Heights University Hospital

All Charges

Charge

Type

Setting

Price

EXTENSOR TENDON REPAIR EACH

Facility

$15,596.70

Service Code	HCPCS 26418
Hospital Charge Code	1600000803
Hospital Revenue Code	360
Min. Negotiated Rate	$2,339.51
Max. Negotiated Rate	$2,339.51
Rate for Payer: Qualcare PPO/HMO/WC	$2,339.51

EXTENSOR TENDON REPAIR EACH

Facility

$15,596.70

Service Code	HCPCS 26418
Hospital Charge Code	1600000803
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$4,679.01
Rate for Payer: Aetna Commercial	$4,679.01
Rate for Payer: Aetna Medicare Advantage	$4,679.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,977.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,977.16
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	$3,977.16
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,027.57
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,339.51
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

EXTENT STEM MAXIM 12x80 141612

Facility

$5,366.75

Hospital Charge Code	270635585
Hospital Revenue Code	272
Min. Negotiated Rate	$697.68
Max. Negotiated Rate	$2,683.38
Rate for Payer: Aetna Commercial	$1,610.03
Rate for Payer: Aetna Medicare Advantage	$1,610.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,368.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,368.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,368.52
Rate for Payer: Cigna Commercial	$2,683.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$697.68
Rate for Payer: Oxford Commercial	$2,683.38
Rate for Payer: Qualcare PPO/HMO/WC	$805.01
Rate for Payer: UnitedHealthcare Commercial	$2,683.38

EXTENT STEM MAXIM 12x80 141612

Facility

$5,366.75

Hospital Charge Code	270635585
Hospital Revenue Code	272
Min. Negotiated Rate	$805.01
Max. Negotiated Rate	$805.01
Rate for Payer: Qualcare PPO/HMO/WC	$805.01

EXTERNAL DRAINAGE AND

Facility

$1,683.00

Hospital Charge Code	270659525
Hospital Revenue Code	270
Min. Negotiated Rate	$252.45
Max. Negotiated Rate	$252.45
Rate for Payer: Qualcare PPO/HMO/WC	$252.45

EXTERNAL DRAINAGE AND

Facility

$1,683.00

Hospital Charge Code	270659525
Hospital Revenue Code	270
Min. Negotiated Rate	$218.79
Max. Negotiated Rate	$841.50
Rate for Payer: Aetna Commercial	$504.90
Rate for Payer: Aetna Medicare Advantage	$504.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$429.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$429.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$429.17
Rate for Payer: Cigna Commercial	$841.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.79
Rate for Payer: Oxford Commercial	$841.50
Rate for Payer: Qualcare PPO/HMO/WC	$252.45
Rate for Payer: UnitedHealthcare Commercial	$841.50

EXTERNAL DRAINAGE&MONITORING

Facility

$319.00

Hospital Charge Code	270335584
Hospital Revenue Code	272
Min. Negotiated Rate	$47.85
Max. Negotiated Rate	$47.85
Rate for Payer: Qualcare PPO/HMO/WC	$47.85

EXTERNAL DRAINAGE&MONITORING

Facility

$319.00

Hospital Charge Code	270335584
Hospital Revenue Code	272
Min. Negotiated Rate	$41.47
Max. Negotiated Rate	$159.50
Rate for Payer: Aetna Commercial	$95.70
Rate for Payer: Aetna Medicare Advantage	$95.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.34
Rate for Payer: Cigna Commercial	$159.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.47
Rate for Payer: Oxford Commercial	$159.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.85
Rate for Payer: UnitedHealthcare Commercial	$159.50

EXTERNAL HEART ASSIST DEVICES

Facility

$81,462.55

Service Code	APR-DRG 1783
Min. Negotiated Rate	$79,865.25
Max. Negotiated Rate	$81,462.55
Rate for Payer: Aetna Better Health Medicaid	$79,865.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$81,462.55

EXTERNAL HEART ASSIST DEVICES

Facility

$106,313.09

Service Code	APR-DRG 1784
Min. Negotiated Rate	$104,228.52
Max. Negotiated Rate	$106,313.09
Rate for Payer: Aetna Better Health Medicaid	$104,228.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$106,313.09

EXTERNAL HEART ASSIST DEVICES

Facility

$72,303.14

Service Code	APR-DRG 1782
Min. Negotiated Rate	$70,885.43
Max. Negotiated Rate	$72,303.14
Rate for Payer: Aetna Better Health Medicaid	$70,885.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$72,303.14

