Heights University Hospital

All Charges

Charge

Type

Setting

Price

INCISE HAND/FINGER TENDON

Facility

$7,538.96

Service Code	HCPCS 26460
Hospital Charge Code	1600000395
Hospital Revenue Code	360
Min. Negotiated Rate	$1,130.84
Max. Negotiated Rate	$1,130.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,130.84

INCISE TENDONS & MUSCLES

Facility

$9,222.50

Service Code	HCPCS 23406
Hospital Charge Code	1600000544
Hospital Revenue Code	360
Min. Negotiated Rate	$1,383.38
Max. Negotiated Rate	$1,383.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,383.38

INCISE TENDONS & MUSCLES

Facility

$9,222.50

Service Code	HCPCS 23406
Hospital Charge Code	1600000544
Hospital Revenue Code	360
Min. Negotiated Rate	$1,198.92
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$2,766.75
Rate for Payer: Aetna Medicare Advantage	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,351.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,351.74
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	$2,351.74
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,198.92
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,383.38
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INCISE WRIST/FOREARM TENDON

Facility

$10,580.92

Service Code	HCPCS 25290
Hospital Charge Code	16000550
Hospital Revenue Code	360
Min. Negotiated Rate	$1,587.14
Max. Negotiated Rate	$1,587.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,587.14

INCISE WRIST/FOREARM TENDON

Facility

$10,580.92

Service Code	HCPCS 25290
Hospital Charge Code	16000550
Hospital Revenue Code	360
Min. Negotiated Rate	$1,375.52
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$3,174.28
Rate for Payer: Aetna Medicare Advantage	$3,174.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,698.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,698.13
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	$2,698.13
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,375.52
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,587.14
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INCISIONAL BIOPSY OF SKIN, EAC

Facility

$1,278.04

Service Code	HCPCS 11107
Hospital Charge Code	1600000602
Hospital Revenue Code	360
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$383.41
Rate for Payer: Aetna Medicare Advantage	$383.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.90
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	$325.90
Rate for Payer: Cigna Commercial	$27.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.15
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$191.71
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

INCISIONAL BIOPSY OF SKIN, EAC

Facility

$1,278.04

Service Code	HCPCS 11107
Hospital Charge Code	1600000602
Hospital Revenue Code	360
Min. Negotiated Rate	$191.71
Max. Negotiated Rate	$191.71
Rate for Payer: Qualcare PPO/HMO/WC	$191.71

INCISIONAL BX SKIN 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 11106
Hospital Charge Code	404311106
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	450211106
Hospital Revenue Code	761
Min. Negotiated Rate	$100.56
Max. Negotiated Rate	$1,760.02
Rate for Payer: Aetna Commercial	$552.42
Rate for Payer: Aetna Medicare Advantage	$552.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$469.55
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.38
Rate for Payer: Oxford Commercial	$920.70
Rate for Payer: Qualcare PPO/HMO/WC	$276.21
Rate for Payer: UnitedHealthcare Commercial	$920.70

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	303511106
Hospital Revenue Code	510
Min. Negotiated Rate	$100.56
Max. Negotiated Rate	$1,760.02
Rate for Payer: Aetna Commercial	$552.42
Rate for Payer: Aetna Medicare Advantage	$552.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$469.55
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.38
Rate for Payer: Qualcare PPO/HMO/WC	$276.21

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	450211106
Hospital Revenue Code	761
Min. Negotiated Rate	$276.21
Max. Negotiated Rate	$276.21
Rate for Payer: Qualcare PPO/HMO/WC	$276.21

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	395011106
Hospital Revenue Code	761
Min. Negotiated Rate	$276.21
Max. Negotiated Rate	$276.21
Rate for Payer: Qualcare PPO/HMO/WC	$276.21

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	412311106
Hospital Revenue Code	361
Min. Negotiated Rate	$239.38
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$552.42
Rate for Payer: Aetna Medicare Advantage	$552.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.55
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	$469.55
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.38
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$276.21
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

INCISIONAL BX SKIN 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 11106
Hospital Charge Code	404311106
Hospital Revenue Code	361
Min. Negotiated Rate	$1,235.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	412311106
Hospital Revenue Code	361
Min. Negotiated Rate	$276.21
Max. Negotiated Rate	$276.21
Rate for Payer: Qualcare PPO/HMO/WC	$276.21

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	395011106
Hospital Revenue Code	761
Min. Negotiated Rate	$100.56
Max. Negotiated Rate	$1,760.02
Rate for Payer: Aetna Commercial	$552.42
Rate for Payer: Aetna Medicare Advantage	$552.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$469.55
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.38
Rate for Payer: Oxford Commercial	$920.70
Rate for Payer: Qualcare PPO/HMO/WC	$276.21
Rate for Payer: UnitedHealthcare Commercial	$920.70

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	303511106
Hospital Revenue Code	510
Min. Negotiated Rate	$276.21
Max. Negotiated Rate	$276.21
Rate for Payer: Qualcare PPO/HMO/WC	$276.21

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	303511107
Hospital Revenue Code	510
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$276.21
Rate for Payer: Aetna Commercial	$276.21
Rate for Payer: Aetna Medicare Advantage	$276.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.78
Rate for Payer: Cigna Commercial	$27.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.69
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	412311107
Hospital Revenue Code	361
Min. Negotiated Rate	$138.10
Max. Negotiated Rate	$138.10
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	395011107
Hospital Revenue Code	761
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$460.35
Rate for Payer: Aetna Commercial	$276.21
Rate for Payer: Aetna Medicare Advantage	$276.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.78
Rate for Payer: Cigna Commercial	$27.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.69
Rate for Payer: Oxford Commercial	$460.35
Rate for Payer: Qualcare PPO/HMO/WC	$138.10
Rate for Payer: UnitedHealthcare Commercial	$460.35

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	303511107
Hospital Revenue Code	510
Min. Negotiated Rate	$138.10
Max. Negotiated Rate	$138.10
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	395011107
Hospital Revenue Code	761
Min. Negotiated Rate	$138.10
Max. Negotiated Rate	$138.10
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	450211107
Hospital Revenue Code	761
Min. Negotiated Rate	$138.10
Max. Negotiated Rate	$138.10
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	412311107
Hospital Revenue Code	361
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$276.21
Rate for Payer: Aetna Medicare Advantage	$276.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.78
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	$234.78
Rate for Payer: Cigna Commercial	$27.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.69
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.10
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	450211107
Hospital Revenue Code	761
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$460.35
Rate for Payer: Aetna Commercial	$276.21
Rate for Payer: Aetna Medicare Advantage	$276.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.78
Rate for Payer: Cigna Commercial	$27.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.69
Rate for Payer: Oxford Commercial	$460.35
Rate for Payer: Qualcare PPO/HMO/WC	$138.10
Rate for Payer: UnitedHealthcare Commercial	$460.35

Know your out-of-pocket cost for care.

All Charges