Heights University Hospital

All Charges

Charge

Type

Setting

Price

PARTIAL REMOVAL OF PANCREAS

Facility

$99,458.44

Service Code	HCPCS 48150
Hospital Charge Code	1600000276
Hospital Revenue Code	360
Min. Negotiated Rate	$14,918.77
Max. Negotiated Rate	$14,918.77
Rate for Payer: Qualcare PPO/HMO/WC	$14,918.77

PARTIAL REMOVAL OF PENIS

Facility

$20,308.55

Service Code	HCPCS 54120
Hospital Charge Code	1600000701
Hospital Revenue Code	360
Min. Negotiated Rate	$3,046.28
Max. Negotiated Rate	$3,046.28
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28

PARTIAL REMOVAL OF PENIS

Facility

$20,308.55

Service Code	HCPCS 54120
Hospital Charge Code	1600000701
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Medicare Advantage	$6,092.56
Rate for Payer: Aetna Commercial	$6,092.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,178.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,178.68
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	$5,178.68
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,640.11
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PARTIAL REMOVAL OF RADIUS

Facility

$12,406.91

Service Code	HCPCS 25230
Hospital Charge Code	16000832
Hospital Revenue Code	360
Min. Negotiated Rate	$1,612.90
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$3,722.07
Rate for Payer: Aetna Medicare Advantage	$3,722.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,163.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,163.76
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	$3,163.76
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.90
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PARTIAL REMOVAL OF RADIUS

Facility

$12,406.91

Service Code	HCPCS 25230
Hospital Charge Code	16000832
Hospital Revenue Code	360
Min. Negotiated Rate	$1,861.04
Max. Negotiated Rate	$1,861.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04

PARTIAL REMOVAL OF THE COLON

Facility

$15,614.34

Service Code	HCPCS 44143
Hospital Charge Code	160000245
Hospital Revenue Code	360
Min. Negotiated Rate	$2,342.15
Max. Negotiated Rate	$2,342.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.15

PARTIAL REMOVAL OF THE COLON

Facility

$15,614.34

Service Code	HCPCS 44143
Hospital Charge Code	160000245
Hospital Revenue Code	360
Min. Negotiated Rate	$1,667.60
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,684.30
Rate for Payer: Aetna Medicare Advantage	$4,684.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,981.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,981.66
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	$3,981.66
Rate for Payer: Cigna Commercial	$1,667.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,029.86
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.15
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PARTIAL REMOVAL OF TOES

Facility

$19,105.25

Service Code	HCPCS 28153
Hospital Charge Code	1600000607
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,731.57
Rate for Payer: Aetna Medicare Advantage	$5,731.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,871.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,871.84
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	$4,871.84
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,483.68
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PARTIAL REMOVAL OF TOES

Facility

$19,105.25

Service Code	HCPCS 28153
Hospital Charge Code	1600000607
Hospital Revenue Code	360
Min. Negotiated Rate	$2,865.79
Max. Negotiated Rate	$2,865.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79

PARTIAL REMOVAL OF ULNA

Facility

$19,105.25

Service Code	HCPCS 25240
Hospital Charge Code	1600000572
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,731.57
Rate for Payer: Aetna Medicare Advantage	$5,731.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,871.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,871.84
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	$4,871.84
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,483.68
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PARTIAL REMOVAL OF ULNA

Facility

$19,105.25

Service Code	HCPCS 25240
Hospital Charge Code	1600000572
Hospital Revenue Code	360
Min. Negotiated Rate	$2,865.79
Max. Negotiated Rate	$2,865.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$41,524.88

Service Code	APR-DRG 8444
Min. Negotiated Rate	$31,046.44
Max. Negotiated Rate	$41,524.88
Rate for Payer: Aetna Better Health Medicaid	$31,046.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,667.37
Rate for Payer: Wellpoint Medicaid Managed Care	$41,524.88

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$8,294.31

Service Code	APR-DRG 8442
Min. Negotiated Rate	$7,207.70
Max. Negotiated Rate	$8,294.31
Rate for Payer: Aetna Better Health Medicaid	$8,131.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,294.31
Rate for Payer: Wellpoint Medicaid Managed Care	$7,207.70

