Heights University Hospital

All Charges

Charge

Type

Setting

Price

ER-TX INTERPHA DISLOC-BI

Facility

$4,148.00

Hospital Charge Code	5790680
Hospital Revenue Code	450
Min. Negotiated Rate	$622.20
Max. Negotiated Rate	$622.20
Rate for Payer: Qualcare PPO/HMO/WC	$622.20

ER-TX KNUCKLE DISLOCAT-BI

Facility

$457.00

Hospital Charge Code	5790510
Hospital Revenue Code	450
Min. Negotiated Rate	$68.55
Max. Negotiated Rate	$68.55
Rate for Payer: Qualcare PPO/HMO/WC	$68.55

ER-TX KNUCKLE DISLOCAT-BI

Facility

$457.00

Hospital Charge Code	5790510
Hospital Revenue Code	450
Min. Negotiated Rate	$59.41
Max. Negotiated Rate	$228.50
Rate for Payer: Aetna Commercial	$137.10
Rate for Payer: Aetna Medicare Advantage	$137.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.53
Rate for Payer: Cigna Commercial	$228.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.41
Rate for Payer: Qualcare PPO/HMO/WC	$68.55

ER-TX LOW FX DSTL TBIA-BI

Facility

$9,423.70

Service Code	HCPCS 27825
Hospital Charge Code	5790615
Hospital Revenue Code	450
Min. Negotiated Rate	$1,413.56
Max. Negotiated Rate	$1,413.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56

ER-TX LOW FX DSTL TBIA-BI

Facility

$9,423.70

Service Code	HCPCS 27825
Hospital Charge Code	5790615
Hospital Revenue Code	450
Min. Negotiated Rate	$249.86
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,827.11
Rate for Payer: Aetna Medicare Advantage	$2,827.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,403.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,403.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,403.04
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,225.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56

ER-TX METACARPAL FX-BI

Facility

$453.00

Service Code	HCPCS 26600
Hospital Charge Code	5790640
Hospital Revenue Code	450
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-TX METACARPAL FX-BI

Facility

$453.00

Service Code	HCPCS 26600
Hospital Charge Code	5790640
Hospital Revenue Code	450
Min. Negotiated Rate	$58.89
Max. Negotiated Rate	$587.42
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) NJ Health	$77.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.52
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.89
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-TX METACR FX EA BNE-BI

Facility

$348.00

Hospital Charge Code	5790485
Hospital Revenue Code	450
Min. Negotiated Rate	$52.20
Max. Negotiated Rate	$52.20
Rate for Payer: Qualcare PPO/HMO/WC	$52.20

ER-TX METACR FX EA BNE-BI

Facility

$348.00

Hospital Charge Code	5790485
Hospital Revenue Code	450
Min. Negotiated Rate	$45.24
Max. Negotiated Rate	$174.00
Rate for Payer: Aetna Commercial	$104.40
Rate for Payer: Aetna Medicare Advantage	$104.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.74
Rate for Payer: Cigna Commercial	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.24
Rate for Payer: Qualcare PPO/HMO/WC	$52.20

ER-TX OPN DIST PHAL FX-BI

Facility

$7,682.00

Hospital Charge Code	5790535
Hospital Revenue Code	450
Min. Negotiated Rate	$998.66
Max. Negotiated Rate	$3,841.00
Rate for Payer: Aetna Commercial	$2,304.60
Rate for Payer: Aetna Medicare Advantage	$2,304.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,958.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,958.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,958.91
Rate for Payer: Cigna Commercial	$3,841.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.30

ER-TX OPN DIST PHAL FX-BI

Facility

$7,682.00

Hospital Charge Code	5790535
Hospital Revenue Code	450
Min. Negotiated Rate	$1,152.30
Max. Negotiated Rate	$1,152.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.30

ER-TX RADIAL HEAD FRAC-BI

Facility

$492.00

Hospital Charge Code	5790415
Hospital Revenue Code	450
Min. Negotiated Rate	$73.80
Max. Negotiated Rate	$73.80
Rate for Payer: Qualcare PPO/HMO/WC	$73.80

ER-TX RADIAL HEAD FRAC-BI

Facility

$492.00

Hospital Charge Code	5790415
Hospital Revenue Code	450
Min. Negotiated Rate	$63.96
Max. Negotiated Rate	$246.00
Rate for Payer: Aetna Commercial	$147.60
Rate for Payer: Aetna Medicare Advantage	$147.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.46
Rate for Payer: Cigna Commercial	$246.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.96
Rate for Payer: Qualcare PPO/HMO/WC	$73.80

