Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR DRAINAGE LUNG LEFT

Facility

$1,139.65

Hospital Charge Code	2600063
Hospital Revenue Code	361
Min. Negotiated Rate	$148.15
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$341.89
Rate for Payer: Aetna Medicare Advantage	$341.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.61
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	$290.61
Rate for Payer: Cigna Commercial	$569.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.15
Rate for Payer: Qualcare PPO/HMO/WC	$170.95

IR DRAINAGE LUNG LEFT

Facility

$1,139.65

Hospital Charge Code	2600063
Hospital Revenue Code	361
Min. Negotiated Rate	$170.95
Max. Negotiated Rate	$170.95
Rate for Payer: Qualcare PPO/HMO/WC	$170.95

IR DRAINAGE LUNG RIGHT

Facility

$1,139.65

Hospital Charge Code	2600064
Hospital Revenue Code	361
Min. Negotiated Rate	$170.95
Max. Negotiated Rate	$170.95
Rate for Payer: Qualcare PPO/HMO/WC	$170.95

IR DRAINAGE LUNG RIGHT

Facility

$1,139.65

Hospital Charge Code	2600064
Hospital Revenue Code	361
Min. Negotiated Rate	$148.15
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$341.89
Rate for Payer: Aetna Medicare Advantage	$341.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.61
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	$290.61
Rate for Payer: Cigna Commercial	$569.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.15
Rate for Payer: Qualcare PPO/HMO/WC	$170.95

IR-DRAINAGE OF NOSE LESIO

Facility

$573.00

Service Code	HCPCS 30000
Hospital Charge Code	2690035
Hospital Revenue Code	761
Min. Negotiated Rate	$38.64
Max. Negotiated Rate	$564.04
Rate for Payer: Aetna Commercial	$171.90
Rate for Payer: Aetna Medicare Advantage	$171.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.12
Rate for Payer: Cigna Commercial	$564.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.49
Rate for Payer: Oxford Commercial	$286.50
Rate for Payer: Qualcare PPO/HMO/WC	$85.95
Rate for Payer: UnitedHealthcare Commercial	$286.50

IR-DRAINAGE OF NOSE LESIO

Facility

$573.00

Service Code	HCPCS 30000
Hospital Charge Code	7411373
Hospital Revenue Code	761
Min. Negotiated Rate	$38.64
Max. Negotiated Rate	$564.04
Rate for Payer: Aetna Commercial	$171.90
Rate for Payer: Aetna Medicare Advantage	$171.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.12
Rate for Payer: Cigna Commercial	$564.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.49
Rate for Payer: Oxford Commercial	$286.50
Rate for Payer: Qualcare PPO/HMO/WC	$85.95
Rate for Payer: UnitedHealthcare Commercial	$286.50

IR-DRAINAGE OF NOSE LESIO

Facility

$573.00

Service Code	HCPCS 30000
Hospital Charge Code	7411373
Hospital Revenue Code	761
Min. Negotiated Rate	$85.95
Max. Negotiated Rate	$85.95
Rate for Payer: Qualcare PPO/HMO/WC	$85.95

IR-DRAINAGE OF NOSE LESIO

Facility

$573.00

Service Code	HCPCS 30000
Hospital Charge Code	2690035
Hospital Revenue Code	761
Min. Negotiated Rate	$85.95
Max. Negotiated Rate	$85.95
Rate for Payer: Qualcare PPO/HMO/WC	$85.95

IR DRAINAGE PANCREAS

Facility

$3,407.60

Hospital Charge Code	2600065
Hospital Revenue Code	361
Min. Negotiated Rate	$511.14
Max. Negotiated Rate	$511.14
Rate for Payer: Qualcare PPO/HMO/WC	$511.14

IR DRAINAGE PANCREAS

Facility

$3,407.60

Hospital Charge Code	2600065
Hospital Revenue Code	361
Min. Negotiated Rate	$442.99
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,022.28
Rate for Payer: Aetna Medicare Advantage	$1,022.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$868.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$868.94
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	$868.94
Rate for Payer: Cigna Commercial	$1,703.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.99
Rate for Payer: Qualcare PPO/HMO/WC	$511.14

IR DRAINAGE PERITONEAL

Facility

$6,139.10

Hospital Charge Code	2600066
Hospital Revenue Code	361
Min. Negotiated Rate	$920.87
Max. Negotiated Rate	$920.87
Rate for Payer: Qualcare PPO/HMO/WC	$920.87

