Heights University Hospital

All Charges

Charge

Type

Setting

Price

EXCISE EXCESS SKIN TISSUE,OTH

Facility

$16,853.95

Service Code	HCPCS 15839
Hospital Charge Code	16000250
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$5,056.19
Rate for Payer: Aetna Medicare Advantage	$5,056.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,297.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,297.76
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	$4,297.76
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,191.01
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,528.09
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

EXCISE EXCESS SKIN TISSUE,OTH

Facility

$16,853.95

Service Code	HCPCS 15839
Hospital Charge Code	16000250
Hospital Revenue Code	360
Min. Negotiated Rate	$2,528.09
Max. Negotiated Rate	$2,528.09
Rate for Payer: Qualcare PPO/HMO/WC	$2,528.09

EXCISE EXCESS SKIN TISSUE,THI

Facility

$22,280.35

Service Code	HCPCS 15832
Hospital Charge Code	16000495
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

EXCISE EXCESS SKIN TISSUE,THI

Facility

$22,280.35

Service Code	HCPCS 15832
Hospital Charge Code	16000495
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$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: Cigna Commercial	$6,917.28
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

EXCISE HYDROCELE; UNILATERAL

Facility

$30,814.20

Service Code	HCPCS 55040
Hospital Charge Code	160000207
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,244.26
Rate for Payer: Aetna Commercial	$9,244.26
Rate for Payer: Aetna Medicare Advantage	$9,244.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,857.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,857.62
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	$7,857.62
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,005.85
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,622.13
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

EXCISE HYDROCELE; UNILATERAL

Facility

$30,814.20

Service Code	HCPCS 55040
Hospital Charge Code	160000207
Hospital Revenue Code	360
Min. Negotiated Rate	$4,622.13
Max. Negotiated Rate	$4,622.13
Rate for Payer: Qualcare PPO/HMO/WC	$4,622.13

EXCISE INFEOR TURBINATE

Facility

$22,083.40

Service Code	HCPCS 30130
Hospital Charge Code	1600000284
Hospital Revenue Code	360
Min. Negotiated Rate	$3,312.51
Max. Negotiated Rate	$3,312.51
Rate for Payer: Qualcare PPO/HMO/WC	$3,312.51

EXCISE INFEOR TURBINATE

Facility

$22,083.40

Service Code	HCPCS 30130
Hospital Charge Code	1600000284
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Commercial	$6,625.02
Rate for Payer: Aetna Medicare Advantage	$6,625.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,631.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,631.27
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	$5,631.27
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,870.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,312.51
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXCISE INTESTINE 1+LESIONS(S)

Facility

$9,477.40

Service Code	HCPCS 44110
Hospital Charge Code	160000206
Hospital Revenue Code	360
Min. Negotiated Rate	$870.72
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$2,843.22
Rate for Payer: Aetna Medicare Advantage	$2,843.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,416.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,416.74
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	$2,416.74
Rate for Payer: Cigna Commercial	$870.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,232.06
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.61
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

EXCISE INTESTINE 1+LESIONS(S)

Facility

$9,477.40

Service Code	HCPCS 44110
Hospital Charge Code	160000206
Hospital Revenue Code	360
Min. Negotiated Rate	$1,421.61
Max. Negotiated Rate	$1,421.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,421.61

EXCISE LESION CORNEA NOT PTRGM

Facility

$14,711.60

Service Code	HCPCS 65400
Hospital Charge Code	16000658
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$4,413.48
Rate for Payer: Aetna Commercial	$4,413.48
Rate for Payer: Aetna Medicare Advantage	$4,413.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,751.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,751.46
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	$3,751.46
Rate for Payer: Cigna Commercial	$2,373.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,912.51
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,206.74
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

EXCISE LESION CORNEA NOT PTRGM

Facility

$14,711.60

Service Code	HCPCS 65400
Hospital Charge Code	16000658
Hospital Revenue Code	360
Min. Negotiated Rate	$2,206.74
Max. Negotiated Rate	$2,206.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,206.74

EXCISE LESION OF SPERMATIC COR

Facility

$22,128.35

Service Code	HCPCS 55520
Hospital Charge Code	1600000269
Hospital Revenue Code	360
Min. Negotiated Rate	$3,319.25
Max. Negotiated Rate	$3,319.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,319.25

