Heights University Hospital

All Charges

Charge

Type

Setting

Price

LAPI SPEEDPLATE MIC QUAD 17MM

Facility

$19,370.00

Hospital Charge Code	270703012
Hospital Revenue Code	278
Min. Negotiated Rate	$2,905.50
Max. Negotiated Rate	$4,687.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,874.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,687.54
Rate for Payer: Qualcare PPO/HMO/WC	$2,905.50

LAP MOBIL SPLENIC FL ADD-ON

Facility

$33,620.30

Service Code	HCPCS 44213
Hospital Charge Code	16000746
Hospital Revenue Code	360
Min. Negotiated Rate	$178.20
Max. Negotiated Rate	$10,086.09
Rate for Payer: Aetna Commercial	$10,086.09
Rate for Payer: Aetna Medicare Advantage	$10,086.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,573.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,573.18
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	$8,573.18
Rate for Payer: Cigna Commercial	$178.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,370.64
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,043.05
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

LAP MOBIL SPLENIC FL ADD-ON

Facility

$33,620.30

Service Code	HCPCS 44213
Hospital Charge Code	16000746
Hospital Revenue Code	360
Min. Negotiated Rate	$5,043.05
Max. Negotiated Rate	$5,043.05
Rate for Payer: Qualcare PPO/HMO/WC	$5,043.05

LAP MVL GASTR ADJ ALL PARTS

Facility

$10,973.76

Service Code	HCPCS 43774
Hospital Charge Code	1600000580
Hospital Revenue Code	360
Min. Negotiated Rate	$1,646.06
Max. Negotiated Rate	$1,646.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,646.06

LAP MVL GASTR ADJ ALL PARTS

Facility

$10,973.76

Service Code	HCPCS 43774
Hospital Charge Code	1600000580
Hospital Revenue Code	360
Min. Negotiated Rate	$1,426.59
Max. Negotiated Rate	$12,000.00
Rate for Payer: Aetna Commercial	$3,292.13
Rate for Payer: Aetna Medicare Advantage	$3,292.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,000.00
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	$12,000.00
Rate for Payer: Cigna Commercial	$9,181.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,426.59
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,646.06
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

LAP PARAESOPH HER RPR W/MESH

Facility

$30,381.68

Service Code	HCPCS 43282
Hospital Charge Code	1600000396
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$25,313.84
Rate for Payer: Aetna Commercial	$9,114.50
Rate for Payer: Aetna Medicare Advantage	$9,114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,747.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,747.33
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	$7,747.33
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,949.62
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,557.25
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAP PARAESOPH HER RPR W/MESH

Facility

$30,381.68

Service Code	HCPCS 43282
Hospital Charge Code	1600000396
Hospital Revenue Code	360
Min. Negotiated Rate	$4,557.25
Max. Negotiated Rate	$4,557.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,557.25

LAP PARTIAL COLECTOMY

Facility

$17,148.70

Service Code	HCPCS 44204
Hospital Charge Code	16000745
Hospital Revenue Code	360
Min. Negotiated Rate	$2,572.30
Max. Negotiated Rate	$2,572.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.30

LAP PARTIAL COLECTOMY

Facility

$17,148.70

Service Code	HCPCS 44204
Hospital Charge Code	16000745
Hospital Revenue Code	360
Min. Negotiated Rate	$1,538.17
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$5,144.61
Rate for Payer: Aetna Medicare Advantage	$5,144.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,372.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,372.92
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	$4,372.92
Rate for Payer: Cigna Commercial	$1,538.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,229.33
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.30
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

LAP PROBE 10 MM

Facility

$664.00

Hospital Charge Code	270335112
Hospital Revenue Code	272
Min. Negotiated Rate	$86.32
Max. Negotiated Rate	$332.00
Rate for Payer: Aetna Commercial	$199.20
Rate for Payer: Aetna Medicare Advantage	$199.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.32
Rate for Payer: Cigna Commercial	$332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.32
Rate for Payer: Oxford Commercial	$332.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.60
Rate for Payer: UnitedHealthcare Commercial	$332.00

LAP PROBE 10 MM

Facility

$664.00

Hospital Charge Code	270335112
Hospital Revenue Code	272
Min. Negotiated Rate	$99.60
Max. Negotiated Rate	$99.60
Rate for Payer: Qualcare PPO/HMO/WC	$99.60

LAP RADICAL HYST

Facility

$48,210.00

Service Code	HCPCS 58548
Hospital Charge Code	1600000258
Hospital Revenue Code	360
Min. Negotiated Rate	$7,231.50
Max. Negotiated Rate	$7,231.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,231.50

LAP RADICAL HYST

Facility

$48,210.00

Service Code	HCPCS 58548
Hospital Charge Code	1600000258
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,463.00
Rate for Payer: Aetna Commercial	$14,463.00
Rate for Payer: Aetna Medicare Advantage	$14,463.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,293.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,293.55
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	$12,293.55
Rate for Payer: Cigna Commercial	$1,883.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,267.30
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,231.50
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

