Heights University Hospital

All Charges

Charge

Type

Setting

Price

LAPAROSCOPE PROC INTESTINE

Facility

$22,659.64

Service Code	HCPCS 44238
Hospital Charge Code	16000974
Hospital Revenue Code	360
Min. Negotiated Rate	$3,398.95
Max. Negotiated Rate	$3,398.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,398.95

LAPAROSCOPE PROC RECTUM

Facility

$25,012.88

Service Code	HCPCS 45499
Hospital Charge Code	1600000554
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Medicare Advantage	$7,503.86
Rate for Payer: Aetna Commercial	$7,503.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,378.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,378.28
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	$6,378.28
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,251.67
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,751.93
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

LAPAROSCOPE PROC RECTUM

Facility

$25,012.88

Service Code	HCPCS 45499
Hospital Charge Code	1600000554
Hospital Revenue Code	360
Min. Negotiated Rate	$3,751.93
Max. Negotiated Rate	$3,751.93
Rate for Payer: Qualcare PPO/HMO/WC	$3,751.93

LAPAROSCOPIC ADJ GASTRIC BAND

Facility

$53,712.80

Service Code	HCPCS 43770
Hospital Charge Code	1600163
Hospital Revenue Code	361
Min. Negotiated Rate	$6,982.66
Max. Negotiated Rate	$25,313.84
Rate for Payer: Aetna Commercial	$16,113.84
Rate for Payer: Aetna Medicare Advantage	$16,113.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,696.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,696.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,696.76
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,982.66
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,056.92
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAPAROSCOPIC ADJ GASTRIC BAND

Facility

$53,712.80

Service Code	HCPCS 43770
Hospital Charge Code	1600163
Hospital Revenue Code	361
Min. Negotiated Rate	$8,056.92
Max. Negotiated Rate	$8,056.92
Rate for Payer: Qualcare PPO/HMO/WC	$8,056.92

LAPAROSCOPIC CHOLANG CATH

Facility

$437.00

Hospital Charge Code	270332580
Hospital Revenue Code	272
Min. Negotiated Rate	$56.81
Max. Negotiated Rate	$218.50
Rate for Payer: Aetna Commercial	$131.10
Rate for Payer: Aetna Medicare Advantage	$131.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.44
Rate for Payer: Cigna Commercial	$218.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.81
Rate for Payer: Oxford Commercial	$218.50
Rate for Payer: Qualcare PPO/HMO/WC	$65.55
Rate for Payer: UnitedHealthcare Commercial	$218.50

LAPAROSCOPIC CHOLANG CATH

Facility

$437.00

Hospital Charge Code	270332580
Hospital Revenue Code	272
Min. Negotiated Rate	$65.55
Max. Negotiated Rate	$65.55
Rate for Payer: Qualcare PPO/HMO/WC	$65.55

LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC

Facility

$60,922.17

Service Code	MSDRG 418
Min. Negotiated Rate	$18,459.73
Max. Negotiated Rate	$60,922.17
Rate for Payer: Aetna Commercial	$57,040.57
Rate for Payer: Aetna Medicare Advantage	$18,459.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,934.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,934.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,307.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,934.21
Rate for Payer: Cigna Commercial	$36,404.92
Rate for Payer: Cigna Medicare Advantage	$20,307.39
Rate for Payer: Clover Medicare Advantage	$19,292.02
Rate for Payer: EmblemHealth Commercial	$60,922.17
Rate for Payer: Humana Medicare Advantage	$20,916.61
Rate for Payer: Oxford Commercial	$22,752.02
Rate for Payer: UnitedHealthcare Commercial	$25,825.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,307.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,525.83
Rate for Payer: Wellcare Medicare Advantage	$20,307.39

LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC

Facility

$81,089.25

Service Code	MSDRG 417
Min. Negotiated Rate	$25,678.26
Max. Negotiated Rate	$81,089.25
Rate for Payer: Aetna Commercial	$80,469.13
Rate for Payer: Aetna Medicare Advantage	$26,041.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63,955.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63,955.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,029.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63,955.44
Rate for Payer: Cigna Commercial	$51,357.71
Rate for Payer: Cigna Medicare Advantage	$27,029.75
Rate for Payer: Clover Medicare Advantage	$25,678.26
Rate for Payer: EmblemHealth Commercial	$81,089.25
Rate for Payer: Humana Medicare Advantage	$27,840.64
Rate for Payer: Oxford Commercial	$32,097.08
Rate for Payer: UnitedHealthcare Commercial	$36,433.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,029.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28,651.53
Rate for Payer: Wellcare Medicare Advantage	$27,029.75

LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC

Facility

$51,465.57

Service Code	MSDRG 419
Min. Negotiated Rate	$14,904.41
Max. Negotiated Rate	$51,465.57
Rate for Payer: Aetna Commercial	$46,054.63
Rate for Payer: Aetna Medicare Advantage	$14,904.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,112.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,112.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,155.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,112.77
Rate for Payer: Cigna Commercial	$29,393.38
Rate for Payer: Cigna Medicare Advantage	$17,155.19
Rate for Payer: Clover Medicare Advantage	$16,297.43
Rate for Payer: EmblemHealth Commercial	$51,465.57
Rate for Payer: Humana Medicare Advantage	$17,669.85
Rate for Payer: Oxford Commercial	$18,370.01
Rate for Payer: UnitedHealthcare Commercial	$20,851.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,155.19
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,184.50
Rate for Payer: Wellcare Medicare Advantage	$17,155.19

