Heights University Hospital

All Charges

Charge

Type

Setting

Price

POBA SINGLE

Facility

$34,486.68

Hospital Charge Code	74110056
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$17,243.34
Rate for Payer: Aetna Commercial	$10,346.00
Rate for Payer: Aetna Medicare Advantage	$10,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,794.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,794.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,794.10
Rate for Payer: Cigna Commercial	$17,243.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,483.27
Rate for Payer: Qualcare PPO/HMO/WC	$5,173.00

POBA SINGLE

Facility

$34,486.68

Hospital Charge Code	5100621
Hospital Revenue Code	481
Min. Negotiated Rate	$5,173.00
Max. Negotiated Rate	$5,173.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,173.00

POC GLUCOSE

Facility

$639.70

Service Code	HCPCS 82948
Hospital Charge Code	3100140
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

POC GLUCOSE

Facility

$639.70

Service Code	HCPCS 82948
Hospital Charge Code	3100140
Hospital Revenue Code	301
Min. Negotiated Rate	$95.95
Max. Negotiated Rate	$95.95
Rate for Payer: Qualcare PPO/HMO/WC	$95.95

POCKET II UNITOME BLADE

Facility

$308.00

Hospital Charge Code	270332560
Hospital Revenue Code	272
Min. Negotiated Rate	$46.20
Max. Negotiated Rate	$46.20
Rate for Payer: Qualcare PPO/HMO/WC	$46.20

POCKET II UNITOME BLADE

Facility

$308.00

Hospital Charge Code	270332560
Hospital Revenue Code	272
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$154.00
Rate for Payer: Aetna Commercial	$92.40
Rate for Payer: Aetna Medicare Advantage	$92.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.54
Rate for Payer: Cigna Commercial	$154.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.04
Rate for Payer: Oxford Commercial	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.20
Rate for Payer: UnitedHealthcare Commercial	$154.00

POCKET STRIP 10x2.5CM 20CC

Facility

$26,000.00

Hospital Charge Code	270674946
Hospital Revenue Code	278
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$6,292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

POCKET STRIP 10x2.5CM 20CC

Facility

$26,000.00

Hospital Charge Code	270674946
Hospital Revenue Code	278
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$13,000.00
Rate for Payer: Aetna Commercial	$7,800.00
Rate for Payer: Aetna Medicare Advantage	$7,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,630.00
Rate for Payer: Cigna Commercial	$13,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

POD ASPIRATE BULA CYST, HEMA

Facility

$5,456.19

Service Code	HCPCS 10140
Hospital Charge Code	84208010
Hospital Revenue Code	510
Min. Negotiated Rate	$818.43
Max. Negotiated Rate	$818.43
Rate for Payer: Qualcare PPO/HMO/WC	$818.43

POD ASPIRATE BULA CYST, HEMA

Facility

$5,456.19

Service Code	HCPCS 10140
Hospital Charge Code	84208010
Hospital Revenue Code	510
Min. Negotiated Rate	$43.47
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,636.86
Rate for Payer: Aetna Medicare Advantage	$1,636.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,391.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,391.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,391.33
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$709.30
Rate for Payer: Qualcare PPO/HMO/WC	$818.43

POD AVULSION NAIL

Facility

$372.00

Service Code	HCPCS 11730
Hospital Charge Code	84208065
Hospital Revenue Code	510
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

POD AVULSION NAIL

Facility

$372.00

Service Code	HCPCS 11730
Hospital Charge Code	84208065
Hospital Revenue Code	510
Min. Negotiated Rate	$48.36
Max. Negotiated Rate	$477.79
Rate for Payer: Aetna Commercial	$111.60
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.36
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

POD BELOW KNEE CAST

Facility

$468.75

Service Code	HCPCS 29799
Hospital Charge Code	84208210
Hospital Revenue Code	510
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$70.31
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

