Heights University Hospital

All Charges

Charge

Type

Setting

Price

POD FX HALLUX CR

Facility

$645.00

Service Code	HCPCS 28495
Hospital Charge Code	84208150
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 CR

Facility

$645.00

Service Code	HCPCS 28495
Hospital Charge Code	84208150
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 MET

Facility

$715.00

Service Code	HCPCS 28470
Hospital Charge Code	84208135
Hospital Revenue Code	361
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$107.25
Rate for Payer: Qualcare PPO/HMO/WC	$107.25

POD FX MET

Facility

$715.00

Service Code	HCPCS 28470
Hospital Charge Code	84208135
Hospital Revenue Code	361
Min. Negotiated Rate	$92.95
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$214.50
Rate for Payer: Aetna Medicare Advantage	$214.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.32
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	$182.32
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.95
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.25
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD FX MET CR

Facility

$715.00

Service Code	HCPCS 28475
Hospital Charge Code	84208140
Hospital Revenue Code	361
Min. Negotiated Rate	$92.95
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$214.50
Rate for Payer: Aetna Medicare Advantage	$214.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.32
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	$182.32
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.95
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.25
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD FX MET CR

Facility

$715.00

Service Code	HCPCS 28475
Hospital Charge Code	84208140
Hospital Revenue Code	361
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$107.25
Rate for Payer: Qualcare PPO/HMO/WC	$107.25

PODIATRY KIT

Facility

$161.00

Hospital Charge Code	270338753
Hospital Revenue Code	272
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$24.15
Rate for Payer: Qualcare PPO/HMO/WC	$24.15

PODIATRY KIT

Facility

$161.00

Hospital Charge Code	270338753
Hospital Revenue Code	272
Min. Negotiated Rate	$20.93
Max. Negotiated Rate	$80.50
Rate for Payer: Aetna Commercial	$48.30
Rate for Payer: Aetna Medicare Advantage	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.05
Rate for Payer: Cigna Commercial	$80.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.93
Rate for Payer: Oxford Commercial	$80.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.15
Rate for Payer: UnitedHealthcare Commercial	$80.50

PODIATRY PACK

Facility

$702.00

Hospital Charge Code	270330816
Hospital Revenue Code	272
Min. Negotiated Rate	$91.26
Max. Negotiated Rate	$351.00
Rate for Payer: Aetna Commercial	$210.60
Rate for Payer: Aetna Medicare Advantage	$210.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.01
Rate for Payer: Cigna Commercial	$351.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.26
Rate for Payer: Oxford Commercial	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.30
Rate for Payer: UnitedHealthcare Commercial	$351.00

PODIATRY PACK

Facility

$702.00

Hospital Charge Code	270330816
Hospital Revenue Code	272
Min. Negotiated Rate	$105.30
Max. Negotiated Rate	$105.30
Rate for Payer: Qualcare PPO/HMO/WC	$105.30

POD I&D NAIL

Facility

$1,643.00

Service Code	HCPCS 10060
Hospital Charge Code	84208001
Hospital Revenue Code	361
Min. Negotiated Rate	$246.45
Max. Negotiated Rate	$246.45
Rate for Payer: Qualcare PPO/HMO/WC	$246.45

POD I&D NAIL

Facility

$1,643.00

Service Code	HCPCS 10060
Hospital Charge Code	84208001
Hospital Revenue Code	361
Min. Negotiated Rate	$213.59
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$943.15
Rate for Payer: Aetna Commercial	$492.90
Rate for Payer: Aetna Medicare Advantage	$492.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$418.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$418.96
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	$418.96
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.59
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$246.45
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$962.01
Rate for Payer: Wellpoint Medicaid Managed Care	$943.15

POD I&D NAIL MULTIPLE EACH

Facility

$1,643.00

Service Code	HCPCS 10061
Hospital Charge Code	84208005
Hospital Revenue Code	510
Min. Negotiated Rate	$127.22
Max. Negotiated Rate	$968.07
Rate for Payer: Aetna Commercial	$492.90
Rate for Payer: Aetna Medicare Advantage	$492.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$418.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$418.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$418.96
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.59
Rate for Payer: Qualcare PPO/HMO/WC	$246.45

