Heights University Hospital

All Charges

Charge

Type

Setting

Price

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC

Facility

$98,202.42

Service Code	MSDRG 480
Min. Negotiated Rate	$30,512.06
Max. Negotiated Rate	$98,202.42
Rate for Payer: Aetna Commercial	$98,202.42
Rate for Payer: Aetna Medicare Advantage	$31,780.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81,322.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81,322.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,117.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81,322.65
Rate for Payer: Cigna Commercial	$62,675.61
Rate for Payer: Cigna Medicare Advantage	$32,117.96
Rate for Payer: Clover Medicare Advantage	$30,512.06
Rate for Payer: EmblemHealth Commercial	$96,353.88
Rate for Payer: Humana Medicare Advantage	$33,081.50
Rate for Payer: Oxford Commercial	$39,170.43
Rate for Payer: UnitedHealthcare Commercial	$44,462.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,117.96
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$34,045.04
Rate for Payer: Wellcare Medicare Advantage	$32,117.96

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

Facility

$59,163.21

Service Code	MSDRG 482
Min. Negotiated Rate	$17,798.42
Max. Negotiated Rate	$59,163.21
Rate for Payer: Aetna Commercial	$54,997.12
Rate for Payer: Aetna Medicare Advantage	$17,798.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,831.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,831.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,721.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,831.53
Rate for Payer: Cigna Commercial	$35,100.75
Rate for Payer: Cigna Medicare Advantage	$19,721.07
Rate for Payer: Clover Medicare Advantage	$18,735.02
Rate for Payer: EmblemHealth Commercial	$59,163.21
Rate for Payer: Humana Medicare Advantage	$20,312.70
Rate for Payer: Oxford Commercial	$21,936.95
Rate for Payer: UnitedHealthcare Commercial	$24,900.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,721.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,904.33
Rate for Payer: Wellcare Medicare Advantage	$19,721.07

HIP ARTHRO ACETEBULOPLASTY

Facility

$22,425.68

Service Code	HCPCS 29915
Hospital Charge Code	16000578
Hospital Revenue Code	360
Min. Negotiated Rate	$3,363.85
Max. Negotiated Rate	$3,363.85
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85

HIP ARTHRO ACETEBULOPLASTY

Facility

$22,425.68

Service Code	HCPCS 29915
Hospital Charge Code	16000578
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$6,727.70
Rate for Payer: Aetna Medicare Advantage	$6,727.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,718.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,718.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,718.55
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.34
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

HIP ARTHRO W/FEMOROPLASTY

Facility

$22,425.68

Service Code	HCPCS 29914
Hospital Charge Code	16000638
Hospital Revenue Code	360
Min. Negotiated Rate	$3,363.85
Max. Negotiated Rate	$3,363.85
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85

HIP ARTHRO W/FEMOROPLASTY

Facility

$22,425.68

Service Code	HCPCS 29914
Hospital Charge Code	16000638
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$6,727.70
Rate for Payer: Aetna Medicare Advantage	$6,727.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,718.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,718.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,718.55
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.34
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

HIP ARTHRO W/LABRAL REPAIR

Facility

$22,425.68

Service Code	HCPCS 29916
Hospital Charge Code	16000579
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$6,727.70
Rate for Payer: Aetna Medicare Advantage	$6,727.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,718.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,718.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,718.55
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.34
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

HIP ARTHRO W/LABRAL REPAIR

Facility

$22,425.68

Service Code	HCPCS 29916
Hospital Charge Code	16000579
Hospital Revenue Code	360
Min. Negotiated Rate	$3,363.85
Max. Negotiated Rate	$3,363.85
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$593.26

Service Code	HCPCS 73522
Hospital Charge Code	2011597
Hospital Revenue Code	320
Min. Negotiated Rate	$50.60
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$177.98
Rate for Payer: Aetna Medicare Advantage	$177.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.28
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.12
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.99
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$593.26

Service Code	HCPCS 73522
Hospital Charge Code	94270261
Hospital Revenue Code	320
Min. Negotiated Rate	$50.60
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$177.98
Rate for Payer: Aetna Medicare Advantage	$177.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.28
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.12
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.99
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$593.26

