Heights University Hospital

All Charges

Charge

Type

Setting

Price

LARYNGECTOMY TUBE 32.7 FR

Facility

$388.00

Hospital Charge Code	270331691
Hospital Revenue Code	272
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$58.20
Rate for Payer: Qualcare PPO/HMO/WC	$58.20

LARYNGOSCOPE HANDLE MEDIUM

Facility

$105.00

Hospital Charge Code	270665161
Hospital Revenue Code	270
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

LARYNGOSCOPE HANDLE MEDIUM

Facility

$105.00

Hospital Charge Code	270665161
Hospital Revenue Code	270
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

LARYNGOSCOPE HANDLE PEDIATRIC

Facility

$105.00

Hospital Charge Code	270665160
Hospital Revenue Code	270
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

LARYNGOSCOPE HANDLE PEDIATRIC

Facility

$105.00

Hospital Charge Code	270665160
Hospital Revenue Code	270
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

LARYNGOSCOPY DIAGNOSTIC

Facility

$753.10

Service Code	HCPCS 31575
Hospital Charge Code	85000900
Hospital Revenue Code	361
Min. Negotiated Rate	$112.97
Max. Negotiated Rate	$112.97
Rate for Payer: Qualcare PPO/HMO/WC	$112.97

LARYNGOSCOPY DIAGNOSTIC

Facility

$753.10

Service Code	HCPCS 31575
Hospital Charge Code	85000900
Hospital Revenue Code	361
Min. Negotiated Rate	$97.90
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$518.60
Rate for Payer: Aetna Commercial	$225.93
Rate for Payer: Aetna Medicare Advantage	$225.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.04
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	$192.04
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.90
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.97
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$528.97
Rate for Payer: Wellpoint Medicaid Managed Care	$518.60

LARYNGOSCOPY EXC NEWBORN

Facility

$2,140.00

Service Code	HCPCS 31525
Hospital Charge Code	5790080
Hospital Revenue Code	450
Min. Negotiated Rate	$77.28
Max. Negotiated Rate	$4,594.28
Rate for Payer: Aetna Better Health Medicaid	$4,504.20
Rate for Payer: Aetna Commercial	$642.00
Rate for Payer: Aetna Medicare Advantage	$642.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$545.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$545.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$545.70
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.20
Rate for Payer: Qualcare PPO/HMO/WC	$321.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,594.28

LARYNGOSCOPY EXC NEWBORN

Facility

$2,140.00

Service Code	HCPCS 31525
Hospital Charge Code	5790080
Hospital Revenue Code	450
Min. Negotiated Rate	$321.00
Max. Negotiated Rate	$321.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.00

LARYNGOSCOPY W/BIOPSY

Facility

$22,334.60

Service Code	HCPCS 31535
Hospital Charge Code	1600000256
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,878.66
Rate for Payer: Aetna Commercial	$6,700.38
Rate for Payer: Aetna Medicare Advantage	$6,700.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,695.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,695.32
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	$5,695.32
Rate for Payer: Cigna Commercial	$8,878.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,903.50
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

LARYNGOSCOPY W/BIOPSY

Facility

$22,334.60

Service Code	HCPCS 31535
Hospital Charge Code	1600000256
Hospital Revenue Code	360
Min. Negotiated Rate	$3,350.19
Max. Negotiated Rate	$3,350.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19

LARYNGOSCOPY W/BX & OP SCOPE

Facility

$22,334.60

Service Code	HCPCS 31536
Hospital Charge Code	1600000350
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,878.66
Rate for Payer: Aetna Commercial	$6,700.38
Rate for Payer: Aetna Medicare Advantage	$6,700.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,695.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,695.32
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	$5,695.32
Rate for Payer: Cigna Commercial	$8,878.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,903.50
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

LARYNGOSCOPY W/BX & OP SCOPE

Facility

$22,334.60

Service Code	HCPCS 31536
Hospital Charge Code	1600000350
Hospital Revenue Code	360
Min. Negotiated Rate	$3,350.19
Max. Negotiated Rate	$3,350.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19

LARYNGOSCOPY W/FB REMOVAL

Facility

$7,223.25

Service Code	HCPCS 31530
Hospital Charge Code	5792260
Hospital Revenue Code	450
Min. Negotiated Rate	$1,083.49
Max. Negotiated Rate	$1,083.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.49

LARYNGOSCOPY W/FB REMOVAL

Facility

$7,223.25

Service Code	HCPCS 31530
Hospital Charge Code	5792260
Hospital Revenue Code	450
Min. Negotiated Rate	$139.15
Max. Negotiated Rate	$4,238.63
Rate for Payer: Aetna Commercial	$2,166.97
Rate for Payer: Aetna Medicare Advantage	$2,166.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,841.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,841.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,841.93
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$939.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.49

LARYNSCOP W/TUMR EXC + SCOPE

Facility

$22,334.60

Service Code	HCPCS 31541
Hospital Charge Code	1600000285
Hospital Revenue Code	360
Min. Negotiated Rate	$3,350.19
Max. Negotiated Rate	$3,350.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19

LARYNSCOP W/TUMR EXC + SCOPE

Facility

$22,334.60

Service Code	HCPCS 31541
Hospital Charge Code	1600000285
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,878.66
Rate for Payer: Aetna Commercial	$6,700.38
Rate for Payer: Aetna Medicare Advantage	$6,700.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,695.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,695.32
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	$5,695.32
Rate for Payer: Cigna Commercial	$8,878.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,903.50
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

LASER FIBER HOLMIUM 365 SURFLX

Facility

$1,180.00

Hospital Charge Code	270673928
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

LASER FIBER HOLMIUM 365 SURFLX

Facility

$1,180.00

Hospital Charge Code	270673928
Hospital Revenue Code	272
Min. Negotiated Rate	$153.40
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.40
Rate for Payer: Oxford Commercial	$590.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$590.00

LASER FIBER LIT PROFLEX 273 M

Facility

$1,785.00

Hospital Charge Code	270682487
Hospital Revenue Code	272
Min. Negotiated Rate	$232.05
Max. Negotiated Rate	$892.50
Rate for Payer: Aetna Commercial	$535.50
Rate for Payer: Aetna Medicare Advantage	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.18
Rate for Payer: Cigna Commercial	$892.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.05
Rate for Payer: Oxford Commercial	$892.50
Rate for Payer: Qualcare PPO/HMO/WC	$267.75
Rate for Payer: UnitedHealthcare Commercial	$892.50

LASER FIBER LIT PROFLEX 273 M

Facility

$1,785.00

Hospital Charge Code	270682487
Hospital Revenue Code	272
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$267.75
Rate for Payer: Qualcare PPO/HMO/WC	$267.75

LASER FIBER LIT PROFLEX 365 M

Facility

$1,327.85

Hospital Charge Code	270682488
Hospital Revenue Code	272
Min. Negotiated Rate	$199.18
Max. Negotiated Rate	$199.18
Rate for Payer: Qualcare PPO/HMO/WC	$199.18

LASER FIBER LIT PROFLEX 365 M

Facility

$1,327.85

Hospital Charge Code	270682488
Hospital Revenue Code	272
Min. Negotiated Rate	$172.62
Max. Negotiated Rate	$663.92
Rate for Payer: Aetna Commercial	$398.36
Rate for Payer: Aetna Medicare Advantage	$398.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.60
Rate for Payer: Cigna Commercial	$663.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.62
Rate for Payer: Oxford Commercial	$663.92
Rate for Payer: Qualcare PPO/HMO/WC	$199.18
Rate for Payer: UnitedHealthcare Commercial	$663.92

LASER FIBER LIT PROFLEX 550 M

Facility

$1,805.00

Hospital Charge Code	270682489
Hospital Revenue Code	272
Min. Negotiated Rate	$270.75
Max. Negotiated Rate	$270.75
Rate for Payer: Qualcare PPO/HMO/WC	$270.75

LASER FIBER LIT PROFLEX 550 M

Facility

$1,805.00

Hospital Charge Code	270682489
Hospital Revenue Code	272
Min. Negotiated Rate	$234.65
Max. Negotiated Rate	$902.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$541.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.27
Rate for Payer: Cigna Commercial	$902.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.65
Rate for Payer: Oxford Commercial	$902.50
Rate for Payer: Qualcare PPO/HMO/WC	$270.75
Rate for Payer: UnitedHealthcare Commercial	$902.50

Know your out-of-pocket cost for care.

All Charges