Heights University Hospital

All Charges

Charge

Type

Setting

Price

FONDAPARINUX SODIUM 7.5 MG SYR

Facility

$9,378.45

Hospital Charge Code	60630049
Hospital Revenue Code	250
Min. Negotiated Rate	$1,219.20
Max. Negotiated Rate	$4,689.23
Rate for Payer: Aetna Commercial	$2,813.53
Rate for Payer: Aetna Medicare Advantage	$2,813.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,391.50
Rate for Payer: Cigna Commercial	$4,689.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,219.20
Rate for Payer: Oxford Commercial	$4,689.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.77
Rate for Payer: UnitedHealthcare Commercial	$4,689.23

FOOT AND TOE PROCEDURES

Facility

$38,398.60

Service Code	APR-DRG 3144
Min. Negotiated Rate	$33,373.47
Max. Negotiated Rate	$38,398.60
Rate for Payer: Aetna Better Health Medicaid	$37,645.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$38,398.60
Rate for Payer: Wellpoint Medicaid Managed Care	$33,373.47

FOOT AND TOE PROCEDURES

Facility

$21,288.98

Service Code	APR-DRG 3143
Min. Negotiated Rate	$15,483.73
Max. Negotiated Rate	$21,288.98
Rate for Payer: Aetna Better Health Medicaid	$20,871.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,288.98
Rate for Payer: Wellpoint Medicaid Managed Care	$15,483.73

FOOT AND TOE PROCEDURES

Facility

$16,130.73

Service Code	APR-DRG 3142
Min. Negotiated Rate	$11,102.99
Max. Negotiated Rate	$16,130.73
Rate for Payer: Aetna Better Health Medicaid	$15,814.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,130.73
Rate for Payer: Wellpoint Medicaid Managed Care	$11,102.99

FOOT AND TOE PROCEDURES

Facility

$15,057.79

Service Code	APR-DRG 3141
Min. Negotiated Rate	$9,782.20
Max. Negotiated Rate	$15,057.79
Rate for Payer: Aetna Better Health Medicaid	$14,762.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,057.79
Rate for Payer: Wellpoint Medicaid Managed Care	$9,782.20

FOOT AP LAT LT

Facility

$6,601.19

Service Code	HCPCS 73620LT
Hospital Charge Code	2002459
Hospital Revenue Code	320
Min. Negotiated Rate	$858.15
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$1,980.36
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FOOT AP LAT LT

Facility

$6,601.19

Service Code	HCPCS 73620LT
Hospital Charge Code	2002459
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FOOT ARCH LRF 155MM

Facility

$11,108.10

Service Code	HCPCS A4649
Hospital Charge Code	270699602
Hospital Revenue Code	272
Min. Negotiated Rate	$1,444.05
Max. Negotiated Rate	$5,554.05
Rate for Payer: Aetna Commercial	$3,332.43
Rate for Payer: Aetna Medicare Advantage	$3,332.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,832.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,832.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,832.57
Rate for Payer: Cigna Commercial	$5,554.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,444.05
Rate for Payer: Oxford Commercial	$5,554.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,666.21
Rate for Payer: UnitedHealthcare Commercial	$5,554.05

FOOT ARCH LRF 155MM

Facility

$11,108.10

Service Code	HCPCS A4649
Hospital Charge Code	270699602
Hospital Revenue Code	272
Min. Negotiated Rate	$1,666.21
Max. Negotiated Rate	$1,666.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,666.21

FOOT COMPL 3 VIEWS-BIL

Facility

$6,601.19

Service Code	HCPCS 7363050
Hospital Charge Code	94061253
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FOOT COMPL 3 VIEWS-BIL

Facility

$6,601.19

Service Code	HCPCS 7363050
Hospital Charge Code	94061253
Hospital Revenue Code	320
Min. Negotiated Rate	$858.15
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$1,980.36
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FOOT COMPL 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73630LT
Hospital Charge Code	94061401
Hospital Revenue Code	320
Min. Negotiated Rate	$858.15
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$1,980.36
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FOOT COMPL 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73630LT
Hospital Charge Code	94061401
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FOOT COMPL 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73630RT
Hospital Charge Code	94061403
Hospital Revenue Code	320
Min. Negotiated Rate	$858.15
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$1,980.36
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FOOT COMPL 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73630RT
Hospital Charge Code	94061403
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FOOT DROP STOP SPANAID

Facility

$136.10

Hospital Charge Code	270650097
Hospital Revenue Code	270
Min. Negotiated Rate	$20.41
Max. Negotiated Rate	$20.41
Rate for Payer: Qualcare PPO/HMO/WC	$20.41

