Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLACEMENT OF SETON

Facility

$14,972.60

Service Code	HCPCS 46020
Hospital Charge Code	1600000454
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,609.93
Rate for Payer: Aetna Commercial	$4,491.78
Rate for Payer: Aetna Medicare Advantage	$4,491.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,818.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,818.01
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	$3,818.01
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,946.44
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.89
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLACEMENT TRANSESOPHAGEAL PROB

Facility

$1,927.00

Service Code	HCPCS 93313
Hospital Charge Code	5308001
Hospital Revenue Code	483
Min. Negotiated Rate	$32.75
Max. Negotiated Rate	$1,719.00
Rate for Payer: Aetna Commercial	$578.10
Rate for Payer: Aetna Medicare Advantage	$578.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.38
Rate for Payer: Cigna Commercial	$1,301.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.51
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$289.05
Rate for Payer: UnitedHealthcare Commercial	$1,719.00

PLACEMENT TRANSESOPHAGEAL PROB

Facility

$1,927.00

Service Code	HCPCS 93313
Hospital Charge Code	5308001
Hospital Revenue Code	483
Min. Negotiated Rate	$289.05
Max. Negotiated Rate	$289.05
Rate for Payer: Qualcare PPO/HMO/WC	$289.05

PLACEMNT CLOSRE DEVICE POSTSUR

Facility

$2,302.51

Hospital Charge Code	5100661
Hospital Revenue Code	270
Min. Negotiated Rate	$345.38
Max. Negotiated Rate	$345.38
Rate for Payer: Qualcare PPO/HMO/WC	$345.38

PLACEMNT CLOSRE DEVICE POSTSUR

Facility

$2,302.51

Hospital Charge Code	5100661
Hospital Revenue Code	270
Min. Negotiated Rate	$299.33
Max. Negotiated Rate	$1,151.26
Rate for Payer: Aetna Commercial	$690.75
Rate for Payer: Aetna Medicare Advantage	$690.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$587.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$587.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$587.14
Rate for Payer: Cigna Commercial	$1,151.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.33
Rate for Payer: Oxford Commercial	$1,151.26
Rate for Payer: Qualcare PPO/HMO/WC	$345.38
Rate for Payer: UnitedHealthcare Commercial	$1,151.26

PLACER 10mm

Facility

$666.65

Hospital Charge Code	270679217
Hospital Revenue Code	272
Min. Negotiated Rate	$86.66
Max. Negotiated Rate	$333.32
Rate for Payer: Aetna Commercial	$200.00
Rate for Payer: Aetna Medicare Advantage	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.00
Rate for Payer: Cigna Commercial	$333.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.66
Rate for Payer: Oxford Commercial	$333.32
Rate for Payer: Qualcare PPO/HMO/WC	$100.00
Rate for Payer: UnitedHealthcare Commercial	$333.32

PLACER 10mm

Facility

$666.65

Hospital Charge Code	270679217
Hospital Revenue Code	272
Min. Negotiated Rate	$100.00
Max. Negotiated Rate	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.00

PLACER 8mm

Facility

$666.65

Hospital Charge Code	270679221
Hospital Revenue Code	272
Min. Negotiated Rate	$86.66
Max. Negotiated Rate	$333.32
Rate for Payer: Aetna Commercial	$200.00
Rate for Payer: Aetna Medicare Advantage	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.00
Rate for Payer: Cigna Commercial	$333.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.66
Rate for Payer: Oxford Commercial	$333.32
Rate for Payer: Qualcare PPO/HMO/WC	$100.00
Rate for Payer: UnitedHealthcare Commercial	$333.32

PLACER 8mm

Facility

$666.65

Hospital Charge Code	270679221
Hospital Revenue Code	272
Min. Negotiated Rate	$100.00
Max. Negotiated Rate	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.00

PLACE STENT PERIPH PERC NONCOR

Facility

$41,896.20

Service Code	HCPCS 37236
Hospital Charge Code	74110043
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$12,568.86
Rate for Payer: Aetna Medicare Advantage	$12,568.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,683.53
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	$10,683.53
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,446.51
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

PLACE STENT PERIPH PERC NONCOR

Facility

$41,896.20

Service Code	HCPCS 37236
Hospital Charge Code	5100350
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$12,568.86
Rate for Payer: Aetna Medicare Advantage	$12,568.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,683.53
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	$10,683.53
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,446.51
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

PLACE STENT PERIPH PERC NONCOR

Facility

$56,620.95

Service Code	HCPCS 37236
Hospital Charge Code	5700318
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

PLACE STENT PERIPH PERC NONCOR

Facility

$56,620.95

Service Code	HCPCS 37236
Hospital Charge Code	5700318
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$16,986.28
Rate for Payer: Aetna Medicare Advantage	$16,986.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,438.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,438.34
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	$14,438.34
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,360.72
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

PLACE STENT PERIPH PERC NONCOR

Facility

$41,896.20

Service Code	HCPCS 37236
Hospital Charge Code	74110043
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

PLACE STENT PERIPH PERC NONCOR

Facility

$41,896.20

Service Code	HCPCS 37236
Hospital Charge Code	5100350
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

PLAIN WASHER 3 PK

Facility

$440.00

Hospital Charge Code	270684106
Hospital Revenue Code	272
Min. Negotiated Rate	$57.20
Max. Negotiated Rate	$220.00
Rate for Payer: Aetna Commercial	$132.00
Rate for Payer: Aetna Medicare Advantage	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.20
Rate for Payer: Cigna Commercial	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.00
Rate for Payer: UnitedHealthcare Commercial	$220.00

PLAIN WASHER 3 PK

Facility

$440.00

Hospital Charge Code	270684106
Hospital Revenue Code	272
Min. Negotiated Rate	$66.00
Max. Negotiated Rate	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.00

PLANTAN PLATE KIT

Facility

$4,750.00

Hospital Charge Code	270657690
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

PLANTAN PLATE KIT

Facility

$4,750.00

Hospital Charge Code	270657690
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

PLANTAR LAPIDUS PLATE LEFT

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270677079
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

PLANTAR LAPIDUS PLATE LEFT

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270677079
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

PLASMA 18 NORM R W/D5W 1000cc

Facility

$8.15

Hospital Charge Code	270650170
Hospital Revenue Code	270
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$4.08
Rate for Payer: Aetna Commercial	$2.44
Rate for Payer: Aetna Medicare Advantage	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.08
Rate for Payer: Cigna Commercial	$4.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.06
Rate for Payer: Oxford Commercial	$4.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$4.08

PLASMA 18 NORM R W/D5W 1000cc

Facility

$8.15

Hospital Charge Code	270650170
Hospital Revenue Code	270
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

PLASMABLADE

Facility

$3,505.00

Hospital Charge Code	270702692
Hospital Revenue Code	270
Min. Negotiated Rate	$455.65
Max. Negotiated Rate	$1,752.50
Rate for Payer: Aetna Commercial	$1,051.50
Rate for Payer: Aetna Medicare Advantage	$1,051.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$893.77
Rate for Payer: Cigna Commercial	$1,752.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.65
Rate for Payer: Oxford Commercial	$1,752.50
Rate for Payer: Qualcare PPO/HMO/WC	$525.75
Rate for Payer: UnitedHealthcare Commercial	$1,752.50

PLASMABLADE

Facility

$3,505.00

Hospital Charge Code	270702692
Hospital Revenue Code	270
Min. Negotiated Rate	$525.75
Max. Negotiated Rate	$525.75
Rate for Payer: Qualcare PPO/HMO/WC	$525.75

Know your out-of-pocket cost for care.

All Charges