Heights University Hospital

All Charges

Charge

Type

Setting

Price

NJX INTERLAMINAR LMBR/SAC

Facility

$5,965.40

Service Code	HCPCS 62323
Hospital Charge Code	16000356
Hospital Revenue Code	360
Min. Negotiated Rate	$894.81
Max. Negotiated Rate	$894.81
Rate for Payer: Qualcare PPO/HMO/WC	$894.81

NJX INTERLAMINAR LMBR/SAC

Facility

$3,865.20

Service Code	HCPCS 62323
Hospital Charge Code	321562323
Hospital Revenue Code	361
Min. Negotiated Rate	$502.48
Max. Negotiated Rate	$42,635.69
Rate for Payer: Aetna Better Health Medicaid	$41,799.70
Rate for Payer: Aetna Commercial	$1,159.56
Rate for Payer: Aetna Medicare Advantage	$1,159.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.63
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	$985.63
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.48
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$579.78
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,635.69
Rate for Payer: Wellpoint Medicaid Managed Care	$41,799.70

NJX INTERLAMINAR LMBR/SAC

Facility

$5,965.40

Service Code	HCPCS 62322
Hospital Charge Code	16000433
Hospital Revenue Code	360
Min. Negotiated Rate	$894.81
Max. Negotiated Rate	$894.81
Rate for Payer: Qualcare PPO/HMO/WC	$894.81

NJX INTERLAMINAR LMBR/SAC

Facility

$5,965.40

Service Code	HCPCS 62323
Hospital Charge Code	16000356
Hospital Revenue Code	360
Min. Negotiated Rate	$775.50
Max. Negotiated Rate	$42,635.69
Rate for Payer: Aetna Better Health Medicaid	$41,799.70
Rate for Payer: Aetna Commercial	$1,789.62
Rate for Payer: Aetna Medicare Advantage	$1,789.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,521.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,521.18
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	$1,521.18
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$775.50
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$894.81
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,635.69
Rate for Payer: Wellpoint Medicaid Managed Care	$41,799.70

NJX INTERLAMINAR LMBR/SAC

Facility

$5,965.40

Service Code	HCPCS 62322
Hospital Charge Code	16000433
Hospital Revenue Code	360
Min. Negotiated Rate	$775.50
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Better Health Medicaid	$1,799.10
Rate for Payer: Aetna Commercial	$1,789.62
Rate for Payer: Aetna Medicare Advantage	$1,789.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,521.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,521.18
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	$1,521.18
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$775.50
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$894.81
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,835.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1,799.10

NJX INTERLAMINAR LMBR/SAC

Facility

$3,865.20

Service Code	HCPCS 62323
Hospital Charge Code	321562323
Hospital Revenue Code	361
Min. Negotiated Rate	$579.78
Max. Negotiated Rate	$579.78
Rate for Payer: Qualcare PPO/HMO/WC	$579.78

NJX NONCMPND SCLRSNT 1 VEIN

Facility

$10,544.70

Service Code	HCPCS 36465
Hospital Charge Code	421036465
Hospital Revenue Code	761
Min. Negotiated Rate	$962.46
Max. Negotiated Rate	$5,272.35
Rate for Payer: Aetna Commercial	$3,163.41
Rate for Payer: Aetna Medicare Advantage	$3,163.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,688.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,688.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$962.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,688.90
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,370.81
Rate for Payer: Oxford Commercial	$5,272.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,581.70
Rate for Payer: UnitedHealthcare Commercial	$5,272.35

NJX NONCMPND SCLRSNT 1 VEIN

Facility

$10,544.70

Service Code	HCPCS 36465
Hospital Charge Code	421036465
Hospital Revenue Code	761
Min. Negotiated Rate	$1,581.70
Max. Negotiated Rate	$1,581.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,581.70

NJX NONCMPND SCLRSNT MLT VN

Facility

$6,273.72

Service Code	HCPCS 36446
Hospital Charge Code	1600000792
Hospital Revenue Code	360
Min. Negotiated Rate	$941.06
Max. Negotiated Rate	$941.06
Rate for Payer: Qualcare PPO/HMO/WC	$941.06

NJX NONCMPND SCLRSNT MLT VN

Facility

$6,273.72

Service Code	HCPCS 36446
Hospital Charge Code	1600000792
Hospital Revenue Code	360
Min. Negotiated Rate	$815.58
Max. Negotiated Rate	$3,136.86
Rate for Payer: Aetna Commercial	$1,882.12
Rate for Payer: Aetna Medicare Advantage	$1,882.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,599.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,599.80
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	$1,599.80
Rate for Payer: Cigna Commercial	$3,136.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$815.58
Rate for Payer: Qualcare PPO/HMO/WC	$941.06

NJX NONCMPND SCLRSNT MLT VN

Facility

$10,544.70

Service Code	HCPCS 36466
Hospital Charge Code	1600000828
Hospital Revenue Code	360
Min. Negotiated Rate	$1,370.81
Max. Negotiated Rate	$4,913.48
Rate for Payer: Aetna Commercial	$3,163.41
Rate for Payer: Aetna Medicare Advantage	$3,163.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,688.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,688.90
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	$2,688.90
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,370.81
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,581.70
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

NJX NONCMPND SCLRSNT MLT VN

Facility

$10,544.70

Service Code	HCPCS 36466
Hospital Charge Code	1600000828
Hospital Revenue Code	360
Min. Negotiated Rate	$1,581.70
Max. Negotiated Rate	$1,581.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,581.70

