Heights University Hospital

All Charges

Charge

Type

Setting

Price

OP INC FOOT/TOE EXTENSOR TENDN

Facility

$19,998.60

Service Code	HCPCS 28234
Hospital Charge Code	16000481
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,999.58
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
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	$5,099.64
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

OPIOID ABUSE AND DEPENDENCE

Facility

$10,712.59

Service Code	APR-DRG 7733
Min. Negotiated Rate	$6,939.63
Max. Negotiated Rate	$10,712.59
Rate for Payer: Aetna Better Health Medicaid	$10,502.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,712.59
Rate for Payer: Wellpoint Medicaid Managed Care	$6,939.63

OPIOID ABUSE AND DEPENDENCE

Facility

$5,680.71

Service Code	APR-DRG 7732
Min. Negotiated Rate	$3,424.56
Max. Negotiated Rate	$5,680.71
Rate for Payer: Aetna Better Health Medicaid	$5,569.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,680.71
Rate for Payer: Wellpoint Medicaid Managed Care	$3,424.56

OPIOID ABUSE AND DEPENDENCE

Facility

$3,942.13

Service Code	APR-DRG 7731
Min. Negotiated Rate	$2,678.01
Max. Negotiated Rate	$3,942.13
Rate for Payer: Aetna Better Health Medicaid	$3,864.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$3,942.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2,678.01

OPIOID ABUSE AND DEPENDENCE

Facility

$24,718.48

Service Code	APR-DRG 7734
Min. Negotiated Rate	$21,962.36
Max. Negotiated Rate	$24,718.48
Rate for Payer: Aetna Better Health Medicaid	$24,233.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,718.48
Rate for Payer: Wellpoint Medicaid Managed Care	$21,962.36

OPIOID &OPIATE ANALOG 5/MORE

Facility

$190.45

Service Code	HCPCS 80364
Hospital Charge Code	38430033
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOID &OPIATE ANALOG 5/MORE

Facility

$190.45

Service Code	HCPCS 80364
Hospital Charge Code	39990233
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOID &OPIATE ANALOG 5/MORE

Facility

$190.45

Service Code	HCPCS 80364
Hospital Charge Code	3039033
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIOID &OPIATE ANALOG 5/MORE

Facility

$190.45

Service Code	HCPCS 80364
Hospital Charge Code	38430033
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIOID &OPIATE ANALOG 5/MORE

Facility

$190.45

Service Code	HCPCS 80364
Hospital Charge Code	3039033
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOID &OPIATE ANALOG 5/MORE

Facility

$190.45

Service Code	HCPCS 80364
Hospital Charge Code	39990233
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIOIDS & OPIATE ANALOGS 1/2

Facility

$190.45

Service Code	HCPCS 80362
Hospital Charge Code	38430031
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIOIDS & OPIATE ANALOGS 1/2

Facility

$190.45

Service Code	HCPCS 80362
Hospital Charge Code	3039031
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIOIDS & OPIATE ANALOGS 1/2

Facility

$190.45

Service Code	HCPCS 80362
Hospital Charge Code	39990231
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIOIDS & OPIATE ANALOGS 1/2

Facility

$190.45

Service Code	HCPCS 80362
Hospital Charge Code	38430031
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOIDS & OPIATE ANALOGS 1/2

Facility

$190.45

Service Code	HCPCS 80362
Hospital Charge Code	3039031
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOIDS & OPIATE ANALOGS 1/2

Facility

$190.45

Service Code	HCPCS 80362
Hospital Charge Code	39990231
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOIDS & OPIATE ANALOGS 3/4

Facility

$190.45

Service Code	HCPCS 80363
Hospital Charge Code	3039032
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOIDS & OPIATE ANALOGS 3/4

Facility

$190.45

Service Code	HCPCS 80363
Hospital Charge Code	39990232
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOIDS & OPIATE ANALOGS 3/4

Facility

$190.45

Service Code	HCPCS 80363
Hospital Charge Code	3039032
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIOIDS & OPIATE ANALOGS 3/4

Facility

$190.45

Service Code	HCPCS 80363
Hospital Charge Code	38430032
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIOIDS & OPIATE ANALOGS 3/4

Facility

$190.45

Service Code	HCPCS 80363
Hospital Charge Code	38430032
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

OPIOIDS & OPIATE ANALOGS 3/4

Facility

$190.45

Service Code	HCPCS 80363
Hospital Charge Code	39990232
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

OPIUM (DEODORIZED) 10%/11

Facility

$233.00

Hospital Charge Code	60633578
Hospital Revenue Code	250
Min. Negotiated Rate	$30.29
Max. Negotiated Rate	$116.50
Rate for Payer: Aetna Commercial	$69.90
Rate for Payer: Aetna Medicare Advantage	$69.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.41
Rate for Payer: Cigna Commercial	$116.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.29
Rate for Payer: Oxford Commercial	$116.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.95
Rate for Payer: UnitedHealthcare Commercial	$116.50

OPIUM (DEODORIZED) 10%/11

Facility

$233.00

Hospital Charge Code	60633578
Hospital Revenue Code	250
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$34.95
Rate for Payer: Qualcare PPO/HMO/WC	$34.95

Know your out-of-pocket cost for care.

All Charges