Heights University Hospital

All Charges

Charge

Type

Setting

Price

EXCHANGE WIRE 260J

Facility

$48.95

Service Code	HCPCS C1769
Hospital Charge Code	270654358S
Hospital Revenue Code	278
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$24.48
Rate for Payer: Aetna Commercial	$14.69
Rate for Payer: Aetna Medicare Advantage	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.48
Rate for Payer: Cigna Commercial	$24.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$7.34

EXCHGE PREV CATH DURING THROMB

Facility

$2,994.27

Service Code	HCPCS 37209
Hospital Charge Code	5100550
Hospital Revenue Code	361
Min. Negotiated Rate	$389.26
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$898.28
Rate for Payer: Aetna Medicare Advantage	$898.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$763.54
Rate for Payer: Cigna Commercial	$1,497.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.26
Rate for Payer: Qualcare PPO/HMO/WC	$449.14

EXCHGE PREV CATH DURING THROMB

Facility

$2,994.27

Service Code	HCPCS 37209
Hospital Charge Code	5100550
Hospital Revenue Code	361
Min. Negotiated Rate	$449.14
Max. Negotiated Rate	$449.14
Rate for Payer: Qualcare PPO/HMO/WC	$449.14

EXCHG PREV CATH DUR THROMB S&I

Facility

$2,688.00

Service Code	HCPCS 75900
Hospital Charge Code	5100551
Hospital Revenue Code	320
Min. Negotiated Rate	$403.20
Max. Negotiated Rate	$403.20
Rate for Payer: Qualcare PPO/HMO/WC	$403.20

EXCHG PREV CATH DUR THROMB S&I

Facility

$2,688.00

Service Code	HCPCS 75900
Hospital Charge Code	5100551
Hospital Revenue Code	320
Min. Negotiated Rate	$349.44
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$806.40
Rate for Payer: Aetna Medicare Advantage	$806.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$685.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$685.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$685.44
Rate for Payer: Cigna Commercial	$1,344.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.44
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$403.20
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

EXC HIDRAD AXIL,S/I REP

Facility

$22,280.35

Service Code	HCPCS 11450
Hospital Charge Code	16000405
Hospital Revenue Code	360
Min. Negotiated Rate	$3,342.05
Max. Negotiated Rate	$3,342.05
Rate for Payer: Qualcare PPO/HMO/WC	$3,342.05

EXC HIDRAD AXIL,S/I REP

Facility

$22,280.35

Service Code	HCPCS 11450
Hospital Charge Code	16000405
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Aetna Commercial	$6,684.10
Rate for Payer: Aetna Medicare Advantage	$6,684.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,681.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,681.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,681.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,896.45
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,342.05
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC HIDRAD UMBIL,S/I REP

Facility

$20,625.50

Service Code	HCPCS 11470
Hospital Charge Code	16000776
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$6,187.65
Rate for Payer: Aetna Medicare Advantage	$6,187.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,259.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,259.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,259.50
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,681.32
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC HIDRAD UMBIL,S/I REP

Facility

$20,625.50

Service Code	HCPCS 11470
Hospital Charge Code	16000776
Hospital Revenue Code	360
Min. Negotiated Rate	$3,093.82
Max. Negotiated Rate	$3,093.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82

EXC HIP PELVIS LES SC 3 CM/>

Facility

$20,625.50

Service Code	HCPCS 27043
Hospital Charge Code	16000397
Hospital Revenue Code	360
Min. Negotiated Rate	$3,093.82
Max. Negotiated Rate	$3,093.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82

EXC HIP PELVIS LES SC 3 CM/>

Facility

$20,625.50

Service Code	HCPCS 27043
Hospital Charge Code	16000397
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$6,187.65
Rate for Payer: Aetna Medicare Advantage	$6,187.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,259.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,259.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,259.50
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,681.32
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Exc hip/pelv tum deep 5 cm/>

Facility

$13,482.08

Service Code	HCPCS 27045
Hospital Charge Code	241174
Hospital Revenue Code	360
Min. Negotiated Rate	$2,022.31
Max. Negotiated Rate	$2,022.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.31

