Heights University Hospital

All Charges

Charge

Type

Setting

Price

2.3 X 6 BONE SCREW

Facility

$555.00

Hospital Charge Code	270657976
Hospital Revenue Code	278
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$166.50
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

2.3 X 6 BONE SCREW

Facility

$555.00

Hospital Charge Code	270657976
Hospital Revenue Code	278
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

2.3 X 8 BONE SCREW

Facility

$555.00

Hospital Charge Code	270657981
Hospital Revenue Code	278
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$166.50
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

2.3 X 8 BONE SCREW

Facility

$555.00

Hospital Charge Code	270657981
Hospital Revenue Code	278
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

2.3 X 8 LOCK BONE SCREW

Facility

$700.00

Hospital Charge Code	270657989
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

2.3 X 8 LOCK BONE SCREW

Facility

$700.00

Hospital Charge Code	270657989
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

2.4/2.7 VA FUSION PLATE

Facility

$3,948.85

Service Code	HCPCS C1713
Hospital Charge Code	270681955
Hospital Revenue Code	278
Min. Negotiated Rate	$592.33
Max. Negotiated Rate	$1,974.42
Rate for Payer: Aetna Commercial	$1,184.65
Rate for Payer: Aetna Medicare Advantage	$1,184.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,006.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,006.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$789.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,006.96
Rate for Payer: Cigna Commercial	$1,974.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$955.62
Rate for Payer: Qualcare PPO/HMO/WC	$592.33

2.4/2.7 VA FUSION PLATE

Facility

$3,948.85

Service Code	HCPCS C1713
Hospital Charge Code	270681955
Hospital Revenue Code	278
Min. Negotiated Rate	$592.33
Max. Negotiated Rate	$955.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$789.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$955.62
Rate for Payer: Qualcare PPO/HMO/WC	$592.33

2.4 CANN SCREW 17MM SRT THRD

Facility

$12,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270688190
Hospital Revenue Code	278
Min. Negotiated Rate	$1,878.75
Max. Negotiated Rate	$3,031.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,031.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,878.75

2.4 CANN SCREW 17MM SRT THRD

Facility

$12,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270688190
Hospital Revenue Code	278
Min. Negotiated Rate	$1,878.75
Max. Negotiated Rate	$6,262.50
Rate for Payer: Aetna Commercial	$3,757.50
Rate for Payer: Aetna Medicare Advantage	$3,757.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,193.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,193.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,505.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,193.88
Rate for Payer: Cigna Commercial	$6,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,031.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,878.75

24 HOURS URINE PROTEIN ELECTRO

Facility

$390.00

Service Code	HCPCS 84166
Hospital Charge Code	39990066C
Hospital Revenue Code	301
Min. Negotiated Rate	$8.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.77
Rate for Payer: Aetna Medicare Advantage	$17.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.33
Rate for Payer: Cigna Commercial	$17.83
Rate for Payer: Cigna Medicare Advantage	$8.91
Rate for Payer: Clover Medicare Advantage	$16.94
Rate for Payer: EmblemHealth Commercial	$53.49
Rate for Payer: Humana Medicare Advantage	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.83
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.90
Rate for Payer: Wellcare Medicare Advantage	$17.83

24 HOURS URINE PROTEIN ELECTRO

Facility

$390.00

Service Code	HCPCS 84156
Hospital Charge Code	39990066B
Hospital Revenue Code	301
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$11.89
Rate for Payer: Aetna Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.45
Rate for Payer: Cigna Commercial	$3.67
Rate for Payer: Cigna Medicare Advantage	$1.83
Rate for Payer: Clover Medicare Advantage	$3.49
Rate for Payer: EmblemHealth Commercial	$11.01
Rate for Payer: Humana Medicare Advantage	$3.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.89
Rate for Payer: Wellcare Medicare Advantage	$3.67

24 HOURS URINE PROTEIN ELECTRO

Facility

$390.00

Service Code	HCPCS 82570
Hospital Charge Code	39990066A
Hospital Revenue Code	301
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

