Heights University Hospital

All Charges

Charge

Type

Setting

Price

MASTISOL ADHESIVE 3CC

Facility

$7.89

Hospital Charge Code	270650820
Hospital Revenue Code	270
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$3.94
Rate for Payer: Aetna Commercial	$2.37
Rate for Payer: Aetna Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.01
Rate for Payer: Cigna Commercial	$3.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.03
Rate for Payer: Oxford Commercial	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.18
Rate for Payer: UnitedHealthcare Commercial	$3.94

MASTISOL ADHESIVE 3CC

Facility

$7.89

Hospital Charge Code	270650820
Hospital Revenue Code	270
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.18

MASTISOL LIQUID UA CONTR LI

Facility

$306.45

Hospital Charge Code	270605269
Hospital Revenue Code	270
Min. Negotiated Rate	$45.97
Max. Negotiated Rate	$45.97
Rate for Payer: Qualcare PPO/HMO/WC	$45.97

MASTISOL LIQUID UA CONTR LI

Facility

$306.45

Hospital Charge Code	270605269
Hospital Revenue Code	270
Min. Negotiated Rate	$39.84
Max. Negotiated Rate	$153.22
Rate for Payer: Aetna Commercial	$91.94
Rate for Payer: Aetna Medicare Advantage	$91.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.14
Rate for Payer: Cigna Commercial	$153.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.84
Rate for Payer: Oxford Commercial	$153.22
Rate for Payer: Qualcare PPO/HMO/WC	$45.97
Rate for Payer: UnitedHealthcare Commercial	$153.22

MAS TLIF KIT

Facility

$12,810.00

Hospital Charge Code	270691370
Hospital Revenue Code	272
Min. Negotiated Rate	$1,921.50
Max. Negotiated Rate	$1,921.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,921.50

MAS TLIF KIT

Facility

$12,810.00

Hospital Charge Code	270691370
Hospital Revenue Code	272
Min. Negotiated Rate	$1,665.30
Max. Negotiated Rate	$6,405.00
Rate for Payer: Aetna Commercial	$3,843.00
Rate for Payer: Aetna Medicare Advantage	$3,843.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,266.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,266.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,266.55
Rate for Payer: Cigna Commercial	$6,405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,665.30
Rate for Payer: Oxford Commercial	$6,405.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,921.50
Rate for Payer: UnitedHealthcare Commercial	$6,405.00

MAST MOD RAD

Facility

$42,601.70

Service Code	HCPCS 19307
Hospital Charge Code	16000298
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,812.86
Rate for Payer: Aetna Commercial	$12,780.51
Rate for Payer: Aetna Medicare Advantage	$12,780.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,863.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,863.43
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	$10,863.43
Rate for Payer: Cigna Commercial	$15,812.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,538.22
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,390.26
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

MAST MOD RAD

Facility

$42,601.70

Service Code	HCPCS 19307
Hospital Charge Code	16000298
Hospital Revenue Code	360
Min. Negotiated Rate	$6,390.26
Max. Negotiated Rate	$6,390.26
Rate for Payer: Qualcare PPO/HMO/WC	$6,390.26

MASTOIDS COMP STUDY

Facility

$5,100.00

Service Code	HCPCS 70130
Hospital Charge Code	94061003
Hospital Revenue Code	320
Min. Negotiated Rate	$45.95
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

MASTOIDS COMP STUDY

Facility

$5,100.00

Service Code	HCPCS 70130
Hospital Charge Code	94061003
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

MASTOIDS LMTD <3VWS

Facility

$204.00

Hospital Charge Code	2009370
Hospital Revenue Code	320
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

MASTOIDS LMTD <3VWS

Facility

$204.00

Hospital Charge Code	2009370
Hospital Revenue Code	320
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

MASTOPEXY

Facility

$31,541.30

Service Code	HCPCS 19316
Hospital Charge Code	16000535
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,812.86
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Cigna Commercial	$15,812.86
Rate for Payer: Aetna Commercial	$9,462.39
Rate for Payer: Aetna Medicare Advantage	$9,462.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,043.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,043.03
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	$8,043.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,100.37
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

MASTOPEXY

Facility

$31,541.30

Service Code	HCPCS 19316
Hospital Charge Code	16000535
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

