Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANOSCOPY WITH BIOPSY

Facility

$5,458.64

Service Code	HCPCS 46606
Hospital Charge Code	160000173
Hospital Revenue Code	360
Min. Negotiated Rate	$709.62
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$1,637.59
Rate for Payer: Aetna Medicare Advantage	$1,637.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,391.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,391.95
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	$1,391.95
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$709.62
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$818.80
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

ANOSCOPY WITH BIOPSY

Facility

$5,458.64

Service Code	HCPCS 46606
Hospital Charge Code	160000173
Hospital Revenue Code	360
Min. Negotiated Rate	$818.80
Max. Negotiated Rate	$818.80
Rate for Payer: Qualcare PPO/HMO/WC	$818.80

ANOSCOPY W REM FB

Facility

$9,719.54

Service Code	HCPCS 46608
Hospital Charge Code	1600000422
Hospital Revenue Code	360
Min. Negotiated Rate	$1,457.93
Max. Negotiated Rate	$1,457.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,457.93

ANOSCOPY W REM FB

Facility

$9,719.54

Service Code	HCPCS 46608
Hospital Charge Code	1600000422
Hospital Revenue Code	360
Min. Negotiated Rate	$1,263.54
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$2,915.86
Rate for Payer: Aetna Medicare Advantage	$2,915.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,478.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,478.48
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	$2,478.48
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,263.54
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,457.93
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$23,889.91

Service Code	APR-DRG 0594
Min. Negotiated Rate	$23,421.48
Max. Negotiated Rate	$23,889.91
Rate for Payer: Aetna Better Health Medicaid	$23,421.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,889.91

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$16,644.75

Service Code	APR-DRG 0593
Min. Negotiated Rate	$16,318.38
Max. Negotiated Rate	$16,644.75
Rate for Payer: Aetna Better Health Medicaid	$16,318.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,644.75

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$11,617.00

Service Code	APR-DRG 0592
Min. Negotiated Rate	$11,389.22
Max. Negotiated Rate	$11,617.00
Rate for Payer: Aetna Better Health Medicaid	$11,389.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,617.00

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$7,277.50

Service Code	APR-DRG 0591
Min. Negotiated Rate	$7,134.80
Max. Negotiated Rate	$7,277.50
Rate for Payer: Aetna Better Health Medicaid	$7,134.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,277.50

ANSAID/100MG/TAB

Facility

$6.00

Hospital Charge Code	60632468
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ANSAID/100MG/TAB

Facility

$6.00

Hospital Charge Code	60632469
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

ANSAID/100MG/TAB

Facility

$6.00

Hospital Charge Code	60632469
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ANSAID/100MG/TAB

Facility

$6.00

Hospital Charge Code	60632468
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

ANSAID/50MG/TAB

Facility

$6.00

Hospital Charge Code	60632467
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

ANSAID/50MG/TAB

Facility

$6.00

Hospital Charge Code	60632467
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ANTABUSE/250MG/TAB

Facility

$3.00

Hospital Charge Code	60634349
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

ANTABUSE/250MG/TAB

Facility

$3.00

Hospital Charge Code	60634349
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ANT CERV PLATE 1 LEVEL

Facility

$4,750.00

Hospital Charge Code	270702197
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

ANT CERV PLATE 1 LEVEL

Facility

$4,750.00

Hospital Charge Code	270702197
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

ANT CERV PLATE 2 LEVELS

Facility

$5,250.00

Hospital Charge Code	270702203
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

ANT CERV PLATE 2 LEVELS

Facility

$5,250.00

Hospital Charge Code	270702203
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

ANT CHAMBER LENS MTA4UO ALCON

Facility

$174.00

Hospital Charge Code	270335903
Hospital Revenue Code	276
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$52.20
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

ANT CHAMBER LENS MTA4UO ALCON

Facility

$174.00

Hospital Charge Code	270335903
Hospital Revenue Code	276
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$42.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

ANTEGRADE FEMORAL NAIL CAP

Facility

$1,196.40

Hospital Charge Code	270657842
Hospital Revenue Code	278
Min. Negotiated Rate	$179.46
Max. Negotiated Rate	$598.20
Rate for Payer: Aetna Commercial	$358.92
Rate for Payer: Aetna Medicare Advantage	$358.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$305.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$305.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$305.08
Rate for Payer: Cigna Commercial	$598.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.53
Rate for Payer: Qualcare PPO/HMO/WC	$179.46

ANTEGRADE FEMORAL NAIL CAP

Facility

$1,196.40

Hospital Charge Code	270657842
Hospital Revenue Code	278
Min. Negotiated Rate	$179.46
Max. Negotiated Rate	$289.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.53
Rate for Payer: Qualcare PPO/HMO/WC	$179.46

ANTENNA EMPRINT REINFORCD 30CM

Facility

$17,975.00

Hospital Charge Code	270692897
Hospital Revenue Code	272
Min. Negotiated Rate	$2,336.75
Max. Negotiated Rate	$8,987.50
Rate for Payer: Aetna Commercial	$5,392.50
Rate for Payer: Aetna Medicare Advantage	$5,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,583.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,583.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,583.62
Rate for Payer: Cigna Commercial	$8,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.75
Rate for Payer: Oxford Commercial	$8,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,696.25
Rate for Payer: UnitedHealthcare Commercial	$8,987.50

Know your out-of-pocket cost for care.

All Charges