NJX NONCMPND SCLRSNT MLT VN

Facility

$10,544.70

Service Code	HCPCS 36466
Hospital Charge Code	421036466
Hospital Revenue Code	761
Min. Negotiated Rate	$1,005.55
Max. Negotiated Rate	$5,272.35
Rate for Payer: Aetna Commercial	$3,163.41
Rate for Payer: Aetna Medicare Advantage	$3,163.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,688.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,688.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,005.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,688.90
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,370.81
Rate for Payer: Oxford Commercial	$5,272.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,581.70
Rate for Payer: UnitedHealthcare Commercial	$5,272.35

NJX NONCMPND SCLRSNT MLT VN

Facility

$10,544.70

Service Code	HCPCS 36466
Hospital Charge Code	421036466
Hospital Revenue Code	761
Min. Negotiated Rate	$1,581.70
Max. Negotiated Rate	$1,581.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,581.70

NJX PLATELET PLASMA

Facility

$9,053.98

Service Code	HCPCS 0232T
Hospital Charge Code	1600000280
Hospital Revenue Code	360
Min. Negotiated Rate	$935.08
Max. Negotiated Rate	$2,716.19
Rate for Payer: Aetna Better Health Medicaid	$935.08
Rate for Payer: Aetna Commercial	$2,716.19
Rate for Payer: Aetna Medicare Advantage	$2,716.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,308.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,308.76
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	$2,308.76
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.02
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,358.10
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellpoint Medicaid Managed Care	$935.08

NJX PLATELET PLASMA

Facility

$9,053.98

Service Code	HCPCS 0232T
Hospital Charge Code	1600000280
Hospital Revenue Code	360
Min. Negotiated Rate	$1,358.10
Max. Negotiated Rate	$1,358.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,358.10

NJX SCLRSNT SPIDER VEINS

Facility

$2,127.90

Service Code	HCPCS 36468
Hospital Charge Code	421036468
Hospital Revenue Code	761
Min. Negotiated Rate	$319.19
Max. Negotiated Rate	$319.19
Rate for Payer: Qualcare PPO/HMO/WC	$319.19

NJX SCLRSNT SPIDER VEINS

Facility

$2,127.90

Service Code	HCPCS 36468
Hospital Charge Code	421036468
Hospital Revenue Code	761
Min. Negotiated Rate	$16.92
Max. Negotiated Rate	$1,063.95
Rate for Payer: Aetna Commercial	$638.37
Rate for Payer: Aetna Medicare Advantage	$638.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$542.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$542.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$542.61
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.63
Rate for Payer: Oxford Commercial	$1,063.95
Rate for Payer: Qualcare PPO/HMO/WC	$319.19
Rate for Payer: UnitedHealthcare Commercial	$1,063.95

NL FEM IM 12mD 36c RT225736012

Facility

$5,562.95

Hospital Charge Code	270636584
Hospital Revenue Code	278
Min. Negotiated Rate	$834.44
Max. Negotiated Rate	$1,346.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.23
Rate for Payer: Qualcare PPO/HMO/WC	$834.44

NL FEM IM 12mD 36c RT225736012

Facility

$5,562.95

Hospital Charge Code	270636584
Hospital Revenue Code	278
Min. Negotiated Rate	$834.44
Max. Negotiated Rate	$2,781.47
Rate for Payer: Aetna Commercial	$1,668.88
Rate for Payer: Aetna Medicare Advantage	$1,668.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,418.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,418.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,418.55
Rate for Payer: Cigna Commercial	$2,781.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.23
Rate for Payer: Qualcare PPO/HMO/WC	$834.44

NL SCREW 2.7 X12

Facility

$485.00

Service Code	HCPCS C1713
Hospital Charge Code	270684670
Hospital Revenue Code	278
Min. Negotiated Rate	$72.75
Max. Negotiated Rate	$242.50
Rate for Payer: Aetna Commercial	$145.50
Rate for Payer: Aetna Medicare Advantage	$145.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.67
Rate for Payer: Cigna Commercial	$242.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.37
Rate for Payer: Qualcare PPO/HMO/WC	$72.75

NL SCREW 2.7 X12

Facility

$485.00

Service Code	HCPCS C1713
Hospital Charge Code	270684670
Hospital Revenue Code	278
Min. Negotiated Rate	$72.75
Max. Negotiated Rate	$117.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.37
Rate for Payer: Qualcare PPO/HMO/WC	$72.75

NL SCREW 2.7 X14

Facility

$485.00

Service Code	HCPCS C1713
Hospital Charge Code	270684671
Hospital Revenue Code	278
Min. Negotiated Rate	$72.75
Max. Negotiated Rate	$242.50
Rate for Payer: Aetna Commercial	$145.50
Rate for Payer: Aetna Medicare Advantage	$145.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.67
Rate for Payer: Cigna Commercial	$242.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.37
Rate for Payer: Qualcare PPO/HMO/WC	$72.75

NL SCREW 2.7 X14

Facility

$485.00

Service Code	HCPCS C1713
Hospital Charge Code	270684671
Hospital Revenue Code	278
Min. Negotiated Rate	$72.75
Max. Negotiated Rate	$117.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.37
Rate for Payer: Qualcare PPO/HMO/WC	$72.75

NL SCREW 2.7 X 16

Facility

$485.00

Service Code	HCPCS C1713
Hospital Charge Code	270684674
Hospital Revenue Code	278
Min. Negotiated Rate	$72.75
Max. Negotiated Rate	$117.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.37
Rate for Payer: Qualcare PPO/HMO/WC	$72.75

Know your out-of-pocket cost for care.

All Charges