Heights University Hospital

All Charges

Charge

Type

Setting

Price

NAV-X BLADE

Facility

$3,540.00

Hospital Charge Code	270679505
Hospital Revenue Code	272
Min. Negotiated Rate	$531.00
Max. Negotiated Rate	$531.00
Rate for Payer: Qualcare PPO/HMO/WC	$531.00

N BLOCK INJ CELIAC PELUS

Facility

$3,583.05

Service Code	HCPCS 64530
Hospital Charge Code	16001042
Hospital Revenue Code	360
Min. Negotiated Rate	$465.80
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,074.91
Rate for Payer: Aetna Medicare Advantage	$1,074.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$913.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$913.68
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	$913.68
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.80
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$537.46
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

N BLOCK INJ CELIAC PELUS

Facility

$3,583.05

Service Code	HCPCS 64530
Hospital Charge Code	16001042
Hospital Revenue Code	360
Min. Negotiated Rate	$537.46
Max. Negotiated Rate	$537.46
Rate for Payer: Qualcare PPO/HMO/WC	$537.46

N BLOCK INJ FACIAL

Facility

$615.85

Service Code	HCPCS 64402
Hospital Charge Code	412364402
Hospital Revenue Code	510
Min. Negotiated Rate	$80.06
Max. Negotiated Rate	$307.93
Rate for Payer: Aetna Commercial	$184.75
Rate for Payer: Aetna Medicare Advantage	$184.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.04
Rate for Payer: Cigna Commercial	$307.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.06
Rate for Payer: Qualcare PPO/HMO/WC	$92.38

N BLOCK INJ FACIAL

Facility

$615.85

Service Code	HCPCS 64402
Hospital Charge Code	412364402
Hospital Revenue Code	510
Min. Negotiated Rate	$92.38
Max. Negotiated Rate	$92.38
Rate for Payer: Qualcare PPO/HMO/WC	$92.38

N BLOCK INJ HYPOGAS PLXS

Facility

$5,242.30

Service Code	HCPCS 64517
Hospital Charge Code	1600000410
Hospital Revenue Code	360
Min. Negotiated Rate	$681.50
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,572.69
Rate for Payer: Aetna Medicare Advantage	$1,572.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,336.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,336.79
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	$1,336.79
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$681.50
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$786.35
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

N BLOCK INJ HYPOGAS PLXS

Facility

$5,242.30

Service Code	HCPCS 64517
Hospital Charge Code	1600000410
Hospital Revenue Code	360
Min. Negotiated Rate	$786.35
Max. Negotiated Rate	$786.35
Rate for Payer: Qualcare PPO/HMO/WC	$786.35

N BLOCK INJ INTERCOST SNG

Facility

$4,204.50

Service Code	HCPCS 64420
Hospital Charge Code	1600000850
Hospital Revenue Code	360
Min. Negotiated Rate	$546.59
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,261.35
Rate for Payer: Aetna Medicare Advantage	$1,261.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,072.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,072.15
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	$1,072.15
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.59
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$630.67
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

N BLOCK INJ INTERCOST SNG

Facility

$4,204.50

Service Code	HCPCS 64420
Hospital Charge Code	1600000850
Hospital Revenue Code	360
Min. Negotiated Rate	$630.67
Max. Negotiated Rate	$630.67
Rate for Payer: Qualcare PPO/HMO/WC	$630.67

N BLOCK INJ OCCIPITAL

Facility

$717.30

Service Code	HCPCS 64405
Hospital Charge Code	412364405
Hospital Revenue Code	510
Min. Negotiated Rate	$55.30
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$215.19
Rate for Payer: Aetna Medicare Advantage	$215.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.91
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.25
Rate for Payer: Qualcare PPO/HMO/WC	$107.59

N BLOCK INJ OCCIPITAL

Facility

$717.30

Service Code	HCPCS 64405
Hospital Charge Code	412364405
Hospital Revenue Code	510
Min. Negotiated Rate	$107.59
Max. Negotiated Rate	$107.59
Rate for Payer: Qualcare PPO/HMO/WC	$107.59

N BLOCK INJ PLANTAR DIGIT

Facility

$1,434.65

Service Code	HCPCS 64455
Hospital Charge Code	412364455
Hospital Revenue Code	361
Min. Negotiated Rate	$215.20
Max. Negotiated Rate	$215.20
Rate for Payer: Qualcare PPO/HMO/WC	$215.20