EXTERNAL HEART ASSIST DEVICES

Facility

$66,100.04

Service Code	APR-DRG 1781
Min. Negotiated Rate	$64,803.96
Max. Negotiated Rate	$66,100.04
Rate for Payer: Aetna Better Health Medicaid	$64,803.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$66,100.04

EXTERNAL NEUROSTIMULATOR

Facility

$2,000.00

Hospital Charge Code	270671694
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

EXTERNAL NEUROSTIMULATOR

Facility

$2,000.00

Hospital Charge Code	270671694
Hospital Revenue Code	272
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00

EXTERNAL TRIAL STIMULATOR

Facility

$1,100.00

Service Code	HCPCS C1778
Hospital Charge Code	270702026
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$330.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

EXTERNAL TRIAL STIMULATOR

Facility

$1,100.00

Service Code	HCPCS C1778
Hospital Charge Code	270702026
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$266.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

EXT EXC THROMBOTIC HEMORROID

Facility

$6,384.10

Service Code	HCPCS 46320
Hospital Charge Code	5780230
Hospital Revenue Code	450
Min. Negotiated Rate	$40.25
Max. Negotiated Rate	$2,849.67
Rate for Payer: Aetna Commercial	$1,915.23
Rate for Payer: Aetna Medicare Advantage	$1,915.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,627.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,627.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,627.95
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$829.93
Rate for Payer: Qualcare PPO/HMO/WC	$957.62

EXT EXC THROMBOTIC HEMORROID

Facility

$6,384.10

Service Code	HCPCS 46320
Hospital Charge Code	5780230
Hospital Revenue Code	450
Min. Negotiated Rate	$957.62
Max. Negotiated Rate	$957.62
Rate for Payer: Qualcare PPO/HMO/WC	$957.62

EXT LG AAA ILIAC ZENH ESLE1255

Facility

$7,440.00

Hospital Charge Code	270633655
Hospital Revenue Code	278
Min. Negotiated Rate	$1,116.00
Max. Negotiated Rate	$3,720.00
Rate for Payer: Aetna Commercial	$2,232.00
Rate for Payer: Aetna Medicare Advantage	$2,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,897.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,897.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,897.20
Rate for Payer: Cigna Commercial	$3,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,800.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,116.00

EXT LG AAA ILIAC ZENH ESLE1255

Facility

$7,440.00

Hospital Charge Code	270633655
Hospital Revenue Code	278
Min. Negotiated Rate	$1,116.00
Max. Negotiated Rate	$1,800.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,800.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,116.00

EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$54,373.39

Service Code	APR-DRG 0091
Min. Negotiated Rate	$53,307.25
Max. Negotiated Rate	$54,373.39
Rate for Payer: Aetna Better Health Medicaid	$53,307.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,373.39

EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$98,031.45

Service Code	APR-DRG 0093
Min. Negotiated Rate	$96,109.26
Max. Negotiated Rate	$98,031.45
Rate for Payer: Aetna Better Health Medicaid	$96,109.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$98,031.45

EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$216,478.31

Service Code	APR-DRG 0094
Min. Negotiated Rate	$212,233.64
Max. Negotiated Rate	$216,478.31
Rate for Payer: Aetna Better Health Medicaid	$212,233.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216,478.31

EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$57,235.53

Service Code	APR-DRG 0092
Min. Negotiated Rate	$56,113.26
Max. Negotiated Rate	$57,235.53
Rate for Payer: Aetna Better Health Medicaid	$56,113.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,235.53

EXTRACRANIAL PROCEDURES WITH CC

Facility

$58,919.40

Service Code	MSDRG 038
Min. Negotiated Rate	$17,706.76
Max. Negotiated Rate	$58,919.40
Rate for Payer: Aetna Commercial	$54,713.89
Rate for Payer: Aetna Medicare Advantage	$17,706.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,107.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,107.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,639.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,107.20
Rate for Payer: Cigna Medicare Advantage	$19,639.80
Rate for Payer: Clover Medicare Advantage	$18,657.81
Rate for Payer: EmblemHealth Commercial	$58,919.40
Rate for Payer: Humana Medicare Advantage	$20,228.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,639.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,818.19
Rate for Payer: Wellcare Medicare Advantage	$19,639.80

Know your out-of-pocket cost for care.

All Charges