Heights University Hospital

All Charges

Charge

Type

Setting

Price

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Facility

$6,404.20

Service Code	HCPCS 32557
Hospital Charge Code	5701102
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

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Facility

$3,419.20

Service Code	HCPCS 32557
Hospital Charge Code	366832557
Hospital Revenue Code	361
Min. Negotiated Rate	$512.88
Max. Negotiated Rate	$512.88
Rate for Payer: Qualcare PPO/HMO/WC	$512.88

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Facility

$3,419.20

Service Code	HCPCS 32557
Hospital Charge Code	2101193
Hospital Revenue Code	361
Min. Negotiated Rate	$444.50
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,025.76
Rate for Payer: Aetna Medicare Advantage	$1,025.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$871.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$871.90
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	$871.90
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.50
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$512.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

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Facility

$9,500.00

Service Code	HCPCS 32557
Hospital Charge Code	2250451
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

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Facility

$2,881.40

Service Code	HCPCS 32556
Hospital Charge Code	7411385
Hospital Revenue Code	361
Min. Negotiated Rate	$374.58
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$864.42
Rate for Payer: Aetna Medicare Advantage	$864.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.76
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	$734.76
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$374.58
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$432.21
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

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Facility

$8,686.35

Service Code	HCPCS 32556
Hospital Charge Code	5701101
Hospital Revenue Code	361
Min. Negotiated Rate	$1,302.95
Max. Negotiated Rate	$1,302.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95

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Facility

$2,281.40

Service Code	HCPCS 32556
Hospital Charge Code	5701015
Hospital Revenue Code	450
Min. Negotiated Rate	$296.58
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$684.42
Rate for Payer: Aetna Medicare Advantage	$684.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$581.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$581.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$581.76
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.58
Rate for Payer: Qualcare PPO/HMO/WC	$342.21

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Facility

$8,686.35

Service Code	HCPCS 32556
Hospital Charge Code	321032556
Hospital Revenue Code	361
Min. Negotiated Rate	$1,129.23
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$2,605.91
Rate for Payer: Aetna Medicare Advantage	$2,605.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,215.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,215.02
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	$2,215.02
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,129.23
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

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Facility

$8,686.35

Service Code	HCPCS 32556
Hospital Charge Code	5701101
Hospital Revenue Code	361
Min. Negotiated Rate	$1,129.23
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$2,605.91
Rate for Payer: Aetna Medicare Advantage	$2,605.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,215.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,215.02
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	$2,215.02
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,129.23
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

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Facility

$8,686.35

Service Code	HCPCS 32556
Hospital Charge Code	321032556
Hospital Revenue Code	361
Min. Negotiated Rate	$1,302.95
Max. Negotiated Rate	$1,302.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95

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Facility

$5,762.80

Service Code	HCPCS 32556
Hospital Charge Code	16000927
Hospital Revenue Code	360
Min. Negotiated Rate	$749.16
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$1,728.84
Rate for Payer: Aetna Medicare Advantage	$1,728.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,469.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,469.51
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	$1,469.51
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$749.16
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$864.42
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

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Facility

$5,762.80

Service Code	HCPCS 32556
Hospital Charge Code	16000927
Hospital Revenue Code	360
Min. Negotiated Rate	$864.42
Max. Negotiated Rate	$864.42
Rate for Payer: Qualcare PPO/HMO/WC	$864.42

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Facility

$2,281.40

Service Code	HCPCS 32556
Hospital Charge Code	5701015
Hospital Revenue Code	450
Min. Negotiated Rate	$342.21
Max. Negotiated Rate	$342.21
Rate for Payer: Qualcare PPO/HMO/WC	$342.21

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Facility

$2,881.40

Service Code	HCPCS 32556
Hospital Charge Code	7411385
Hospital Revenue Code	361
Min. Negotiated Rate	$432.21
Max. Negotiated Rate	$432.21
Rate for Payer: Qualcare PPO/HMO/WC	$432.21

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Facility

$141.63

Hospital Charge Code	270646994
Hospital Revenue Code	271
Min. Negotiated Rate	$21.24
Max. Negotiated Rate	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$21.24