LAPAROSCOPIC ELECTRODE

Facility

$874.00

Hospital Charge Code	270332563
Hospital Revenue Code	272
Min. Negotiated Rate	$131.10
Max. Negotiated Rate	$131.10
Rate for Payer: Qualcare PPO/HMO/WC	$131.10

LAPAROSCOPIC ELECTRODE

Facility

$874.00

Hospital Charge Code	270332563
Hospital Revenue Code	272
Min. Negotiated Rate	$113.62
Max. Negotiated Rate	$437.00
Rate for Payer: Aetna Commercial	$262.20
Rate for Payer: Aetna Medicare Advantage	$262.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.87
Rate for Payer: Cigna Commercial	$437.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.62
Rate for Payer: Oxford Commercial	$437.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.10
Rate for Payer: UnitedHealthcare Commercial	$437.00

LAPAROSCOPIC GASTRIC BANDING

Facility

$37,500.00

Hospital Charge Code	1600160
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$18,750.00
Rate for Payer: Aetna Commercial	$11,250.00
Rate for Payer: Aetna Medicare Advantage	$11,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,562.50
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	$9,562.50
Rate for Payer: Cigna Commercial	$18,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,625.00

LAPAROSCOPIC GASTRIC BANDING

Facility

$37,500.00

Hospital Charge Code	1600160
Hospital Revenue Code	360
Min. Negotiated Rate	$5,625.00
Max. Negotiated Rate	$5,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,625.00

LAPAROSCOPIC PROC

Facility

$5,638.40

Service Code	HCPCS 45400
Hospital Charge Code	1600000551
Hospital Revenue Code	360
Min. Negotiated Rate	$732.99
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$1,691.52
Rate for Payer: Aetna Medicare Advantage	$1,691.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,437.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,437.79
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	$1,437.79
Rate for Payer: Cigna Commercial	$1,139.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.99
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$845.76
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

LAPAROSCOPIC PROC

Facility

$5,638.40

Service Code	HCPCS 45400
Hospital Charge Code	1600000551
Hospital Revenue Code	360
Min. Negotiated Rate	$845.76
Max. Negotiated Rate	$845.76
Rate for Payer: Qualcare PPO/HMO/WC	$845.76

LAPAROSCOPIC TUBING

Facility

$65.41

Hospital Charge Code	270664808
Hospital Revenue Code	270
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$32.70
Rate for Payer: Aetna Commercial	$19.62
Rate for Payer: Aetna Medicare Advantage	$19.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.68
Rate for Payer: Cigna Commercial	$32.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.50
Rate for Payer: Oxford Commercial	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$9.81
Rate for Payer: UnitedHealthcare Commercial	$32.70

LAPAROSCOPIC TUBING

Facility

$65.41

Hospital Charge Code	270664808
Hospital Revenue Code	270
Min. Negotiated Rate	$9.81
Max. Negotiated Rate	$9.81
Rate for Payer: Qualcare PPO/HMO/WC	$9.81

LAPAROSCOPY CHOLECYSTECOMY

Facility

$58,549.97

Service Code	HCPCS 47562
Hospital Charge Code	16000590
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,564.99
Rate for Payer: Aetna Commercial	$17,564.99
Rate for Payer: Aetna Medicare Advantage	$17,564.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,930.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,930.24
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	$14,930.24
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,611.50
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,782.50
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAPAROSCOPY CHOLECYSTECOMY

Facility

$58,549.97

Service Code	HCPCS 47562
Hospital Charge Code	16000590
Hospital Revenue Code	360
Min. Negotiated Rate	$8,782.50
Max. Negotiated Rate	$8,782.50
Rate for Payer: Qualcare PPO/HMO/WC	$8,782.50

LAPAROSCOPY FUNDOPLASTY

Facility

$35,624.77

Service Code	HCPCS 43280
Hospital Charge Code	1600000672
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$25,313.84
Rate for Payer: Aetna Commercial	$10,687.43
Rate for Payer: Aetna Medicare Advantage	$10,687.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,084.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,084.32
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	$9,084.32
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,631.22
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,343.72
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAPAROSCOPY FUNDOPLASTY

Facility

$35,624.77

Service Code	HCPCS 43280
Hospital Charge Code	1600000491
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$25,313.84
Rate for Payer: Aetna Commercial	$10,687.43
Rate for Payer: Aetna Medicare Advantage	$10,687.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,084.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,084.32
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	$9,084.32
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,631.22
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,343.72
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAPAROSCOPY FUNDOPLASTY

Facility

$35,624.77

Service Code	HCPCS 43280
Hospital Charge Code	1600000672
Hospital Revenue Code	360
Min. Negotiated Rate	$5,343.72
Max. Negotiated Rate	$5,343.72
Rate for Payer: Qualcare PPO/HMO/WC	$5,343.72

LAPAROSCOPY FUNDOPLASTY

Facility

$35,624.77

Service Code	HCPCS 43280
Hospital Charge Code	1600000491
Hospital Revenue Code	360
Min. Negotiated Rate	$5,343.72
Max. Negotiated Rate	$5,343.72
Rate for Payer: Qualcare PPO/HMO/WC	$5,343.72

LAPAROSCOPY LYMPHADENECTOMY

Facility

$33,033.35

Service Code	HCPCS 38572
Hospital Charge Code	1600000516
Hospital Revenue Code	360
Min. Negotiated Rate	$4,955.00
Max. Negotiated Rate	$4,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,955.00

Know your out-of-pocket cost for care.

All Charges