POD BELOW KNEE CAST

Facility

$1,360.45

Service Code	HCPCS 29405
Hospital Charge Code	84208175
Hospital Revenue Code	510
Min. Negotiated Rate	$48.30
Max. Negotiated Rate	$666.07
Rate for Payer: Aetna Commercial	$408.13
Rate for Payer: Aetna Medicare Advantage	$408.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.91
Rate for Payer: Cigna Commercial	$666.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.86
Rate for Payer: Qualcare PPO/HMO/WC	$204.07

POD BELOW KNEE CAST

Facility

$1,360.45

Service Code	HCPCS 29405
Hospital Charge Code	84208175
Hospital Revenue Code	510
Min. Negotiated Rate	$204.07
Max. Negotiated Rate	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$204.07

POD BELOW KNEE CAST

Facility

$468.75

Service Code	HCPCS 29799
Hospital Charge Code	84208210
Hospital Revenue Code	510
Min. Negotiated Rate	$26.45
Max. Negotiated Rate	$386.97
Rate for Payer: Aetna Commercial	$140.62
Rate for Payer: Aetna Medicare Advantage	$140.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.53
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.94
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

POD BIOPSY SKIN

Facility

$648.00

Service Code	HCPCS 11100
Hospital Charge Code	84208035
Hospital Revenue Code	361
Min. Negotiated Rate	$97.20
Max. Negotiated Rate	$97.20
Rate for Payer: Qualcare PPO/HMO/WC	$97.20

POD BIOPSY SKIN

Facility

$648.00

Service Code	HCPCS 11100
Hospital Charge Code	84208035
Hospital Revenue Code	361
Min. Negotiated Rate	$84.24
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$1,037.98
Rate for Payer: Aetna Commercial	$194.40
Rate for Payer: Aetna Medicare Advantage	$194.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.24
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	$165.24
Rate for Payer: Cigna Commercial	$324.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.24
Rate for Payer: Qualcare PPO/HMO/WC	$97.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

POD DEB CALLUS 2, 3, 4

Facility

$597.00

Service Code	HCPCS 11056
Hospital Charge Code	84208025
Hospital Revenue Code	361
Min. Negotiated Rate	$77.61
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$179.10
Rate for Payer: Aetna Medicare Advantage	$179.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.24
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	$152.24
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD DEB CALLUS 2, 3, 4

Facility

$597.00

Service Code	HCPCS 11056
Hospital Charge Code	84208025
Hospital Revenue Code	361
Min. Negotiated Rate	$89.55
Max. Negotiated Rate	$89.55
Rate for Payer: Qualcare PPO/HMO/WC	$89.55

POD DEB CALLUS 5+

Facility

$1,025.00

Service Code	HCPCS 11057
Hospital Charge Code	84208030
Hospital Revenue Code	361
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

POD DEB CALLUS 5+

Facility

$1,025.00

Service Code	HCPCS 11057
Hospital Charge Code	84208030
Hospital Revenue Code	361
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
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	$261.38
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD DEB CALLUS I

Facility

$592.00

Service Code	HCPCS 11055
Hospital Charge Code	84208020
Hospital Revenue Code	510
Min. Negotiated Rate	$88.80
Max. Negotiated Rate	$88.80
Rate for Payer: Qualcare PPO/HMO/WC	$88.80

POD DEB CALLUS I

Facility

$592.00

Service Code	HCPCS 11055
Hospital Charge Code	84208020
Hospital Revenue Code	510
Min. Negotiated Rate	$32.61
Max. Negotiated Rate	$477.79
Rate for Payer: Aetna Commercial	$177.60
Rate for Payer: Aetna Medicare Advantage	$177.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.96
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$88.80

POD DEB ULCER SUBCUT

Facility

$1,447.00

Service Code	HCPCS 11042
Hospital Charge Code	84208015
Hospital Revenue Code	361
Min. Negotiated Rate	$217.05
Max. Negotiated Rate	$217.05
Rate for Payer: Qualcare PPO/HMO/WC	$217.05

Know your out-of-pocket cost for care.

All Charges