Heights University Hospital

All Charges

Charge

Type

Setting

Price

KNEE KIT SCP

Facility

$23,300.00

Hospital Charge Code	270691618
Hospital Revenue Code	272
Min. Negotiated Rate	$3,495.00
Max. Negotiated Rate	$3,495.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,495.00

KNEE KIT SCP

Facility

$23,300.00

Hospital Charge Code	270691618
Hospital Revenue Code	272
Min. Negotiated Rate	$3,029.00
Max. Negotiated Rate	$11,650.00
Rate for Payer: Aetna Commercial	$6,990.00
Rate for Payer: Aetna Medicare Advantage	$6,990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,941.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,941.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,941.50
Rate for Payer: Cigna Commercial	$11,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,029.00
Rate for Payer: Oxford Commercial	$11,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,495.00
Rate for Payer: UnitedHealthcare Commercial	$11,650.00

KNEE KLASSIC FEMUR SZ 4

Facility

$7,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270685970
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,100.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

KNEE KLASSIC FEMUR SZ 4

Facility

$7,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270685970
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

KNEE M COPAL EXCHANGE

Facility

$20,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690884
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

KNEE M COPAL EXCHANGE

Facility

$20,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690884
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$6,000.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

KNEE MIN 3 VIEWS-BILAT

Facility

$6,601.19

Service Code	HCPCS 7356250
Hospital Charge Code	94061239
Hospital Revenue Code	320
Min. Negotiated Rate	$858.15
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$1,980.36
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

KNEE MIN 3 VIEWS-BILAT

Facility

$6,601.19

Service Code	HCPCS 7356250
Hospital Charge Code	94061239
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

KNEE MIN 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73562LT
Hospital Charge Code	94061369
Hospital Revenue Code	320
Min. Negotiated Rate	$858.15
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$1,980.36
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

KNEE MIN 3 VIEWS-LT

Facility

$6,601.19

Service Code	HCPCS 73562LT
Hospital Charge Code	94061369
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

KNEE MIN 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73562RT
Hospital Charge Code	94061371
Hospital Revenue Code	320
Min. Negotiated Rate	$858.15
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$1,980.36
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

KNEE MIN 3 VIEWS-RT

Facility

$6,601.19

Service Code	HCPCS 73562RT
Hospital Charge Code	94061371
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

KNEE POSITIONER DISP 2ND ASST

Facility

$1,000.00

Hospital Charge Code	270638706
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

KNEE POSITIONER DISP 2ND ASST

Facility

$1,000.00

Hospital Charge Code	270638706
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC

Facility

$63,165.84

Service Code	MSDRG 488
Min. Negotiated Rate	$19,303.27
Max. Negotiated Rate	$63,165.84
Rate for Payer: Aetna Commercial	$59,647.10
Rate for Payer: Aetna Medicare Advantage	$19,303.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,055.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,166.37
Rate for Payer: Cigna Commercial	$32,789.40
Rate for Payer: Cigna Medicare Advantage	$21,055.28
Rate for Payer: Clover Medicare Advantage	$20,002.52
Rate for Payer: EmblemHealth Commercial	$63,165.84
Rate for Payer: Humana Medicare Advantage	$21,686.94
Rate for Payer: Oxford Commercial	$20,492.42
Rate for Payer: UnitedHealthcare Commercial	$23,260.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,055.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,318.60
Rate for Payer: Wellcare Medicare Advantage	$21,055.28

KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC

Facility

$44,238.18

Service Code	MSDRG 489
Min. Negotiated Rate	$12,187.17
Max. Negotiated Rate	$44,238.18
Rate for Payer: Aetna Commercial	$37,658.36
Rate for Payer: Aetna Medicare Advantage	$12,187.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,183.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,183.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,746.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,183.08
Rate for Payer: Cigna Commercial	$24,034.65
Rate for Payer: Cigna Medicare Advantage	$14,746.06
Rate for Payer: Clover Medicare Advantage	$14,008.76
Rate for Payer: EmblemHealth Commercial	$44,238.18
Rate for Payer: Humana Medicare Advantage	$15,188.44
Rate for Payer: Oxford Commercial	$15,020.96
Rate for Payer: UnitedHealthcare Commercial	$17,050.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,746.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,630.82
Rate for Payer: Wellcare Medicare Advantage	$14,746.06

KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC

Facility

$72,517.95

Service Code	MSDRG 486
Min. Negotiated Rate	$22,819.30
Max. Negotiated Rate	$72,517.95
Rate for Payer: Aetna Commercial	$70,511.64
Rate for Payer: Aetna Medicare Advantage	$22,819.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,409.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,409.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,172.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,409.67
Rate for Payer: Cigna Commercial	$45,002.56
Rate for Payer: Cigna Medicare Advantage	$24,172.65
Rate for Payer: Clover Medicare Advantage	$22,964.02
Rate for Payer: EmblemHealth Commercial	$72,517.95
Rate for Payer: Humana Medicare Advantage	$24,897.83
Rate for Payer: Oxford Commercial	$28,125.29
Rate for Payer: UnitedHealthcare Commercial	$31,924.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,172.65
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,623.01
Rate for Payer: Wellcare Medicare Advantage	$24,172.65

KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC

Facility

$108,817.44

Service Code	MSDRG 485
Min. Negotiated Rate	$33,405.54
Max. Negotiated Rate	$108,817.44
Rate for Payer: Aetna Commercial	$108,817.44
Rate for Payer: Aetna Medicare Advantage	$35,216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90,695.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90,695.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,163.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90,695.43
Rate for Payer: Cigna Commercial	$69,450.42
Rate for Payer: Cigna Medicare Advantage	$35,163.73
Rate for Payer: Clover Medicare Advantage	$33,405.54
Rate for Payer: EmblemHealth Commercial	$105,491.19
Rate for Payer: Humana Medicare Advantage	$36,218.64
Rate for Payer: Oxford Commercial	$43,404.50
Rate for Payer: UnitedHealthcare Commercial	$49,268.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,163.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37,273.55
Rate for Payer: Wellcare Medicare Advantage	$35,163.73

KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC

Facility

$57,282.33

Service Code	MSDRG 487
Min. Negotiated Rate	$17,091.29
Max. Negotiated Rate	$57,282.33
Rate for Payer: Aetna Commercial	$52,812.09
Rate for Payer: Aetna Medicare Advantage	$17,091.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,094.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,453.18
Rate for Payer: Cigna Commercial	$33,706.19
Rate for Payer: Cigna Medicare Advantage	$19,094.11
Rate for Payer: Clover Medicare Advantage	$18,139.40
Rate for Payer: EmblemHealth Commercial	$57,282.33
Rate for Payer: Humana Medicare Advantage	$19,666.93
Rate for Payer: Oxford Commercial	$21,065.39
Rate for Payer: UnitedHealthcare Commercial	$23,911.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,094.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,239.76
Rate for Payer: Wellcare Medicare Advantage	$19,094.11

KNEE REVISON SPECIALTY BUNDLE

Facility

$62,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270685546
Hospital Revenue Code	278
Min. Negotiated Rate	$9,375.00
Max. Negotiated Rate	$31,250.00
Rate for Payer: Aetna Commercial	$18,750.00
Rate for Payer: Aetna Medicare Advantage	$18,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,937.50
Rate for Payer: Cigna Commercial	$31,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,375.00

KNEE REVISON SPECIALTY BUNDLE

Facility

$62,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270685546
Hospital Revenue Code	278
Min. Negotiated Rate	$9,375.00
Max. Negotiated Rate	$15,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,375.00

KNEES BILATERAL

Facility

$6,601.19

Service Code	HCPCS 7356050
Hospital Charge Code	2011352
Hospital Revenue Code	320
Min. Negotiated Rate	$858.15
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$1,980.36
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

KNEES BILATERAL

Facility

$6,601.19

Service Code	HCPCS 7356050
Hospital Charge Code	2011352
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

KNEE SPACER HIGH RELEASE MED

Facility

$19,950.00

Hospital Charge Code	270669747
Hospital Revenue Code	278
Min. Negotiated Rate	$2,992.50
Max. Negotiated Rate	$4,827.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,827.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,992.50

KNEE SPACER HIGH RELEASE MED

Facility

$19,950.00

Hospital Charge Code	270669747
Hospital Revenue Code	278
Min. Negotiated Rate	$2,992.50
Max. Negotiated Rate	$9,975.00
Rate for Payer: Aetna Commercial	$5,985.00
Rate for Payer: Aetna Medicare Advantage	$5,985.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,087.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,087.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,087.25
Rate for Payer: Cigna Commercial	$9,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,827.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,992.50

Know your out-of-pocket cost for care.

All Charges