Heights University Hospital

All Charges

Charge

Type

Setting

Price

POD INJ TENDON, LIG, GANGLION

Facility

$1,091.00

Service Code	HCPCS 20550
Hospital Charge Code	84208115
Hospital Revenue Code	510
Min. Negotiated Rate	$163.65
Max. Negotiated Rate	$163.65
Rate for Payer: Qualcare PPO/HMO/WC	$163.65

POD NAIL FROST

Facility

$545.00

Service Code	HCPCS 11760
Hospital Charge Code	84208090
Hospital Revenue Code	510
Min. Negotiated Rate	$70.85
Max. Negotiated Rate	$1,760.02
Rate for Payer: Aetna Commercial	$163.50
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

POD NAIL FROST

Facility

$545.00

Service Code	HCPCS 11760
Hospital Charge Code	84208090
Hospital Revenue Code	510
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$81.75
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

POD NAIL ONYCHO RED 1-5

Facility

$372.00

Service Code	HCPCS 11720
Hospital Charge Code	84208055
Hospital Revenue Code	361
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

POD NAIL ONYCHO RED 1-5

Facility

$372.00

Service Code	HCPCS 11720
Hospital Charge Code	84208055
Hospital Revenue Code	361
Min. Negotiated Rate	$48.36
Max. Negotiated Rate	$1,864.00
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	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.36
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD NAIL P+A

Facility

$2,081.00

Service Code	HCPCS 11750
Hospital Charge Code	84208080
Hospital Revenue Code	361
Min. Negotiated Rate	$270.53
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$624.30
Rate for Payer: Aetna Medicare Advantage	$624.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.65
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	$530.65
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.53
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.15
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

POD NAIL P+A

Facility

$2,081.00

Service Code	HCPCS 11750
Hospital Charge Code	84208080
Hospital Revenue Code	361
Min. Negotiated Rate	$312.15
Max. Negotiated Rate	$312.15
Rate for Payer: Qualcare PPO/HMO/WC	$312.15

POD NAIL UNIT BIOPSY

Facility

$2,081.00

Service Code	HCPCS 11755
Hospital Charge Code	84208085
Hospital Revenue Code	361
Min. Negotiated Rate	$270.53
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$624.30
Rate for Payer: Aetna Medicare Advantage	$624.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.65
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	$530.65
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.53
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.15
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

POD NAIL UNIT BIOPSY

Facility

$2,081.00

Service Code	HCPCS 11755
Hospital Charge Code	84208085
Hospital Revenue Code	361
Min. Negotiated Rate	$312.15
Max. Negotiated Rate	$312.15
Rate for Payer: Qualcare PPO/HMO/WC	$312.15

POD NONDYS NAILS

Facility

$216.00

Service Code	HCPCS 11719
Hospital Charge Code	84208050
Hospital Revenue Code	510
Min. Negotiated Rate	$14.59
Max. Negotiated Rate	$140.48
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	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

POD NONDYS NAILS

Facility

$216.00

Service Code	HCPCS 11719
Hospital Charge Code	84208050
Hospital Revenue Code	510
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

PODOFOLIX 0.5% TOP

Facility

$666.52

Service Code	NDC 591320413
Hospital Charge Code	6023412
Hospital Revenue Code	250
Min. Negotiated Rate	$99.98
Max. Negotiated Rate	$99.98
Rate for Payer: Qualcare PPO/HMO/WC	$99.98

PODOFOLIX 0.5% TOP

Facility

$666.52

Service Code	NDC 591320413
Hospital Charge Code	6023412
Hospital Revenue Code	250
Min. Negotiated Rate	$86.65
Max. Negotiated Rate	$333.26
Rate for Payer: Aetna Commercial	$199.96
Rate for Payer: Aetna Medicare Advantage	$199.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.96
Rate for Payer: Cigna Commercial	$333.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.65
Rate for Payer: Oxford Commercial	$333.26
Rate for Payer: Qualcare PPO/HMO/WC	$99.98
Rate for Payer: UnitedHealthcare Commercial	$333.26