MASTOTOMY W EXPL DEEP

Facility

$18,641.30

Service Code	HCPCS 19020
Hospital Charge Code	16000371
Hospital Revenue Code	360
Min. Negotiated Rate	$2,796.20
Max. Negotiated Rate	$2,796.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,796.20

MASTOTOMY W EXPL DEEP

Facility

$18,641.30

Service Code	HCPCS 19020
Hospital Charge Code	16000371
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,592.39
Rate for Payer: Aetna Commercial	$5,592.39
Rate for Payer: Aetna Medicare Advantage	$5,592.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,753.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,753.53
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	$4,753.53
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,423.37
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,796.20
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

MAST SIMPLE COMPLETE

Facility

$31,541.30

Service Code	HCPCS 19303
Hospital Charge Code	16000303
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

MAST SIMPLE COMPLETE

Facility

$31,541.30

Service Code	HCPCS 19303
Hospital Charge Code	16000303
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,812.86
Rate for Payer: Aetna Commercial	$9,462.39
Rate for Payer: Aetna Medicare Advantage	$9,462.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,043.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,043.03
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	$8,043.03
Rate for Payer: Cigna Commercial	$15,812.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,100.37
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

MAT CELL CONTAM STDY STR ANLYS

Facility

$1,327.45

Service Code	HCPCS 81265
Hospital Charge Code	401381265
Hospital Revenue Code	310
Min. Negotiated Rate	$199.12
Max. Negotiated Rate	$199.12
Rate for Payer: Qualcare PPO/HMO/WC	$199.12

MAT CELL CONTAM STDY STR ANLYS

Facility

$1,327.45

Service Code	HCPCS 81265
Hospital Charge Code	401381265
Hospital Revenue Code	310
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$853.97
Rate for Payer: Aetna Commercial	$755.15
Rate for Payer: Aetna Medicare Advantage	$233.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$853.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$853.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$233.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$853.97
Rate for Payer: Cigna Commercial	$233.07
Rate for Payer: Cigna Medicare Advantage	$116.53
Rate for Payer: Clover Medicare Advantage	$221.42
Rate for Payer: EmblemHealth Commercial	$699.21
Rate for Payer: Humana Medicare Advantage	$240.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.57
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$199.12
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$233.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$247.05
Rate for Payer: Wellcare Medicare Advantage	$233.07

MATCH HEAD BUR 3.0MM 23.0M6ST

Facility

$157.00

Hospital Charge Code	270335570
Hospital Revenue Code	272
Min. Negotiated Rate	$20.41
Max. Negotiated Rate	$78.50
Rate for Payer: Aetna Commercial	$47.10
Rate for Payer: Aetna Medicare Advantage	$47.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.03
Rate for Payer: Cigna Commercial	$78.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.41
Rate for Payer: Oxford Commercial	$78.50
Rate for Payer: Qualcare PPO/HMO/WC	$23.55
Rate for Payer: UnitedHealthcare Commercial	$78.50

MATCH HEAD BUR 3.0MM 23.0M6ST

Facility

$157.00

Hospital Charge Code	270335570
Hospital Revenue Code	272
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$23.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.55

MATCH HEAD BUR 9CM 23.0M9ST

Facility

$184.00

Hospital Charge Code	270335571
Hospital Revenue Code	272
Min. Negotiated Rate	$23.92
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Commercial	$92.00

MATCH HEAD BUR 9CM 23.0M9ST

Facility

$184.00

Hospital Charge Code	270335571
Hospital Revenue Code	272
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

MAT ECOSUCTIONER

Facility

$2,760.00

Hospital Charge Code	270675433
Hospital Revenue Code	272
Min. Negotiated Rate	$358.80
Max. Negotiated Rate	$1,380.00
Rate for Payer: Aetna Commercial	$828.00
Rate for Payer: Aetna Medicare Advantage	$828.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$703.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$703.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$703.80
Rate for Payer: Cigna Commercial	$1,380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.80
Rate for Payer: Oxford Commercial	$1,380.00
Rate for Payer: Qualcare PPO/HMO/WC	$414.00
Rate for Payer: UnitedHealthcare Commercial	$1,380.00

Know your out-of-pocket cost for care.

All Charges