Heights University Hospital

All Charges

Charge

Type

Setting

Price

LAPBAND W/ACS PRT 0-14 APL2245

Facility

$13,345.00

Hospital Charge Code	270641067
Hospital Revenue Code	272
Min. Negotiated Rate	$2,001.75
Max. Negotiated Rate	$2,001.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,001.75

LAPBAND W/ACS PRT 0-14 APL2245

Facility

$13,345.00

Hospital Charge Code	270641067
Hospital Revenue Code	272
Min. Negotiated Rate	$1,734.85
Max. Negotiated Rate	$6,672.50
Rate for Payer: Aetna Commercial	$4,003.50
Rate for Payer: Aetna Medicare Advantage	$4,003.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,402.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,402.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,402.97
Rate for Payer: Cigna Commercial	$6,672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,734.85
Rate for Payer: Oxford Commercial	$6,672.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,001.75
Rate for Payer: UnitedHealthcare Commercial	$6,672.50

LAP,CHOLCYSTMY W CHLNGIGR

Facility

$43,334.60

Service Code	HCPCS 47563
Hospital Charge Code	16000644
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$13,000.38
Rate for Payer: Aetna Medicare Advantage	$13,000.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,050.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,050.32
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	$11,050.32
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,633.50
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,500.19
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAP,CHOLCYSTMY W CHLNGIGR

Facility

$43,334.60

Service Code	HCPCS 47563
Hospital Charge Code	16000644
Hospital Revenue Code	360
Min. Negotiated Rate	$6,500.19
Max. Negotiated Rate	$6,500.19
Rate for Payer: Qualcare PPO/HMO/WC	$6,500.19

LAP CLOSE ENTEROSTOMY

Facility

$22,413.00

Service Code	HCPCS 44227
Hospital Charge Code	1600000763
Hospital Revenue Code	360
Min. Negotiated Rate	$1,653.07
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$6,723.90
Rate for Payer: Aetna Medicare Advantage	$6,723.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,715.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,715.31
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	$5,715.31
Rate for Payer: Cigna Commercial	$1,653.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,913.69
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,361.95
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

LAP CLOSE ENTEROSTOMY

Facility

$22,413.00

Service Code	HCPCS 44227
Hospital Charge Code	1600000763
Hospital Revenue Code	360
Min. Negotiated Rate	$3,361.95
Max. Negotiated Rate	$3,361.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,361.95

LAPCOLECTOMY PART W/ILEUM

Facility

$14,324.36

Service Code	HCPCS 44205
Hospital Charge Code	1600000447
Hospital Revenue Code	360
Min. Negotiated Rate	$1,335.13
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,297.31
Rate for Payer: Aetna Medicare Advantage	$4,297.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,652.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,652.71
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	$3,652.71
Rate for Payer: Cigna Commercial	$1,335.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,862.17
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,148.65
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

LAPCOLECTOMY PART W/ILEUM

Facility

$14,324.36

Service Code	HCPCS 44205
Hospital Charge Code	1600000447
Hospital Revenue Code	360
Min. Negotiated Rate	$2,148.65
Max. Negotiated Rate	$2,148.65
Rate for Payer: Qualcare PPO/HMO/WC	$2,148.65

LAP COLOSTOMY

Facility

$10,955.74

Service Code	HCPCS 44188
Hospital Charge Code	16000970
Hospital Revenue Code	360
Min. Negotiated Rate	$1,247.91
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$3,286.72
Rate for Payer: Aetna Medicare Advantage	$3,286.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,793.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,793.71
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	$2,793.71
Rate for Payer: Cigna Commercial	$1,247.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,424.25
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,643.36
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

LAP COLOSTOMY

Facility

$10,955.74

Service Code	HCPCS 44188
Hospital Charge Code	16000970
Hospital Revenue Code	360
Min. Negotiated Rate	$1,643.36
Max. Negotiated Rate	$1,643.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,643.36

LAP DISC HAND ACC DEVICE LD111

Facility

$2,535.75

Hospital Charge Code	270628294
Hospital Revenue Code	272
Min. Negotiated Rate	$329.65
Max. Negotiated Rate	$1,267.88
Rate for Payer: Aetna Commercial	$760.73
Rate for Payer: Aetna Medicare Advantage	$760.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$646.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$646.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$646.62
Rate for Payer: Cigna Commercial	$1,267.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.65
Rate for Payer: Oxford Commercial	$1,267.88
Rate for Payer: Qualcare PPO/HMO/WC	$380.36
Rate for Payer: UnitedHealthcare Commercial	$1,267.88