POD I&D NAIL MULTIPLE EACH

Facility

$1,643.00

Service Code	HCPCS 10061
Hospital Charge Code	84208005
Hospital Revenue Code	510
Min. Negotiated Rate	$246.45
Max. Negotiated Rate	$246.45
Rate for Payer: Qualcare PPO/HMO/WC	$246.45

POD INJ/ASP F&A B/C/G

Facility

$1,091.00

Service Code	HCPCS 20605
Hospital Charge Code	84208125
Hospital Revenue Code	361
Min. Negotiated Rate	$141.83
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$327.30
Rate for Payer: Aetna Medicare Advantage	$327.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.20
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	$278.20
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.83
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD INJ/ASP F&A B/C/G

Facility

$1,091.00

Service Code	HCPCS 20605
Hospital Charge Code	84208125
Hospital Revenue Code	361
Min. Negotiated Rate	$163.65
Max. Negotiated Rate	$163.65
Rate for Payer: Qualcare PPO/HMO/WC	$163.65

POD INJ/ASP TOE B/C/G/

Facility

$1,091.00

Service Code	HCPCS 20600
Hospital Charge Code	84208120
Hospital Revenue Code	361
Min. Negotiated Rate	$141.83
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$327.30
Rate for Payer: Aetna Medicare Advantage	$327.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.20
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	$278.20
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.83
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.65
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD INJ/ASP TOE B/C/G/

Facility

$1,091.00

Service Code	HCPCS 20600
Hospital Charge Code	84208120
Hospital Revenue Code	361
Min. Negotiated Rate	$163.65
Max. Negotiated Rate	$163.65
Rate for Payer: Qualcare PPO/HMO/WC	$163.65

POD INJ DIAG THER NERVE BLOCK

Facility

$1,620.78

Service Code	HCPCS 64450
Hospital Charge Code	84208215
Hospital Revenue Code	361
Min. Negotiated Rate	$210.70
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$486.23
Rate for Payer: Aetna Medicare Advantage	$486.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.30
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	$413.30
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.70
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.12
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

POD INJ DIAG THER NERVE BLOCK

Facility

$1,620.78

Service Code	HCPCS 64450
Hospital Charge Code	84208215
Hospital Revenue Code	361
Min. Negotiated Rate	$243.12
Max. Negotiated Rate	$243.12
Rate for Payer: Qualcare PPO/HMO/WC	$243.12

POD INJECTION INTRALESION

Facility

$1,033.25

Service Code	HCPCS 11900
Hospital Charge Code	84208095
Hospital Revenue Code	361
Min. Negotiated Rate	$134.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$309.98
Rate for Payer: Aetna Medicare Advantage	$309.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.48
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	$263.48
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.32
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$154.99
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD INJECTION INTRALESION

Facility

$1,033.25

Service Code	HCPCS 11900
Hospital Charge Code	84208095
Hospital Revenue Code	361
Min. Negotiated Rate	$154.99
Max. Negotiated Rate	$154.99
Rate for Payer: Qualcare PPO/HMO/WC	$154.99

POD INJECTION NEUROLYSIS

Facility

$3,107.20

Service Code	HCPCS 64640
Hospital Charge Code	84208220
Hospital Revenue Code	519
Min. Negotiated Rate	$91.08
Max. Negotiated Rate	$2,311.74
Rate for Payer: Aetna Better Health Medicaid	$2,266.41
Rate for Payer: Aetna Commercial	$932.16
Rate for Payer: Aetna Medicare Advantage	$932.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$792.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$792.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$792.34
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.94
Rate for Payer: Qualcare PPO/HMO/WC	$466.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,311.74

POD INJECTION NEUROLYSIS

Facility

$3,107.20

Service Code	HCPCS 64640
Hospital Charge Code	84208220
Hospital Revenue Code	519
Min. Negotiated Rate	$466.08
Max. Negotiated Rate	$466.08
Rate for Payer: Qualcare PPO/HMO/WC	$466.08

POD INJ TENDON, LIG, GANGLION

Facility

$1,091.00

Service Code	HCPCS 20550
Hospital Charge Code	84208115
Hospital Revenue Code	510
Min. Negotiated Rate	$36.70
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$327.30
Rate for Payer: Aetna Medicare Advantage	$327.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.20
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.83
Rate for Payer: Qualcare PPO/HMO/WC	$163.65

Know your out-of-pocket cost for care.

All Charges