POD ONYCHO RED 6+

Facility

$372.00

Service Code	HCPCS 11721
Hospital Charge Code	84208060
Hospital Revenue Code	510
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

POD ONYCHO RED 6+

Facility

$372.00

Service Code	HCPCS 11721
Hospital Charge Code	84208060
Hospital Revenue Code	510
Min. Negotiated Rate	$27.24
Max. Negotiated Rate	$197.37
Rate for Payer: Aetna Better Health Medicaid	$193.50
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	$27.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.36
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$197.37

PODOPHYLLUM 25% SOLUTION

Facility

$581.25

Hospital Charge Code	60628685
Hospital Revenue Code	250
Min. Negotiated Rate	$87.19
Max. Negotiated Rate	$87.19
Rate for Payer: Qualcare PPO/HMO/WC	$87.19

PODOPHYLLUM 25% SOLUTION

Facility

$581.25

Hospital Charge Code	60628685
Hospital Revenue Code	250
Min. Negotiated Rate	$75.56
Max. Negotiated Rate	$290.62
Rate for Payer: Aetna Commercial	$174.38
Rate for Payer: Aetna Medicare Advantage	$174.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.22
Rate for Payer: Cigna Commercial	$290.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.56
Rate for Payer: Oxford Commercial	$290.62
Rate for Payer: Qualcare PPO/HMO/WC	$87.19
Rate for Payer: UnitedHealthcare Commercial	$290.62

POD ORTHOTIC CHECK OUT

Facility

$545.00

Service Code	HCPCS 97762
Hospital Charge Code	84208235
Hospital Revenue Code	420
Min. Negotiated Rate	$70.85
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$163.50
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.85
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Commercial	$686.00

POD ORTHOTIC CHECK OUT

Facility

$545.00

Service Code	HCPCS 97762
Hospital Charge Code	84208235
Hospital Revenue Code	420
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$81.75
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

POD OV-ESTABLISHED-BRIEF

Facility

$319.65

Service Code	HCPCS 99211
Hospital Charge Code	84208265
Hospital Revenue Code	510
Min. Negotiated Rate	$47.95
Max. Negotiated Rate	$47.95
Rate for Payer: Qualcare PPO/HMO/WC	$47.95

POD OV-ESTABLISHED-BRIEF

Facility

$319.65

Service Code	HCPCS 99211
Hospital Charge Code	84208265
Hospital Revenue Code	510
Min. Negotiated Rate	$8.30
Max. Negotiated Rate	$95.89
Rate for Payer: Aetna Commercial	$95.89
Rate for Payer: Aetna Medicare Advantage	$95.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.51
Rate for Payer: Cigna Commercial	$8.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.55
Rate for Payer: Qualcare PPO/HMO/WC	$47.95

POD OV-NEW-BRIEF

Facility

$319.65

Service Code	HCPCS 99201
Hospital Charge Code	84208240
Hospital Revenue Code	510
Min. Negotiated Rate	$47.95
Max. Negotiated Rate	$47.95
Rate for Payer: Qualcare PPO/HMO/WC	$47.95

POD OV-NEW-BRIEF

Facility

$319.65

Service Code	HCPCS 99201
Hospital Charge Code	84208240
Hospital Revenue Code	510
Min. Negotiated Rate	$41.55
Max. Negotiated Rate	$159.82
Rate for Payer: Aetna Commercial	$95.89
Rate for Payer: Aetna Medicare Advantage	$95.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.51
Rate for Payer: Cigna Commercial	$159.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.55
Rate for Payer: Qualcare PPO/HMO/WC	$47.95

POD POSTERIOR SPLINT

Facility

$468.75

Service Code	HCPCS 29730
Hospital Charge Code	84208205
Hospital Revenue Code	510
Min. Negotiated Rate	$21.73
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	$21.73
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 POSTERIOR SPLINT

Facility

$468.75

Service Code	HCPCS 29730
Hospital Charge Code	84208205
Hospital Revenue Code	510
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$70.31
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

Know your out-of-pocket cost for care.

All Charges