LAP RMVL GASTR ADJ DEVICE

Facility

$12,867.57

Service Code	HCPCS 43772
Hospital Charge Code	1600000419
Hospital Revenue Code	360
Min. Negotiated Rate	$1,930.14
Max. Negotiated Rate	$1,930.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,930.14

LAP RMVL GASTR ADJ DEVICE

Facility

$12,867.57

Service Code	HCPCS 43772
Hospital Charge Code	1600000419
Hospital Revenue Code	360
Min. Negotiated Rate	$1,672.78
Max. Negotiated Rate	$12,000.00
Rate for Payer: Aetna Commercial	$3,860.27
Rate for Payer: Aetna Medicare Advantage	$3,860.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,000.00
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	$12,000.00
Rate for Payer: Cigna Commercial	$9,181.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,672.78
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,930.14
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

LAPRO PRO SPERMATIC CORD

Facility

$17,954.72

Service Code	HCPCS 55559
Hospital Charge Code	1600000329
Hospital Revenue Code	360
Min. Negotiated Rate	$2,693.21
Max. Negotiated Rate	$2,693.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.21

LAPRO PRO SPERMATIC CORD

Facility

$17,954.72

Service Code	HCPCS 55559
Hospital Charge Code	1600000329
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$5,386.42
Rate for Payer: Aetna Medicare Advantage	$5,386.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,578.45
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	$4,578.45
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,334.11
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.21
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

LAP ROUX AND Y GASTRIC BYPASS

Facility

$112,126.91

Service Code	HCPCS 43644
Hospital Charge Code	1600168
Hospital Revenue Code	361
Min. Negotiated Rate	$16,819.04
Max. Negotiated Rate	$16,819.04
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04

LAP ROUX AND Y GASTRIC BYPASS

Facility

$112,126.91

Service Code	HCPCS 43644
Hospital Charge Code	1600168
Hospital Revenue Code	361
Min. Negotiated Rate	$1,760.83
Max. Negotiated Rate	$33,638.07
Rate for Payer: Aetna Commercial	$33,638.07
Rate for Payer: Aetna Medicare Advantage	$33,638.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,592.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,592.36
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	$28,592.36
Rate for Payer: Cigna Commercial	$1,760.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,576.50
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAP SLEEVE GASTRECTOMY

Facility

$10,973.76

Service Code	HCPCS 43775
Hospital Charge Code	16000273
Hospital Revenue Code	360
Min. Negotiated Rate	$1,079.49
Max. Negotiated Rate	$12,000.00
Rate for Payer: Aetna Commercial	$3,292.13
Rate for Payer: Aetna Medicare Advantage	$3,292.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,000.00
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	$12,000.00
Rate for Payer: Cigna Commercial	$1,079.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,426.59
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,646.06
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

LAP SLEEVE GASTRECTOMY

Facility

$10,973.76

Service Code	HCPCS 43775
Hospital Charge Code	16000273
Hospital Revenue Code	360
Min. Negotiated Rate	$1,646.06
Max. Negotiated Rate	$1,646.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,646.06

LAP SURG REMOVAL GAS&SUBCUTDEV

Facility

$144,581.09

Service Code	HCPCS 43774
Hospital Charge Code	1600180
Hospital Revenue Code	361
Min. Negotiated Rate	$21,687.16
Max. Negotiated Rate	$21,687.16
Rate for Payer: Qualcare PPO/HMO/WC	$21,687.16

LAP SURG REMOVAL GAS&SUBCUTDEV

Facility

$144,581.09

Service Code	HCPCS 43774
Hospital Charge Code	1600180
Hospital Revenue Code	361
Min. Negotiated Rate	$9,181.40
Max. Negotiated Rate	$43,374.33
Rate for Payer: Aetna Commercial	$43,374.33
Rate for Payer: Aetna Medicare Advantage	$43,374.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,000.00
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	$12,000.00
Rate for Payer: Cigna Commercial	$9,181.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,795.54
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$21,687.16
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

LAP SURG REMOVAL&REPLACEGASDEV

Facility

$144,581.09

Service Code	HCPCS 43773
Hospital Charge Code	1600179
Hospital Revenue Code	361
Min. Negotiated Rate	$7,559.00
Max. Negotiated Rate	$43,374.33
Rate for Payer: Aetna Commercial	$43,374.33
Rate for Payer: Aetna Medicare Advantage	$43,374.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,000.00
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	$12,000.00
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,795.54
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$21,687.16
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

LAP SURG REMOVAL&REPLACEGASDEV

Facility

$144,581.09

Service Code	HCPCS 43773
Hospital Charge Code	1600179
Hospital Revenue Code	361
Min. Negotiated Rate	$21,687.16
Max. Negotiated Rate	$21,687.16
Rate for Payer: Qualcare PPO/HMO/WC	$21,687.16

Know your out-of-pocket cost for care.

All Charges