANKLE RIGHT

Facility

$348.75

Service Code	HCPCS 29540RT
Hospital Charge Code	5700335
Hospital Revenue Code	450
Min. Negotiated Rate	$45.34
Max. Negotiated Rate	$174.38
Rate for Payer: Aetna Commercial	$104.62
Rate for Payer: Aetna Medicare Advantage	$104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.93
Rate for Payer: Cigna Commercial	$174.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING OF ANKLE RIGHT

Facility

$348.75

Service Code	HCPCS 29540RT
Hospital Charge Code	5700335
Hospital Revenue Code	450
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$52.31
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING OF KNEE

Facility

$988.72

Service Code	HCPCS 29530
Hospital Charge Code	5700300
Hospital Revenue Code	450
Min. Negotiated Rate	$148.31
Max. Negotiated Rate	$148.31
Rate for Payer: Qualcare PPO/HMO/WC	$148.31

ER STRAPPING OF KNEE

Facility

$988.72

Service Code	HCPCS 29530
Hospital Charge Code	5700300
Hospital Revenue Code	450
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$296.62
Rate for Payer: Aetna Medicare Advantage	$296.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.12
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.53
Rate for Payer: Qualcare PPO/HMO/WC	$148.31

ER STRAPPING OF SHOULDER

Facility

$244.50

Service Code	HCPCS 29240
Hospital Charge Code	5700350
Hospital Revenue Code	450
Min. Negotiated Rate	$36.67
Max. Negotiated Rate	$36.67
Rate for Payer: Qualcare PPO/HMO/WC	$36.67

ER STRAPPING OF SHOULDER

Facility

$244.50

Service Code	HCPCS 29240
Hospital Charge Code	5700350
Hospital Revenue Code	450
Min. Negotiated Rate	$31.35
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$73.35
Rate for Payer: Aetna Medicare Advantage	$73.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.35
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.79
Rate for Payer: Qualcare PPO/HMO/WC	$36.67

ER STRAPPING TOES

Facility

$348.75

Service Code	HCPCS 29550
Hospital Charge Code	5700616
Hospital Revenue Code	450
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$52.31
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING TOES

Facility

$348.75

Service Code	HCPCS 29550
Hospital Charge Code	5700616
Hospital Revenue Code	450
Min. Negotiated Rate	$18.40
Max. Negotiated Rate	$140.48
Rate for Payer: Aetna Commercial	$104.62
Rate for Payer: Aetna Medicare Advantage	$104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.93
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING UNNA BOOT

Facility

$348.75

Service Code	HCPCS 29580
Hospital Charge Code	5700617
Hospital Revenue Code	450
Min. Negotiated Rate	$33.50
Max. Negotiated Rate	$386.97
Rate for Payer: Aetna Commercial	$104.62
Rate for Payer: Aetna Medicare Advantage	$104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.93
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER STRAPPING UNNA BOOT

Facility

$348.75

Service Code	HCPCS 29580
Hospital Charge Code	5700617
Hospital Revenue Code	450
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$52.31
Rate for Payer: Qualcare PPO/HMO/WC	$52.31

ER SUCTION SETUP PROCEDURE***

Facility

$99.00

Hospital Charge Code	8004053
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

ER SUCTION SETUP PROCEDURE***

Facility

$99.00

Hospital Charge Code	8004053
Hospital Revenue Code	272
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$29.70
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.87
Rate for Payer: Oxford Commercial	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$49.50

ER TEMP TRANSCUTANEOUS PACING

Facility

$1,343.00

Service Code	HCPCS 92953
Hospital Charge Code	5700812
Hospital Revenue Code	450
Min. Negotiated Rate	$21.85
Max. Negotiated Rate	$1,573.96
Rate for Payer: Aetna Commercial	$402.90
Rate for Payer: Aetna Medicare Advantage	$402.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.46
Rate for Payer: Cigna Commercial	$1,573.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.59
Rate for Payer: Qualcare PPO/HMO/WC	$201.45

ER TEMP TRANSCUTANEOUS PACING

Facility

$1,343.00

Service Code	HCPCS 92953
Hospital Charge Code	5700812
Hospital Revenue Code	450
Min. Negotiated Rate	$201.45
Max. Negotiated Rate	$201.45
Rate for Payer: Qualcare PPO/HMO/WC	$201.45

ER TENDON ORIGIN INSERTION

Facility

$1,398.00

Service Code	HCPCS 20551
Hospital Charge Code	5700723
Hospital Revenue Code	450
Min. Negotiated Rate	$28.96
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$419.40
Rate for Payer: Aetna Medicare Advantage	$419.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$356.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$356.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$356.49
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.74
Rate for Payer: Qualcare PPO/HMO/WC	$209.70

ER TENDON ORIGIN INSERTION

Facility

$1,398.00

Service Code	HCPCS 20551
Hospital Charge Code	5700723
Hospital Revenue Code	450
Min. Negotiated Rate	$209.70
Max. Negotiated Rate	$209.70
Rate for Payer: Qualcare PPO/HMO/WC	$209.70

ER-TENSILON MYASTH GRAVIS

Facility

$393.00

Service Code	HCPCS 95857
Hospital Charge Code	5790250
Hospital Revenue Code	920
Min. Negotiated Rate	$58.95
Max. Negotiated Rate	$58.95
Rate for Payer: Qualcare PPO/HMO/WC	$58.95

ER-TENSILON MYASTH GRAVIS

Facility

$393.00

Service Code	HCPCS 95857
Hospital Charge Code	5790250
Hospital Revenue Code	920
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$117.90
Rate for Payer: Aetna Medicare Advantage	$117.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.22
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.09
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.95
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ER THER/PROPH/DG IV INF ADD H2

Facility

$136.90

Service Code	HCPCS 96366
Hospital Charge Code	5700377
Hospital Revenue Code	450
Min. Negotiated Rate	$20.54
Max. Negotiated Rate	$20.54
Rate for Payer: Qualcare PPO/HMO/WC	$20.54

ER THER/PROPH/DG IV INF ADD H2

Facility

$136.90

Service Code	HCPCS 96366
Hospital Charge Code	5700377
Hospital Revenue Code	450
Min. Negotiated Rate	$13.87
Max. Negotiated Rate	$111.50
Rate for Payer: Aetna Commercial	$41.07
Rate for Payer: Aetna Medicare Advantage	$41.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.91
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.54

ER THER/PROPH/DG IV INF ADD H3

Facility

$136.90

Service Code	HCPCS 96366
Hospital Charge Code	5700378
Hospital Revenue Code	450
Min. Negotiated Rate	$13.87
Max. Negotiated Rate	$111.50
Rate for Payer: Aetna Commercial	$41.07
Rate for Payer: Aetna Medicare Advantage	$41.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.91
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.54

Know your out-of-pocket cost for care.

All Charges