FOOT DROP STOP SPANAID

Facility

$136.10

Hospital Charge Code	270650097
Hospital Revenue Code	270
Min. Negotiated Rate	$17.69
Max. Negotiated Rate	$68.05
Rate for Payer: Aetna Commercial	$40.83
Rate for Payer: Aetna Medicare Advantage	$40.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.71
Rate for Payer: Cigna Commercial	$68.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.69
Rate for Payer: Oxford Commercial	$68.05
Rate for Payer: Qualcare PPO/HMO/WC	$20.41
Rate for Payer: UnitedHealthcare Commercial	$68.05

FOOTPRINTER ID NEWBORN DISP

Facility

$68.75

Hospital Charge Code	270649209
Hospital Revenue Code	272
Min. Negotiated Rate	$8.94
Max. Negotiated Rate	$34.38
Rate for Payer: Aetna Commercial	$20.62
Rate for Payer: Aetna Medicare Advantage	$20.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.53
Rate for Payer: Cigna Commercial	$34.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.94
Rate for Payer: Oxford Commercial	$34.38
Rate for Payer: Qualcare PPO/HMO/WC	$10.31
Rate for Payer: UnitedHealthcare Commercial	$34.38

FOOTPRINTER ID NEWBORN DISP

Facility

$68.75

Hospital Charge Code	270649209
Hospital Revenue Code	272
Min. Negotiated Rate	$10.31
Max. Negotiated Rate	$10.31
Rate for Payer: Qualcare PPO/HMO/WC	$10.31

FOOTPRINTER KLEENPRINT

Facility

$109.60

Hospital Charge Code	270654607
Hospital Revenue Code	270
Min. Negotiated Rate	$16.44
Max. Negotiated Rate	$16.44
Rate for Payer: Qualcare PPO/HMO/WC	$16.44

FOOTPRINTER KLEENPRINT

Facility

$109.60

Hospital Charge Code	270654607
Hospital Revenue Code	270
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$54.80
Rate for Payer: Aetna Commercial	$32.88
Rate for Payer: Aetna Medicare Advantage	$32.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.95
Rate for Payer: Cigna Commercial	$54.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.25
Rate for Payer: Oxford Commercial	$54.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.44
Rate for Payer: UnitedHealthcare Commercial	$54.80

FOOTPRINT ULR 4.5 PK SUT SL.

Facility

$1,716.00

Service Code	HCPCS C1713
Hospital Charge Code	270688722
Hospital Revenue Code	278
Min. Negotiated Rate	$257.40
Max. Negotiated Rate	$858.00
Rate for Payer: Aetna Commercial	$514.80
Rate for Payer: Aetna Medicare Advantage	$514.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$343.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.58
Rate for Payer: Cigna Commercial	$858.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$415.27
Rate for Payer: Qualcare PPO/HMO/WC	$257.40

FOOTPRINT ULR 4.5 PK SUT SL.

Facility

$1,716.00

Service Code	HCPCS C1713
Hospital Charge Code	270688722
Hospital Revenue Code	278
Min. Negotiated Rate	$257.40
Max. Negotiated Rate	$415.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$343.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$415.27
Rate for Payer: Qualcare PPO/HMO/WC	$257.40

FOOT PROCEDURES WITH CC

Facility

$66,077.13

Service Code	MSDRG 504
Min. Negotiated Rate	$20,397.80
Max. Negotiated Rate	$66,077.13
Rate for Payer: Aetna Commercial	$63,029.20
Rate for Payer: Aetna Medicare Advantage	$20,397.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,025.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,690.91
Rate for Payer: Cigna Commercial	$40,227.05
Rate for Payer: Cigna Medicare Advantage	$22,025.71
Rate for Payer: Clover Medicare Advantage	$20,924.42
Rate for Payer: EmblemHealth Commercial	$66,077.13
Rate for Payer: Humana Medicare Advantage	$22,686.48
Rate for Payer: Oxford Commercial	$25,140.74
Rate for Payer: UnitedHealthcare Commercial	$28,537.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,025.71
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,347.25
Rate for Payer: Wellcare Medicare Advantage	$22,025.71

FOOT PROCEDURES WITH MCC

Facility

$94,115.56

Service Code	MSDRG 503
Min. Negotiated Rate	$29,398.05
Max. Negotiated Rate	$94,115.56
Rate for Payer: Aetna Commercial	$94,115.56
Rate for Payer: Aetna Medicare Advantage	$30,458.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73,879.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73,879.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,945.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73,879.56
Rate for Payer: Cigna Commercial	$60,067.26
Rate for Payer: Cigna Medicare Advantage	$30,945.32
Rate for Payer: Clover Medicare Advantage	$29,398.05
Rate for Payer: EmblemHealth Commercial	$92,835.96
Rate for Payer: Humana Medicare Advantage	$31,873.68
Rate for Payer: Oxford Commercial	$37,540.29
Rate for Payer: UnitedHealthcare Commercial	$42,611.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,945.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$32,802.04
Rate for Payer: Wellcare Medicare Advantage	$30,945.32

Know your out-of-pocket cost for care.

All Charges