Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR ABSCESS DRAINAGE

Facility

$5,100.00

Service Code	HCPCS 75989
Hospital Charge Code	321075989
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR ABSCESS DRAINAGE

Facility

$3,408.00

Service Code	HCPCS 75989
Hospital Charge Code	7411748
Hospital Revenue Code	320
Min. Negotiated Rate	$126.54
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$1,022.40
Rate for Payer: Aetna Medicare Advantage	$1,022.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$869.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$869.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$869.04
Rate for Payer: Cigna Commercial	$126.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.04
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$511.20
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ABSCESS DRAINAGE

Facility

$5,100.00

Service Code	HCPCS 75989
Hospital Charge Code	321075989
Hospital Revenue Code	320
Min. Negotiated Rate	$126.54
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$126.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ABSCESS DRAINAGE

Facility

$3,408.00

Service Code	HCPCS 75989
Hospital Charge Code	7411748
Hospital Revenue Code	320
Min. Negotiated Rate	$511.20
Max. Negotiated Rate	$511.20
Rate for Payer: Qualcare PPO/HMO/WC	$511.20

IR ABSCESS DRAINAGE

Facility

$5,100.00

Service Code	HCPCS 75989
Hospital Charge Code	366875989
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR ABSCESS DRAINAGE CATH CHECK

Facility

$553.65

Service Code	HCPCS 49424
Hospital Charge Code	2011075
Hospital Revenue Code	361
Min. Negotiated Rate	$83.05
Max. Negotiated Rate	$83.05
Rate for Payer: Qualcare PPO/HMO/WC	$83.05

IR ABSCESS DRAINAGE CATH CHECK

Facility

$553.65

Service Code	HCPCS 49424
Hospital Charge Code	2011075
Hospital Revenue Code	361
Min. Negotiated Rate	$34.58
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$166.09
Rate for Payer: Aetna Medicare Advantage	$166.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.18
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	$141.18
Rate for Payer: Cigna Commercial	$34.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.97
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.05
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$4,914.50

Service Code	HCPCS 32551
Hospital Charge Code	411032511
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$6,404.20

Service Code	HCPCS 32551
Hospital Charge Code	2003085
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Better Health Medicaid	$2,426.75
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,475.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,426.75

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$4,914.50

Service Code	HCPCS 32551
Hospital Charge Code	411032511
Hospital Revenue Code	361
Min. Negotiated Rate	$638.88
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Better Health Medicaid	$2,426.75
Rate for Payer: Aetna Commercial	$1,474.35
Rate for Payer: Aetna Medicare Advantage	$1,474.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,253.20
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	$1,253.20
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$737.17
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,475.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,426.75

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$2,422.65

Service Code	HCPCS 32551
Hospital Charge Code	7411379
Hospital Revenue Code	361
Min. Negotiated Rate	$314.94
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Better Health Medicaid	$2,426.75
Rate for Payer: Aetna Commercial	$726.79
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
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	$617.78
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.94
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.40
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,475.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,426.75

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$6,404.20

Service Code	HCPCS 32551
Hospital Charge Code	321032551
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Better Health Medicaid	$2,426.75
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,475.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,426.75

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$6,404.20

Service Code	HCPCS 32551
Hospital Charge Code	2003085
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$2,422.65

Service Code	HCPCS 32551
Hospital Charge Code	7411379
Hospital Revenue Code	361
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$4,914.50

Service Code	HCPCS 32551
Hospital Charge Code	366832551
Hospital Revenue Code	361
Min. Negotiated Rate	$638.88
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Better Health Medicaid	$2,426.75
Rate for Payer: Aetna Commercial	$1,474.35
Rate for Payer: Aetna Medicare Advantage	$1,474.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,253.20
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	$1,253.20
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$737.17
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,475.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,426.75

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$4,914.50

Service Code	HCPCS 32551
Hospital Charge Code	366832551
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

IR ABSCESS DRAINAGE EMPYEM HEM

Facility

$6,404.20

Service Code	HCPCS 32551
Hospital Charge Code	321032551
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR-ABSCESS DRAIN REN/PERIRENAL

Facility

$6,420.00

Service Code	HCPCS 49405
Hospital Charge Code	7411583
Hospital Revenue Code	361
Min. Negotiated Rate	$834.60
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,926.00
Rate for Payer: Aetna Medicare Advantage	$1,926.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.10
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	$1,637.10
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.60
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.00
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR-ABSCESS DRAIN REN/PERIRENAL

Facility

$8,054.80

Service Code	HCPCS 49405
Hospital Charge Code	2680200
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,416.44
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
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	$2,053.97
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR-ABSCESS DRAIN REN/PERIRENAL

Facility

$8,054.80

Service Code	HCPCS 49405
Hospital Charge Code	2680200
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-ABSCESS DRAIN REN/PERIRENAL

Facility

$6,420.00

Service Code	HCPCS 49405
Hospital Charge Code	7411583
Hospital Revenue Code	361
Min. Negotiated Rate	$963.00
Max. Negotiated Rate	$963.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.00

IR-ABSCESS DRAIN RETROPERITON

Facility

$8,054.80

Service Code	HCPCS 49406
Hospital Charge Code	2670050
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-ABSCESS DRAIN RETROPERITON

Facility

$8,054.80

Service Code	HCPCS 49406
Hospital Charge Code	2670050
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,416.44
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
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	$2,053.97
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR-ABSCESS DRAIN RETROPERITON

Facility

$4,597.00

Service Code	HCPCS 49406
Hospital Charge Code	7411585
Hospital Revenue Code	361
Min. Negotiated Rate	$597.61
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,379.10
Rate for Payer: Aetna Medicare Advantage	$1,379.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,172.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,172.23
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	$1,172.23
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.61
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$689.55
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR-ABSCESS DRAIN RETROPERITON

Facility

$4,597.00

Service Code	HCPCS 49406
Hospital Charge Code	7411585
Hospital Revenue Code	361
Min. Negotiated Rate	$689.55
Max. Negotiated Rate	$689.55
Rate for Payer: Qualcare PPO/HMO/WC	$689.55

Know your out-of-pocket cost for care.

All Charges