24 HOURS URINE PROTEIN ELECTRO

Facility

$390.00

Service Code	HCPCS 84166
Hospital Charge Code	39990066C
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

24 HOURS URINE PROTEIN ELECTRO

Facility

$390.00

Service Code	HCPCS 82570
Hospital Charge Code	39990066A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

24 HOURS URINE PROTEIN ELECTRO

Facility

$390.00

Service Code	HCPCS 84156
Hospital Charge Code	39990066B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

24 HOUR URINE FOR KIDNEY STONE

Facility

$160.85

Service Code	HCPCS 83945
Hospital Charge Code	3038533A
Hospital Revenue Code	301
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

24 HOUR URINE FOR KIDNEY STONE

Facility

$52.00

Service Code	HCPCS 82340
Hospital Charge Code	3038533J
Hospital Revenue Code	301
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.54
Rate for Payer: Aetna Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.09
Rate for Payer: Cigna Commercial	$6.03
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$5.73
Rate for Payer: EmblemHealth Commercial	$18.09
Rate for Payer: Humana Medicare Advantage	$6.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.39
Rate for Payer: Wellcare Medicare Advantage	$6.03

24 HOUR URINE FOR KIDNEY STONE

Facility

$268.50

Service Code	HCPCS 81003
Hospital Charge Code	3038533H
Hospital Revenue Code	307
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$7.29
Rate for Payer: Aetna Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.24
Rate for Payer: Cigna Commercial	$2.25
Rate for Payer: Cigna Medicare Advantage	$1.12
Rate for Payer: Clover Medicare Advantage	$2.14
Rate for Payer: EmblemHealth Commercial	$6.75
Rate for Payer: Humana Medicare Advantage	$2.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.27
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.25
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.38
Rate for Payer: Wellcare Medicare Advantage	$2.25

24 HOUR URINE FOR KIDNEY STONE

Facility

$160.85

Service Code	HCPCS 83945
Hospital Charge Code	3038533A
Hospital Revenue Code	301
Min. Negotiated Rate	$7.22
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.82
Rate for Payer: Aetna Medicare Advantage	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.94
Rate for Payer: Cigna Commercial	$14.45
Rate for Payer: Cigna Medicare Advantage	$7.22
Rate for Payer: Clover Medicare Advantage	$13.73
Rate for Payer: EmblemHealth Commercial	$43.35
Rate for Payer: Humana Medicare Advantage	$14.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.13
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.32
Rate for Payer: Wellcare Medicare Advantage	$14.45

24 HOUR URINE FOR KIDNEY STONE

Facility

$338.45

Service Code	HCPCS 82507
Hospital Charge Code	3038533K
Hospital Revenue Code	301
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$90.07
Rate for Payer: Aetna Medicare Advantage	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.86
Rate for Payer: Cigna Commercial	$27.80
Rate for Payer: Cigna Medicare Advantage	$13.90
Rate for Payer: Clover Medicare Advantage	$26.41
Rate for Payer: EmblemHealth Commercial	$83.40
Rate for Payer: Humana Medicare Advantage	$28.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.77
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29.47
Rate for Payer: Wellcare Medicare Advantage	$27.80

24 HOUR URINE FOR KIDNEY STONE

Facility

$61.70

Service Code	HCPCS 84156
Hospital Charge Code	3038533C
Hospital Revenue Code	301
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$9.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

24 HOUR URINE FOR KIDNEY STONE

Facility

$268.50

Service Code	HCPCS 81003
Hospital Charge Code	3038533H
Hospital Revenue Code	307
Min. Negotiated Rate	$40.27
Max. Negotiated Rate	$40.27
Rate for Payer: Qualcare PPO/HMO/WC	$40.27

24 HOUR URINE FOR KIDNEY STONE

Facility

$153.65

Service Code	HCPCS 82131
Hospital Charge Code	3038533I
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

24 HOUR URINE FOR KIDNEY STONE

Facility

$72.85

Service Code	HCPCS 84300
Hospital Charge Code	3038533D
Hospital Revenue Code	301
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$10.93
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

Know your out-of-pocket cost for care.

All Charges