Heights University Hospital

All Charges

Charge

Type

Setting

Price

EXC NECK LES SC < 3 CM

Facility

$13,615.50

Service Code	HCPCS 21555
Hospital Charge Code	16000323
Hospital Revenue Code	360
Min. Negotiated Rate	$1,770.02
Max. Negotiated Rate	$4,084.65
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	$3,933.12
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

EXC NECK LES SC 3+ CM

Facility

$22,282.25

Service Code	HCPCS 21552
Hospital Charge Code	16000209
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$6,684.68
Rate for Payer: Aetna Medicare Advantage	$6,684.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,681.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,681.97
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	$5,681.97
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,896.69
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,342.34
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC NECK LES SC 3+ CM

Facility

$22,282.25

Service Code	HCPCS 21552
Hospital Charge Code	16000209
Hospital Revenue Code	360
Min. Negotiated Rate	$3,342.34
Max. Negotiated Rate	$3,342.34
Rate for Payer: Qualcare PPO/HMO/WC	$3,342.34

EXC NECK TUM DEEP < 5 CM

Facility

$22,279.93

Service Code	HCPCS 21556
Hospital Charge Code	16000389
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$6,683.98
Rate for Payer: Aetna Medicare Advantage	$6,683.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,681.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,681.38
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	$5,681.38
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,896.39
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,341.99
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC NECK TUM DEEP < 5 CM

Facility

$22,279.93

Service Code	HCPCS 21556
Hospital Charge Code	16000389
Hospital Revenue Code	360
Min. Negotiated Rate	$3,341.99
Max. Negotiated Rate	$3,341.99
Rate for Payer: Qualcare PPO/HMO/WC	$3,341.99

EXC NECK TUM DEEP 5 CM/>

Facility

$20,625.50

Service Code	HCPCS 21554
Hospital Charge Code	16000373
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 NECK TUM DEEP 5 CM/>

Facility

$20,625.50

Service Code	HCPCS 21554
Hospital Charge Code	16000373
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 NEUROMA; CUTANEOUS NRV SUR

Facility

$16,424.70

Service Code	HCPCS 64774
Hospital Charge Code	160000194
Hospital Revenue Code	360
Min. Negotiated Rate	$2,463.70
Max. Negotiated Rate	$2,463.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,463.70

EXC NEUROMA; CUTANEOUS NRV SUR

Facility

$16,424.70

Service Code	HCPCS 64774
Hospital Charge Code	160000194
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$4,927.41
Rate for Payer: Aetna Medicare Advantage	$4,927.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,188.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,188.30
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	$4,188.30
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,135.21
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,463.70
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC OF EXT THROMBOSED HEMOR

Facility

$10,145.56

Service Code	HCPCS 46320
Hospital Charge Code	83033015
Hospital Revenue Code	361
Min. Negotiated Rate	$1,521.83
Max. Negotiated Rate	$1,521.83
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.83

EXC OF EXT THROMBOSED HEMOR

Facility

$10,145.56

Service Code	HCPCS 46320
Hospital Charge Code	83033015
Hospital Revenue Code	361
Min. Negotiated Rate	$1,318.92
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$3,043.67
Rate for Payer: Aetna Medicare Advantage	$3,043.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,587.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,587.12
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	$2,587.12
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,318.92
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.83
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

EXC OF TARSAL COALITION

Facility

$19,998.60

Service Code	HCPCS 28116
Hospital Charge Code	16000571
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
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	$7,791.93
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 OF TARSAL COALITION

Facility

$19,998.60

Service Code	HCPCS 28116
Hospital Charge Code	16000571
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

EXC PILONID CYST; EXTENS

Facility

$11,141.64

Service Code	HCPCS 11771
Hospital Charge Code	16000259
Hospital Revenue Code	360
Min. Negotiated Rate	$1,448.41
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$3,342.49
Rate for Payer: Aetna Medicare Advantage	$3,342.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,841.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,841.12
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	$2,841.12
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,448.41
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,671.25
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC PILONID CYST; EXTENS

Facility

$11,141.64

Service Code	HCPCS 11771
Hospital Charge Code	16000259
Hospital Revenue Code	360
Min. Negotiated Rate	$1,671.25
Max. Negotiated Rate	$1,671.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,671.25

EXC PILONID CYST,SMPL

Facility

$20,625.50

Service Code	HCPCS 11770
Hospital Charge Code	160000239
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 PILONID CYST,SMPL

Facility

$20,625.50

Service Code	HCPCS 11770
Hospital Charge Code	160000239
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 PILONID CYST,SMPL

Facility

$20,625.50

Service Code	HCPCS 11770
Hospital Charge Code	16000334
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 PILONID CYST,SMPL

Facility

$20,625.50

Service Code	HCPCS 11770
Hospital Charge Code	16000334
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 PILONID CYT; COMPL

Facility

$11,141.64

Service Code	HCPCS 11772
Hospital Charge Code	16000420
Hospital Revenue Code	360
Min. Negotiated Rate	$1,671.25
Max. Negotiated Rate	$1,671.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,671.25

EXC PILONID CYT; COMPL

Facility

$11,141.64

Service Code	HCPCS 11772
Hospital Charge Code	16000420
Hospital Revenue Code	360
Min. Negotiated Rate	$1,448.41
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$3,342.49
Rate for Payer: Aetna Medicare Advantage	$3,342.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,841.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,841.12
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	$2,841.12
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,448.41
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,671.25
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

EXC PRESACR/SACROCOCCYGEAL TUM

Facility

$9,897.60

Service Code	HCPCS 49215
Hospital Charge Code	1600000538
Hospital Revenue Code	360
Min. Negotiated Rate	$1,286.69
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$2,969.28
Rate for Payer: Aetna Medicare Advantage	$2,969.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,523.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,523.89
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	$2,523.89
Rate for Payer: Cigna Commercial	$2,179.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,286.69
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,484.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

EXC PRESACR/SACROCOCCYGEAL TUM

Facility

$9,897.60

Service Code	HCPCS 49215
Hospital Charge Code	1600000538
Hospital Revenue Code	360
Min. Negotiated Rate	$1,484.64
Max. Negotiated Rate	$1,484.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,484.64

EXC RECT TUM TRANSANAL FULL

Facility

$16,148.00

Service Code	HCPCS 45172
Hospital Charge Code	1600000698
Hospital Revenue Code	360
Min. Negotiated Rate	$2,422.20
Max. Negotiated Rate	$2,422.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,422.20

EXC RECT TUM TRANSANAL FULL

Facility

$16,148.00

Service Code	HCPCS 45172
Hospital Charge Code	1600000698
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,844.40
Rate for Payer: Aetna Medicare Advantage	$4,844.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,117.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,117.74
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	$4,117.74
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,099.24
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,422.20
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

Know your out-of-pocket cost for care.

All Charges