Heights University Hospital

All Charges

Charge

Type

Setting

Price

POD DEB ULCER SUBCUT

Facility

$1,447.00

Service Code	HCPCS 11042
Hospital Charge Code	84208015
Hospital Revenue Code	361
Min. Negotiated Rate	$188.11
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$1,037.98
Rate for Payer: Aetna Commercial	$434.10
Rate for Payer: Aetna Medicare Advantage	$434.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.99
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	$368.99
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.11
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.05
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

POD DEB VERRUCA 1

Facility

$372.00

Service Code	HCPCS 17000
Hospital Charge Code	84208100
Hospital Revenue Code	510
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

POD DEB VERRUCA 1

Facility

$372.00

Service Code	HCPCS 17000
Hospital Charge Code	84208100
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	$53.22
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 DEB VERRUCA 15+

Facility

$1,147.40

Service Code	HCPCS 17004
Hospital Charge Code	84208110
Hospital Revenue Code	361
Min. Negotiated Rate	$149.16
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$344.22
Rate for Payer: Aetna Medicare Advantage	$344.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.59
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	$292.59
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.16
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.11
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD DEB VERRUCA 15+

Facility

$1,147.40

Service Code	HCPCS 17004
Hospital Charge Code	84208110
Hospital Revenue Code	361
Min. Negotiated Rate	$172.11
Max. Negotiated Rate	$172.11
Rate for Payer: Qualcare PPO/HMO/WC	$172.11

POD DEB VERRUCA 2-14

Facility

$189.00

Service Code	HCPCS 17003
Hospital Charge Code	84208105
Hospital Revenue Code	361
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$28.35
Rate for Payer: Qualcare PPO/HMO/WC	$28.35

POD DEB VERRUCA 2-14

Facility

$189.00

Service Code	HCPCS 17003
Hospital Charge Code	84208105
Hospital Revenue Code	361
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$56.70
Rate for Payer: Aetna Medicare Advantage	$56.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.20
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	$48.20
Rate for Payer: Cigna Commercial	$1.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.57
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.35
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD DISLOCATE IPJ CR

Facility

$645.00

Service Code	HCPCS 28660
Hospital Charge Code	84208165
Hospital Revenue Code	361
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

POD DISLOCATE IPJ CR

Facility

$645.00

Service Code	HCPCS 28660
Hospital Charge Code	84208165
Hospital Revenue Code	361
Min. Negotiated Rate	$83.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$193.50
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
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	$164.47
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD DISLOCATE IPJ CR W/A

Facility

$6,426.56

Service Code	HCPCS 28665
Hospital Charge Code	84208170
Hospital Revenue Code	361
Min. Negotiated Rate	$963.98
Max. Negotiated Rate	$963.98
Rate for Payer: Qualcare PPO/HMO/WC	$963.98

POD DISLOCATE IPJ CR W/A

Facility

$6,426.56

Service Code	HCPCS 28665
Hospital Charge Code	84208170
Hospital Revenue Code	361
Min. Negotiated Rate	$666.07
Max. Negotiated Rate	$1,927.97
Rate for Payer: Aetna Commercial	$1,927.97
Rate for Payer: Aetna Medicare Advantage	$1,927.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,638.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,638.77
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	$1,638.77
Rate for Payer: Cigna Commercial	$666.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$835.45
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.98
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD EVAC NAIL HEMATOMA

Facility

$216.00

Service Code	HCPCS 11740
Hospital Charge Code	84208075
Hospital Revenue Code	361
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

POD EVAC NAIL HEMATOMA

Facility

$216.00

Service Code	HCPCS 11740
Hospital Charge Code	84208075
Hospital Revenue Code	361
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$193.50
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
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	$55.08
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$197.37
Rate for Payer: Wellpoint Medicaid Managed Care	$193.50

POD EXC F BODY

Facility

$3,473.00

Service Code	HCPCS 28190
Hospital Charge Code	84208130
Hospital Revenue Code	361
Min. Negotiated Rate	$520.95
Max. Negotiated Rate	$520.95
Rate for Payer: Qualcare PPO/HMO/WC	$520.95

POD EXC F BODY

Facility

$3,473.00

Service Code	HCPCS 28190
Hospital Charge Code	84208130
Hospital Revenue Code	361
Min. Negotiated Rate	$451.49
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,041.90
Rate for Payer: Aetna Medicare Advantage	$1,041.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$885.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$885.62
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	$885.62
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.49
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$520.95
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

POD EXCISION LESION 1.1-2

Facility

$3,473.00

Service Code	HCPCS 11422
Hospital Charge Code	84208045
Hospital Revenue Code	361
Min. Negotiated Rate	$520.95
Max. Negotiated Rate	$520.95
Rate for Payer: Qualcare PPO/HMO/WC	$520.95

POD EXCISION LESION 1.1-2

Facility

$3,473.00

Service Code	HCPCS 11422
Hospital Charge Code	84208045
Hospital Revenue Code	361
Min. Negotiated Rate	$451.49
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,041.90
Rate for Payer: Aetna Medicare Advantage	$1,041.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$885.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$885.62
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	$885.62
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.49
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$520.95
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

POD EXCISION LESION.6-1

Facility

$3,473.00

Service Code	HCPCS 11421
Hospital Charge Code	84208040
Hospital Revenue Code	361
Min. Negotiated Rate	$451.49
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,041.90
Rate for Payer: Aetna Medicare Advantage	$1,041.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$885.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$885.62
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	$885.62
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.49
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$520.95
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

POD EXCISION LESION.6-1

Facility

$3,473.00

Service Code	HCPCS 11421
Hospital Charge Code	84208040
Hospital Revenue Code	361
Min. Negotiated Rate	$520.95
Max. Negotiated Rate	$520.95
Rate for Payer: Qualcare PPO/HMO/WC	$520.95

POD FX DIGIT

Facility

$645.00

Service Code	HCPCS 28510
Hospital Charge Code	84208155
Hospital Revenue Code	361
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

POD FX DIGIT

Facility

$645.00

Service Code	HCPCS 28510
Hospital Charge Code	84208155
Hospital Revenue Code	361
Min. Negotiated Rate	$83.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$193.50
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
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	$164.47
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD FX DIGIT CR

Facility

$645.00

Service Code	HCPCS 28515
Hospital Charge Code	84208160
Hospital Revenue Code	361
Min. Negotiated Rate	$83.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$193.50
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
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	$164.47
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD FX DIGIT CR

Facility

$645.00

Service Code	HCPCS 28515
Hospital Charge Code	84208160
Hospital Revenue Code	361
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

POD FX HALLUX

Facility

$645.00

Service Code	HCPCS 28490
Hospital Charge Code	84208145
Hospital Revenue Code	361
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

POD FX HALLUX

Facility

$645.00

Service Code	HCPCS 28490
Hospital Charge Code	84208145
Hospital Revenue Code	361
Min. Negotiated Rate	$83.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$193.50
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
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	$164.47
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

Know your out-of-pocket cost for care.

All Charges