Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$9,649.48

Service Code	APR-DRG 0482
Min. Negotiated Rate	$6,618.87
Max. Negotiated Rate	$9,649.48
Rate for Payer: Aetna Better Health Medicaid	$9,460.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,649.48
Rate for Payer: Wellpoint Medicaid Managed Care	$6,618.87

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR

Facility

$75,641.10

Service Code	MSDRG 041
Min. Negotiated Rate	$23,953.01
Max. Negotiated Rate	$75,641.10
Rate for Payer: Aetna Commercial	$74,139.91
Rate for Payer: Aetna Medicare Advantage	$23,993.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61,474.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61,474.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,213.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61,474.41
Rate for Payer: Cigna Medicare Advantage	$25,213.70
Rate for Payer: Clover Medicare Advantage	$23,953.01
Rate for Payer: EmblemHealth Commercial	$75,641.10
Rate for Payer: Humana Medicare Advantage	$25,970.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,213.70
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,726.52
Rate for Payer: Wellcare Medicare Advantage	$25,213.70

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC

Facility

$130,199.22

Service Code	MSDRG 040
Min. Negotiated Rate	$39,233.86
Max. Negotiated Rate	$130,199.22
Rate for Payer: Aetna Commercial	$130,199.22
Rate for Payer: Aetna Medicare Advantage	$42,135.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106,132.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106,132.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41,298.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106,132.95
Rate for Payer: Cigna Medicare Advantage	$41,298.80
Rate for Payer: Clover Medicare Advantage	$39,233.86
Rate for Payer: EmblemHealth Commercial	$123,896.40
Rate for Payer: Humana Medicare Advantage	$42,537.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$41,298.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43,776.73
Rate for Payer: Wellcare Medicare Advantage	$41,298.80

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC

Facility

$61,969.98

Service Code	MSDRG 042
Min. Negotiated Rate	$18,853.67
Max. Negotiated Rate	$61,969.98
Rate for Payer: Aetna Commercial	$58,257.84
Rate for Payer: Aetna Medicare Advantage	$18,853.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,966.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,966.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,656.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,966.58
Rate for Payer: Cigna Medicare Advantage	$20,656.66
Rate for Payer: Clover Medicare Advantage	$19,623.83
Rate for Payer: EmblemHealth Commercial	$61,969.98
Rate for Payer: Humana Medicare Advantage	$21,276.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,656.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,896.06
Rate for Payer: Wellcare Medicare Advantage	$20,656.66

Peripheral Nerve Stimulator ES

Facility

$4,995.00

Hospital Charge Code	270684936
Hospital Revenue Code	272
Min. Negotiated Rate	$649.35
Max. Negotiated Rate	$2,497.50
Rate for Payer: Aetna Commercial	$1,498.50
Rate for Payer: Aetna Medicare Advantage	$1,498.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,273.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,273.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,273.72
Rate for Payer: Cigna Commercial	$2,497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$649.35
Rate for Payer: Oxford Commercial	$2,497.50
Rate for Payer: Qualcare PPO/HMO/WC	$749.25
Rate for Payer: UnitedHealthcare Commercial	$2,497.50

Peripheral Nerve Stimulator ES

Facility

$4,995.00

Hospital Charge Code	270684936
Hospital Revenue Code	272
Min. Negotiated Rate	$749.25
Max. Negotiated Rate	$749.25
Rate for Payer: Qualcare PPO/HMO/WC	$749.25

PERIPHERAL PARENTERL NUTRITION

Facility

$500.00

Hospital Charge Code	6007117
Hospital Revenue Code	250
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PERIPHERAL PARENTERL NUTRITION

Facility

$500.00

Hospital Charge Code	6007117
Hospital Revenue Code	250
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

Peripheral Shield, absorbent

Facility

$135.00

Hospital Charge Code	270667573
Hospital Revenue Code	270
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$67.50

Peripheral Shield, absorbent

Facility

$135.00

Hospital Charge Code	270667573
Hospital Revenue Code	270
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

PERIPHERAL STENT

Facility

$7,350.00

Hospital Charge Code	270664603
Hospital Revenue Code	278
Min. Negotiated Rate	$1,102.50
Max. Negotiated Rate	$1,778.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,778.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,102.50

PERIPHERAL STENT

Facility

$7,350.00

Hospital Charge Code	270664603
Hospital Revenue Code	278
Min. Negotiated Rate	$1,102.50
Max. Negotiated Rate	$3,675.00
Rate for Payer: Aetna Commercial	$2,205.00
Rate for Payer: Aetna Medicare Advantage	$2,205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,874.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,874.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,874.25
Rate for Payer: Cigna Commercial	$3,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,778.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,102.50

PERIPHERAL VASCULAR DISORDERS WITH CC

Facility

$42,807.21

Service Code	MSDRG 300
Min. Negotiated Rate	$11,649.18
Max. Negotiated Rate	$42,807.21
Rate for Payer: Aetna Commercial	$35,995.97
Rate for Payer: Aetna Medicare Advantage	$11,649.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,496.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,496.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,269.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,496.69
Rate for Payer: Cigna Commercial	$22,973.67
Rate for Payer: Cigna Medicare Advantage	$14,269.07
Rate for Payer: Clover Medicare Advantage	$13,555.62
Rate for Payer: EmblemHealth Commercial	$42,807.21
Rate for Payer: Humana Medicare Advantage	$14,697.14
Rate for Payer: Oxford Commercial	$14,357.88
Rate for Payer: UnitedHealthcare Commercial	$16,297.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,269.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,125.21
Rate for Payer: Wellcare Medicare Advantage	$14,269.07