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$14,673.54

Service Code	APR-DRG 8443
Min. Negotiated Rate	$14,204.94
Max. Negotiated Rate	$14,673.54
Rate for Payer: Aetna Better Health Medicaid	$14,204.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,489.04
Rate for Payer: Wellpoint Medicaid Managed Care	$14,673.54

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$4,963.09

Service Code	APR-DRG 8441
Min. Negotiated Rate	$4,779.24
Max. Negotiated Rate	$4,963.09
Rate for Payer: Aetna Better Health Medicaid	$4,865.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,963.09
Rate for Payer: Wellpoint Medicaid Managed Care	$4,779.24

PARTIAL THYROID REMOVAL

Facility

$24,921.08

Service Code	HCPCS 60210
Hospital Charge Code	1600000748
Hospital Revenue Code	360
Min. Negotiated Rate	$3,738.16
Max. Negotiated Rate	$3,738.16
Rate for Payer: Qualcare PPO/HMO/WC	$3,738.16

PARTIAL THYROID REMOVAL

Facility

$24,921.08

Service Code	HCPCS 60210
Hospital Charge Code	1600000748
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,476.32
Rate for Payer: Aetna Medicare Advantage	$7,476.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,354.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,354.88
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	$6,354.88
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,239.74
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,738.16
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PARTICLE AGGLUTINATION;TITER,@

Facility

$75.00

Service Code	HCPCS 86406
Hospital Charge Code	38477074
Hospital Revenue Code	302
Min. Negotiated Rate	$5.32
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.47
Rate for Payer: Aetna Medicare Advantage	$10.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.98
Rate for Payer: Cigna Commercial	$10.64
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$10.11
Rate for Payer: EmblemHealth Commercial	$31.92
Rate for Payer: Humana Medicare Advantage	$10.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.28
Rate for Payer: Wellcare Medicare Advantage	$10.64

PARTICLE AGGLUTINATION;TITER,@

Facility

$75.00

Service Code	HCPCS 86406
Hospital Charge Code	38477074
Hospital Revenue Code	302
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

PARTICLE CONTOUR 355500 760045

Facility

$575.00

Hospital Charge Code	270630468V
Hospital Revenue Code	272
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$86.25
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

PARTICLE CONTOUR 355500 760045

Facility

$575.00

Hospital Charge Code	270630468V
Hospital Revenue Code	272
Min. Negotiated Rate	$74.75
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$172.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.75
Rate for Payer: Oxford Commercial	$287.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Commercial	$287.50

PARTICLES MCV CONTR EMB 760062

Facility

$396.85

Hospital Charge Code	270626576
Hospital Revenue Code	272
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$59.53
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

PARTICLES MCV CONTR EMB 760062

Facility

$396.85

Hospital Charge Code	270626576
Hospital Revenue Code	272
Min. Negotiated Rate	$51.59
Max. Negotiated Rate	$198.43
Rate for Payer: Aetna Commercial	$119.06
Rate for Payer: Aetna Medicare Advantage	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.20
Rate for Payer: Cigna Commercial	$198.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.59
Rate for Payer: Oxford Commercial	$198.43
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Commercial	$198.43

PARTICLES PVA CONTOUR MED

Facility

$1,425.60

Hospital Charge Code	270651697
Hospital Revenue Code	272
Min. Negotiated Rate	$185.33
Max. Negotiated Rate	$712.80
Rate for Payer: Aetna Commercial	$427.68
Rate for Payer: Aetna Medicare Advantage	$427.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.53
Rate for Payer: Cigna Commercial	$712.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.33
Rate for Payer: Oxford Commercial	$712.80
Rate for Payer: Qualcare PPO/HMO/WC	$213.84
Rate for Payer: UnitedHealthcare Commercial	$712.80

PARTICLES PVA CONTOUR MED

Facility

$1,425.60

Hospital Charge Code	270651697
Hospital Revenue Code	272
Min. Negotiated Rate	$213.84
Max. Negotiated Rate	$213.84
Rate for Payer: Qualcare PPO/HMO/WC	$213.84

Know your out-of-pocket cost for care.

All Charges