Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERLA CORTICAL 7.5X40MM SCREW

Facility

$3,125.00

Hospital Charge Code	270702839
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

PERLA SET SCREW

Facility

$500.00

Hospital Charge Code	270702841
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
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) NJ Health	$100.00
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	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PERLA SET SCREW

Facility

$500.00

Hospital Charge Code	270702841
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PERMA CATH DUAL LUMEN 36 CM

Facility

$1,102.50

Hospital Charge Code	270650810
Hospital Revenue Code	272
Min. Negotiated Rate	$143.32
Max. Negotiated Rate	$551.25
Rate for Payer: Aetna Commercial	$330.75
Rate for Payer: Aetna Medicare Advantage	$330.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.14
Rate for Payer: Cigna Commercial	$551.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.32
Rate for Payer: Oxford Commercial	$551.25
Rate for Payer: Qualcare PPO/HMO/WC	$165.38
Rate for Payer: UnitedHealthcare Commercial	$551.25

PERMA CATH DUAL LUMEN 36 CM

Facility

$1,102.50

Hospital Charge Code	270650810
Hospital Revenue Code	272
Min. Negotiated Rate	$165.38
Max. Negotiated Rate	$165.38
Rate for Payer: Qualcare PPO/HMO/WC	$165.38

PERMA CATH DUAL LUMEN 40CM

Facility

$1,320.50

Hospital Charge Code	270650811
Hospital Revenue Code	272
Min. Negotiated Rate	$198.07
Max. Negotiated Rate	$198.07
Rate for Payer: Qualcare PPO/HMO/WC	$198.07

PERMA CATH DUAL LUMEN 40CM

Facility

$1,320.50

Hospital Charge Code	270650811
Hospital Revenue Code	272
Min. Negotiated Rate	$171.66
Max. Negotiated Rate	$660.25
Rate for Payer: Aetna Commercial	$396.15
Rate for Payer: Aetna Medicare Advantage	$396.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.73
Rate for Payer: Cigna Commercial	$660.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.66
Rate for Payer: Oxford Commercial	$660.25
Rate for Payer: Qualcare PPO/HMO/WC	$198.07
Rate for Payer: UnitedHealthcare Commercial	$660.25

PERMA CATH DUAL LUMEN 45cm

Facility

$1,146.50

Hospital Charge Code	270655918
Hospital Revenue Code	271
Min. Negotiated Rate	$149.04
Max. Negotiated Rate	$573.25
Rate for Payer: Aetna Commercial	$343.95
Rate for Payer: Aetna Medicare Advantage	$343.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.36
Rate for Payer: Cigna Commercial	$573.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.04
Rate for Payer: Oxford Commercial	$573.25
Rate for Payer: Qualcare PPO/HMO/WC	$171.97
Rate for Payer: UnitedHealthcare Commercial	$573.25

PERMA CATH DUAL LUMEN 45cm

Facility

$1,146.50

Hospital Charge Code	270655918
Hospital Revenue Code	271
Min. Negotiated Rate	$171.97
Max. Negotiated Rate	$171.97
Rate for Payer: Qualcare PPO/HMO/WC	$171.97

PERMACOL 10 X 10 X 1.50

Facility

$11,490.00

Service Code	HCPCS C1781
Hospital Charge Code	270665982
Hospital Revenue Code	278
Min. Negotiated Rate	$1,723.50
Max. Negotiated Rate	$5,745.00
Rate for Payer: Aetna Commercial	$3,447.00
Rate for Payer: Aetna Medicare Advantage	$3,447.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,298.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,929.95
Rate for Payer: Cigna Commercial	$5,745.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,780.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,723.50

PERMACOL 10 X 10 X 1.50

Facility

$11,490.00

Service Code	HCPCS C1781
Hospital Charge Code	270665982
Hospital Revenue Code	278
Min. Negotiated Rate	$1,723.50
Max. Negotiated Rate	$2,780.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,298.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,780.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,723.50

PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$60,299.94

Service Code	APR-DRG 1704
Min. Negotiated Rate	$46,263.22
Max. Negotiated Rate	$60,299.94
Rate for Payer: Aetna Better Health Medicaid	$59,117.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,299.94
Rate for Payer: Wellpoint Medicaid Managed Care	$46,263.22

PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$42,936.12

Service Code	APR-DRG 1703
Min. Negotiated Rate	$28,939.62
Max. Negotiated Rate	$42,936.12
Rate for Payer: Aetna Better Health Medicaid	$42,094.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,936.12
Rate for Payer: Wellpoint Medicaid Managed Care	$28,939.62

PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$30,806.48

Service Code	APR-DRG 1701
Min. Negotiated Rate	$22,091.22
Max. Negotiated Rate	$30,806.48
Rate for Payer: Aetna Better Health Medicaid	$30,202.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,806.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22,091.22

PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$31,970.71

Service Code	APR-DRG 1702
Min. Negotiated Rate	$23,565.14
Max. Negotiated Rate	$31,970.71
Rate for Payer: Aetna Better Health Medicaid	$31,343.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,970.71
Rate for Payer: Wellpoint Medicaid Managed Care	$23,565.14

PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC

Facility

$73,673.16

Service Code	MSDRG 243
Min. Negotiated Rate	$23,253.62
Max. Negotiated Rate	$73,673.16
Rate for Payer: Aetna Commercial	$71,853.69
Rate for Payer: Aetna Medicare Advantage	$23,253.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62,852.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62,852.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,557.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62,852.76
Rate for Payer: Cigna Commercial	$45,859.10
Rate for Payer: Cigna Medicare Advantage	$24,557.72
Rate for Payer: Clover Medicare Advantage	$23,329.83
Rate for Payer: EmblemHealth Commercial	$73,673.16
Rate for Payer: Humana Medicare Advantage	$25,294.45
Rate for Payer: Oxford Commercial	$28,660.60
Rate for Payer: UnitedHealthcare Commercial	$32,532.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,557.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,031.18
Rate for Payer: Wellcare Medicare Advantage	$24,557.72

PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC

Facility

$107,660.82

Service Code	MSDRG 242
Min. Negotiated Rate	$33,090.28
Max. Negotiated Rate	$107,660.82
Rate for Payer: Aetna Commercial	$107,660.82
Rate for Payer: Aetna Medicare Advantage	$34,841.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95,381.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95,381.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,831.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95,381.82
Rate for Payer: Cigna Commercial	$68,712.25
Rate for Payer: Cigna Medicare Advantage	$34,831.87
Rate for Payer: Clover Medicare Advantage	$33,090.28
Rate for Payer: EmblemHealth Commercial	$104,495.61
Rate for Payer: Humana Medicare Advantage	$35,876.83
Rate for Payer: Oxford Commercial	$42,943.16
Rate for Payer: UnitedHealthcare Commercial	$48,744.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,831.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,921.78
Rate for Payer: Wellcare Medicare Advantage	$34,831.87

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$50,595.65

Service Code	APR-DRG 1714
Min. Negotiated Rate	$36,957.62
Max. Negotiated Rate	$50,595.65
Rate for Payer: Aetna Better Health Medicaid	$49,603.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,595.65
Rate for Payer: Wellpoint Medicaid Managed Care	$36,957.62

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$21,974.36

Service Code	APR-DRG 1711
Min. Negotiated Rate	$15,263.64
Max. Negotiated Rate	$21,974.36
Rate for Payer: Aetna Better Health Medicaid	$21,543.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,974.36
Rate for Payer: Wellpoint Medicaid Managed Care	$15,263.64

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$24,923.55

Service Code	APR-DRG 1712
Min. Negotiated Rate	$17,441.81
Max. Negotiated Rate	$24,923.55
Rate for Payer: Aetna Better Health Medicaid	$24,434.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,923.55
Rate for Payer: Wellpoint Medicaid Managed Care	$17,441.81

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$32,351.36

Service Code	APR-DRG 1713
Min. Negotiated Rate	$22,189.59
Max. Negotiated Rate	$32,351.36
Rate for Payer: Aetna Better Health Medicaid	$31,717.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,351.36
Rate for Payer: Wellpoint Medicaid Managed Care	$22,189.59

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC

Facility

$64,286.25

Service Code	MSDRG 244
Min. Negotiated Rate	$19,724.49
Max. Negotiated Rate	$64,286.25
Rate for Payer: Aetna Commercial	$60,948.67
Rate for Payer: Aetna Medicare Advantage	$19,724.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,447.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,447.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,428.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,447.61
Rate for Payer: Cigna Commercial	$38,899.21
Rate for Payer: Cigna Medicare Advantage	$21,428.75
Rate for Payer: Clover Medicare Advantage	$20,357.31
Rate for Payer: EmblemHealth Commercial	$64,286.25
Rate for Payer: Humana Medicare Advantage	$22,071.61
Rate for Payer: Oxford Commercial	$24,310.88
Rate for Payer: UnitedHealthcare Commercial	$27,595.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,428.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,714.47
Rate for Payer: Wellcare Medicare Advantage	$21,428.75

PERMANENT NAIL REMOVAL

Facility

$1,287.45

Service Code	HCPCS 11750
Hospital Charge Code	160000199
Hospital Revenue Code	360
Min. Negotiated Rate	$167.37
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$386.24
Rate for Payer: Aetna Medicare Advantage	$386.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$328.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$328.30
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	$328.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.37
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$193.12
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PERMANENT NAIL REMOVAL

Facility

$1,287.45

Service Code	HCPCS 11750
Hospital Charge Code	160000199
Hospital Revenue Code	360
Min. Negotiated Rate	$193.12
Max. Negotiated Rate	$193.12
Rate for Payer: Qualcare PPO/HMO/WC	$193.12

PERMANENT PACEMAKER LEAD

Facility

$313.00

Hospital Charge Code	270331428
Hospital Revenue Code	275
Min. Negotiated Rate	$46.95
Max. Negotiated Rate	$156.50
Rate for Payer: Aetna Commercial	$93.90
Rate for Payer: Aetna Medicare Advantage	$93.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.81
Rate for Payer: Cigna Commercial	$156.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.75
Rate for Payer: Qualcare PPO/HMO/WC	$46.95

Know your out-of-pocket cost for care.

All Charges