N BLOCK INJ PLANTAR DIGIT

Facility

$1,434.65

Service Code	HCPCS 64455
Hospital Charge Code	412364455
Hospital Revenue Code	361
Min. Negotiated Rate	$186.50
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$819.40
Rate for Payer: Aetna Commercial	$430.39
Rate for Payer: Aetna Medicare Advantage	$430.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.84
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	$365.84
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.50
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$215.20
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$835.79
Rate for Payer: Wellpoint Medicaid Managed Care	$819.40

N BLOCK INJ,SCIATIC,SNG-RT

Facility

$7,956.80

Service Code	HCPCS 64445
Hospital Charge Code	16000387
Hospital Revenue Code	360
Min. Negotiated Rate	$1,034.38
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$2,387.04
Rate for Payer: Aetna Medicare Advantage	$2,387.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,028.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,028.98
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	$2,028.98
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.38
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,193.52
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

N BLOCK INJ,SCIATIC,SNG-RT

Facility

$7,956.80

Service Code	HCPCS 64445
Hospital Charge Code	16000387
Hospital Revenue Code	360
Min. Negotiated Rate	$1,193.52
Max. Negotiated Rate	$1,193.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,193.52

N BLOCK OTHER PERIPHERAL

Facility

$3,185.75

Service Code	HCPCS 64450
Hospital Charge Code	412364450
Hospital Revenue Code	510
Min. Negotiated Rate	$477.86
Max. Negotiated Rate	$477.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

N BLOCK OTHER PERIPHERAL

Facility

$3,185.75

Service Code	HCPCS 64450
Hospital Charge Code	412364450
Hospital Revenue Code	510
Min. Negotiated Rate	$43.47
Max. Negotiated Rate	$1,680.99
Rate for Payer: Aetna Commercial	$955.73
Rate for Payer: Aetna Medicare Advantage	$955.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$812.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$812.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$812.37
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.15
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

NCAL BX SKN SINGLE LES

Facility

$1,278.04

Service Code	HCPCS 11106
Hospital Charge Code	16000164
Hospital Revenue Code	360
Min. Negotiated Rate	$166.15
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$383.41
Rate for Payer: Aetna Medicare Advantage	$383.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.90
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	$325.90
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.15
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$191.71
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

NCAL BX SKN SINGLE LES

Facility

$1,278.04

Service Code	HCPCS 11106
Hospital Charge Code	1600000335
Hospital Revenue Code	360
Min. Negotiated Rate	$166.15
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$383.41
Rate for Payer: Aetna Medicare Advantage	$383.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.90
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	$325.90
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.15
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$191.71
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

NCAL BX SKN SINGLE LES

Facility

$1,278.04

Service Code	HCPCS 11106
Hospital Charge Code	1600000335
Hospital Revenue Code	360
Min. Negotiated Rate	$191.71
Max. Negotiated Rate	$191.71
Rate for Payer: Qualcare PPO/HMO/WC	$191.71

NCAL BX SKN SINGLE LES

Facility

$1,278.04

Service Code	HCPCS 11106
Hospital Charge Code	16000164
Hospital Revenue Code	360
Min. Negotiated Rate	$191.71
Max. Negotiated Rate	$191.71
Rate for Payer: Qualcare PPO/HMO/WC	$191.71

NCB CABL BUTTON POLY LOCK PLT

Facility

$714.00

Service Code	HCPCS C1713
Hospital Charge Code	270679953
Hospital Revenue Code	278
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$357.00
Rate for Payer: Aetna Commercial	$214.20
Rate for Payer: Aetna Medicare Advantage	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.07
Rate for Payer: Cigna Commercial	$357.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.79
Rate for Payer: Qualcare PPO/HMO/WC	$107.10

NCB CABL BUTTON POLY LOCK PLT

Facility

$714.00

Service Code	HCPCS C1713
Hospital Charge Code	270679953
Hospital Revenue Code	278
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$172.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.79
Rate for Payer: Qualcare PPO/HMO/WC	$107.10

NCB CORT SCREW 5.0X38MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704130
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X38MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704130
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

Know your out-of-pocket cost for care.

All Charges