Heights University Hospital

All Charges

Charge

Type

Setting

Price

FOOT PROCEDURES WITHOUT CC/MCC

Facility

$63,859.56

Service Code	MSDRG 505
Min. Negotiated Rate	$19,564.08
Max. Negotiated Rate	$63,859.56
Rate for Payer: Aetna Commercial	$60,453.01
Rate for Payer: Aetna Medicare Advantage	$19,564.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,139.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,139.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,286.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,139.57
Rate for Payer: Cigna Commercial	$38,582.85
Rate for Payer: Cigna Medicare Advantage	$21,286.52
Rate for Payer: Clover Medicare Advantage	$20,222.19
Rate for Payer: EmblemHealth Commercial	$63,859.56
Rate for Payer: Humana Medicare Advantage	$21,925.12
Rate for Payer: Oxford Commercial	$24,113.16
Rate for Payer: UnitedHealthcare Commercial	$27,370.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,286.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,563.71
Rate for Payer: Wellcare Medicare Advantage	$21,286.52

FOOT RIGHT 3 VIEWS ROUTINE

Facility

$6,601.19

Service Code	HCPCS 73630RT
Hospital Charge Code	2000165
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 RIGHT 3 VIEWS ROUTINE

Facility

$6,601.19

Service Code	HCPCS 73630RT
Hospital Charge Code	2000165
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FOOT RING LONG 155MM

Facility

$9,270.00

Hospital Charge Code	270674286
Hospital Revenue Code	272
Min. Negotiated Rate	$1,205.10
Max. Negotiated Rate	$4,635.00
Rate for Payer: Aetna Commercial	$2,781.00
Rate for Payer: Aetna Medicare Advantage	$2,781.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,363.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,363.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,363.85
Rate for Payer: Cigna Commercial	$4,635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,205.10
Rate for Payer: Oxford Commercial	$4,635.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.50
Rate for Payer: UnitedHealthcare Commercial	$4,635.00

FOOT RING LONG 155MM

Facility

$9,270.00

Hospital Charge Code	270674286
Hospital Revenue Code	272
Min. Negotiated Rate	$1,390.50
Max. Negotiated Rate	$1,390.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.50

FOOT RING LONG LRF 155MM

Facility

$12,916.75

Service Code	HCPCS C1713
Hospital Charge Code	270699600
Hospital Revenue Code	278
Min. Negotiated Rate	$1,937.51
Max. Negotiated Rate	$6,458.38
Rate for Payer: Aetna Commercial	$3,875.03
Rate for Payer: Aetna Medicare Advantage	$3,875.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,293.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,293.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,583.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,293.77
Rate for Payer: Cigna Commercial	$6,458.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,125.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,937.51

FOOT RING LONG LRF 155MM

Facility

$12,916.75

Service Code	HCPCS C1713
Hospital Charge Code	270699600
Hospital Revenue Code	278
Min. Negotiated Rate	$1,937.51
Max. Negotiated Rate	$3,125.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,583.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,125.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,937.51

FOOT RING SHORT LRF 155MM

Facility

$11,108.10

Service Code	HCPCS C1713
Hospital Charge Code	270699601
Hospital Revenue Code	278
Min. Negotiated Rate	$1,666.21
Max. Negotiated Rate	$2,688.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,221.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,688.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,666.21

FOOT RING SHORT LRF 155MM

Facility

$11,108.10

Service Code	HCPCS C1713
Hospital Charge Code	270699601
Hospital Revenue Code	278
Min. Negotiated Rate	$1,666.21
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) NJ Health	$2,221.62
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	$2,688.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,666.21

FOOT - TWO VIEWS-BIL

Facility

$6,601.19

Service Code	HCPCS 7362050
Hospital Charge Code	94061251
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FOOT - TWO VIEWS-BIL

Facility

$6,601.19

Service Code	HCPCS 7362050
Hospital Charge Code	94061251
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 - TWO VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73620LT
Hospital Charge Code	94061397
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FOOT - TWO VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73620LT
Hospital Charge Code	94061397
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 - TWO VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73620RT
Hospital Charge Code	94061399
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 - TWO VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73620RT
Hospital Charge Code	94061399
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FORADIL 12MG CAP

Facility

$3.00

Hospital Charge Code	60635495
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

FORADIL 12MG CAP

Facility

$3.00

Hospital Charge Code	60635495
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

FORAMEN NEEDLE-LONG

Facility

$2,300.00

Hospital Charge Code	270702024
Hospital Revenue Code	278
Min. Negotiated Rate	$345.00
Max. Negotiated Rate	$1,150.00
Rate for Payer: Aetna Commercial	$690.00
Rate for Payer: Aetna Medicare Advantage	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.50
Rate for Payer: Cigna Commercial	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.60
Rate for Payer: Qualcare PPO/HMO/WC	$345.00

FORAMEN NEEDLE-LONG

Facility

$2,300.00

Hospital Charge Code	270702024
Hospital Revenue Code	278
Min. Negotiated Rate	$345.00
Max. Negotiated Rate	$556.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.60
Rate for Payer: Qualcare PPO/HMO/WC	$345.00

FORCEP

Facility

$2,475.00

Hospital Charge Code	270657328
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.75
Rate for Payer: Oxford Commercial	$1,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$1,237.50

FORCEP

Facility

$2,475.00

Hospital Charge Code	270657328
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

FORCEP APPLYING NON-DETACH CRA

Facility

$1,483.70

Hospital Charge Code	270684904
Hospital Revenue Code	272
Min. Negotiated Rate	$222.56
Max. Negotiated Rate	$222.56
Rate for Payer: Qualcare PPO/HMO/WC	$222.56

FORCEP APPLYING NON-DETACH CRA

Facility

$1,483.70

Hospital Charge Code	270684904
Hospital Revenue Code	272
Min. Negotiated Rate	$192.88
Max. Negotiated Rate	$741.85
Rate for Payer: Aetna Commercial	$445.11
Rate for Payer: Aetna Medicare Advantage	$445.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.34
Rate for Payer: Cigna Commercial	$741.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.88
Rate for Payer: Oxford Commercial	$741.85
Rate for Payer: Qualcare PPO/HMO/WC	$222.56
Rate for Payer: UnitedHealthcare Commercial	$741.85

FORCEP BIOPSY 3F PIRAN 505-160

Facility

$3,068.00

Hospital Charge Code	270608956
Hospital Revenue Code	272
Min. Negotiated Rate	$460.20
Max. Negotiated Rate	$460.20
Rate for Payer: Qualcare PPO/HMO/WC	$460.20

FORCEP BIOPSY 3F PIRAN 505-160

Facility

$3,068.00

Hospital Charge Code	270608956
Hospital Revenue Code	272
Min. Negotiated Rate	$398.84
Max. Negotiated Rate	$1,534.00
Rate for Payer: Aetna Commercial	$920.40
Rate for Payer: Aetna Medicare Advantage	$920.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$782.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$782.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$782.34
Rate for Payer: Cigna Commercial	$1,534.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.84
Rate for Payer: Oxford Commercial	$1,534.00
Rate for Payer: Qualcare PPO/HMO/WC	$460.20
Rate for Payer: UnitedHealthcare Commercial	$1,534.00

Know your out-of-pocket cost for care.

All Charges