Heights University Hospital

All Charges

Charge

Type

Setting

Price

INFUSOR PRESSURE 1000CC DISP

Facility

$41.21

Hospital Charge Code	270658033
Hospital Revenue Code	270
Min. Negotiated Rate	$6.18
Max. Negotiated Rate	$6.18
Rate for Payer: Qualcare PPO/HMO/WC	$6.18

INFUSOR PRESSURE 1000CC DISP

Facility

$41.21

Hospital Charge Code	270658033
Hospital Revenue Code	270
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$20.61
Rate for Payer: Aetna Commercial	$12.36
Rate for Payer: Aetna Medicare Advantage	$12.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.51
Rate for Payer: Cigna Commercial	$20.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.36
Rate for Payer: Oxford Commercial	$20.61
Rate for Payer: Qualcare PPO/HMO/WC	$6.18
Rate for Payer: UnitedHealthcare Commercial	$20.61

INGEV MRI IS-1BI+FX RARV 52CM

Facility

$4,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270679666
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

INGEV MRI IS-1BI+FX RARV 52CM

Facility

$4,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270679666
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC

Facility

$56,071.95

Service Code	MSDRG 351
Min. Negotiated Rate	$16,636.23
Max. Negotiated Rate	$56,071.95
Rate for Payer: Oxford Commercial	$20,504.53
Rate for Payer: Aetna Commercial	$51,405.95
Rate for Payer: Aetna Medicare Advantage	$16,636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,247.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,247.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,690.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,247.82
Rate for Payer: Cigna Commercial	$32,808.76
Rate for Payer: Cigna Medicare Advantage	$18,690.65
Rate for Payer: Clover Medicare Advantage	$17,756.12
Rate for Payer: EmblemHealth Commercial	$56,071.95
Rate for Payer: Humana Medicare Advantage	$19,251.37
Rate for Payer: UnitedHealthcare Commercial	$23,274.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,690.65
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,812.09
Rate for Payer: Wellcare Medicare Advantage	$18,690.65

INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC

Facility

$84,151.47

Service Code	MSDRG 350
Min. Negotiated Rate	$26,647.97
Max. Negotiated Rate	$84,151.47
Rate for Payer: Aetna Commercial	$84,026.59
Rate for Payer: Aetna Medicare Advantage	$27,193.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66,160.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66,160.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28,050.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66,160.80
Rate for Payer: Cigna Commercial	$53,628.18
Rate for Payer: Cigna Medicare Advantage	$28,050.49
Rate for Payer: Clover Medicare Advantage	$26,647.97
Rate for Payer: EmblemHealth Commercial	$84,151.47
Rate for Payer: Humana Medicare Advantage	$28,892.00
Rate for Payer: Oxford Commercial	$33,516.06
Rate for Payer: UnitedHealthcare Commercial	$38,043.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$28,050.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29,733.52
Rate for Payer: Wellcare Medicare Advantage	$28,050.49

INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC

Facility

$45,718.47

Service Code	MSDRG 352
Min. Negotiated Rate	$12,743.71
Max. Negotiated Rate	$45,718.47
Rate for Payer: Aetna Commercial	$39,378.06
Rate for Payer: Aetna Medicare Advantage	$12,743.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,599.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,599.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,239.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,599.37
Rate for Payer: Cigna Commercial	$25,132.22
Rate for Payer: Cigna Medicare Advantage	$15,239.49
Rate for Payer: Clover Medicare Advantage	$14,477.52
Rate for Payer: EmblemHealth Commercial	$45,718.47
Rate for Payer: Humana Medicare Advantage	$15,696.67
Rate for Payer: Oxford Commercial	$15,706.91
Rate for Payer: UnitedHealthcare Commercial	$17,828.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,239.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,153.86
Rate for Payer: Wellcare Medicare Advantage	$15,239.49

INGUINAL BLOCK

Facility

$2,196.25

Service Code	HCPCS 64425
Hospital Charge Code	1650117A
Hospital Revenue Code	361
Min. Negotiated Rate	$285.51
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$658.88
Rate for Payer: Aetna Medicare Advantage	$658.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$560.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$560.04
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	$560.04
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.51
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$329.44
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

INGUINAL BLOCK

Facility

$2,196.25

Service Code	HCPCS 64425
Hospital Charge Code	1650117A
Hospital Revenue Code	361
Min. Negotiated Rate	$329.44
Max. Negotiated Rate	$329.44
Rate for Payer: Qualcare PPO/HMO/WC	$329.44

INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$12,410.48

Service Code	APR-DRG 2281
Min. Negotiated Rate	$7,558.95
Max. Negotiated Rate	$12,410.48
Rate for Payer: Aetna Better Health Medicaid	$12,167.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,410.48
Rate for Payer: Wellpoint Medicaid Managed Care	$7,558.95

INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$40,391.39

Service Code	APR-DRG 2284
Min. Negotiated Rate	$33,795.20
Max. Negotiated Rate	$40,391.39
Rate for Payer: Aetna Better Health Medicaid	$39,599.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,391.39
Rate for Payer: Wellpoint Medicaid Managed Care	$33,795.20

INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$15,775.41

Service Code	APR-DRG 2282
Min. Negotiated Rate	$9,872.40
Max. Negotiated Rate	$15,775.41
Rate for Payer: Aetna Better Health Medicaid	$15,466.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,775.41
Rate for Payer: Wellpoint Medicaid Managed Care	$9,872.40

INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$21,610.60

Service Code	APR-DRG 2283
Min. Negotiated Rate	$15,165.02
Max. Negotiated Rate	$21,610.60
Rate for Payer: Aetna Better Health Medicaid	$21,186.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,610.60
Rate for Payer: Wellpoint Medicaid Managed Care	$15,165.02

INHALATION TREATMENT

Facility

$1,122.00

Service Code	HCPCS 94640
Hospital Charge Code	412394640
Hospital Revenue Code	410
Min. Negotiated Rate	$168.30
Max. Negotiated Rate	$168.30
Rate for Payer: Qualcare PPO/HMO/WC	$168.30

INHALATION TREATMENT

Facility

$1,122.00

Service Code	HCPCS 94640
Hospital Charge Code	412394640
Hospital Revenue Code	410
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$336.60
Rate for Payer: Aetna Medicare Advantage	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.11
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.86
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.30
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

INHIBIN A

Facility

$110.00

Service Code	HCPCS 86336
Hospital Charge Code	38477009
Hospital Revenue Code	302
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$50.51
Rate for Payer: Aetna Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$15.59
Rate for Payer: Cigna Medicare Advantage	$7.79
Rate for Payer: Clover Medicare Advantage	$14.81
Rate for Payer: EmblemHealth Commercial	$46.77
Rate for Payer: Humana Medicare Advantage	$16.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.59
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.53
Rate for Payer: Wellcare Medicare Advantage	$15.59

INHIBIN A

Facility

$390.00

Service Code	HCPCS 86336
Hospital Charge Code	39900216
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

INHIBIN A

Facility

$110.00

Service Code	HCPCS 86336
Hospital Charge Code	38479406
Hospital Revenue Code	302
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$50.51
Rate for Payer: Aetna Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$15.59
Rate for Payer: Cigna Medicare Advantage	$7.79
Rate for Payer: Clover Medicare Advantage	$14.81
Rate for Payer: EmblemHealth Commercial	$46.77
Rate for Payer: Humana Medicare Advantage	$16.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.59
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.53
Rate for Payer: Wellcare Medicare Advantage	$15.59

INHIBIN A

Facility

$110.00

Service Code	HCPCS 86336
Hospital Charge Code	38477009
Hospital Revenue Code	302
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

INHIBIN A

Facility

$110.00

Service Code	HCPCS 86336
Hospital Charge Code	38479406
Hospital Revenue Code	302
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

INHIBIN A

Facility

$390.00

Service Code	HCPCS 86336
Hospital Charge Code	39900216
Hospital Revenue Code	302
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$50.51
Rate for Payer: Aetna Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$15.59
Rate for Payer: Cigna Medicare Advantage	$7.79
Rate for Payer: Clover Medicare Advantage	$14.81
Rate for Payer: EmblemHealth Commercial	$46.77
Rate for Payer: Humana Medicare Advantage	$16.06
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	$15.59
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.53
Rate for Payer: Wellcare Medicare Advantage	$15.59

INHIBIN A, ULTRASENSITIVE

Facility

$110.35

Service Code	HCPCS 86336
Hospital Charge Code	3038113
Hospital Revenue Code	300
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$50.51
Rate for Payer: Aetna Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$15.59
Rate for Payer: Cigna Medicare Advantage	$7.79
Rate for Payer: Clover Medicare Advantage	$14.81
Rate for Payer: EmblemHealth Commercial	$46.77
Rate for Payer: Humana Medicare Advantage	$16.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.59
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.53
Rate for Payer: Wellcare Medicare Advantage	$15.59

INHIBIN A, ULTRASENSITIVE

Facility

$110.35

Service Code	HCPCS 86336
Hospital Charge Code	3038113
Hospital Revenue Code	300
Min. Negotiated Rate	$16.55
Max. Negotiated Rate	$16.55
Rate for Payer: Qualcare PPO/HMO/WC	$16.55

INHIBIN B

Facility

$253.45

Service Code	HCPCS 83520
Hospital Charge Code	3038112
Hospital Revenue Code	300
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.02
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

INHIBIN B

Facility

$253.45

Service Code	HCPCS 83520
Hospital Charge Code	3038112
Hospital Revenue Code	300
Min. Negotiated Rate	$38.02
Max. Negotiated Rate	$38.02
Rate for Payer: Qualcare PPO/HMO/WC	$38.02

Know your out-of-pocket cost for care.

All Charges