Exc hip/pelv tum deep 5 cm/>

Facility

$13,482.08

Service Code	HCPCS 27045
Hospital Charge Code	16000170
Hospital Revenue Code	360
Min. Negotiated Rate	$2,022.31
Max. Negotiated Rate	$2,022.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.31

Exc hip/pelv tum deep 5 cm/>

Facility

$13,482.08

Service Code	HCPCS 27045
Hospital Charge Code	16000170
Hospital Revenue Code	360
Min. Negotiated Rate	$1,752.67
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$4,044.62
Rate for Payer: Aetna Medicare Advantage	$4,044.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,437.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,437.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,437.93
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,752.67
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.31
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Exc hip/pelv tum deep 5 cm/>

Facility

$13,482.08

Service Code	HCPCS 27045
Hospital Charge Code	241174
Hospital Revenue Code	360
Min. Negotiated Rate	$1,752.67
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$4,044.62
Rate for Payer: Aetna Medicare Advantage	$4,044.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,437.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,437.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,437.93
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,752.67
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.31
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC HIP/PELV TUM DEEP < 5 CM

Facility

$16,680.90

Service Code	HCPCS 27048
Hospital Charge Code	16000862
Hospital Revenue Code	360
Min. Negotiated Rate	$2,502.14
Max. Negotiated Rate	$2,502.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14

EXC HIP/PELV TUM DEEP < 5 CM

Facility

$16,680.90

Service Code	HCPCS 27048
Hospital Charge Code	16000862
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$5,004.27
Rate for Payer: Aetna Medicare Advantage	$5,004.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,253.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,253.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,253.63
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,168.52
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

EXC INTRASP LESION SGL SEGM;

Facility

$4,130.44

Service Code	HCPCS 63300
Hospital Charge Code	1600000723
Hospital Revenue Code	360
Min. Negotiated Rate	$619.57
Max. Negotiated Rate	$619.57
Rate for Payer: Qualcare PPO/HMO/WC	$619.57

EXC INTRASP LESION SGL SEGM;

Facility

$4,130.44

Service Code	HCPCS 63300
Hospital Charge Code	1600000723
Hospital Revenue Code	360
Min. Negotiated Rate	$536.96
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$1,239.13
Rate for Payer: Aetna Medicare Advantage	$1,239.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,053.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,053.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,053.26
Rate for Payer: Cigna Commercial	$1,905.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$536.96
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$619.57
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

EXC INTRDIG MRTN NEUROM EA SGL

Facility

$19,998.60

Service Code	HCPCS 28080
Hospital Charge Code	16000294
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,999.58
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,099.64
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC INTRDIG MRTN NEUROM EA SGL

Facility

$19,998.60

Service Code	HCPCS 28080
Hospital Charge Code	16000294
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

EXCISE ANAL EXT TAG/PAPILLA

Facility

$19,596.70

Service Code	HCPCS 46220
Hospital Charge Code	16000749
Hospital Revenue Code	360
Min. Negotiated Rate	$2,939.51
Max. Negotiated Rate	$2,939.51
Rate for Payer: Qualcare PPO/HMO/WC	$2,939.51

EXCISE ANAL EXT TAG/PAPILLA

Facility

$19,596.70

Service Code	HCPCS 46220
Hospital Charge Code	16000749
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,879.01
Rate for Payer: Aetna Commercial	$5,879.01
Rate for Payer: Aetna Medicare Advantage	$5,879.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,997.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,997.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,997.16
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.57
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,939.51
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

EXCISE EXCESS SKIN TISSUE,ARM

Facility

$13,615.50

Service Code	HCPCS 15836
Hospital Charge Code	16000600
Hospital Revenue Code	360
Min. Negotiated Rate	$2,042.33
Max. Negotiated Rate	$2,042.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33

EXCISE EXCESS SKIN TISSUE,ARM

Facility

$13,615.50

Service Code	HCPCS 15836
Hospital Charge Code	16000600
Hospital Revenue Code	360
Min. Negotiated Rate	$1,770.02
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$4,084.65
Rate for Payer: Aetna Medicare Advantage	$4,084.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,471.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,471.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,471.95
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.02
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges