Heights University Hospital

All Charges

Charge

Type

Setting

Price

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	2600205
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$16,986.28
Rate for Payer: Aetna Medicare Advantage	$16,986.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,438.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,438.34
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	$14,438.34
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,360.72
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	7411526
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$16,247.75
Rate for Payer: Aetna Medicare Advantage	$16,247.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,810.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,810.59
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	$13,810.59
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,040.69
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	411037238
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	7411526
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	411037238
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$16,247.75
Rate for Payer: Aetna Medicare Advantage	$16,247.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,810.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,810.59
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	$13,810.59
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,040.69
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	366837238
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN REPAIR ROTATOR CUFF

Facility

$44,647.09

Service Code	HCPCS 23410
Hospital Charge Code	16000610
Hospital Revenue Code	360
Min. Negotiated Rate	$6,697.06
Max. Negotiated Rate	$6,697.06
Rate for Payer: Qualcare PPO/HMO/WC	$6,697.06

OPEN REPAIR ROTATOR CUFF

Facility

$44,647.09

Service Code	HCPCS 23410
Hospital Charge Code	16000610
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,394.13
Rate for Payer: Aetna Medicare Advantage	$13,394.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,385.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,385.01
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	$11,385.01
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,804.12
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,697.06
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

OPEN REPAIR TOE DISLOCAT

Facility

$17,096.75

Service Code	HCPCS 28645
Hospital Charge Code	323028645
Hospital Revenue Code	450
Min. Negotiated Rate	$187.89
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,129.02
Rate for Payer: Aetna Medicare Advantage	$5,129.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,359.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,359.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,359.67
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,222.58
Rate for Payer: Qualcare PPO/HMO/WC	$2,564.51

OPEN REPAIR TOE DISLOCAT

Facility

$17,096.75

Service Code	HCPCS 28645
Hospital Charge Code	323028645
Hospital Revenue Code	450
Min. Negotiated Rate	$2,564.51
Max. Negotiated Rate	$2,564.51
Rate for Payer: Qualcare PPO/HMO/WC	$2,564.51

OPEN REPAIR WST JOINT BL

Facility

$44,916.00

Service Code	HCPCS 25320
Hospital Charge Code	16000473
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

OPEN REPAIR WST JOINT BL

Facility

$44,916.00

Service Code	HCPCS 25320
Hospital Charge Code	16000473
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,474.80
Rate for Payer: Aetna Medicare Advantage	$13,474.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,453.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,453.58
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	$11,453.58
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,839.08
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

OPEN RING, 180MM

Facility

$2,779.00

Hospital Charge Code	270656541
Hospital Revenue Code	278
Min. Negotiated Rate	$416.85
Max. Negotiated Rate	$672.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$555.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.52
Rate for Payer: Qualcare PPO/HMO/WC	$416.85

OPEN RING, 180MM

Facility

$2,779.00

Hospital Charge Code	270656541
Hospital Revenue Code	278
Min. Negotiated Rate	$416.85
Max. Negotiated Rate	$1,389.50
Rate for Payer: Aetna Commercial	$833.70
Rate for Payer: Aetna Medicare Advantage	$833.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$708.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$708.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$555.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$708.64
Rate for Payer: Cigna Commercial	$1,389.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.52
Rate for Payer: Qualcare PPO/HMO/WC	$416.85

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61312
Hospital Charge Code	1600000670
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,423.92
Rate for Payer: Aetna Commercial	$13,423.92
Rate for Payer: Aetna Medicare Advantage	$13,423.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,410.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,410.33
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	$11,410.33
Rate for Payer: Cigna Commercial	$2,192.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,817.03
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OPEN SKULL FOR DRAINAGE

Facility

$43,072.60

Service Code	HCPCS 61313
Hospital Charge Code	1600000553
Hospital Revenue Code	360
Min. Negotiated Rate	$6,460.89
Max. Negotiated Rate	$6,460.89
Rate for Payer: Qualcare PPO/HMO/WC	$6,460.89

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61315
Hospital Charge Code	1600000592
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,423.92
Rate for Payer: Aetna Commercial	$13,423.92
Rate for Payer: Aetna Medicare Advantage	$13,423.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,410.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,410.33
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	$11,410.33
Rate for Payer: Cigna Commercial	$2,208.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,817.03
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61312
Hospital Charge Code	1600000670
Hospital Revenue Code	360
Min. Negotiated Rate	$6,711.96
Max. Negotiated Rate	$6,711.96
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61315
Hospital Charge Code	1600000592
Hospital Revenue Code	360
Min. Negotiated Rate	$6,711.96
Max. Negotiated Rate	$6,711.96
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96

OPEN SKULL FOR DRAINAGE

Facility

$41,042.40

Service Code	HCPCS 61320
Hospital Charge Code	1600000657
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,312.72
Rate for Payer: Aetna Commercial	$12,312.72
Rate for Payer: Aetna Medicare Advantage	$12,312.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,465.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,465.81
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	$10,465.81
Rate for Payer: Cigna Commercial	$2,010.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,335.51
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,156.36
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OPEN SKULL FOR DRAINAGE

Facility

$43,072.60

Service Code	HCPCS 61313
Hospital Charge Code	1600000553
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,921.78
Rate for Payer: Aetna Commercial	$12,921.78
Rate for Payer: Aetna Medicare Advantage	$12,921.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,983.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,983.51
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	$10,983.51
Rate for Payer: Cigna Commercial	$2,135.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,599.44
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,460.89
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OPEN SKULL FOR DRAINAGE

Facility

$41,042.40

Service Code	HCPCS 61320
Hospital Charge Code	1600000657
Hospital Revenue Code	360
Min. Negotiated Rate	$6,156.36
Max. Negotiated Rate	$6,156.36
Rate for Payer: Qualcare PPO/HMO/WC	$6,156.36

OPEN SUPERF BONE BX

Facility

$20,625.50

Service Code	HCPCS 20240
Hospital Charge Code	16000383
Hospital Revenue Code	360
Min. Negotiated Rate	$3,093.82
Max. Negotiated Rate	$3,093.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82

OPEN SUPERF BONE BX

Facility

$20,625.50

Service Code	HCPCS 20240
Hospital Charge Code	16000383
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$6,187.65
Rate for Payer: Aetna Medicare Advantage	$6,187.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,259.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,259.50
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	$5,259.50
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,681.32
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

OPEN TX FEM W PLATE/SCREWS

Facility

$20,528.74

Service Code	HCPCS 27507
Hospital Charge Code	1600000568
Hospital Revenue Code	360
Min. Negotiated Rate	$3,079.31
Max. Negotiated Rate	$3,079.31
Rate for Payer: Qualcare PPO/HMO/WC	$3,079.31

Know your out-of-pocket cost for care.

All Charges