Heights University Hospital

All Charges

Charge

Type

Setting

Price

RECIP SAW BLADE D/S 68x1.10MM

Facility

$367.50

Hospital Charge Code	270674769
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$110.25
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.77
Rate for Payer: Oxford Commercial	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$183.75

RECOMBIVAX(HEPATITIS)/3ML

Facility

$769.00

Hospital Charge Code	60634526
Hospital Revenue Code	250
Min. Negotiated Rate	$115.35
Max. Negotiated Rate	$115.35
Rate for Payer: Qualcare PPO/HMO/WC	$115.35

RECOMBIVAX(HEPATITIS)/3ML

Facility

$769.00

Hospital Charge Code	60634526
Hospital Revenue Code	250
Min. Negotiated Rate	$99.97
Max. Negotiated Rate	$384.50
Rate for Payer: Aetna Commercial	$230.70
Rate for Payer: Aetna Medicare Advantage	$230.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.09
Rate for Payer: Cigna Commercial	$384.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.97
Rate for Payer: Oxford Commercial	$384.50
Rate for Payer: Qualcare PPO/HMO/WC	$115.35
Rate for Payer: UnitedHealthcare Commercial	$384.50

RECOMBX 2 MATA AUTOANTIBODY

Facility

$3,025.00

Service Code	HCPCS 83500
Hospital Charge Code	401083500
Hospital Revenue Code	301
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$73.39
Rate for Payer: Aetna Medicare Advantage	$22.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.99
Rate for Payer: Cigna Commercial	$22.65
Rate for Payer: Cigna Medicare Advantage	$11.32
Rate for Payer: Clover Medicare Advantage	$21.52
Rate for Payer: EmblemHealth Commercial	$67.95
Rate for Payer: Humana Medicare Advantage	$23.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.65
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.01
Rate for Payer: Wellcare Medicare Advantage	$22.65

RECOMBX 2 MATA AUTOANTIBODY

Facility

$3,025.00

Service Code	HCPCS 83500
Hospital Charge Code	401083500
Hospital Revenue Code	301
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

RECOMBX AMPHIPHYSIN AUTO AB

Facility

$1,925.00

Service Code	HCPCS 83520
Hospital Charge Code	401083520
Hospital Revenue Code	301
Min. Negotiated Rate	$288.75
Max. Negotiated Rate	$288.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.75

RECOMBX AMPHIPHYSIN AUTO AB

Facility

$1,925.00

Service Code	HCPCS 83520
Hospital Charge Code	401083520
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$288.75
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

RECOMBX CV2 AUTOANTIBODY

Facility

$1,866.45

Service Code	HCPCS 84182
Hospital Charge Code	3038074
Hospital Revenue Code	301
Min. Negotiated Rate	$279.97
Max. Negotiated Rate	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$279.97

RECOMBX CV2 AUTOANTIBODY

Facility

$1,866.45

Service Code	HCPCS 84182
Hospital Charge Code	3038074
Hospital Revenue Code	301
Min. Negotiated Rate	$14.61
Max. Negotiated Rate	$279.97
Rate for Payer: Aetna Commercial	$94.64
Rate for Payer: Aetna Medicare Advantage	$29.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.03
Rate for Payer: Cigna Commercial	$29.21
Rate for Payer: Cigna Medicare Advantage	$14.61
Rate for Payer: Clover Medicare Advantage	$27.75
Rate for Payer: EmblemHealth Commercial	$87.63
Rate for Payer: Humana Medicare Advantage	$30.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$279.97
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$30.96
Rate for Payer: Wellcare Medicare Advantage	$29.21

RECOMBX MA TA AUTOANTIBODY TES

Facility

$925.00

Service Code	HCPCS 83520
Hospital Charge Code	401183520A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$138.75
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

RECOMBX MA TA AUTOANTIBODY TES

Facility

$925.00

Service Code	HCPCS 83520
Hospital Charge Code	401183520A
Hospital Revenue Code	301
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$138.75
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

RECON PLATE 8 HOLE

Facility

$2,750.00

Hospital Charge Code	270656548
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

RECON PLATE 8 HOLE

Facility

$2,750.00

Hospital Charge Code	270656548
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

RECONSTR ANGLE TOE DEFORMITY S

Facility

$19,998.60

Service Code	HCPCS 28313
Hospital Charge Code	1600000633
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
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	$5,099.64
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RECONSTR ANGLE TOE DEFORMITY S

Facility

$19,998.60

Service Code	HCPCS 28313
Hospital Charge Code	1600000633
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

RECONSTR DISLOC PATELLA W MSCL

Facility

$28,255.00

Service Code	HCPCS 27422
Hospital Charge Code	1600000465
Hospital Revenue Code	360
Min. Negotiated Rate	$4,238.25
Max. Negotiated Rate	$4,238.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25

RECONSTR DISLOC PATELLA W MSCL

Facility

$28,255.00

Service Code	HCPCS 27422
Hospital Charge Code	1600000465
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$8,476.50
Rate for Payer: Aetna Medicare Advantage	$8,476.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,205.02
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	$7,205.02
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,673.15
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

RECONSTRICTION KNEE

Facility

$22,425.68

Service Code	HCPCS 27427
Hospital Charge Code	16000563
Hospital Revenue Code	360
Min. Negotiated Rate	$3,363.85
Max. Negotiated Rate	$3,363.85
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85

RECONSTRICTION KNEE

Facility

$22,425.68

Service Code	HCPCS 27427
Hospital Charge Code	16000563
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$6,727.70
Rate for Payer: Aetna Medicare Advantage	$6,727.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,718.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,718.55
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	$5,718.55
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.34
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

RECONSTR MCP JNT COLL LIGAM W

Facility

$12,831.32

Service Code	HCPCS 26542
Hospital Charge Code	16000854
Hospital Revenue Code	360
Min. Negotiated Rate	$1,924.70
Max. Negotiated Rate	$1,924.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.70

RECONSTR MCP JNT COLL LIGAM W

Facility

$12,831.32

Service Code	HCPCS 26542
Hospital Charge Code	16000854
Hospital Revenue Code	360
Min. Negotiated Rate	$1,668.07
Max. Negotiated Rate	$7,791.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.70
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Aetna Commercial	$3,849.40
Rate for Payer: Aetna Medicare Advantage	$3,849.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,271.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,271.99
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	$3,271.99
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,668.07
Rate for Payer: Oxford Commercial	$3,248.00

RECONSTR QUAD/HAMSTRING MSCL R

Facility

$28,042.44

Service Code	HCPCS 27386
Hospital Charge Code	16000883
Hospital Revenue Code	360
Min. Negotiated Rate	$4,206.37
Max. Negotiated Rate	$4,206.37
Rate for Payer: Qualcare PPO/HMO/WC	$4,206.37

RECONSTR QUAD/HAMSTRING MSCL R

Facility

$28,042.44

Service Code	HCPCS 27386
Hospital Charge Code	16000883
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$8,412.73
Rate for Payer: Aetna Medicare Advantage	$8,412.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,150.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,150.82
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	$7,150.82
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,645.52
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,206.37
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

RECONSTR RC AVULSION CHRONIC

Facility

$44,916.00

Service Code	HCPCS 23420
Hospital Charge Code	16000677
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,474.80
Rate for Payer: Aetna Medicare Advantage	$13,474.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,453.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,453.58
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	$11,453.58
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,839.08
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

RECONSTR RC AVULSION CHRONIC

Facility

$44,916.00

Service Code	HCPCS 23420
Hospital Charge Code	16000677
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

Know your out-of-pocket cost for care.

All Charges