Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERC ROD 150MM

Facility

$1,541.05

Hospital Charge Code	270703338
Hospital Revenue Code	279
Min. Negotiated Rate	$231.16
Max. Negotiated Rate	$231.16
Rate for Payer: Qualcare PPO/HMO/WC	$231.16

PERC ROD PRE-BENT 5.5X50MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270704528
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

PERC ROD PRE-BENT 5.5X50MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270704528
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

PERC SK FIXATION MC FX,EA BONE

Facility

$23,899.60

Service Code	HCPCS 26608
Hospital Charge Code	16000292
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

PERC SK FIXATION MC FX,EA BONE

Facility

$23,899.60

Service Code	HCPCS 26608
Hospital Charge Code	16000292
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
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	$7,791.93
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

PERC SK FIX METATARSAL FX W MA

Facility

$28,255.00

Service Code	HCPCS 28476
Hospital Charge Code	16000725
Hospital Revenue Code	360
Min. Negotiated Rate	$4,238.25
Max. Negotiated Rate	$4,238.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25

PERC SK FIX METATARSAL FX W MA

Facility

$28,255.00

Service Code	HCPCS 28476
Hospital Charge Code	16000725
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,476.50
Rate for Payer: Aetna Commercial	$8,476.50
Rate for Payer: Aetna Medicare Advantage	$8,476.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,205.02
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	$7,205.02
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,673.15
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PERC SK FIX UNST PHAL SHFT F1

Facility

$23,899.60

Service Code	HCPCS 26727
Hospital Charge Code	16000293
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
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	$7,791.93
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

PERC SK FIX UNST PHAL SHFT F1

Facility

$23,899.60

Service Code	HCPCS 26727
Hospital Charge Code	16000293
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

PERC SKTL FX D PHA FX FNGR/THM

Facility

$23,899.60

Service Code	HCPCS 26756
Hospital Charge Code	16000476
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
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	$7,791.93
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

PERC SKTL FX D PHA FX FNGR/THM

Facility

$23,899.60

Service Code	HCPCS 26756
Hospital Charge Code	16000476
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

PERCUCUT BIOPSY NEEDLE 21G X 1

Facility

$180.00

Hospital Charge Code	270331868
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

PERCUCUT BIOPSY NEEDLE 21G X 1

Facility

$180.00

Hospital Charge Code	270331868
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

PERCUIGUIDE 20Gx10CM LESION MA

Facility

$108.15

Hospital Charge Code	270664731
Hospital Revenue Code	270
Min. Negotiated Rate	$16.22
Max. Negotiated Rate	$16.22
Rate for Payer: Qualcare PPO/HMO/WC	$16.22

PERCUIGUIDE 20Gx10CM LESION MA

Facility

$108.15

Hospital Charge Code	270664731
Hospital Revenue Code	270
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$54.08
Rate for Payer: Aetna Commercial	$32.45
Rate for Payer: Aetna Medicare Advantage	$32.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.58
Rate for Payer: Cigna Commercial	$54.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.06
Rate for Payer: Oxford Commercial	$54.08
Rate for Payer: Qualcare PPO/HMO/WC	$16.22
Rate for Payer: UnitedHealthcare Commercial	$54.08

PERCUIGUIDE 20Gx5CM LESIONMARK

Facility

$108.15

Hospital Charge Code	270664052
Hospital Revenue Code	270
Min. Negotiated Rate	$16.22
Max. Negotiated Rate	$16.22
Rate for Payer: Qualcare PPO/HMO/WC	$16.22

PERCUIGUIDE 20Gx5CM LESIONMARK

Facility

$108.15

Hospital Charge Code	270664052
Hospital Revenue Code	270
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$54.08
Rate for Payer: Aetna Commercial	$32.45
Rate for Payer: Aetna Medicare Advantage	$32.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.58
Rate for Payer: Cigna Commercial	$54.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.06
Rate for Payer: Oxford Commercial	$54.08
Rate for Payer: Qualcare PPO/HMO/WC	$16.22
Rate for Payer: UnitedHealthcare Commercial	$54.08

PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC

Facility

$139,111.37

Service Code	MSDRG 273
Min. Negotiated Rate	$41,663.17
Max. Negotiated Rate	$139,111.37
Rate for Payer: Aetna Commercial	$139,111.37
Rate for Payer: Aetna Medicare Advantage	$45,019.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107,511.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107,511.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$43,855.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107,511.30
Rate for Payer: Cigna Commercial	$88,784.89
Rate for Payer: Cigna Medicare Advantage	$43,855.97
Rate for Payer: Clover Medicare Advantage	$41,663.17
Rate for Payer: EmblemHealth Commercial	$131,567.91
Rate for Payer: Humana Medicare Advantage	$45,171.65
Rate for Payer: Oxford Commercial	$55,487.97
Rate for Payer: UnitedHealthcare Commercial	$62,984.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$43,855.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$46,487.33
Rate for Payer: Wellcare Medicare Advantage	$43,855.97

PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC

Facility

$110,995.74

Service Code	MSDRG 274
Min. Negotiated Rate	$33,999.31
Max. Negotiated Rate	$110,995.74
Rate for Payer: Aetna Commercial	$110,995.74
Rate for Payer: Aetna Medicare Advantage	$35,920.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89,317.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89,317.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,788.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89,317.08
Rate for Payer: Cigna Commercial	$70,840.68
Rate for Payer: Cigna Medicare Advantage	$35,788.75
Rate for Payer: Clover Medicare Advantage	$33,999.31
Rate for Payer: EmblemHealth Commercial	$107,366.25
Rate for Payer: Humana Medicare Advantage	$36,862.41
Rate for Payer: Oxford Commercial	$44,273.36
Rate for Payer: UnitedHealthcare Commercial	$50,254.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,788.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37,936.07
Rate for Payer: Wellcare Medicare Advantage	$35,788.75

PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$52,231.74

Service Code	APR-DRG 1744
Min. Negotiated Rate	$40,470.39
Max. Negotiated Rate	$52,231.74
Rate for Payer: Aetna Better Health Medicaid	$51,207.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,231.74
Rate for Payer: Wellpoint Medicaid Managed Care	$40,470.39

PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$27,072.27

Service Code	APR-DRG 1741
Min. Negotiated Rate	$18,257.63
Max. Negotiated Rate	$27,072.27
Rate for Payer: Aetna Better Health Medicaid	$26,541.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,072.27
Rate for Payer: Wellpoint Medicaid Managed Care	$18,257.63

PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$36,383.32

Service Code	APR-DRG 1743
Min. Negotiated Rate	$24,854.84
Max. Negotiated Rate	$36,383.32
Rate for Payer: Aetna Better Health Medicaid	$35,669.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$36,383.32
Rate for Payer: Wellpoint Medicaid Managed Care	$24,854.84

PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$29,223.75

Service Code	APR-DRG 1742
Min. Negotiated Rate	$19,665.12
Max. Negotiated Rate	$29,223.75
Rate for Payer: Aetna Better Health Medicaid	$28,650.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,223.75
Rate for Payer: Wellpoint Medicaid Managed Care	$19,665.12

PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$58,124.51

Service Code	APR-DRG 1754
Min. Negotiated Rate	$47,697.81
Max. Negotiated Rate	$58,124.51
Rate for Payer: Aetna Better Health Medicaid	$56,984.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,124.51
Rate for Payer: Wellpoint Medicaid Managed Care	$47,697.81

PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$27,687.39

Service Code	APR-DRG 1751
Min. Negotiated Rate	$18,151.76
Max. Negotiated Rate	$27,687.39
Rate for Payer: Aetna Better Health Medicaid	$27,144.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,687.39
Rate for Payer: Wellpoint Medicaid Managed Care	$18,151.76

Know your out-of-pocket cost for care.

All Charges