Heights University Hospital

All Charges

Charge

Type

Setting

Price

PARTIAL HIP REPL PROSTHESIS

Facility

$17,961.84

Service Code	HCPCS 27125
Hospital Charge Code	1600000373
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$30,573.98
Rate for Payer: Aetna Commercial	$5,388.55
Rate for Payer: Aetna Medicare Advantage	$5,388.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,580.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,580.27
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	$4,580.27
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,335.04
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,694.28
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PARTIAL HIP REPL PROSTHESIS

Facility

$17,961.84

Service Code	HCPCS 27125
Hospital Charge Code	1600000373
Hospital Revenue Code	360
Min. Negotiated Rate	$2,694.28
Max. Negotiated Rate	$2,694.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,694.28

PARTIAL HOSP < 24HRS IOP

Facility

$750.00

Service Code	HCPCS 750
Hospital Charge Code	4546761
Hospital Revenue Code	913
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PARTIAL HOSP < 24HRS IOP

Facility

$750.00

Service Code	HCPCS 750
Hospital Charge Code	4546761
Hospital Revenue Code	913
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PARTIAL HOSP FULL DAY***

Facility

$555.00

Service Code	HCPCS G0177
Hospital Charge Code	50001
Hospital Revenue Code	942
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$83.25
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

PARTIAL HOSP FULL DAY***

Facility

$555.00

Service Code	HCPCS G0177
Hospital Charge Code	50001
Hospital Revenue Code	942
Min. Negotiated Rate	$72.15
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$166.50
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.15
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.25
Rate for Payer: UnitedHealthcare Commercial	$779.00

PARTIAL HOSPITALIZATION < 24HR

Facility

$750.00

Service Code	HCPCS H0035
Hospital Charge Code	4546767
Hospital Revenue Code	913
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PARTIAL HOSPITALIZATION < 24HR

Facility

$750.00

Service Code	HCPCS H0035
Hospital Charge Code	4546767
Hospital Revenue Code	913
Min. Negotiated Rate	$17.91
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17.91

PARTIAL HOSP PART DAY***

Facility

$420.00

Service Code	HCPCS G0177
Hospital Charge Code	50002
Hospital Revenue Code	942
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

PARTIAL HOSP PART DAY***

Facility

$420.00

Service Code	HCPCS G0177
Hospital Charge Code	50002
Hospital Revenue Code	942
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

PARTIAL MASTECTOMY

Facility

$23,449.10

Service Code	HCPCS 19301
Hospital Charge Code	16000184
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,324.19
Rate for Payer: Aetna Commercial	$7,034.73
Rate for Payer: Aetna Medicare Advantage	$7,034.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,979.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,979.52
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	$5,979.52
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,048.38
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,517.36
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PARTIAL MASTECTOMY

Facility

$23,449.10

Service Code	HCPCS 19301
Hospital Charge Code	16000184
Hospital Revenue Code	360
Min. Negotiated Rate	$3,517.36
Max. Negotiated Rate	$3,517.36
Rate for Payer: Qualcare PPO/HMO/WC	$3,517.36

PARTIAL REM FOOT PLANAR FASCIA

Facility

$19,998.60

Service Code	HCPCS 28060
Hospital Charge Code	16000326
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
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	$7,791.93
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

PARTIAL REM FOOT PLANAR FASCIA

Facility

$19,998.60

Service Code	HCPCS 28060
Hospital Charge Code	16000326
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

PARTIAL REMOVAL BLADDER

Facility

$10,789.60

Service Code	HCPCS 51550
Hospital Charge Code	1600000811
Hospital Revenue Code	360
Min. Negotiated Rate	$1,618.44
Max. Negotiated Rate	$1,618.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,618.44

PARTIAL REMOVAL BLADDER

Facility

$10,789.60

Service Code	HCPCS 51550
Hospital Charge Code	1600000811
Hospital Revenue Code	360
Min. Negotiated Rate	$948.78
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$3,236.88
Rate for Payer: Aetna Medicare Advantage	$3,236.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,751.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,751.35
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	$2,751.35
Rate for Payer: Cigna Commercial	$948.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,402.65
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,618.44
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PARTIAL REMOVAL FINGER BONE

Facility

$7,159.40

Service Code	HCPCS 26236
Hospital Charge Code	5792292
Hospital Revenue Code	450
Min. Negotiated Rate	$219.86
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,147.82
Rate for Payer: Aetna Medicare Advantage	$2,147.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,825.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,825.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,825.65
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$930.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,073.91

PARTIAL REMOVAL FINGER BONE

Facility

$7,159.40

Service Code	HCPCS 26236
Hospital Charge Code	5792292
Hospital Revenue Code	450
Min. Negotiated Rate	$1,073.91
Max. Negotiated Rate	$1,073.91
Rate for Payer: Qualcare PPO/HMO/WC	$1,073.91

PARTIAL REMOVAL OF COLON

Facility

$27,864.00

Service Code	HCPCS 44146
Hospital Charge Code	1600000495
Hospital Revenue Code	360
Min. Negotiated Rate	$4,179.60
Max. Negotiated Rate	$4,179.60
Rate for Payer: Qualcare PPO/HMO/WC	$4,179.60

PARTIAL REMOVAL OF COLON

Facility

$27,864.00

Service Code	HCPCS 44146
Hospital Charge Code	1600000495
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,359.20
Rate for Payer: Aetna Commercial	$8,359.20
Rate for Payer: Aetna Medicare Advantage	$8,359.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,105.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,105.32
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	$7,105.32
Rate for Payer: Cigna Commercial	$2,116.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,622.32
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,179.60
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PARTIAL REMOVAL OF FIBULA

Facility

$30,595.00

Service Code	HCPCS 27641
Hospital Charge Code	16000892
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

PARTIAL REMOVAL OF FIBULA

Facility

$30,595.00

Service Code	HCPCS 27641
Hospital Charge Code	16000892
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,178.50
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PARTIAL REMOVAL OF KIDNEY

Facility

$21,065.33

Service Code	HCPCS 50240
Hospital Charge Code	1600000600
Hospital Revenue Code	360
Min. Negotiated Rate	$1,295.03
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$6,319.60
Rate for Payer: Aetna Medicare Advantage	$6,319.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,371.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,371.66
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	$5,371.66
Rate for Payer: Cigna Commercial	$1,295.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.49
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.80
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PARTIAL REMOVAL OF KIDNEY

Facility

$21,065.33

Service Code	HCPCS 50240
Hospital Charge Code	1600000600
Hospital Revenue Code	360
Min. Negotiated Rate	$3,159.80
Max. Negotiated Rate	$3,159.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.80

PARTIAL REMOVAL OF PANCREAS

Facility

$99,458.44

Service Code	HCPCS 48150
Hospital Charge Code	1600000276
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$29,837.53
Rate for Payer: Aetna Commercial	$29,837.53
Rate for Payer: Aetna Medicare Advantage	$29,837.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,361.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,361.90
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	$25,361.90
Rate for Payer: Cigna Commercial	$3,123.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,929.60
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,918.77
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

Know your out-of-pocket cost for care.

All Charges