Heights University Hospital

All Charges

Charge

Type

Setting

Price

ARTHROPLASTY PATELLA,W PROSTH

Facility

$55,895.68

Service Code	HCPCS 27438
Hospital Charge Code	1600000558
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$30,573.98
Rate for Payer: Aetna Commercial	$16,768.70
Rate for Payer: Aetna Medicare Advantage	$16,768.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,253.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,253.40
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	$14,253.40
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,266.44
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,384.35
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

ARTHROPLASTY WRIST

Facility

$44,916.00

Service Code	HCPCS 25332
Hospital Charge Code	16000617
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

ARTHROPLASTY WRIST

Facility

$44,916.00

Service Code	HCPCS 25332
Hospital Charge Code	16000617
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,474.80
Rate for Payer: Aetna Commercial	$13,474.80
Rate for Payer: Aetna Medicare Advantage	$13,474.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,453.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,453.58
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	$11,453.58
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,839.08
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

ARTHROPLASY, ANKLE W/IMPLANT

Facility

$11,481.10

Service Code	HCPCS 27702
Hospital Charge Code	16000896
Hospital Revenue Code	360
Min. Negotiated Rate	$1,492.54
Max. Negotiated Rate	$64,616.81
Rate for Payer: Aetna Commercial	$3,444.33
Rate for Payer: Aetna Medicare Advantage	$3,444.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,927.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,927.68
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	$2,927.68
Rate for Payer: Cigna Commercial	$64,616.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,492.54
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,722.16
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

ARTHROPLASY, ANKLE W/IMPLANT

Facility

$11,481.10

Service Code	HCPCS 27702
Hospital Charge Code	16000896
Hospital Revenue Code	360
Min. Negotiated Rate	$1,722.16
Max. Negotiated Rate	$1,722.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,722.16

ARTHROSC,ANKLE,EXC OSCHON DFCT

Facility

$50,586.00

Service Code	HCPCS 29891
Hospital Charge Code	16000483
Hospital Revenue Code	360
Min. Negotiated Rate	$7,587.90
Max. Negotiated Rate	$7,587.90
Rate for Payer: Qualcare PPO/HMO/WC	$7,587.90

ARTHROSC,ANKLE,EXC OSCHON DFCT

Facility

$50,586.00

Service Code	HCPCS 29891
Hospital Charge Code	16000483
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,175.80
Rate for Payer: Aetna Commercial	$15,175.80
Rate for Payer: Aetna Medicare Advantage	$15,175.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,899.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,899.43
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	$12,899.43
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,576.18
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,587.90
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

ARTHROSC ANT CRUC LIG REP/AUG

Facility

$82,959.70

Service Code	HCPCS 29888
Hospital Charge Code	16000193
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$24,887.91
Rate for Payer: Aetna Commercial	$24,887.91
Rate for Payer: Aetna Medicare Advantage	$24,887.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,154.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,154.72
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	$21,154.72
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,784.76
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$12,443.95
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

ARTHROSC ANT CRUC LIG REP/AUG

Facility

$82,959.70

Service Code	HCPCS 29888
Hospital Charge Code	16000193
Hospital Revenue Code	360
Min. Negotiated Rate	$12,443.95
Max. Negotiated Rate	$12,443.95
Rate for Payer: Qualcare PPO/HMO/WC	$12,443.95

ARTHROSC HIP W REM FB W SYNVCT

Facility

$50,586.00

Service Code	HCPCS 29863
Hospital Charge Code	16000417
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,175.80
Rate for Payer: Aetna Commercial	$15,175.80
Rate for Payer: Aetna Medicare Advantage	$15,175.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,899.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,899.43
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	$12,899.43
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,576.18
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,587.90
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

ARTHROSC HIP W REM FB W SYNVCT

Facility

$50,586.00

Service Code	HCPCS 29863
Hospital Charge Code	16000417
Hospital Revenue Code	360
Min. Negotiated Rate	$7,587.90
Max. Negotiated Rate	$7,587.90
Rate for Payer: Qualcare PPO/HMO/WC	$7,587.90

ARTHROSC,KNEE FR INF/LAVAGE/DR

Facility

$25,603.80

Service Code	HCPCS 29871
Hospital Charge Code	16000730
Hospital Revenue Code	360
Min. Negotiated Rate	$3,840.57
Max. Negotiated Rate	$3,840.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,840.57

