Heights University Hospital

All Charges

Charge

Type

Setting

Price

RED BLOOD CELL DISORDERS WITH MCC

Facility

$52,583.07

Service Code	MSDRG 811
Min. Negotiated Rate	$15,324.54
Max. Negotiated Rate	$52,583.07
Rate for Payer: Aetna Commercial	$47,352.83
Rate for Payer: Aetna Medicare Advantage	$15,324.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,593.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,593.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,527.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,593.80
Rate for Payer: Cigna Commercial	$30,221.94
Rate for Payer: Cigna Medicare Advantage	$17,527.69
Rate for Payer: Clover Medicare Advantage	$16,651.31
Rate for Payer: EmblemHealth Commercial	$52,583.07
Rate for Payer: Humana Medicare Advantage	$18,053.52
Rate for Payer: Oxford Commercial	$18,887.83
Rate for Payer: UnitedHealthcare Commercial	$21,439.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,527.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,579.35
Rate for Payer: Wellcare Medicare Advantage	$17,527.69

RED BLOOD CELL DISORDERS WITHOUT MCC

Facility

$38,473.65

Service Code	MSDRG 812
Min. Negotiated Rate	$10,019.93
Max. Negotiated Rate	$38,473.65
Rate for Payer: Aetna Commercial	$30,961.58
Rate for Payer: Aetna Medicare Advantage	$10,019.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,810.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,810.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,824.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,810.30
Rate for Payer: Cigna Commercial	$19,760.58
Rate for Payer: Cigna Medicare Advantage	$12,824.55
Rate for Payer: Clover Medicare Advantage	$12,183.32
Rate for Payer: EmblemHealth Commercial	$38,473.65
Rate for Payer: Humana Medicare Advantage	$13,209.29
Rate for Payer: Oxford Commercial	$12,349.79
Rate for Payer: UnitedHealthcare Commercial	$14,018.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,824.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,594.02
Rate for Payer: Wellcare Medicare Advantage	$12,824.55

RED BLOOD CELL IRAD LEUKORED

Facility

$1,550.66

Hospital Charge Code	38471207
Hospital Revenue Code	390
Min. Negotiated Rate	$232.60
Max. Negotiated Rate	$232.60
Rate for Payer: Qualcare PPO/HMO/WC	$232.60

RED BLOOD CELL IRAD LEUKORED

Facility

$1,550.66

Hospital Charge Code	38471207
Hospital Revenue Code	390
Min. Negotiated Rate	$201.59
Max. Negotiated Rate	$775.33
Rate for Payer: Aetna Commercial	$465.20
Rate for Payer: Aetna Medicare Advantage	$465.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.42
Rate for Payer: Cigna Commercial	$775.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.59
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.60
Rate for Payer: UnitedHealthcare Commercial	$756.00

RED BLOOD CELLS EACH UNIT

Facility

$916.00

Hospital Charge Code	38471031
Hospital Revenue Code	390
Min. Negotiated Rate	$137.40
Max. Negotiated Rate	$137.40
Rate for Payer: Qualcare PPO/HMO/WC	$137.40

RED BLOOD CELLS EACH UNIT

Facility

$916.00

Hospital Charge Code	38471031
Hospital Revenue Code	390
Min. Negotiated Rate	$119.08
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$274.80
Rate for Payer: Aetna Medicare Advantage	$274.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.58
Rate for Payer: Cigna Commercial	$458.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.08
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$137.40
Rate for Payer: UnitedHealthcare Commercial	$756.00

RED BLOOD CELLS IRRADIATED

Facility

$1,331.00

Hospital Charge Code	38471206
Hospital Revenue Code	390
Min. Negotiated Rate	$199.65
Max. Negotiated Rate	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$199.65

RED BLOOD CELLS IRRADIATED

Facility

$1,331.00

Hospital Charge Code	38471206
Hospital Revenue Code	390
Min. Negotiated Rate	$173.03
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$399.30
Rate for Payer: Aetna Medicare Advantage	$399.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.40
Rate for Payer: Cigna Commercial	$665.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.03
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$199.65
Rate for Payer: UnitedHealthcare Commercial	$756.00

RED HIP (SPONTNS) DISL W/O ANE

Facility

$645.00

Service Code	HCPCS 27256
Hospital Charge Code	5780080
Hospital Revenue Code	450
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

RED HIP (SPONTNS) DISL W/O ANE

Facility

$645.00

Service Code	HCPCS 27256
Hospital Charge Code	5780080
Hospital Revenue Code	450
Min. Negotiated Rate	$83.85
Max. Negotiated Rate	$587.42
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	$132.82
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: Qualcare PPO/HMO/WC	$96.75

