Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANES IV SED FIRST HR

Facility

$667.67

Hospital Charge Code	1650015
Hospital Revenue Code	370
Min. Negotiated Rate	$86.80
Max. Negotiated Rate	$333.83
Rate for Payer: Aetna Commercial	$200.30
Rate for Payer: Aetna Medicare Advantage	$200.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.26
Rate for Payer: Cigna Commercial	$333.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.80
Rate for Payer: Oxford Commercial	$333.83
Rate for Payer: Qualcare PPO/HMO/WC	$100.15
Rate for Payer: UnitedHealthcare Commercial	$333.83

ANES POP NERVE BLOCK

Facility

$3,506.55

Service Code	HCPCS 64450
Hospital Charge Code	1650098
Hospital Revenue Code	361
Min. Negotiated Rate	$455.85
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,051.96
Rate for Payer: Aetna Medicare Advantage	$1,051.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$894.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$894.17
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	$894.17
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.85
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.98
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

ANES POP NERVE BLOCK

Facility

$3,506.55

Service Code	HCPCS 64450
Hospital Charge Code	1650098
Hospital Revenue Code	361
Min. Negotiated Rate	$525.98
Max. Negotiated Rate	$525.98
Rate for Payer: Qualcare PPO/HMO/WC	$525.98

ANES - PROC ONLY

Facility

$2,802.00

Hospital Charge Code	73190160
Hospital Revenue Code	370
Min. Negotiated Rate	$420.30
Max. Negotiated Rate	$420.30
Rate for Payer: Qualcare PPO/HMO/WC	$420.30

ANES - PROC ONLY

Facility

$2,802.00

Hospital Charge Code	73190160
Hospital Revenue Code	370
Min. Negotiated Rate	$364.26
Max. Negotiated Rate	$1,401.00
Rate for Payer: Aetna Commercial	$840.60
Rate for Payer: Aetna Medicare Advantage	$840.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.51
Rate for Payer: Cigna Commercial	$1,401.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.26
Rate for Payer: Oxford Commercial	$1,401.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.30
Rate for Payer: UnitedHealthcare Commercial	$1,401.00

ANESTHESIA ADDITIONAL 30 MINS

Facility

$630.00

Hospital Charge Code	1650012
Hospital Revenue Code	370
Min. Negotiated Rate	$81.90
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$189.00
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.90
Rate for Payer: Oxford Commercial	$315.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Commercial	$315.00

ANESTHESIA ADDITIONAL 30 MINS

Facility

$630.00

Hospital Charge Code	1650012
Hospital Revenue Code	370
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$94.50
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

ANESTHESIA AX BLOCK W US

Facility

$700.00

Hospital Charge Code	1650055
Hospital Revenue Code	370
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA AX BLOCK W US

Facility

$700.00

Hospital Charge Code	1650055
Hospital Revenue Code	370
Min. Negotiated Rate	$91.00
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) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$350.00

ANESTHESIA AX BLOCK W US PROC

Facility

$700.00

Hospital Charge Code	1650094
Hospital Revenue Code	361
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA AX BLOCK W US PROC

Facility

$700.00

Hospital Charge Code	1650093
Hospital Revenue Code	361
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$1,864.00
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	$1,864.00
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	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA AX BLOCK W US PROC

Facility

$700.00

Hospital Charge Code	1650094
Hospital Revenue Code	361
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$1,864.00
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	$1,864.00
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	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA AX BLOCK W US PROC

Facility

$700.00

Hospital Charge Code	1650093
Hospital Revenue Code	361
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA AXILLARY BLOCK

Facility

$600.00

Hospital Charge Code	1650045
Hospital Revenue Code	370
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA AXILLARY BLOCK

Facility

$600.00

Hospital Charge Code	1650045
Hospital Revenue Code	370
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$300.00

ANESTHESIA AXILLARY BLOCK PROC

Facility

$600.00

Hospital Charge Code	1650092
Hospital Revenue Code	361
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA AXILLARY BLOCK PROC

Facility

$600.00

Hospital Charge Code	1650092
Hospital Revenue Code	361
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
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	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA BIER BLOCK

Facility

$448.00

Hospital Charge Code	1650050
Hospital Revenue Code	370
Min. Negotiated Rate	$58.24
Max. Negotiated Rate	$224.00
Rate for Payer: Aetna Commercial	$134.40
Rate for Payer: Aetna Medicare Advantage	$134.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.24
Rate for Payer: Cigna Commercial	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.24
Rate for Payer: Oxford Commercial	$224.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.20
Rate for Payer: UnitedHealthcare Commercial	$224.00

ANESTHESIA BIER BLOCK

Facility

$448.00

Hospital Charge Code	1650050
Hospital Revenue Code	370
Min. Negotiated Rate	$67.20
Max. Negotiated Rate	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$67.20

ANESTHESIA BRC PLEXUS BLOCK

Facility

$600.00

Hospital Charge Code	1650080
Hospital Revenue Code	370
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$300.00

ANESTHESIA BRC PLEXUS BLOCK

Facility

$600.00

Hospital Charge Code	1650080
Hospital Revenue Code	370
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA BRC PLEXUS BLOCK US

Facility

$700.00

Hospital Charge Code	1650085
Hospital Revenue Code	370
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA BRC PLEXUS BLOCK US

Facility

$700.00

Hospital Charge Code	1650085
Hospital Revenue Code	370
Min. Negotiated Rate	$91.00
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) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$350.00

ANESTHESIA EPIDURAL

Facility

$560.00

Hospital Charge Code	1650035
Hospital Revenue Code	370
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

ANESTHESIA EPIDURAL

Facility

$560.00

Hospital Charge Code	1650035
Hospital Revenue Code	370
Min. Negotiated Rate	$72.80
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$168.00
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.80
Rate for Payer: Oxford Commercial	$280.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$280.00

Know your out-of-pocket cost for care.

All Charges