Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROCARDIA XL/30MG/TAB

Facility

$7.00

Hospital Charge Code	60635877
Hospital Revenue Code	259
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

PROCARDIA XL/30MG/TAB

Facility

$7.00

Hospital Charge Code	60635877
Hospital Revenue Code	259
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

PROCARDIA XL/30MG/TAB

Facility

$5.00

Hospital Charge Code	60633741
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

PROCARDIA XL/60MG/TAB

Facility

$18.00

Hospital Charge Code	60633742
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

PROCARDIA XL/60MG/TAB

Facility

$13.00

Hospital Charge Code	60635878
Hospital Revenue Code	259
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

PROCARDIA XL/60MG/TAB

Facility

$13.00

Hospital Charge Code	60635878
Hospital Revenue Code	259
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

PROCARDIA XL/60MG/TAB

Facility

$18.00

Hospital Charge Code	60633742
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

PROCARDIA XL/90MG/TAB

Facility

$18.00

Hospital Charge Code	60633743
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

PROCARDIA XL/90MG/TAB

Facility

$18.00

Hospital Charge Code	60633743
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

PROCEDURE FOOT ANKLE

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270690331
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PROCEDURE FOOT ANKLE

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270690331
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PROCEDURE PLATELET SEALANT

Facility

$2,340.00

Hospital Charge Code	270646504
Hospital Revenue Code	272
Min. Negotiated Rate	$304.20
Max. Negotiated Rate	$1,170.00
Rate for Payer: Aetna Commercial	$702.00
Rate for Payer: Aetna Medicare Advantage	$702.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.70
Rate for Payer: Cigna Commercial	$1,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.20
Rate for Payer: Oxford Commercial	$1,170.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00
Rate for Payer: UnitedHealthcare Commercial	$1,170.00

PROCEDURE PLATELET SEALANT

Facility

$2,340.00

Hospital Charge Code	270646504
Hospital Revenue Code	272
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00

PROCEDURE SCREW KIT

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270701838
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

PROCEDURE SCREW KIT

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270701838
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

PROCEDURES FOR OBESITY

Facility

$26,509.12

Service Code	APR-DRG 4033
Min. Negotiated Rate	$20,687.48
Max. Negotiated Rate	$26,509.12
Rate for Payer: Aetna Better Health Medicaid	$25,989.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,509.12
Rate for Payer: Wellpoint Medicaid Managed Care	$20,687.48

PROCEDURES FOR OBESITY

Facility

$58,244.76

Service Code	APR-DRG 4034
Min. Negotiated Rate	$56,449.26
Max. Negotiated Rate	$58,244.76
Rate for Payer: Aetna Better Health Medicaid	$56,449.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,578.25
Rate for Payer: Wellpoint Medicaid Managed Care	$58,244.76

PROCEDURES FOR OBESITY

Facility

$15,542.32

Service Code	APR-DRG 4031
Min. Negotiated Rate	$12,257.30
Max. Negotiated Rate	$15,542.32
Rate for Payer: Aetna Better Health Medicaid	$15,237.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,542.32
Rate for Payer: Wellpoint Medicaid Managed Care	$12,257.30

PROCEDURES FOR OBESITY

Facility

$17,832.84

Service Code	APR-DRG 4032
Min. Negotiated Rate	$13,612.58
Max. Negotiated Rate	$17,832.84
Rate for Payer: Aetna Better Health Medicaid	$17,483.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,832.84
Rate for Payer: Wellpoint Medicaid Managed Care	$13,612.58

PROCEDURE TRACHEA BRONCHI UNL

Facility

$3,260.14

Service Code	HCPCS 31899
Hospital Charge Code	1600000407
Hospital Revenue Code	360
Min. Negotiated Rate	$423.82
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$978.04
Rate for Payer: Aetna Medicare Advantage	$978.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$831.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$831.34
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	$831.34
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.82
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$489.02
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PROCEDURE TRACHEA BRONCHI UNL

Facility

$3,260.14

Service Code	HCPCS 31899
Hospital Charge Code	1600000407
Hospital Revenue Code	360
Min. Negotiated Rate	$489.02
Max. Negotiated Rate	$489.02
Rate for Payer: Qualcare PPO/HMO/WC	$489.02

PROCEDURE TRACHEA BRONCHI UNL

Facility

$3,260.14

Service Code	HCPCS 31899
Hospital Charge Code	16000925
Hospital Revenue Code	360
Min. Negotiated Rate	$489.02
Max. Negotiated Rate	$489.02
Rate for Payer: Qualcare PPO/HMO/WC	$489.02

PROCEDURE TRACHEA BRONCHI UNL

Facility

$3,260.14

Service Code	HCPCS 31899
Hospital Charge Code	16000925
Hospital Revenue Code	360
Min. Negotiated Rate	$423.82
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$978.04
Rate for Payer: Aetna Medicare Advantage	$978.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$831.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$831.34
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	$831.34
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.82
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$489.02
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$30,454.01

Service Code	APR-DRG 8502
Min. Negotiated Rate	$18,526.18
Max. Negotiated Rate	$30,454.01
Rate for Payer: Aetna Better Health Medicaid	$29,856.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,454.01
Rate for Payer: Wellpoint Medicaid Managed Care	$18,526.18

PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$84,944.03

Service Code	APR-DRG 8504
Min. Negotiated Rate	$46,522.27
Max. Negotiated Rate	$84,944.03
Rate for Payer: Aetna Better Health Medicaid	$83,278.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$84,944.03
Rate for Payer: Wellpoint Medicaid Managed Care	$46,522.27

Know your out-of-pocket cost for care.

All Charges