Heights University Hospital

All Charges

Charge

Type

Setting

Price

HERNIA MESH 3D

Facility

$561.00

Hospital Charge Code	270332618
Hospital Revenue Code	278
Min. Negotiated Rate	$84.15
Max. Negotiated Rate	$135.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.76
Rate for Payer: Qualcare PPO/HMO/WC	$84.15

HERNIA MESH VENTRIO ST LG CIRC

Facility

$4,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270688690
Hospital Revenue Code	278
Min. Negotiated Rate	$727.50
Max. Negotiated Rate	$1,173.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,173.70
Rate for Payer: Qualcare PPO/HMO/WC	$727.50

HERNIA MESH VENTRIO ST LG CIRC

Facility

$4,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270688690
Hospital Revenue Code	278
Min. Negotiated Rate	$727.50
Max. Negotiated Rate	$2,425.00
Rate for Payer: Aetna Commercial	$1,455.00
Rate for Payer: Aetna Medicare Advantage	$1,455.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$970.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,236.75
Rate for Payer: Cigna Commercial	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,173.70
Rate for Payer: Qualcare PPO/HMO/WC	$727.50

HERNIA PLUG

Facility

$714.00

Hospital Charge Code	270335548
Hospital Revenue Code	278
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$172.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.79
Rate for Payer: Qualcare PPO/HMO/WC	$107.10

HERNIA PLUG

Facility

$714.00

Hospital Charge Code	270335548
Hospital Revenue Code	278
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$357.00
Rate for Payer: Aetna Commercial	$214.20
Rate for Payer: Aetna Medicare Advantage	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.07
Rate for Payer: Cigna Commercial	$357.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.79
Rate for Payer: Qualcare PPO/HMO/WC	$107.10

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC

Facility

$60,655.14

Service Code	MSDRG 354
Min. Negotiated Rate	$18,359.33
Max. Negotiated Rate	$60,655.14
Rate for Payer: Aetna Commercial	$56,730.33
Rate for Payer: Aetna Medicare Advantage	$18,359.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,415.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,415.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,218.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,415.24
Rate for Payer: Cigna Commercial	$36,206.93
Rate for Payer: Cigna Medicare Advantage	$20,218.38
Rate for Payer: Clover Medicare Advantage	$19,207.46
Rate for Payer: EmblemHealth Commercial	$60,655.14
Rate for Payer: Humana Medicare Advantage	$20,824.93
Rate for Payer: Oxford Commercial	$22,628.28
Rate for Payer: UnitedHealthcare Commercial	$25,685.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,218.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,431.48
Rate for Payer: Wellcare Medicare Advantage	$20,218.38

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC

Facility

$97,855.11

Service Code	MSDRG 353
Min. Negotiated Rate	$30,417.39
Max. Negotiated Rate	$97,855.11
Rate for Payer: Aetna Commercial	$97,855.11
Rate for Payer: Aetna Medicare Advantage	$31,668.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80,495.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80,495.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,018.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80,495.64
Rate for Payer: Cigna Commercial	$62,453.94
Rate for Payer: Cigna Medicare Advantage	$32,018.31
Rate for Payer: Clover Medicare Advantage	$30,417.39
Rate for Payer: EmblemHealth Commercial	$96,054.93
Rate for Payer: Humana Medicare Advantage	$32,978.86
Rate for Payer: Oxford Commercial	$39,031.90
Rate for Payer: UnitedHealthcare Commercial	$44,304.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,018.31
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$33,939.41
Rate for Payer: Wellcare Medicare Advantage	$32,018.31

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC

Facility

$50,861.85

Service Code	MSDRG 355
Min. Negotiated Rate	$14,677.42
Max. Negotiated Rate	$50,861.85
Rate for Payer: Aetna Commercial	$45,353.23
Rate for Payer: Aetna Medicare Advantage	$14,677.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,953.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,491.12
Rate for Payer: Cigna Commercial	$28,945.74
Rate for Payer: Cigna Medicare Advantage	$16,953.95
Rate for Payer: Clover Medicare Advantage	$16,106.25
Rate for Payer: EmblemHealth Commercial	$50,861.85
Rate for Payer: Humana Medicare Advantage	$17,462.57
Rate for Payer: Oxford Commercial	$18,090.25
Rate for Payer: UnitedHealthcare Commercial	$20,534.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,953.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,971.19
Rate for Payer: Wellcare Medicare Advantage	$16,953.95

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$15,594.22

Service Code	APR-DRG 2271
Min. Negotiated Rate	$10,048.75
Max. Negotiated Rate	$15,594.22
Rate for Payer: Aetna Better Health Medicaid	$15,288.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,594.22
Rate for Payer: Wellpoint Medicaid Managed Care	$10,048.75