PERIPHERAL VASCULAR DISORDERS WITH MCC

Facility

$59,212.56

Service Code	MSDRG 299
Min. Negotiated Rate	$17,816.97
Max. Negotiated Rate	$59,212.56
Rate for Payer: Aetna Commercial	$55,054.44
Rate for Payer: Aetna Medicare Advantage	$17,816.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,555.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,555.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,737.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,555.86
Rate for Payer: Cigna Commercial	$35,137.34
Rate for Payer: Cigna Medicare Advantage	$19,737.52
Rate for Payer: Clover Medicare Advantage	$18,750.64
Rate for Payer: EmblemHealth Commercial	$59,212.56
Rate for Payer: Humana Medicare Advantage	$20,329.65
Rate for Payer: Oxford Commercial	$21,959.81
Rate for Payer: UnitedHealthcare Commercial	$24,926.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,737.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,921.77
Rate for Payer: Wellcare Medicare Advantage	$19,737.52

PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC

Facility

$32,712.06

Service Code	MSDRG 301
Min. Negotiated Rate	$7,853.79
Max. Negotiated Rate	$32,712.06
Rate for Payer: Aetna Commercial	$24,268.21
Rate for Payer: Aetna Medicare Advantage	$7,853.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,572.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,572.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,904.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,572.57
Rate for Payer: Cigna Commercial	$15,488.66
Rate for Payer: Cigna Medicare Advantage	$10,904.02
Rate for Payer: Clover Medicare Advantage	$10,358.82
Rate for Payer: EmblemHealth Commercial	$32,712.06
Rate for Payer: Humana Medicare Advantage	$11,231.14
Rate for Payer: Oxford Commercial	$9,679.97
Rate for Payer: UnitedHealthcare Commercial	$10,987.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,904.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,558.26
Rate for Payer: Wellcare Medicare Advantage	$10,904.02

PERIPROSTH CAPSULECT BREAST

Facility

$31,541.30

Service Code	HCPCS 19371
Hospital Charge Code	16000358
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

PERIPROSTH CAPSULECT BREAST

Facility

$31,541.30

Service Code	HCPCS 19371
Hospital Charge Code	16000358
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,462.39
Rate for Payer: Aetna Commercial	$9,462.39
Rate for Payer: Aetna Medicare Advantage	$9,462.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,043.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,043.03
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	$8,043.03
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,100.37
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PERISCREW 3.5MMX10MM W/2.7MM H

Facility

$176.95

Hospital Charge Code	270663180
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$88.47
Rate for Payer: Aetna Commercial	$53.09
Rate for Payer: Aetna Medicare Advantage	$53.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.12
Rate for Payer: Cigna Commercial	$88.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

PERISCREW 3.5MMX10MM W/2.7MM H

Facility

$176.95

Hospital Charge Code	270663180
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$42.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

PERISCREW 3.5MMX12MM W/2.7MM H

Facility

$176.95

Hospital Charge Code	270663181
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$88.47
Rate for Payer: Aetna Commercial	$53.09
Rate for Payer: Aetna Medicare Advantage	$53.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.12
Rate for Payer: Cigna Commercial	$88.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

PERISCREW 3.5MMX12MM W/2.7MM H

Facility

$176.95

Hospital Charge Code	270663181
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$42.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

PERI SONOGRAM ABDOMINAL

Facility

$2,499.00

Service Code	HCPCS 76700
Hospital Charge Code	74308090
Hospital Revenue Code	402
Min. Negotiated Rate	$374.85
Max. Negotiated Rate	$374.85
Rate for Payer: Qualcare PPO/HMO/WC	$374.85

PERI SONOGRAM ABDOMINAL

Facility

$2,499.00

Service Code	HCPCS 76700
Hospital Charge Code	74308090
Hospital Revenue Code	402
Min. Negotiated Rate	$123.42
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$749.70
Rate for Payer: Aetna Medicare Advantage	$749.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.25
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$374.85
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

PERIST DRY STAP LINE PSD6006UV

Facility

$4,455.00

Hospital Charge Code	270638672
Hospital Revenue Code	272
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$2,227.50
Rate for Payer: Aetna Commercial	$1,336.50
Rate for Payer: Aetna Medicare Advantage	$1,336.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,136.03
Rate for Payer: Cigna Commercial	$2,227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.15
Rate for Payer: Oxford Commercial	$2,227.50
Rate for Payer: Qualcare PPO/HMO/WC	$668.25
Rate for Payer: UnitedHealthcare Commercial	$2,227.50

PERIST DRY STAP LINE PSD6006UV

Facility

$4,455.00

Hospital Charge Code	270638672
Hospital Revenue Code	272
Min. Negotiated Rate	$668.25
Max. Negotiated Rate	$668.25
Rate for Payer: Qualcare PPO/HMO/WC	$668.25

Know your out-of-pocket cost for care.

All Charges