Service Code	HCPCS 73522
Hospital Charge Code	75190636
Hospital Revenue Code	320
Min. Negotiated Rate	$88.99
Max. Negotiated Rate	$88.99
Rate for Payer: Qualcare PPO/HMO/WC	$88.99

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$593.26

Service Code	HCPCS 73522
Hospital Charge Code	75190636
Hospital Revenue Code	320
Min. Negotiated Rate	$50.60
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$177.98
Rate for Payer: Aetna Medicare Advantage	$177.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.28
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.12
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.99
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$593.26

Service Code	HCPCS 73522
Hospital Charge Code	2011597
Hospital Revenue Code	320
Min. Negotiated Rate	$88.99
Max. Negotiated Rate	$88.99
Rate for Payer: Qualcare PPO/HMO/WC	$88.99

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$5,100.00

Service Code	HCPCS 73522
Hospital Charge Code	2011561
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$5,100.00

Service Code	HCPCS 73522
Hospital Charge Code	94061481
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$5,100.00

Service Code	HCPCS 73522
Hospital Charge Code	94061481
Hospital Revenue Code	320
Min. Negotiated Rate	$50.60
Max. Negotiated Rate	$1,530.00
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) NJ Health	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
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

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$5,100.00

Service Code	HCPCS 73522
Hospital Charge Code	2011561
Hospital Revenue Code	320
Min. Negotiated Rate	$50.60
Max. Negotiated Rate	$1,530.00
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) NJ Health	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
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

HIP BIL W/WO PELVIS 3-4 VIEWS

Facility

$593.26

Service Code	HCPCS 73522
Hospital Charge Code	94270261
Hospital Revenue Code	320
Min. Negotiated Rate	$88.99
Max. Negotiated Rate	$88.99
Rate for Payer: Qualcare PPO/HMO/WC	$88.99

HIP BI W/WO PELVIS =/> 5 VIEWS

Facility

$5,100.00

Service Code	HCPCS 73523
Hospital Charge Code	2011562
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

HIP BI W/WO PELVIS =/> 5 VIEWS

Facility

$1,131.07

Service Code	HCPCS 73523
Hospital Charge Code	94270262
Hospital Revenue Code	320
Min. Negotiated Rate	$169.66
Max. Negotiated Rate	$169.66
Rate for Payer: Qualcare PPO/HMO/WC	$169.66

HIP BI W/WO PELVIS =/> 5 VIEWS

Facility

$1,131.07

Service Code	HCPCS 73523
Hospital Charge Code	75190637
Hospital Revenue Code	320
Min. Negotiated Rate	$58.81
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$339.32
Rate for Payer: Aetna Medicare Advantage	$339.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.42
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.04
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.66
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HIP BI W/WO PELVIS =/> 5 VIEWS

Facility

$1,131.07

Service Code	HCPCS 73523
Hospital Charge Code	2011598
Hospital Revenue Code	320
Min. Negotiated Rate	$169.66
Max. Negotiated Rate	$169.66
Rate for Payer: Qualcare PPO/HMO/WC	$169.66

HIP BI W/WO PELVIS =/> 5 VIEWS

Facility

$1,131.07

Service Code	HCPCS 73523
Hospital Charge Code	2011598
Hospital Revenue Code	320
Min. Negotiated Rate	$58.81
Max. Negotiated Rate	$1,489.00
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Aetna Commercial	$339.32
Rate for Payer: Aetna Medicare Advantage	$339.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.04
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.66
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HIP BI W/WO PELVIS =/> 5 VIEWS

Facility

$1,131.07

Service Code	HCPCS 73523
Hospital Charge Code	94270262
Hospital Revenue Code	320
Min. Negotiated Rate	$58.81
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$339.32
Rate for Payer: Aetna Medicare Advantage	$339.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.42
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.04
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.66
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

HIP BI W/WO PELVIS =/> 5 VIEWS

Facility

$5,100.00

Service Code	HCPCS 73523
Hospital Charge Code	2011562
Hospital Revenue Code	320
Min. Negotiated Rate	$58.81
Max. Negotiated Rate	$1,530.00
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) NJ Health	$58.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
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

Know your out-of-pocket cost for care.

All Charges