Heights University Hospital

All Charges

Charge

Type

Setting

Price

FRENULOTOMY OF PENIS

Facility

$12,062.25

Service Code	HCPCS 54164
Hospital Charge Code	1600000595
Hospital Revenue Code	360
Min. Negotiated Rate	$1,809.34
Max. Negotiated Rate	$1,809.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,809.34

FRESH FROZEN PLASMA, SING DNR

Facility

$474.16

Hospital Charge Code	38471052
Hospital Revenue Code	390
Min. Negotiated Rate	$71.12
Max. Negotiated Rate	$71.12
Rate for Payer: Qualcare PPO/HMO/WC	$71.12

FRESH FROZEN PLASMA, SING DNR

Facility

$474.16

Hospital Charge Code	38471052
Hospital Revenue Code	390
Min. Negotiated Rate	$61.64
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$142.25
Rate for Payer: Aetna Medicare Advantage	$142.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.91
Rate for Payer: Cigna Commercial	$237.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.64
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.12
Rate for Payer: UnitedHealthcare Commercial	$756.00

FRESH FROZEN PLASMA,THAWING EA

Facility

$126.00

Service Code	HCPCS 86927
Hospital Charge Code	38471093
Hospital Revenue Code	309
Min. Negotiated Rate	$11.18
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$37.80
Rate for Payer: Aetna Medicare Advantage	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.13
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.90
Rate for Payer: UnitedHealthcare Commercial	$114.00

FRESH FROZEN PLASMA,THAWING EA

Facility

$126.00

Service Code	HCPCS 86927
Hospital Charge Code	38471093
Hospital Revenue Code	309
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

FRESH OSTEOCHONDRAL CORE 10MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673844
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$3,742.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

FRESH OSTEOCHONDRAL CORE 10MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673844
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$3,018.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

FRESH PLUG 16MM

Facility

$21,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270694002
Hospital Revenue Code	278
Min. Negotiated Rate	$3,277.50
Max. Negotiated Rate	$10,925.00
Rate for Payer: Aetna Commercial	$6,555.00
Rate for Payer: Aetna Medicare Advantage	$6,555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,571.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,571.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,571.75
Rate for Payer: Cigna Commercial	$10,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,287.70
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50

FRESH PLUG 16MM

Facility

$21,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270694002
Hospital Revenue Code	278
Min. Negotiated Rate	$3,277.50
Max. Negotiated Rate	$5,287.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,287.70
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50

FROCEP FOX BIPOLAR .5MMX20XM

Facility

$946.15

Hospital Charge Code	270664163
Hospital Revenue Code	270
Min. Negotiated Rate	$141.92
Max. Negotiated Rate	$141.92
Rate for Payer: Qualcare PPO/HMO/WC	$141.92

FROCEP FOX BIPOLAR .5MMX20XM

Facility

$946.15

Hospital Charge Code	270664163
Hospital Revenue Code	270
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$473.07
Rate for Payer: Aetna Commercial	$283.85
Rate for Payer: Aetna Medicare Advantage	$283.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.27
Rate for Payer: Cigna Commercial	$473.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.00
Rate for Payer: Oxford Commercial	$473.07
Rate for Payer: Qualcare PPO/HMO/WC	$141.92
Rate for Payer: UnitedHealthcare Commercial	$473.07

FROG******

Facility

$55.00

Hospital Charge Code	8001992
Hospital Revenue Code	279
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$27.50

FROG******

Facility

$55.00

Hospital Charge Code	8001992
Hospital Revenue Code	279
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

FRONTRUNNER XP CTO

Facility

$4,800.00

Hospital Charge Code	270687001N
Hospital Revenue Code	272
Min. Negotiated Rate	$720.00
Max. Negotiated Rate	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$720.00

FRONTRUNNER XP CTO

Facility

$4,800.00

Hospital Charge Code	270687001S
Hospital Revenue Code	272
Min. Negotiated Rate	$720.00
Max. Negotiated Rate	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$720.00

FRONTRUNNER XP CTO

Facility

$4,800.00

Hospital Charge Code	270687001S
Hospital Revenue Code	272
Min. Negotiated Rate	$624.00
Max. Negotiated Rate	$2,400.00
Rate for Payer: Aetna Commercial	$1,440.00
Rate for Payer: Aetna Medicare Advantage	$1,440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,224.00
Rate for Payer: Cigna Commercial	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.00
Rate for Payer: Oxford Commercial	$2,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$720.00
Rate for Payer: UnitedHealthcare Commercial	$2,400.00

FRONTRUNNER XP CTO

Facility

$4,800.00

Hospital Charge Code	270687001N
Hospital Revenue Code	272
Min. Negotiated Rate	$624.00
Max. Negotiated Rate	$2,400.00
Rate for Payer: Aetna Commercial	$1,440.00
Rate for Payer: Aetna Medicare Advantage	$1,440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,224.00
Rate for Payer: Cigna Commercial	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.00
Rate for Payer: Oxford Commercial	$2,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$720.00
Rate for Payer: UnitedHealthcare Commercial	$2,400.00

FROZEN BLOOD EACH UNIT THAWING

Facility

$300.00

Service Code	HCPCS 86931
Hospital Charge Code	3101170
Hospital Revenue Code	302
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

FROZEN BLOOD EACH UNIT THAWING

Facility

$300.00

Service Code	HCPCS 86931
Hospital Charge Code	3101170
Hospital Revenue Code	302
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

FROZEN BLOOD FREEZING/THAWING

Facility

$300.00

Service Code	HCPCS 86932
Hospital Charge Code	3101171
Hospital Revenue Code	302
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

FROZEN BLOOD FREEZING/THAWING

Facility

$300.00

Service Code	HCPCS 86932
Hospital Charge Code	3101171
Hospital Revenue Code	302
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

FROZEN FIBER 10CC

Facility

$15,000.00

Service Code	HCPCS C1765
Hospital Charge Code	270705405
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$4,500.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

FROZEN FIBER 10CC

Facility

$15,000.00

Service Code	HCPCS C1765
Hospital Charge Code	270705405
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

FROZEN SECTION

Facility

$412.85

Service Code	HCPCS 88331
Hospital Charge Code	3004934
Hospital Revenue Code	310
Min. Negotiated Rate	$61.93
Max. Negotiated Rate	$61.93
Rate for Payer: Qualcare PPO/HMO/WC	$61.93

FROZEN SECTION

Facility

$412.85

Service Code	HCPCS 88331
Hospital Charge Code	3004934
Hospital Revenue Code	310
Min. Negotiated Rate	$53.67
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$123.86
Rate for Payer: Aetna Medicare Advantage	$123.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.28
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$54.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.67
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.93
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges