Heights University Hospital

All Charges

Charge

Type

Setting

Price

LAYER SINGLE CONTACT 4x4

Facility

$125.00

Hospital Charge Code	270676733
Hospital Revenue Code	272
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

LAYER SINGLE CONTACT 4x4

Facility

$125.00

Hospital Charge Code	270676733
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

LCKNG SCR FOR IM NL 4/18/XL25

Facility

$2,049.20

Service Code	HCPCS C1713
Hospital Charge Code	270705551
Hospital Revenue Code	278
Min. Negotiated Rate	$307.38
Max. Negotiated Rate	$1,024.60
Rate for Payer: Aetna Commercial	$614.76
Rate for Payer: Aetna Medicare Advantage	$614.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.55
Rate for Payer: Cigna Commercial	$1,024.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$495.91
Rate for Payer: Qualcare PPO/HMO/WC	$307.38

LCKNG SCR FOR IM NL 4/18/XL25

Facility

$2,049.20

Service Code	HCPCS C1713
Hospital Charge Code	270705551
Hospital Revenue Code	278
Min. Negotiated Rate	$307.38
Max. Negotiated Rate	$495.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$495.91
Rate for Payer: Qualcare PPO/HMO/WC	$307.38

LCKNG SCR FOR IM NL 4/20/XL25

Facility

$2,049.20

Service Code	HCPCS C1713
Hospital Charge Code	270705552
Hospital Revenue Code	278
Min. Negotiated Rate	$307.38
Max. Negotiated Rate	$1,024.60
Rate for Payer: Aetna Commercial	$614.76
Rate for Payer: Aetna Medicare Advantage	$614.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.55
Rate for Payer: Cigna Commercial	$1,024.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$495.91
Rate for Payer: Qualcare PPO/HMO/WC	$307.38

LCKNG SCR FOR IM NL 4/20/XL25

Facility

$2,049.20

Service Code	HCPCS C1713
Hospital Charge Code	270705552
Hospital Revenue Code	278
Min. Negotiated Rate	$307.38
Max. Negotiated Rate	$495.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$495.91
Rate for Payer: Qualcare PPO/HMO/WC	$307.38

LCL SURG WND/DEH EXTENS

Facility

$16,286.20

Service Code	HCPCS 13160
Hospital Charge Code	16000280
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Better Health Medicaid	$5,064.59
Rate for Payer: Aetna Commercial	$4,885.86
Rate for Payer: Aetna Medicare Advantage	$4,885.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,152.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,152.98
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	$4,152.98
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.21
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,442.93
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,165.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5,064.59

LCL SURG WND/DEH EXTENS

Facility

$16,286.20

Service Code	HCPCS 13160
Hospital Charge Code	16000280
Hospital Revenue Code	360
Min. Negotiated Rate	$2,442.93
Max. Negotiated Rate	$2,442.93
Rate for Payer: Qualcare PPO/HMO/WC	$2,442.93

l COLECTOMY/COLOPROCTOSTOMY

Facility

$2,998.75

Service Code	HCPCS 44208
Hospital Charge Code	1600000409
Hospital Revenue Code	360
Min. Negotiated Rate	$389.84
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$899.62
Rate for Payer: Aetna Medicare Advantage	$899.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.68
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	$764.68
Rate for Payer: Cigna Commercial	$1,962.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.84
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$449.81
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

l COLECTOMY/COLOPROCTOSTOMY

Facility

$2,998.75

Service Code	HCPCS 44208
Hospital Charge Code	1600000409
Hospital Revenue Code	360
Min. Negotiated Rate	$449.81
Max. Negotiated Rate	$449.81
Rate for Payer: Qualcare PPO/HMO/WC	$449.81

L COLECTOMY COLOPROCTOSTOMY

Facility

$29,003.00

Service Code	HCPCS 44207
Hospital Charge Code	1600000788
Hospital Revenue Code	360
Min. Negotiated Rate	$1,792.86
Max. Negotiated Rate	$8,700.90
Rate for Payer: Aetna Commercial	$8,700.90
Rate for Payer: Aetna Medicare Advantage	$8,700.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,395.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,395.77
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	$7,395.77
Rate for Payer: Cigna Commercial	$1,792.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,770.39
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,350.45
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

L COLECTOMY COLOPROCTOSTOMY

Facility

$29,003.00

Service Code	HCPCS 44207
Hospital Charge Code	1600000788
Hospital Revenue Code	360
Min. Negotiated Rate	$4,350.45
Max. Negotiated Rate	$4,350.45
Rate for Payer: Qualcare PPO/HMO/WC	$4,350.45

L&D ANESTH 1-15 MIN

Facility

$551.00

Hospital Charge Code	73190117
Hospital Revenue Code	370
Min. Negotiated Rate	$82.65
Max. Negotiated Rate	$82.65
Rate for Payer: Qualcare PPO/HMO/WC	$82.65

L&D ANESTH 1-15 MIN

Facility

$551.00

Hospital Charge Code	73190117
Hospital Revenue Code	370
Min. Negotiated Rate	$71.63
Max. Negotiated Rate	$275.50
Rate for Payer: Aetna Commercial	$165.30
Rate for Payer: Aetna Medicare Advantage	$165.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.50
Rate for Payer: Cigna Commercial	$275.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.63
Rate for Payer: Oxford Commercial	$275.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.65
Rate for Payer: UnitedHealthcare Commercial	$275.50

L&D ANESTH 16-30 MIN

Facility

$1,103.00

Hospital Charge Code	73190119
Hospital Revenue Code	370
Min. Negotiated Rate	$143.39
Max. Negotiated Rate	$551.50
Rate for Payer: Aetna Commercial	$330.90
Rate for Payer: Aetna Medicare Advantage	$330.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.26
Rate for Payer: Cigna Commercial	$551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.39
Rate for Payer: Oxford Commercial	$551.50
Rate for Payer: Qualcare PPO/HMO/WC	$165.45
Rate for Payer: UnitedHealthcare Commercial	$551.50

L&D ANESTH 16-30 MIN

Facility

$1,103.00

Hospital Charge Code	73190119
Hospital Revenue Code	370
Min. Negotiated Rate	$165.45
Max. Negotiated Rate	$165.45
Rate for Payer: Qualcare PPO/HMO/WC	$165.45

LDCT FOR LUNG CA SCREENING

Facility

$599.85

Service Code	HCPCS G0297
Hospital Charge Code	2250425
Hospital Revenue Code	352
Min. Negotiated Rate	$89.98
Max. Negotiated Rate	$89.98
Rate for Payer: Qualcare PPO/HMO/WC	$89.98

LDCT FOR LUNG CA SCREENING

Facility

$599.85

Service Code	HCPCS G0297
Hospital Charge Code	2250425
Hospital Revenue Code	352
Min. Negotiated Rate	$77.98
Max. Negotiated Rate	$2,773.00
Rate for Payer: Aetna Commercial	$179.96
Rate for Payer: Aetna Medicare Advantage	$179.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.96
Rate for Payer: Cigna Commercial	$299.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.98
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.98
Rate for Payer: UnitedHealthcare Commercial	$2,773.00

LD,FLUID

Facility

$282.00

Service Code	HCPCS 83615
Hospital Charge Code	38479016
Hospital Revenue Code	301
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$42.30
Rate for Payer: Qualcare PPO/HMO/WC	$42.30

LD,FLUID

Facility

$282.00

Service Code	HCPCS 83615
Hospital Charge Code	38479016
Hospital Revenue Code	301
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.57
Rate for Payer: Aetna Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.13
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$5.74
Rate for Payer: EmblemHealth Commercial	$18.12
Rate for Payer: Humana Medicare Advantage	$6.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.40
Rate for Payer: Wellcare Medicare Advantage	$6.04

LDH

Facility

$419.12

Service Code	HCPCS 83615
Hospital Charge Code	8200318RS
Hospital Revenue Code	301
Min. Negotiated Rate	$62.87
Max. Negotiated Rate	$62.87
Rate for Payer: Qualcare PPO/HMO/WC	$62.87

LDH

Facility

$419.12

Service Code	HCPCS 83615
Hospital Charge Code	8200318RS
Hospital Revenue Code	301
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.57
Rate for Payer: Aetna Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.13
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$5.74
Rate for Payer: EmblemHealth Commercial	$18.12
Rate for Payer: Humana Medicare Advantage	$6.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.87
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.40
Rate for Payer: Wellcare Medicare Advantage	$6.04

LDH

Facility

$75.00

Service Code	HCPCS 83615
Hospital Charge Code	3001765A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.57
Rate for Payer: Aetna Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.13
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$5.74
Rate for Payer: EmblemHealth Commercial	$18.12
Rate for Payer: Humana Medicare Advantage	$6.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.40
Rate for Payer: Wellcare Medicare Advantage	$6.04

LDH

Facility

$75.00

Service Code	HCPCS 83615
Hospital Charge Code	3001765A
Hospital Revenue Code	301
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

LDH BODY FLUID

Facility

$419.12

Service Code	HCPCS 83615
Hospital Charge Code	3000510
Hospital Revenue Code	301
Min. Negotiated Rate	$62.87
Max. Negotiated Rate	$62.87
Rate for Payer: Qualcare PPO/HMO/WC	$62.87

Know your out-of-pocket cost for care.

All Charges