REDUCE BOWEL OBSTRUCTION

Facility

$18,161.00

Service Code	HCPCS 44050
Hospital Charge Code	1600000325
Hospital Revenue Code	360
Min. Negotiated Rate	$961.57
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$5,448.30
Rate for Payer: Aetna Medicare Advantage	$5,448.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,631.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,631.06
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	$4,631.06
Rate for Payer: Cigna Commercial	$961.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,360.93
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,724.15
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REDUCE BOWEL OBSTRUCTION

Facility

$18,161.00

Service Code	HCPCS 44050
Hospital Charge Code	1600000325
Hospital Revenue Code	360
Min. Negotiated Rate	$2,724.15
Max. Negotiated Rate	$2,724.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,724.15

REDUCER ETH 5/12MM 1SEAL

Facility

$94.45

Hospital Charge Code	27060081
Hospital Revenue Code	272
Min. Negotiated Rate	$12.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$28.34
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.28
Rate for Payer: Oxford Commercial	$47.23
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$47.23

REDUCER ETH 5/12MM 1SEAL

Facility

$94.45

Hospital Charge Code	27060081
Hospital Revenue Code	272
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

REDUCING SUBSTANCES (STOOL)

Facility

$38.45

Service Code	HCPCS 84377
Hospital Charge Code	3008265
Hospital Revenue Code	301
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.82
Rate for Payer: Aetna Medicare Advantage	$5.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.15
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: Cigna Medicare Advantage	$2.75
Rate for Payer: Clover Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$16.50
Rate for Payer: Humana Medicare Advantage	$5.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.77
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.50
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.83
Rate for Payer: Wellcare Medicare Advantage	$5.50

REDUCING SUBSTANCES (STOOL)

Facility

$38.45

Service Code	HCPCS 84377
Hospital Charge Code	3008265
Hospital Revenue Code	301
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$5.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.77

REDUCTION EXT RELINE

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691363
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$798.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

REDUCTION EXT RELINE

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691363
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$990.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

REDUCTION FORCEP

Facility

$2,916.95

Hospital Charge Code	270655155
Hospital Revenue Code	272
Min. Negotiated Rate	$379.20
Max. Negotiated Rate	$1,458.47
Rate for Payer: Aetna Commercial	$875.09
Rate for Payer: Aetna Medicare Advantage	$875.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$743.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$743.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$743.82
Rate for Payer: Cigna Commercial	$1,458.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.20
Rate for Payer: Oxford Commercial	$1,458.47
Rate for Payer: Qualcare PPO/HMO/WC	$437.54
Rate for Payer: UnitedHealthcare Commercial	$1,458.47

REDUCTION FORCEP

Facility

$2,916.95

Hospital Charge Code	270655155
Hospital Revenue Code	272
Min. Negotiated Rate	$437.54
Max. Negotiated Rate	$437.54
Rate for Payer: Qualcare PPO/HMO/WC	$437.54

REDUCTION FORCEP

Facility

$2,685.20

Hospital Charge Code	270655150
Hospital Revenue Code	272
Min. Negotiated Rate	$349.08
Max. Negotiated Rate	$1,342.60
Rate for Payer: Aetna Commercial	$805.56
Rate for Payer: Aetna Medicare Advantage	$805.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$684.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$684.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$684.73
Rate for Payer: Cigna Commercial	$1,342.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.08
Rate for Payer: Oxford Commercial	$1,342.60
Rate for Payer: Qualcare PPO/HMO/WC	$402.78
Rate for Payer: UnitedHealthcare Commercial	$1,342.60

REDUCTION FORCEP

Facility

$2,685.20

Hospital Charge Code	270655150
Hospital Revenue Code	272
Min. Negotiated Rate	$402.78
Max. Negotiated Rate	$402.78
Rate for Payer: Qualcare PPO/HMO/WC	$402.78

REDUCTION FORCEP WITH NARROW

Facility

$2,870.60

Hospital Charge Code	270655153
Hospital Revenue Code	272
Min. Negotiated Rate	$430.59
Max. Negotiated Rate	$430.59
Rate for Payer: Qualcare PPO/HMO/WC	$430.59

REDUCTION FORCEP WITH NARROW

Facility

$2,870.60

Hospital Charge Code	270655153
Hospital Revenue Code	272
Min. Negotiated Rate	$373.18
Max. Negotiated Rate	$1,435.30
Rate for Payer: Aetna Commercial	$861.18
Rate for Payer: Aetna Medicare Advantage	$861.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.00
Rate for Payer: Cigna Commercial	$1,435.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$373.18
Rate for Payer: Oxford Commercial	$1,435.30
Rate for Payer: Qualcare PPO/HMO/WC	$430.59
Rate for Payer: UnitedHealthcare Commercial	$1,435.30

REDUCTION PIN CANCELL THD 5.0M

Facility

$3,335.00

Hospital Charge Code	270701156
Hospital Revenue Code	279
Min. Negotiated Rate	$500.25
Max. Negotiated Rate	$500.25
Rate for Payer: Qualcare PPO/HMO/WC	$500.25

Know your out-of-pocket cost for care.

All Charges