IR DRAINAGE PERITONEAL

Facility

$6,139.10

Hospital Charge Code	2600066
Hospital Revenue Code	361
Min. Negotiated Rate	$798.08
Max. Negotiated Rate	$3,069.55
Rate for Payer: Aetna Commercial	$1,841.73
Rate for Payer: Aetna Medicare Advantage	$1,841.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,565.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,565.47
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	$1,565.47
Rate for Payer: Cigna Commercial	$3,069.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.08
Rate for Payer: Qualcare PPO/HMO/WC	$920.87

IR DRAINAGE RENAL BILATERAL

Facility

$4,350.20

Service Code	HCPCS 50200
Hospital Charge Code	2600067
Hospital Revenue Code	361
Min. Negotiated Rate	$565.53
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,305.06
Rate for Payer: Aetna Medicare Advantage	$1,305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.30
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	$1,109.30
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.53
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.53
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR DRAINAGE RENAL BILATERAL

Facility

$4,350.20

Service Code	HCPCS 50200
Hospital Charge Code	2600067
Hospital Revenue Code	361
Min. Negotiated Rate	$652.53
Max. Negotiated Rate	$652.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

IR DRAINAGE RENAL LEFT

Facility

$4,350.20

Service Code	HCPCS 50200
Hospital Charge Code	2600068
Hospital Revenue Code	361
Min. Negotiated Rate	$565.53
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,305.06
Rate for Payer: Aetna Medicare Advantage	$1,305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.30
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	$1,109.30
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.53
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.53
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR DRAINAGE RENAL LEFT

Facility

$4,350.20

Service Code	HCPCS 50200
Hospital Charge Code	2600068
Hospital Revenue Code	361
Min. Negotiated Rate	$652.53
Max. Negotiated Rate	$652.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

IR DRAINAGE RENAL RIGHT

Facility

$4,350.20

Service Code	HCPCS 50200
Hospital Charge Code	2600069
Hospital Revenue Code	361
Min. Negotiated Rate	$565.53
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,305.06
Rate for Payer: Aetna Medicare Advantage	$1,305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.30
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	$1,109.30
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.53
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.53
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR DRAINAGE RENAL RIGHT

Facility

$4,350.20

Service Code	HCPCS 50200
Hospital Charge Code	2600069
Hospital Revenue Code	361
Min. Negotiated Rate	$652.53
Max. Negotiated Rate	$652.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

IR DRAINAGE SKIN ABSCESS SIMPL

Facility

$641.65

Service Code	HCPCS 10060
Hospital Charge Code	5600101
Hospital Revenue Code	361
Min. Negotiated Rate	$96.25
Max. Negotiated Rate	$96.25
Rate for Payer: Qualcare PPO/HMO/WC	$96.25

IR DRAINAGE SKIN ABSCESS SIMPL

Facility

$641.65

Service Code	HCPCS 10060
Hospital Charge Code	7411333
Hospital Revenue Code	361
Min. Negotiated Rate	$83.41
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$943.15
Rate for Payer: Aetna Commercial	$192.50
Rate for Payer: Aetna Medicare Advantage	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.62
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	$163.62
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.41
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.25
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$962.01
Rate for Payer: Wellpoint Medicaid Managed Care	$943.15

IR DRAINAGE SKIN ABSCESS SIMPL

Facility

$641.65

Service Code	HCPCS 10060
Hospital Charge Code	7411333
Hospital Revenue Code	361
Min. Negotiated Rate	$96.25
Max. Negotiated Rate	$96.25
Rate for Payer: Qualcare PPO/HMO/WC	$96.25

IR DRAINAGE SKIN ABSCESS SIMPL

Facility

$641.65

Service Code	HCPCS 10060
Hospital Charge Code	5600101
Hospital Revenue Code	361
Min. Negotiated Rate	$83.41
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$943.15
Rate for Payer: Aetna Commercial	$192.50
Rate for Payer: Aetna Medicare Advantage	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.62
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	$163.62
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.41
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.25
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$962.01
Rate for Payer: Wellpoint Medicaid Managed Care	$943.15

IR-DRAINAGE SUBDIAPH OR SUBPHR

Facility

$8,054.80

Service Code	HCPCS 49406
Hospital Charge Code	2670205
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-DRAINAGE SUBDIAPH OR SUBPHR

Facility

$8,054.80

Service Code	HCPCS 49406
Hospital Charge Code	2670205
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-DRAINAGE SUBDIAPH OR SUBPHR

Facility

$6,420.00

Service Code	HCPCS 49406
Hospital Charge Code	7411586
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

Know your out-of-pocket cost for care.

All Charges