LAP DISC HAND ACC DEVICE LD111

Facility

$2,535.75

Hospital Charge Code	270628294
Hospital Revenue Code	272
Min. Negotiated Rate	$380.36
Max. Negotiated Rate	$380.36
Rate for Payer: Qualcare PPO/HMO/WC	$380.36

LAP DISC HND ACCSS DVCE LD112

Facility

$2,604.00

Hospital Charge Code	270635333
Hospital Revenue Code	272
Min. Negotiated Rate	$338.52
Max. Negotiated Rate	$1,302.00
Rate for Payer: Aetna Commercial	$781.20
Rate for Payer: Aetna Medicare Advantage	$781.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$664.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$664.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$664.02
Rate for Payer: Cigna Commercial	$1,302.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.52
Rate for Payer: Oxford Commercial	$1,302.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.60
Rate for Payer: UnitedHealthcare Commercial	$1,302.00

LAP DISC HND ACCSS DVCE LD112

Facility

$2,604.00

Hospital Charge Code	270635333
Hospital Revenue Code	272
Min. Negotiated Rate	$390.60
Max. Negotiated Rate	$390.60
Rate for Payer: Qualcare PPO/HMO/WC	$390.60

LAP ENTERECTOMY

Facility

$8,576.55

Service Code	HCPCS 44202
Hospital Charge Code	1600000632
Hospital Revenue Code	360
Min. Negotiated Rate	$1,286.48
Max. Negotiated Rate	$1,286.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.48

LAP ENTERECTOMY

Facility

$8,576.55

Service Code	HCPCS 44202
Hospital Charge Code	1600000632
Hospital Revenue Code	360
Min. Negotiated Rate	$1,114.95
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$2,572.97
Rate for Payer: Aetna Medicare Advantage	$2,572.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,187.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,187.02
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	$2,187.02
Rate for Payer: Cigna Commercial	$1,404.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,114.95
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.48
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

LAP ENTEROLYSIS

Facility

$58,549.97

Service Code	HCPCS 44180
Hospital Charge Code	16000586
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

LAP ENTEROLYSIS

Facility

$58,549.97

Service Code	HCPCS 44180
Hospital Charge Code	16000586
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

LAP GASTRIC BYPASS/ROUX-EN-Y

Facility

$14,821.52

Service Code	HCPCS 43644
Hospital Charge Code	1600000388
Hospital Revenue Code	360
Min. Negotiated Rate	$1,760.83
Max. Negotiated Rate	$9,851.00
Rate for Payer: Aetna Commercial	$4,446.46
Rate for Payer: Aetna Medicare Advantage	$4,446.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,779.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,779.49
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	$3,779.49
Rate for Payer: Cigna Commercial	$1,760.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,926.80
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,223.23
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAP GASTRIC BYPASS/ROUX-EN-Y

Facility

$14,821.52

Service Code	HCPCS 43644
Hospital Charge Code	1600000388
Hospital Revenue Code	360
Min. Negotiated Rate	$2,223.23
Max. Negotiated Rate	$2,223.23
Rate for Payer: Qualcare PPO/HMO/WC	$2,223.23

LAP GASTRIC & SM INTEST RECON

Facility

$112,136.91

Service Code	HCPCS 43645
Hospital Charge Code	1600174
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$33,641.07
Rate for Payer: Aetna Commercial	$33,641.07
Rate for Payer: Aetna Medicare Advantage	$33,641.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,594.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,594.91
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	$28,594.91
Rate for Payer: Cigna Commercial	$1,868.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,577.80
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,820.54
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAP GASTRIC & SM INTEST RECON

Facility

$112,136.91

Service Code	HCPCS 43645
Hospital Charge Code	1600174
Hospital Revenue Code	361
Min. Negotiated Rate	$16,820.54
Max. Negotiated Rate	$16,820.54
Rate for Payer: Qualcare PPO/HMO/WC	$16,820.54

LAP GYN KIT

Facility

$347.00

Hospital Charge Code	270338738
Hospital Revenue Code	272
Min. Negotiated Rate	$45.11
Max. Negotiated Rate	$173.50
Rate for Payer: Aetna Commercial	$104.10
Rate for Payer: Aetna Medicare Advantage	$104.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.48
Rate for Payer: Cigna Commercial	$173.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.11
Rate for Payer: Oxford Commercial	$173.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.05
Rate for Payer: UnitedHealthcare Commercial	$173.50

LAP GYN KIT

Facility

$347.00

Hospital Charge Code	270338738
Hospital Revenue Code	272
Min. Negotiated Rate	$52.05
Max. Negotiated Rate	$52.05
Rate for Payer: Qualcare PPO/HMO/WC	$52.05

LAP HANDSWITCH ELECTRODE

Facility

$600.00

Hospital Charge Code	270335111
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

Know your out-of-pocket cost for care.

All Charges