Heights University Hospital

All Charges

Charge

Type

Setting

Price

HAMMER TUBE SYSTEM

Facility

$5,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270687157
Hospital Revenue Code	278
Min. Negotiated Rate	$851.25
Max. Negotiated Rate	$1,373.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,373.35
Rate for Payer: Qualcare PPO/HMO/WC	$851.25

HAMRLCK 2DRLKIT W/2.1MM DRLBIT

Facility

$1,350.00

Hospital Charge Code	270672148
Hospital Revenue Code	272
Min. Negotiated Rate	$175.50
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$405.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.50
Rate for Payer: UnitedHealthcare Commercial	$675.00

HAMRLCK 2DRLKIT W/2.1MM DRLBIT

Facility

$1,350.00

Hospital Charge Code	270672148
Hospital Revenue Code	272
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$202.50
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

HAMRLCK 2 IMP 15x5MM/0DEG MED

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270672149
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

HAMRLCK 2 IMP 15x5MM/0DEG MED

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270672149
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

HAN 12 X 180

Facility

$7,559.95

Service Code	HCPCS C1713
Hospital Charge Code	270687876
Hospital Revenue Code	278
Min. Negotiated Rate	$1,133.99
Max. Negotiated Rate	$1,829.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,511.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,829.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,133.99

HAN 12 X 180

Facility

$7,559.95

Service Code	HCPCS C1713
Hospital Charge Code	270687876
Hospital Revenue Code	278
Min. Negotiated Rate	$1,133.99
Max. Negotiated Rate	$3,779.97
Rate for Payer: Aetna Commercial	$2,267.99
Rate for Payer: Aetna Medicare Advantage	$2,267.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,927.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,927.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,511.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,927.79
Rate for Payer: Cigna Commercial	$3,779.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,829.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,133.99

HAND****

Facility

$168.00

Hospital Charge Code	8002024
Hospital Revenue Code	279
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

HAND****

Facility

$168.00

Hospital Charge Code	8002024
Hospital Revenue Code	279
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$50.40
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$84.00

HAND 2 VIEWS-BILAT

Facility

$5,100.00

Service Code	HCPCS 7312050
Hospital Charge Code	94061231
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HAND 2 VIEWS-BILAT

Facility

$5,100.00

Service Code	HCPCS 7312050
Hospital Charge Code	94061231
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HAND 2 VIEWS-LT

Facility

$5,100.00

Service Code	HCPCS 73120LT
Hospital Charge Code	94061321
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HAND 2 VIEWS-LT

Facility

$5,100.00

Service Code	HCPCS 73120LT
Hospital Charge Code	94061321
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HAND 2 VIEWS-RT

Facility

$5,100.00

Service Code	HCPCS 73120RT
Hospital Charge Code	94061323
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HAND 2 VIEWS-RT

Facility

$5,100.00

Service Code	HCPCS 73120RT
Hospital Charge Code	94061323
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HAND 3 VIEWS-BILAT

Facility

$6,601.19

Service Code	HCPCS 7313050
Hospital Charge Code	94061233
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

HAND 3 VIEWS-BILAT

Facility

$6,601.19

Service Code	HCPCS 7313050
Hospital Charge Code	94061233
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

HAND 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73130LT
Hospital Charge Code	94061325
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

HAND 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73130LT
Hospital Charge Code	94061325
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

HAND 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73130RT
Hospital Charge Code	94061327
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

HAND 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73130RT
Hospital Charge Code	94061327
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

HAND AND WRIST PROCEDURES

Facility

$11,322.11

Service Code	APR-DRG 3161
Min. Negotiated Rate	$7,681.15
Max. Negotiated Rate	$11,322.11
Rate for Payer: Aetna Better Health Medicaid	$11,100.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,322.11
Rate for Payer: Wellpoint Medicaid Managed Care	$7,681.15

HAND AND WRIST PROCEDURES

Facility

$15,108.31

Service Code	APR-DRG 3162
Min. Negotiated Rate	$10,925.07
Max. Negotiated Rate	$15,108.31
Rate for Payer: Aetna Better Health Medicaid	$14,812.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,108.31
Rate for Payer: Wellpoint Medicaid Managed Care	$10,925.07

HAND AND WRIST PROCEDURES

Facility

$23,232.71

Service Code	APR-DRG 3163
Min. Negotiated Rate	$17,528.14
Max. Negotiated Rate	$23,232.71
Rate for Payer: Aetna Better Health Medicaid	$22,777.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,232.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17,528.14

HAND AND WRIST PROCEDURES

Facility

$42,941.72

Service Code	APR-DRG 3164
Min. Negotiated Rate	$33,547.34
Max. Negotiated Rate	$42,941.72
Rate for Payer: Aetna Better Health Medicaid	$42,099.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,941.72
Rate for Payer: Wellpoint Medicaid Managed Care	$33,547.34

Know your out-of-pocket cost for care.

All Charges