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Facility

$141.63

Hospital Charge Code	270646994
Hospital Revenue Code	271
Min. Negotiated Rate	$18.41
Max. Negotiated Rate	$70.81
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.41
Rate for Payer: Oxford Commercial	$70.81
Rate for Payer: Qualcare PPO/HMO/WC	$21.24
Rate for Payer: UnitedHealthcare Commercial	$70.81

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Facility

$1,293.00

Hospital Charge Code	270677032
Hospital Revenue Code	270
Min. Negotiated Rate	$193.95
Max. Negotiated Rate	$193.95
Rate for Payer: Qualcare PPO/HMO/WC	$193.95

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Facility

$1,293.00

Hospital Charge Code	270677032
Hospital Revenue Code	270
Min. Negotiated Rate	$168.09
Max. Negotiated Rate	$646.50
Rate for Payer: Aetna Commercial	$387.90
Rate for Payer: Aetna Medicare Advantage	$387.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.71
Rate for Payer: Cigna Commercial	$646.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.09
Rate for Payer: Oxford Commercial	$646.50
Rate for Payer: Qualcare PPO/HMO/WC	$193.95
Rate for Payer: UnitedHealthcare Commercial	$646.50

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Facility

$1,293.00

Hospital Charge Code	270677030
Hospital Revenue Code	270
Min. Negotiated Rate	$193.95
Max. Negotiated Rate	$193.95
Rate for Payer: Qualcare PPO/HMO/WC	$193.95

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Facility

$1,293.00

Hospital Charge Code	270677030
Hospital Revenue Code	270
Min. Negotiated Rate	$168.09
Max. Negotiated Rate	$646.50
Rate for Payer: Aetna Commercial	$387.90
Rate for Payer: Aetna Medicare Advantage	$387.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.71
Rate for Payer: Cigna Commercial	$646.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.09
Rate for Payer: Oxford Commercial	$646.50
Rate for Payer: Qualcare PPO/HMO/WC	$193.95
Rate for Payer: UnitedHealthcare Commercial	$646.50

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Facility

$1,293.00

Hospital Charge Code	270677031
Hospital Revenue Code	270
Min. Negotiated Rate	$193.95
Max. Negotiated Rate	$193.95
Rate for Payer: Qualcare PPO/HMO/WC	$193.95

INSERT DRILL SLEEVE 2.7/2.0MM

Facility

$1,293.00

Hospital Charge Code	270677031
Hospital Revenue Code	270
Min. Negotiated Rate	$168.09
Max. Negotiated Rate	$646.50
Rate for Payer: Aetna Commercial	$387.90
Rate for Payer: Aetna Medicare Advantage	$387.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.71
Rate for Payer: Cigna Commercial	$646.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.09
Rate for Payer: Oxford Commercial	$646.50
Rate for Payer: Qualcare PPO/HMO/WC	$193.95
Rate for Payer: UnitedHealthcare Commercial	$646.50

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Facility

$478.95

Hospital Charge Code	270613695
Hospital Revenue Code	272
Min. Negotiated Rate	$62.26
Max. Negotiated Rate	$239.47
Rate for Payer: Aetna Commercial	$143.69
Rate for Payer: Aetna Medicare Advantage	$143.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.13
Rate for Payer: Cigna Commercial	$239.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.26
Rate for Payer: Oxford Commercial	$239.47
Rate for Payer: Qualcare PPO/HMO/WC	$71.84
Rate for Payer: UnitedHealthcare Commercial	$239.47

INSERT DRILL SLEEVE 3.5/2.5MM

Facility

$478.95

Hospital Charge Code	270613695
Hospital Revenue Code	272
Min. Negotiated Rate	$71.84
Max. Negotiated Rate	$71.84
Rate for Payer: Qualcare PPO/HMO/WC	$71.84

INSERT DRILL SLEEVE 8.5/2.8MM

Facility

$781.75

Hospital Charge Code	270678289
Hospital Revenue Code	272
Min. Negotiated Rate	$117.26
Max. Negotiated Rate	$117.26
Rate for Payer: Qualcare PPO/HMO/WC	$117.26

Know your out-of-pocket cost for care.

All Charges