Heights University Hospital

All Charges

Charge

Type

Setting

Price

ARTHROT KNEE W MENISC,MEDORLAT

Facility

$30,595.00

Service Code	HCPCS 27332
Hospital Charge Code	16000879
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,178.50
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROT KNEE W SYNOV, ANT/POST

Facility

$30,651.00

Service Code	HCPCS 27334
Hospital Charge Code	1600000707
Hospital Revenue Code	360
Min. Negotiated Rate	$4,597.65
Max. Negotiated Rate	$4,597.65
Rate for Payer: Qualcare PPO/HMO/WC	$4,597.65

ARTHROT KNEE W SYNOV, ANT/POST

Facility

$30,651.00

Service Code	HCPCS 27334
Hospital Charge Code	1600000707
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,195.30
Rate for Payer: Aetna Commercial	$9,195.30
Rate for Payer: Aetna Medicare Advantage	$9,195.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,816.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,816.01
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	$7,816.01
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,984.63
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,597.65
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROTOMY ANKLE W SYNOVECTOMY

Facility

$30,595.00

Service Code	HCPCS 27625
Hospital Charge Code	16000710
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

ARTHROTOMY ANKLE W SYNOVECTOMY

Facility

$30,595.00

Service Code	HCPCS 27625
Hospital Charge Code	16000710
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,178.50
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROTOMY,KNEE

Facility

$30,595.00

Service Code	HCPCS 27331
Hospital Charge Code	16000878
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,178.50
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROTOMY,KNEE

Facility

$30,595.00

Service Code	HCPCS 27331
Hospital Charge Code	16000878
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

ARTHROTOMY W OP MENISCUS REP

Facility

$30,595.00

Service Code	HCPCS 27403
Hospital Charge Code	16000884
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROTOMY W OP MENISCUS REP

Facility

$30,595.00

Service Code	HCPCS 27403
Hospital Charge Code	16000884
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

ARTHROT W SYNOV,GHJ

Facility

$30,595.00

Service Code	HCPCS 23105
Hospital Charge Code	16000674
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHROT W SYNOV,GHJ

Facility

$30,595.00

Service Code	HCPCS 23105
Hospital Charge Code	16000674
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

ARTHROWAND ATHX LOPRO A-133601

Facility

$1,245.65

Hospital Charge Code	270614429
Hospital Revenue Code	272
Min. Negotiated Rate	$161.93
Max. Negotiated Rate	$622.83
Rate for Payer: Aetna Commercial	$373.69
Rate for Payer: Aetna Medicare Advantage	$373.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.64
Rate for Payer: Cigna Commercial	$622.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.93
Rate for Payer: Oxford Commercial	$622.83
Rate for Payer: Qualcare PPO/HMO/WC	$186.85
Rate for Payer: UnitedHealthcare Commercial	$622.83

ARTHROWAND ATHX LOPRO A-133601

Facility

$1,245.65

Hospital Charge Code	270614429
Hospital Revenue Code	272
Min. Negotiated Rate	$186.85
Max. Negotiated Rate	$186.85
Rate for Payer: Qualcare PPO/HMO/WC	$186.85

ARTHROWAND COVAC 70 AS-373001

Facility

$1,429.65

Hospital Charge Code	270614430
Hospital Revenue Code	272
Min. Negotiated Rate	$214.45
Max. Negotiated Rate	$214.45
Rate for Payer: Qualcare PPO/HMO/WC	$214.45

ARTHROWAND COVAC 70 AS-373001

Facility

$1,429.65

Hospital Charge Code	270614430
Hospital Revenue Code	272
Min. Negotiated Rate	$185.85
Max. Negotiated Rate	$714.83
Rate for Payer: Aetna Commercial	$428.89
Rate for Payer: Aetna Medicare Advantage	$428.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.56
Rate for Payer: Cigna Commercial	$714.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.85
Rate for Payer: Oxford Commercial	$714.83
Rate for Payer: Qualcare PPO/HMO/WC	$214.45
Rate for Payer: UnitedHealthcare Commercial	$714.83

ARTHRO WARD 3.0MM 45 DEG CAP

Facility

$1,025.00

Hospital Charge Code	270657757
Hospital Revenue Code	270
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

ARTHRO WARD 3.0MM 45 DEG CAP

Facility

$1,025.00

Hospital Charge Code	270657757
Hospital Revenue Code	270
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

ARTHRSC HIP,W REM FB W CHONDR

Facility

$50,586.00

Service Code	HCPCS 29862
Hospital Charge Code	16000518
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

ARTHRSC HIP,W REM FB W CHONDR

Facility

$50,586.00

Service Code	HCPCS 29862
Hospital Charge Code	16000518
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

ARTHRSC KNEE,W MEN RPR-MED/LAT

Facility

$25,603.80

Service Code	HCPCS 29883
Hospital Charge Code	16000272
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

ARTHRSC KNEE,W MEN RPR-MED/LAT

Facility

$25,603.80

Service Code	HCPCS 29883
Hospital Charge Code	16000272
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

ARTHRSCP WRIST,TRNSV CARP LIG

Facility

$32,775.00

Service Code	HCPCS 29848
Hospital Charge Code	16000332
Hospital Revenue Code	360
Min. Negotiated Rate	$318.43
Max. Negotiated Rate	$9,832.50
Rate for Payer: Aetna Better Health Medicaid	$318.43
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	$3,829.26
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$324.80
Rate for Payer: Wellpoint Medicaid Managed Care	$318.43

ARTHRSCP WRIST,TRNSV CARP LIG

Facility

$32,775.00

Service Code	HCPCS 29848
Hospital Charge Code	16000332
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

ARTHRT ANKLE W SYNVCT, W TENSY

Facility

$30,651.00

Service Code	HCPCS 27626
Hospital Charge Code	16000625
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,195.30
Rate for Payer: Aetna Commercial	$9,195.30
Rate for Payer: Aetna Medicare Advantage	$9,195.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,816.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,816.01
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	$7,816.01
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,984.63
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,597.65
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARTHRT ANKLE W SYNVCT, W TENSY

Facility

$30,651.00

Service Code	HCPCS 27626
Hospital Charge Code	16000625
Hospital Revenue Code	360
Min. Negotiated Rate	$4,597.65
Max. Negotiated Rate	$4,597.65
Rate for Payer: Qualcare PPO/HMO/WC	$4,597.65

Know your out-of-pocket cost for care.

All Charges