Heights University Hospital

All Charges

Charge

Type

Setting

Price

ARTHROSCOPY

Facility

$37,766.79

Service Code	MSDRG 509
Min. Negotiated Rate	$37,766.79
Max. Negotiated Rate	$37,766.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,766.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,766.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,766.79

ARTHROSCOPY ACL IMPLANT TRANSF

Facility

$1,445.00

Hospital Charge Code	270655965
Hospital Revenue Code	278
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$722.50
Rate for Payer: Aetna Commercial	$433.50
Rate for Payer: Aetna Medicare Advantage	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.48
Rate for Payer: Cigna Commercial	$722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

ARTHROSCOPY ACL IMPLANT TRANSF

Facility

$1,445.00

Hospital Charge Code	270655965
Hospital Revenue Code	278
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$349.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

ARTHROSCOPY ACL IMPLANT TRANSF

Facility

$1,445.00

Hospital Charge Code	270655964
Hospital Revenue Code	278
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$349.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

ARTHROSCOPY ACL IMPLANT TRANSF

Facility

$1,445.00

Hospital Charge Code	270655964
Hospital Revenue Code	278
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$722.50
Rate for Payer: Aetna Commercial	$433.50
Rate for Payer: Aetna Medicare Advantage	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.48
Rate for Payer: Cigna Commercial	$722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

ARTHROSCOPY ANKLE,EXT DEBD

Facility

$35,454.57

Service Code	HCPCS 29898
Hospital Charge Code	16000214
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

ARTHROSCOPY ANKLE,EXT DEBD

Facility

$35,454.57

Service Code	HCPCS 29898
Hospital Charge Code	16000214
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

ARTHROSCOPY,ANKLE,P_SYNOVECTOM

Facility

$25,603.80

Service Code	HCPCS 29895
Hospital Charge Code	16000313
Hospital Revenue Code	360
Min. Negotiated Rate	$649.28
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Better Health Medicaid	$649.28
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$662.27
Rate for Payer: Wellpoint Medicaid Managed Care	$649.28

ARTHROSCOPY,ANKLE,P_SYNOVECTOM

Facility

$25,603.80

Service Code	HCPCS 29895
Hospital Charge Code	16000313
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

ARTHROSCOPY,ANKLE,SMPL DEBD

Facility

$25,603.80

Service Code	HCPCS 29897
Hospital Charge Code	16000246
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

ARTHROSCOPY,ANKLE,SMPL DEBD

Facility

$25,603.80

Service Code	HCPCS 29897
Hospital Charge Code	16000246
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

ARTHROSCOPY ANKLE,W REM FB RT

Facility

$27,939.50

Service Code	HCPCS 29894
Hospital Charge Code	16000520
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,381.85
Rate for Payer: Aetna Commercial	$8,381.85
Rate for Payer: Aetna Medicare Advantage	$8,381.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,124.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,124.57
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	$7,124.57
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,632.14
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,190.93
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROSCOPY ANKLE,W REM FB RT

Facility

$27,939.50

Service Code	HCPCS 29894
Hospital Charge Code	16000520
Hospital Revenue Code	360
Min. Negotiated Rate	$4,190.93
Max. Negotiated Rate	$4,190.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,190.93

ARTHROSCOPY BICEPS TENODESS B

Facility

$50,586.00

Service Code	HCPCS 29828
Hospital Charge Code	16000211
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
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	$17,279.91
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

ARTHROSCOPY BICEPS TENODESS B

Facility

$50,586.00

Service Code	HCPCS 29828
Hospital Charge Code	16000211
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

ARTHROSCOPY ELB,P SYNOVECTOMY

Facility

$50,586.00

Service Code	HCPCS 29835
Hospital Charge Code	16000637
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

ARTHROSCOPY ELB,P SYNOVECTOMY

Facility

$50,586.00

Service Code	HCPCS 29835
Hospital Charge Code	16000637
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

ARTHROSCOPY INFLOW SET

Facility

$150.00

Hospital Charge Code	270706174
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$75.00

ARTHROSCOPY INFLOW SET

Facility

$150.00

Hospital Charge Code	270706174
Hospital Revenue Code	272
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

ARTHROSCOPY KNEE,DEBD/SHV AC

Facility

$25,603.80

Service Code	HCPCS 29877
Hospital Charge Code	16000519
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

ARTHROSCOPY KNEE,DEBD/SHV AC

Facility

$25,603.80

Service Code	HCPCS 29877
Hospital Charge Code	16000519
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

ARTHROSCOPY RENTAL TRAY

Facility

$1,750.00

Hospital Charge Code	270644841
Hospital Revenue Code	270
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

ARTHROSCOPY RENTAL TRAY

Facility

$1,750.00

Hospital Charge Code	270644841
Hospital Revenue Code	270
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

ARTHROSCOPY SHAVERS

Facility

$865.00

Hospital Charge Code	270332554
Hospital Revenue Code	272
Min. Negotiated Rate	$112.45
Max. Negotiated Rate	$432.50
Rate for Payer: Aetna Commercial	$259.50
Rate for Payer: Aetna Medicare Advantage	$259.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.57
Rate for Payer: Cigna Commercial	$432.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.45
Rate for Payer: Oxford Commercial	$432.50
Rate for Payer: Qualcare PPO/HMO/WC	$129.75
Rate for Payer: UnitedHealthcare Commercial	$432.50

ARTHROSCOPY SHAVERS

Facility

$865.00

Hospital Charge Code	270332554
Hospital Revenue Code	272
Min. Negotiated Rate	$129.75
Max. Negotiated Rate	$129.75
Rate for Payer: Qualcare PPO/HMO/WC	$129.75

Know your out-of-pocket cost for care.

All Charges