Heights University Hospital

All Charges

Charge

Type

Setting

Price

POSTR COLPORPHY REP RCTCL

Facility

$33,259.50

Service Code	HCPCS 57250
Hospital Charge Code	1600000719
Hospital Revenue Code	360
Min. Negotiated Rate	$4,988.93
Max. Negotiated Rate	$4,988.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,988.93

POSTR COLPORPHY REP RCTCL

Facility

$33,259.50

Service Code	HCPCS 57250
Hospital Charge Code	1600000719
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,912.81
Rate for Payer: Aetna Commercial	$9,977.85
Rate for Payer: Aetna Medicare Advantage	$9,977.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,481.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,481.17
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	$8,481.17
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,323.73
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,988.93
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

POST STAB FEMORAL SZ8 RT PS

Facility

$6,873.10

Service Code	HCPCS C1776
Hospital Charge Code	270698639
Hospital Revenue Code	278
Min. Negotiated Rate	$1,030.96
Max. Negotiated Rate	$1,663.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,374.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,030.96

POST STAB FEMORAL SZ8 RT PS

Facility

$6,873.10

Service Code	HCPCS C1776
Hospital Charge Code	270698639
Hospital Revenue Code	278
Min. Negotiated Rate	$1,030.96
Max. Negotiated Rate	$3,436.55
Rate for Payer: Aetna Commercial	$2,061.93
Rate for Payer: Aetna Medicare Advantage	$2,061.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,752.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,752.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,374.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,752.64
Rate for Payer: Cigna Commercial	$3,436.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,030.96

POST STRAIGHT HOFFMANN II

Facility

$950.00

Hospital Charge Code	270650717
Hospital Revenue Code	272
Min. Negotiated Rate	$123.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$475.00

POST STRAIGHT HOFFMANN II

Facility

$950.00

Hospital Charge Code	270650717
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

POST STRAIGHT MRI 4921-2-120

Facility

$840.00

Hospital Charge Code	270643441
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

POST STRAIGHT MRI 4921-2-120

Facility

$840.00

Hospital Charge Code	270643441
Hospital Revenue Code	272
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$252.00
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.20
Rate for Payer: Oxford Commercial	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$420.00

POST TAPER 9.5MM X 18MM

Facility

$2,580.00

Service Code	HCPCS C1776
Hospital Charge Code	270692681
Hospital Revenue Code	278
Min. Negotiated Rate	$387.00
Max. Negotiated Rate	$1,290.00
Rate for Payer: Aetna Commercial	$774.00
Rate for Payer: Aetna Medicare Advantage	$774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$657.90
Rate for Payer: Cigna Commercial	$1,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.36
Rate for Payer: Qualcare PPO/HMO/WC	$387.00

POST TAPER 9.5MM X 18MM

Facility

$2,580.00

Service Code	HCPCS C1776
Hospital Charge Code	270692681
Hospital Revenue Code	278
Min. Negotiated Rate	$387.00
Max. Negotiated Rate	$624.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.36
Rate for Payer: Qualcare PPO/HMO/WC	$387.00

POST-TONSILLECTOMY HEMORRH CRT

Facility

$463.00

Service Code	HCPCS 42960
Hospital Charge Code	5770020
Hospital Revenue Code	450
Min. Negotiated Rate	$60.19
Max. Negotiated Rate	$1,284.36
Rate for Payer: Aetna Commercial	$138.90
Rate for Payer: Aetna Medicare Advantage	$138.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.06
Rate for Payer: Cigna Commercial	$1,284.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.19
Rate for Payer: Qualcare PPO/HMO/WC	$69.45

POST-TONSILLECTOMY HEMORRH CRT

Facility

$463.00

Service Code	HCPCS 42960
Hospital Charge Code	5770020
Hospital Revenue Code	450
Min. Negotiated Rate	$69.45
Max. Negotiated Rate	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$69.45

POST TOWER 1 HOLE

Facility

$470.00

Hospital Charge Code	270684454
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

POST TOWER 1 HOLE

Facility

$470.00

Hospital Charge Code	270684454
Hospital Revenue Code	272
Min. Negotiated Rate	$61.10
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$141.00
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$235.00

POST TOWER 2 HOLE

Facility

$470.00

Hospital Charge Code	270684452
Hospital Revenue Code	272
Min. Negotiated Rate	$61.10
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$141.00
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$235.00

POST TOWER 2 HOLE

Facility

$470.00

Hospital Charge Code	270684452
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

POST VNGD FEM AUG 60X5 LL/RM

Facility

$6,090.00

Service Code	HCPCS C1776
Hospital Charge Code	270686456
Hospital Revenue Code	278
Min. Negotiated Rate	$913.50
Max. Negotiated Rate	$1,473.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,473.78
Rate for Payer: Qualcare PPO/HMO/WC	$913.50

POST VNGD FEM AUG 60X5 LL/RM

Facility

$6,090.00

Service Code	HCPCS C1776
Hospital Charge Code	270686456
Hospital Revenue Code	278
Min. Negotiated Rate	$913.50
Max. Negotiated Rate	$3,045.00
Rate for Payer: Aetna Commercial	$1,827.00
Rate for Payer: Aetna Medicare Advantage	$1,827.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,552.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,552.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,218.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,552.95
Rate for Payer: Cigna Commercial	$3,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,473.78
Rate for Payer: Qualcare PPO/HMO/WC	$913.50

POST WIRE 4936-2-040

Facility

$1,940.00

Hospital Charge Code	270643405
Hospital Revenue Code	272
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

POST WIRE 4936-2-040

Facility

$1,940.00

Hospital Charge Code	270643405
Hospital Revenue Code	272
Min. Negotiated Rate	$252.20
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$582.00
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.20
Rate for Payer: Oxford Commercial	$970.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00
Rate for Payer: UnitedHealthcare Commercial	$970.00

POST WIRE SHORT

Facility

$900.70

Hospital Charge Code	270681233
Hospital Revenue Code	272
Min. Negotiated Rate	$135.10
Max. Negotiated Rate	$135.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.10

POST WIRE SHORT

Facility

$900.70

Hospital Charge Code	270681233
Hospital Revenue Code	272
Min. Negotiated Rate	$117.09
Max. Negotiated Rate	$450.35
Rate for Payer: Aetna Commercial	$270.21
Rate for Payer: Aetna Medicare Advantage	$270.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.68
Rate for Payer: Cigna Commercial	$450.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.09
Rate for Payer: Oxford Commercial	$450.35
Rate for Payer: Qualcare PPO/HMO/WC	$135.10
Rate for Payer: UnitedHealthcare Commercial	$450.35

POST WIRE TALL

Facility

$1,021.65

Hospital Charge Code	270681237
Hospital Revenue Code	272
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$153.25
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

POST WIRE TALL

Facility

$1,021.65

Hospital Charge Code	270681237
Hospital Revenue Code	272
Min. Negotiated Rate	$132.81
Max. Negotiated Rate	$510.82
Rate for Payer: Aetna Commercial	$306.50
Rate for Payer: Aetna Medicare Advantage	$306.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.52
Rate for Payer: Cigna Commercial	$510.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.81
Rate for Payer: Oxford Commercial	$510.82
Rate for Payer: Qualcare PPO/HMO/WC	$153.25
Rate for Payer: UnitedHealthcare Commercial	$510.82

POTASSIUM

Facility

$45.75

Service Code	HCPCS 84132
Hospital Charge Code	8200324RS
Hospital Revenue Code	301
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$6.86

Know your out-of-pocket cost for care.

All Charges