EXCISE LESION OF SPERMATIC COR

Facility

$22,128.35

Service Code	HCPCS 55520
Hospital Charge Code	1600000269
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$6,638.51
Rate for Payer: Aetna Medicare Advantage	$6,638.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,642.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,642.73
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	$5,642.73
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,876.69
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,319.25
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXCISE LESION TESTIS

Facility

$21,225.75

Service Code	HCPCS 54512
Hospital Charge Code	1600000817
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$6,367.73
Rate for Payer: Aetna Medicare Advantage	$6,367.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,412.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,412.57
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	$5,412.57
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,759.35
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,183.86
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXCISE LESION TESTIS

Facility

$21,225.75

Service Code	HCPCS 54512
Hospital Charge Code	1600000817
Hospital Revenue Code	360
Min. Negotiated Rate	$3,183.86
Max. Negotiated Rate	$3,183.86
Rate for Payer: Qualcare PPO/HMO/WC	$3,183.86

EXCISE OLECRANON BURSA LT

Facility

$21,422.50

Service Code	HCPCS 24105
Hospital Charge Code	16000376
Hospital Revenue Code	360
Min. Negotiated Rate	$3,213.38
Max. Negotiated Rate	$3,213.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,213.38

EXCISE OLECRANON BURSA LT

Facility

$21,422.50

Service Code	HCPCS 24105
Hospital Charge Code	16000376
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$6,426.75
Rate for Payer: Aetna Medicare Advantage	$6,426.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,462.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,462.74
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	$5,462.74
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,784.93
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,213.38
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXCISION DIAM 0.5CM OR LESS

Facility

$7,903.25

Service Code	HCPCS 11420
Hospital Charge Code	412311420
Hospital Revenue Code	361
Min. Negotiated Rate	$1,185.49
Max. Negotiated Rate	$1,185.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,185.49

EXCISION DIAM 0.5CM OR LESS

Facility

$7,903.25

Service Code	HCPCS 11420
Hospital Charge Code	412311420
Hospital Revenue Code	361
Min. Negotiated Rate	$1,027.42
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,370.97
Rate for Payer: Aetna Medicare Advantage	$2,370.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,015.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,015.33
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	$2,015.33
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,027.42
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,185.49
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

EXCISION DIAM 0.6 - 1.0 CM

Facility

$3,358.50

Service Code	HCPCS 11421
Hospital Charge Code	412311421
Hospital Revenue Code	361
Min. Negotiated Rate	$503.77
Max. Negotiated Rate	$503.77
Rate for Payer: Qualcare PPO/HMO/WC	$503.77

EXCISION DIAM 0.6 - 1.0 CM

Facility

$3,358.50

Service Code	HCPCS 11421
Hospital Charge Code	412311421
Hospital Revenue Code	361
Min. Negotiated Rate	$436.61
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,007.55
Rate for Payer: Aetna Medicare Advantage	$1,007.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$856.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$856.42
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	$856.42
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.61
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$503.77
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

EXCISION DIAM 1.1 - 2.0 CM

Facility

$7,903.25

Service Code	HCPCS 11422
Hospital Charge Code	412311422
Hospital Revenue Code	361
Min. Negotiated Rate	$1,185.49
Max. Negotiated Rate	$1,185.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,185.49

EXCISION DIAM 1.1 - 2.0 CM

Facility

$7,903.25

Service Code	HCPCS 11422
Hospital Charge Code	412311422
Hospital Revenue Code	361
Min. Negotiated Rate	$1,027.42
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,370.97
Rate for Payer: Aetna Medicare Advantage	$2,370.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,015.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,015.33
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	$2,015.33
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,027.42
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,185.49
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

EXCISION DIAM 2.1 - 3.0 CM

Facility

$7,903.25

Service Code	HCPCS 11423
Hospital Charge Code	412311423
Hospital Revenue Code	361
Min. Negotiated Rate	$1,027.42
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,370.97
Rate for Payer: Aetna Medicare Advantage	$2,370.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,015.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,015.33
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	$2,015.33
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,027.42
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,185.49
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges