Heights University Hospital

All Charges

Charge

Type

Setting

Price

INCISION DEEP TISS ABSCESS

Facility

$3,473.00

Service Code	HCPCS 20005
Hospital Charge Code	5780020
Hospital Revenue Code	450
Min. Negotiated Rate	$520.95
Max. Negotiated Rate	$520.95
Rate for Payer: Qualcare PPO/HMO/WC	$520.95

INCISION DEEP TISS ABSCESS

Facility

$3,473.00

Service Code	HCPCS 20005
Hospital Charge Code	5780020
Hospital Revenue Code	450
Min. Negotiated Rate	$451.49
Max. Negotiated Rate	$1,736.50
Rate for Payer: Aetna Commercial	$1,041.90
Rate for Payer: Aetna Medicare Advantage	$1,041.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$885.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$885.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$885.62
Rate for Payer: Cigna Commercial	$1,736.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.49
Rate for Payer: Qualcare PPO/HMO/WC	$520.95

INCISION&DRN; PERIANAL ABSCESS

Facility

$6,258.84

Service Code	HCPCS 46050
Hospital Charge Code	1600000611
Hospital Revenue Code	360
Min. Negotiated Rate	$813.65
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,877.65
Rate for Payer: Aetna Medicare Advantage	$1,877.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,596.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,596.00
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	$1,596.00
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$813.65
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$938.83
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

INCISION&DRN; PERIANAL ABSCESS

Facility

$6,258.84

Service Code	HCPCS 46050
Hospital Charge Code	1600000611
Hospital Revenue Code	360
Min. Negotiated Rate	$938.83
Max. Negotiated Rate	$938.83
Rate for Payer: Qualcare PPO/HMO/WC	$938.83

INCISION OF FIBULA LT

Facility

$30,595.00

Service Code	HCPCS 27707
Hospital Charge Code	16000899
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

INCISION OF FIBULA LT

Facility

$30,595.00

Service Code	HCPCS 27707
Hospital Charge Code	16000899
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,178.50
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INCISION OF FINGER TENDON

Facility

$9,423.70

Service Code	HCPCS 26060
Hospital Charge Code	1600000584
Hospital Revenue Code	360
Min. Negotiated Rate	$1,413.56
Max. Negotiated Rate	$1,413.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56

INCISION OF FINGER TENDON

Facility

$9,423.70

Service Code	HCPCS 26060
Hospital Charge Code	1600000584
Hospital Revenue Code	360
Min. Negotiated Rate	$1,225.08
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,827.11
Rate for Payer: Aetna Medicare Advantage	$2,827.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,403.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,403.04
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	$2,403.04
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,225.08
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

INCISION OF GAUBLADDER

Facility

$6,415.25

Service Code	HCPCS 47490
Hospital Charge Code	3035108
Hospital Revenue Code	361
Min. Negotiated Rate	$833.98
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$1,924.58
Rate for Payer: Aetna Medicare Advantage	$1,924.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,635.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,635.89
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	$1,635.89
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$833.98
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$962.29
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INCISION OF GAUBLADDER

Facility

$6,415.25

Service Code	HCPCS 47490
Hospital Charge Code	3035108
Hospital Revenue Code	361
Min. Negotiated Rate	$962.29
Max. Negotiated Rate	$962.29
Rate for Payer: Qualcare PPO/HMO/WC	$962.29

INCISION OF METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28308
Hospital Charge Code	16000203
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
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	$5,099.64
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

INCISION OF METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28308
Hospital Charge Code	16000203
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

INCISION OF RECTAL ABCESS

Facility

$25,493.40

Service Code	HCPCS 46060
Hospital Charge Code	1600000361
Hospital Revenue Code	360
Min. Negotiated Rate	$3,824.01
Max. Negotiated Rate	$3,824.01
Rate for Payer: Qualcare PPO/HMO/WC	$3,824.01

INCISION OF RECTAL ABCESS

Facility

$25,493.40

Service Code	HCPCS 46060
Hospital Charge Code	1600000361
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,648.02
Rate for Payer: Aetna Commercial	$7,648.02
Rate for Payer: Aetna Medicare Advantage	$7,648.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,500.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,500.82
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	$6,500.82
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,314.14
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,824.01
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

INCISION OF THIGH TENDON

Facility

$15,284.00

Service Code	HCPCS 27307
Hospital Charge Code	1600000535
Hospital Revenue Code	360
Min. Negotiated Rate	$2,292.60
Max. Negotiated Rate	$2,292.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.60

INCISION OF THIGH TENDON

Facility

$15,284.00

Service Code	HCPCS 27307
Hospital Charge Code	1600000535
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$4,585.20
Rate for Payer: Aetna Medicare Advantage	$4,585.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,897.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,897.42
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	$3,897.42
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,986.92
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.60
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INCISION OF TOUNGUE FOLD

Facility

$6,938.46

Service Code	HCPCS 41010
Hospital Charge Code	1600000327
Hospital Revenue Code	360
Min. Negotiated Rate	$902.00
Max. Negotiated Rate	$3,694.94
Rate for Payer: Aetna Commercial	$2,081.54
Rate for Payer: Aetna Medicare Advantage	$2,081.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,769.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,769.31
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	$1,769.31
Rate for Payer: Cigna Commercial	$3,694.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$902.00
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,040.77
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

INCISION OF TOUNGUE FOLD

Facility

$6,938.46

Service Code	HCPCS 41010
Hospital Charge Code	1600000327
Hospital Revenue Code	360
Min. Negotiated Rate	$1,040.77
Max. Negotiated Rate	$1,040.77
Rate for Payer: Qualcare PPO/HMO/WC	$1,040.77

INCISION OF URETHA

Facility

$29,933.90

Service Code	HCPCS 53010
Hospital Charge Code	1600000768
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,768.54
Rate for Payer: Aetna Commercial	$8,980.17
Rate for Payer: Aetna Medicare Advantage	$8,980.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,633.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,633.14
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	$7,633.14
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,891.41
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.09
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

INCISION OF URETHA

Facility

$29,933.90

Service Code	HCPCS 53010
Hospital Charge Code	1600000768
Hospital Revenue Code	360
Min. Negotiated Rate	$4,490.09
Max. Negotiated Rate	$4,490.09
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.09

INCISION OF WINDPIPE

Facility

$34,833.20

Service Code	HCPCS 31601
Hospital Charge Code	1600000747
Hospital Revenue Code	360
Min. Negotiated Rate	$5,224.98
Max. Negotiated Rate	$5,224.98
Rate for Payer: Qualcare PPO/HMO/WC	$5,224.98

INCISION OF WINDPIPE

Facility

$34,833.20

Service Code	HCPCS 31601
Hospital Charge Code	1600000747
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,097.46
Rate for Payer: Aetna Commercial	$10,449.96
Rate for Payer: Aetna Medicare Advantage	$10,449.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,882.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,882.47
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	$8,882.47
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,528.32
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,224.98
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

INCISION SUPERF TISSUE ABSCESS

Facility

$450.00

Service Code	HCPCS 20000
Hospital Charge Code	5780015
Hospital Revenue Code	450
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

INCISION SUPERF TISSUE ABSCESS

Facility

$450.00

Service Code	HCPCS 20000
Hospital Charge Code	5780015
Hospital Revenue Code	450
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

INCISOR 3.5MM

Facility

$616.00

Hospital Charge Code	270601295
Hospital Revenue Code	272
Min. Negotiated Rate	$80.08
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$184.80
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.08
Rate for Payer: Oxford Commercial	$308.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.40
Rate for Payer: UnitedHealthcare Commercial	$308.00

Know your out-of-pocket cost for care.

All Charges