ER TX RADIAL HEAD FX W/O ANES

Facility

$563.75

Service Code	HCPCS 24650
Hospital Charge Code	5700563
Hospital Revenue Code	450
Min. Negotiated Rate	$70.15
Max. Negotiated Rate	$587.42
Rate for Payer: Aetna Commercial	$169.12
Rate for Payer: Aetna Medicare Advantage	$169.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.76
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	$143.76
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.29
Rate for Payer: Qualcare PPO/HMO/WC	$84.56

ER TX RADIAL HEAD FX W/O ANES

Facility

$563.75

Service Code	HCPCS 24650
Hospital Charge Code	5700563
Hospital Revenue Code	450
Min. Negotiated Rate	$84.56
Max. Negotiated Rate	$84.56
Rate for Payer: Qualcare PPO/HMO/WC	$84.56

ER-TX RADIAL/ULNAR FX-BI

Facility

$453.00

Hospital Charge Code	5790440
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-TX RADIAL/ULNAR FX-BI

Facility

$453.00

Hospital Charge Code	5790440
Hospital Revenue Code	450
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER TX STERNOCLAV DISL W/O MANI

Facility

$2,622.50

Service Code	HCPCS 23520
Hospital Charge Code	5700732
Hospital Revenue Code	450
Min. Negotiated Rate	$393.38
Max. Negotiated Rate	$393.38
Rate for Payer: Qualcare PPO/HMO/WC	$393.38

ER TX STERNOCLAV DISL W/O MANI

Facility

$2,622.50

Service Code	HCPCS 23520
Hospital Charge Code	5700732
Hospital Revenue Code	450
Min. Negotiated Rate	$62.62
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$786.75
Rate for Payer: Aetna Medicare Advantage	$786.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$668.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$668.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$668.74
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.93
Rate for Payer: Qualcare PPO/HMO/WC	$393.38

ER-TX THUMB DISLOCATIN-BI

Facility

$492.00

Hospital Charge Code	5790490
Hospital Revenue Code	450
Min. Negotiated Rate	$73.80
Max. Negotiated Rate	$73.80
Rate for Payer: Qualcare PPO/HMO/WC	$73.80

ER-TX THUMB DISLOCATIN-BI

Facility

$492.00

Hospital Charge Code	5790490
Hospital Revenue Code	450
Min. Negotiated Rate	$63.96
Max. Negotiated Rate	$246.00
Rate for Payer: Aetna Commercial	$147.60
Rate for Payer: Aetna Medicare Advantage	$147.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.46
Rate for Payer: Cigna Commercial	$246.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.96
Rate for Payer: Qualcare PPO/HMO/WC	$73.80

ER TX TOE FX W/MANI

Facility

$1,037.10

Service Code	HCPCS 28515
Hospital Charge Code	5700611
Hospital Revenue Code	450
Min. Negotiated Rate	$66.24
Max. Negotiated Rate	$587.42
Rate for Payer: Aetna Commercial	$311.13
Rate for Payer: Aetna Medicare Advantage	$311.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$264.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$264.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$264.46
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.82
Rate for Payer: Qualcare PPO/HMO/WC	$155.56

ER TX TOE FX W/MANI

Facility

$1,037.10

Service Code	HCPCS 28515
Hospital Charge Code	5700611
Hospital Revenue Code	450
Min. Negotiated Rate	$155.56
Max. Negotiated Rate	$155.56
Rate for Payer: Qualcare PPO/HMO/WC	$155.56

ER-TX TRIM ANKLE FX-BI

Facility

$463.00

Hospital Charge Code	5790610
Hospital Revenue Code	450
Min. Negotiated Rate	$69.45
Max. Negotiated Rate	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$69.45

ER-TX TRIM ANKLE FX-BI

Facility

$463.00

Hospital Charge Code	5790610
Hospital Revenue Code	450
Min. Negotiated Rate	$60.19
Max. Negotiated Rate	$231.50
Rate for Payer: Aetna Commercial	$138.90
Rate for Payer: Aetna Medicare Advantage	$138.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.06
Rate for Payer: Cigna Commercial	$231.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.19
Rate for Payer: Qualcare PPO/HMO/WC	$69.45

Know your out-of-pocket cost for care.

All Charges