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$26,400.94

Service Code	APR-DRG 2273
Min. Negotiated Rate	$20,713.49
Max. Negotiated Rate	$26,400.94
Rate for Payer: Aetna Better Health Medicaid	$25,883.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,400.94
Rate for Payer: Wellpoint Medicaid Managed Care	$20,713.49

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$19,022.34

Service Code	APR-DRG 2272
Min. Negotiated Rate	$12,764.88
Max. Negotiated Rate	$19,022.34
Rate for Payer: Aetna Better Health Medicaid	$18,649.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,022.34
Rate for Payer: Wellpoint Medicaid Managed Care	$12,764.88

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$50,349.89

Service Code	APR-DRG 2274
Min. Negotiated Rate	$42,641.97
Max. Negotiated Rate	$50,349.89
Rate for Payer: Aetna Better Health Medicaid	$49,362.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,349.89
Rate for Payer: Wellpoint Medicaid Managed Care	$42,641.97

HERN MESH VENTRIO ST 7.7 X 9.7

Facility

$10,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688686
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

HERN MESH VENTRIO ST 7.7 X 9.7

Facility

$10,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688686
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,150.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

HERN MESH VENTRIO ST 8.7X10.7

Facility

$12,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688687
Hospital Revenue Code	278
Min. Negotiated Rate	$1,875.00
Max. Negotiated Rate	$3,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00

HERN MESH VENTRIO ST 8.7X10.7

Facility

$12,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688687
Hospital Revenue Code	278
Min. Negotiated Rate	$1,875.00
Max. Negotiated Rate	$6,250.00
Rate for Payer: Aetna Commercial	$3,750.00
Rate for Payer: Aetna Medicare Advantage	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.50
Rate for Payer: Cigna Commercial	$6,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00

HERN MSH VENTRIO ST 710.8X13.7

Facility

$15,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688688
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$7,750.00
Rate for Payer: Aetna Commercial	$4,650.00
Rate for Payer: Aetna Medicare Advantage	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,952.50
Rate for Payer: Cigna Commercial	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

HERN MSH VENTRIO ST 710.8X13.7

Facility

$15,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688688
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$3,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

HERP 6 DNA AMP PROBE

Facility

$243.25

Service Code	HCPCS 87532
Hospital Charge Code	3035097
Hospital Revenue Code	306
Min. Negotiated Rate	$36.49
Max. Negotiated Rate	$36.49
Rate for Payer: Qualcare PPO/HMO/WC	$36.49

HERP 6 DNA AMP PROBE

Facility

$243.25

Service Code	HCPCS 87532
Hospital Charge Code	3035097
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

HERPES 1&2 IGM I

Facility

$390.00

Service Code	HCPCS 86695
Hospital Charge Code	39990100A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HERPES 1&2 IGM I

Facility

$390.00

Service Code	HCPCS 86695
Hospital Charge Code	39990100A
Hospital Revenue Code	302
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.74
Rate for Payer: Aetna Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.33
Rate for Payer: Cigna Commercial	$13.19
Rate for Payer: Cigna Medicare Advantage	$6.59
Rate for Payer: Clover Medicare Advantage	$12.53
Rate for Payer: EmblemHealth Commercial	$39.57
Rate for Payer: Humana Medicare Advantage	$13.59
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	$13.19
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.98
Rate for Payer: Wellcare Medicare Advantage	$13.19

HERPES 1&2 IGM II

Facility

$390.00

Service Code	HCPCS 86696
Hospital Charge Code	39990100B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HERPES 1&2 IGM II

Facility

$390.00

Service Code	HCPCS 86696
Hospital Charge Code	39990100B
Hospital Revenue Code	302
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.69
Rate for Payer: Aetna Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.90
Rate for Payer: Cigna Commercial	$19.35
Rate for Payer: Cigna Medicare Advantage	$9.68
Rate for Payer: Clover Medicare Advantage	$18.38
Rate for Payer: EmblemHealth Commercial	$58.05
Rate for Payer: Humana Medicare Advantage	$19.93
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	$19.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.51
Rate for Payer: Wellcare Medicare Advantage	$19.35

HERPES (HSV) CULTURE/TYPING

Facility

$287.25

Service Code	HCPCS 87255
Hospital Charge Code	3009249
Hospital Revenue Code	309
Min. Negotiated Rate	$16.93
Max. Negotiated Rate	$124.06
Rate for Payer: Aetna Commercial	$109.71
Rate for Payer: Aetna Medicare Advantage	$33.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.06
Rate for Payer: Cigna Commercial	$33.86
Rate for Payer: Cigna Medicare Advantage	$16.93
Rate for Payer: Clover Medicare Advantage	$32.17
Rate for Payer: EmblemHealth Commercial	$101.58
Rate for Payer: Humana Medicare Advantage	$34.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.86
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35.89
Rate for Payer: Wellcare Medicare Advantage	$33.86

Know your out-of-pocket cost for care.

All Charges