Heights University Hospital

All Charges

Charge

Type

Setting

Price

OP TX PATEL FX W IF &/REP

Facility

$12,280.69

Service Code	HCPCS 27524
Hospital Charge Code	16000425
Hospital Revenue Code	360
Min. Negotiated Rate	$1,842.10
Max. Negotiated Rate	$1,842.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,842.10

OPTX POST ANKLE FX

Facility

$26,295.79

Service Code	HCPCS 27769
Hospital Charge Code	16000900
Hospital Revenue Code	360
Min. Negotiated Rate	$3,944.37
Max. Negotiated Rate	$3,944.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37

OPTX POST ANKLE FX

Facility

$26,295.79

Service Code	HCPCS 27769
Hospital Charge Code	16000900
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$7,888.74
Rate for Payer: Aetna Medicare Advantage	$7,888.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,705.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,705.43
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	$6,705.43
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.45
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

OP TX RDL&ULNR SHFT FX FIXJR/U

Facility

$63,943.60

Service Code	HCPCS 25575
Hospital Charge Code	16000552
Hospital Revenue Code	360
Min. Negotiated Rate	$9,591.54
Max. Negotiated Rate	$9,591.54
Rate for Payer: Qualcare PPO/HMO/WC	$9,591.54

OP TX RDL&ULNR SHFT FX FIXJR/U

Facility

$63,943.60

Service Code	HCPCS 25575
Hospital Charge Code	16000552
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$19,183.08
Rate for Payer: Aetna Commercial	$19,183.08
Rate for Payer: Aetna Medicare Advantage	$19,183.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,305.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,305.62
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	$16,305.62
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,312.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,591.54
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

OP TX SESAMOID FRACTURE

Facility

$30,274.24

Service Code	HCPCS 28531
Hospital Charge Code	16000913
Hospital Revenue Code	360
Min. Negotiated Rate	$4,541.14
Max. Negotiated Rate	$4,541.14
Rate for Payer: Qualcare PPO/HMO/WC	$4,541.14

OP TX SESAMOID FRACTURE

Facility

$30,274.24

Service Code	HCPCS 28531
Hospital Charge Code	16000913
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$9,082.27
Rate for Payer: Aetna Medicare Advantage	$9,082.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,719.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,719.93
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	$7,719.93
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,935.65
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,541.14
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

OP TX TRANS-SCAPHRL FX DISLCAT

Facility

$23,899.60

Service Code	HCPCS 25685
Hospital Charge Code	16000697
Hospital Revenue Code	360
Min. Negotiated Rate	$3,584.94
Max. Negotiated Rate	$3,584.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94

OP TX TRANS-SCAPHRL FX DISLCAT

Facility

$23,899.60

Service Code	HCPCS 25685
Hospital Charge Code	16000697
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$7,169.88
Rate for Payer: Aetna Medicare Advantage	$7,169.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,094.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,094.40
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	$6,094.40
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,106.95
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

OP TX TRMLELR ANKL W FX PSTLIP

Facility

$63,943.60

Service Code	HCPCS 27823
Hospital Charge Code	16000400
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$19,183.08
Rate for Payer: Aetna Commercial	$19,183.08
Rate for Payer: Aetna Medicare Advantage	$19,183.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,305.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,305.62
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	$16,305.62
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,312.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,591.54
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

OP TX TRMLELR ANKL W FX PSTLIP

Facility

$63,943.60

Service Code	HCPCS 27823
Hospital Charge Code	16000400
Hospital Revenue Code	360
Min. Negotiated Rate	$9,591.54
Max. Negotiated Rate	$9,591.54
Rate for Payer: Qualcare PPO/HMO/WC	$9,591.54

OP TX ULNAR STYL FX

Facility

$49,826.60

Service Code	HCPCS 25652
Hospital Charge Code	16000838
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$14,947.98
Rate for Payer: Aetna Medicare Advantage	$14,947.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,705.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,705.78
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	$12,705.78
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,477.46
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,473.99
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

OP TX ULNAR STYL FX

Facility

$49,826.60

Service Code	HCPCS 25652
Hospital Charge Code	16000838
Hospital Revenue Code	360
Min. Negotiated Rate	$7,473.99
Max. Negotiated Rate	$7,473.99
Rate for Payer: Qualcare PPO/HMO/WC	$7,473.99

OPUS MAGNUM IMPLANT/ANCHOR SCR

Facility

$983.00

Hospital Charge Code	270335285
Hospital Revenue Code	278
Min. Negotiated Rate	$147.45
Max. Negotiated Rate	$491.50
Rate for Payer: Aetna Commercial	$294.90
Rate for Payer: Aetna Medicare Advantage	$294.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.66
Rate for Payer: Cigna Commercial	$491.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.89
Rate for Payer: Qualcare PPO/HMO/WC	$147.45

OPUS MAGNUM IMPLANT/ANCHOR SCR

Facility

$983.00

Hospital Charge Code	270335285
Hospital Revenue Code	278
Min. Negotiated Rate	$147.45
Max. Negotiated Rate	$237.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.89
Rate for Payer: Qualcare PPO/HMO/WC	$147.45

OPUS SMART STITCH CONNECTOR

Facility

$434.00

Hospital Charge Code	270335289
Hospital Revenue Code	272
Min. Negotiated Rate	$56.42
Max. Negotiated Rate	$217.00
Rate for Payer: Aetna Commercial	$130.20
Rate for Payer: Aetna Medicare Advantage	$130.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.67
Rate for Payer: Cigna Commercial	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.42
Rate for Payer: Oxford Commercial	$217.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.10
Rate for Payer: UnitedHealthcare Commercial	$217.00

OPUS SMART STITCH CONNECTOR

Facility

$434.00

Hospital Charge Code	270335289
Hospital Revenue Code	272
Min. Negotiated Rate	$65.10
Max. Negotiated Rate	$65.10
Rate for Payer: Qualcare PPO/HMO/WC	$65.10

OPUS SMART SUTURE CARTDGE

Facility

$434.00

Hospital Charge Code	270335290
Hospital Revenue Code	272
Min. Negotiated Rate	$56.42
Max. Negotiated Rate	$217.00
Rate for Payer: Aetna Commercial	$130.20
Rate for Payer: Aetna Medicare Advantage	$130.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.67
Rate for Payer: Cigna Commercial	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.42
Rate for Payer: Oxford Commercial	$217.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.10
Rate for Payer: UnitedHealthcare Commercial	$217.00

OPUS SMART SUTURE CARTDGE

Facility

$434.00

Hospital Charge Code	270335290
Hospital Revenue Code	272
Min. Negotiated Rate	$65.10
Max. Negotiated Rate	$65.10
Rate for Payer: Qualcare PPO/HMO/WC	$65.10

*****OR 4 TO 5 HOURS

Facility

$3,890.00

Hospital Charge Code	1600055
Hospital Revenue Code	360
Min. Negotiated Rate	$583.50
Max. Negotiated Rate	$583.50
Rate for Payer: Qualcare PPO/HMO/WC	$583.50

*****OR 4 TO 5 HOURS

Facility

$3,890.00

Hospital Charge Code	1600055
Hospital Revenue Code	360
Min. Negotiated Rate	$505.70
Max. Negotiated Rate	$1,945.00
Rate for Payer: Aetna Commercial	$1,167.00
Rate for Payer: Aetna Medicare Advantage	$1,167.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$991.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$991.95
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	$991.95
Rate for Payer: Cigna Commercial	$1,945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$505.70
Rate for Payer: Qualcare PPO/HMO/WC	$583.50

ORAJEL

Facility

$21.00

Hospital Charge Code	60634876
Hospital Revenue Code	250
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

ORAJEL

Facility

$21.00

Hospital Charge Code	60634876
Hospital Revenue Code	250
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

ORAL COLON LAVAGE 4OZ JAR

Facility

$37.80

Hospital Charge Code	60628944
Hospital Revenue Code	250
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$5.67
Rate for Payer: Qualcare PPO/HMO/WC	$5.67

ORAL COLON LAVAGE 4OZ JAR

Facility

$37.80

Hospital Charge Code	60628944
Hospital Revenue Code	250
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$18.90
Rate for Payer: Aetna Commercial	$11.34
Rate for Payer: Aetna Medicare Advantage	$11.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.64
Rate for Payer: Cigna Commercial	$18.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.91
Rate for Payer: Oxford Commercial	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.67
Rate for Payer: UnitedHealthcare Commercial	$18.90

Know your out-of-pocket cost for care.

All Charges