ARTHROSC,KNEE FR INF/LAVAGE/DR

Facility

$25,603.80

Service Code	HCPCS 29871
Hospital Charge Code	16000730
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$7,681.14
Rate for Payer: Aetna Medicare Advantage	$7,681.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,528.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,528.97
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	$6,528.97
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,328.49
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,840.57
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROSC KNEE,LIM SYNOVECTMY

Facility

$32,775.00

Service Code	HCPCS 29875
Hospital Charge Code	16000312
Hospital Revenue Code	360
Min. Negotiated Rate	$4,916.25
Max. Negotiated Rate	$4,916.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,916.25

ARTHROSC KNEE,LIM SYNOVECTMY

Facility

$32,775.00

Service Code	HCPCS 29875
Hospital Charge Code	16000312
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,832.50
Rate for Payer: Aetna Commercial	$9,832.50
Rate for Payer: Aetna Medicare Advantage	$9,832.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,357.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,357.62
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	$8,357.62
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,260.75
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,916.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROSC,KNEE REM LOOSE OR FM

Facility

$25,603.80

Service Code	HCPCS 29874
Hospital Charge Code	16000731
Hospital Revenue Code	360
Min. Negotiated Rate	$3,840.57
Max. Negotiated Rate	$3,840.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,840.57

ARTHROSC,KNEE REM LOOSE OR FM

Facility

$25,603.80

Service Code	HCPCS 29874
Hospital Charge Code	16000731
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$7,681.14
Rate for Payer: Aetna Medicare Advantage	$7,681.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,528.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,528.97
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	$6,528.97
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,328.49
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,840.57
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROSC KNEE,W LYSIS OF ADHES

Facility

$25,603.80

Service Code	HCPCS 29884
Hospital Charge Code	16000232
Hospital Revenue Code	360
Min. Negotiated Rate	$3,840.57
Max. Negotiated Rate	$3,840.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,840.57

ARTHROSC KNEE,W LYSIS OF ADHES

Facility

$25,603.80

Service Code	HCPCS 29884
Hospital Charge Code	16000232
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$7,681.14
Rate for Payer: Aetna Medicare Advantage	$7,681.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,528.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,528.97
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	$6,528.97
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,328.49
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,840.57
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROSC KNEE W/MENISC MED/LAT

Facility

$35,454.57

Service Code	HCPCS 29881
Hospital Charge Code	16000186
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$10,636.37
Rate for Payer: Aetna Commercial	$10,636.37
Rate for Payer: Aetna Medicare Advantage	$10,636.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,040.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,040.92
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	$9,040.92
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,609.09
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,318.19
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROSC KNEE W/MENISC MED/LAT

Facility

$35,454.57

Service Code	HCPCS 29881
Hospital Charge Code	16000186
Hospital Revenue Code	360
Min. Negotiated Rate	$5,318.19
Max. Negotiated Rate	$5,318.19
Rate for Payer: Qualcare PPO/HMO/WC	$5,318.19

ARTHROSC,KNEE,W MENISC-MED&LAT

Facility

$35,454.57

Service Code	HCPCS 29880
Hospital Charge Code	16000178
Hospital Revenue Code	360
Min. Negotiated Rate	$5,318.19
Max. Negotiated Rate	$5,318.19
Rate for Payer: Qualcare PPO/HMO/WC	$5,318.19

ARTHROSC,KNEE,W MENISC-MED&LAT

Facility

$35,454.57

Service Code	HCPCS 29880
Hospital Charge Code	16000178
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$10,636.37
Rate for Payer: Aetna Commercial	$10,636.37
Rate for Payer: Aetna Medicare Advantage	$10,636.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,040.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,040.92
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	$9,040.92
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,609.09
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,318.19
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROSC,KNEE,W MEN REP-MED&LA

Facility

$32,775.00

Service Code	HCPCS 29882
Hospital Charge Code	16000307
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,832.50
Rate for Payer: Aetna Commercial	$9,832.50
Rate for Payer: Aetna Medicare Advantage	$9,832.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,357.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,357.62
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	$8,357.62
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,260.75
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,916.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROSC,KNEE,W MEN REP-MED&LA

Facility

$32,775.00

Service Code	HCPCS 29882
Hospital Charge Code	16000307
Hospital Revenue Code	360
Min. Negotiated Rate	$4,916.25
Max. Negotiated Rate	$4,916.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,916.25

Know your out-of-pocket cost for care.

All Charges