Heights University Hospital

All Charges

Charge

Type

Setting

Price

REM MAMMARY IMPLANT

Facility

$31,541.30

Service Code	HCPCS 19328
Hospital Charge Code	16000536
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

REM MAMMARY IMPL MATEAL

Facility

$31,541.30

Service Code	HCPCS 19330
Hospital Charge Code	16000664
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

REM MAMMARY IMPL MATEAL

Facility

$31,541.30

Service Code	HCPCS 19330
Hospital Charge Code	16000664
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,462.39
Rate for Payer: Aetna Commercial	$9,462.39
Rate for Payer: Aetna Medicare Advantage	$9,462.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,043.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,043.03
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	$8,043.03
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,100.37
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMODULIN 15MG/3ML SYRNGE

Facility

$4,271.00

Hospital Charge Code	60635640
Hospital Revenue Code	636
Min. Negotiated Rate	$640.65
Max. Negotiated Rate	$1,033.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.58
Rate for Payer: Qualcare PPO/HMO/WC	$640.65

REMODULIN 15MG/3ML SYRNGE

Facility

$4,271.00

Hospital Charge Code	60635640
Hospital Revenue Code	636
Min. Negotiated Rate	$640.65
Max. Negotiated Rate	$2,135.50
Rate for Payer: Aetna Commercial	$1,281.30
Rate for Payer: Aetna Medicare Advantage	$1,281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,089.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,089.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,089.11
Rate for Payer: Cigna Commercial	$2,135.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.58
Rate for Payer: Qualcare PPO/HMO/WC	$640.65

REMODULIN 5MG/ML VIAL

Facility

$4,271.00

Hospital Charge Code	60635651
Hospital Revenue Code	636
Min. Negotiated Rate	$640.65
Max. Negotiated Rate	$2,135.50
Rate for Payer: Aetna Commercial	$1,281.30
Rate for Payer: Aetna Medicare Advantage	$1,281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,089.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,089.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,089.11
Rate for Payer: Cigna Commercial	$2,135.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.58
Rate for Payer: Qualcare PPO/HMO/WC	$640.65

REMODULIN 5MG/ML VIAL

Facility

$4,271.00

Hospital Charge Code	60635651
Hospital Revenue Code	636
Min. Negotiated Rate	$640.65
Max. Negotiated Rate	$1,033.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.58
Rate for Payer: Qualcare PPO/HMO/WC	$640.65

REMOTE CNTRL PRECISION SPECTRA

Facility

$6,750.00

Hospital Charge Code	270675555
Hospital Revenue Code	272
Min. Negotiated Rate	$877.50
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) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.50
Rate for Payer: Oxford Commercial	$3,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Commercial	$3,375.00

REMOTE CNTRL PRECISION SPECTRA

Facility

$6,750.00

Hospital Charge Code	270675555
Hospital Revenue Code	272
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,012.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

REMOTE CONTROL

Facility

$4,400.00

Service Code	HCPCS C1778
Hospital Charge Code	270702121
Hospital Revenue Code	278
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$1,064.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.80
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

REMOTE CONTROL

Facility

$4,400.00

Hospital Charge Code	270703590
Hospital Revenue Code	278
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$2,200.00
Rate for Payer: Aetna Commercial	$1,320.00
Rate for Payer: Aetna Medicare Advantage	$1,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.00
Rate for Payer: Cigna Commercial	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.80
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

REMOTE CONTROL

Facility

$4,400.00

Hospital Charge Code	270703590
Hospital Revenue Code	278
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$1,064.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.80
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

REMOTE CONTROL

Facility

$4,400.00

Service Code	HCPCS C1778
Hospital Charge Code	270702121
Hospital Revenue Code	278
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$2,200.00
Rate for Payer: Aetna Commercial	$1,320.00
Rate for Payer: Aetna Medicare Advantage	$1,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.00
Rate for Payer: Cigna Commercial	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.80
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

REMOVAL BILIARY DRG CATH

Facility

$4,605.35

Service Code	HCPCS 47537
Hospital Charge Code	2600237
Hospital Revenue Code	361
Min. Negotiated Rate	$690.80
Max. Negotiated Rate	$690.80
Rate for Payer: Qualcare PPO/HMO/WC	$690.80

REMOVAL BILIARY DRG CATH

Facility

$4,605.35

Service Code	HCPCS 47537
Hospital Charge Code	7411566
Hospital Revenue Code	361
Min. Negotiated Rate	$598.70
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$1,381.61
Rate for Payer: Aetna Medicare Advantage	$1,381.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,174.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,174.36
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	$1,174.36
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.70
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.80
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REMOVAL BILIARY DRG CATH

Facility

$4,605.35

Service Code	HCPCS 47537
Hospital Charge Code	2600237
Hospital Revenue Code	361
Min. Negotiated Rate	$598.70
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$1,381.61
Rate for Payer: Aetna Medicare Advantage	$1,381.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,174.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,174.36
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	$1,174.36
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.70
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.80
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REMOVAL BILIARY DRG CATH

Facility

$2,844.79

Service Code	HCPCS 47537
Hospital Charge Code	2011568
Hospital Revenue Code	361
Min. Negotiated Rate	$369.82
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$853.44
Rate for Payer: Aetna Medicare Advantage	$853.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$725.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$725.42
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	$725.42
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.82
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$426.72
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REMOVAL BILIARY DRG CATH

Facility

$4,605.35

Service Code	HCPCS 47537
Hospital Charge Code	7411566
Hospital Revenue Code	361
Min. Negotiated Rate	$690.80
Max. Negotiated Rate	$690.80
Rate for Payer: Qualcare PPO/HMO/WC	$690.80

REMOVAL BILIARY DRG CATH

Facility

$2,844.79

Service Code	HCPCS 47537
Hospital Charge Code	2011568
Hospital Revenue Code	361
Min. Negotiated Rate	$426.72
Max. Negotiated Rate	$426.72
Rate for Payer: Qualcare PPO/HMO/WC	$426.72

REMOVAL BLADDER LESION

Facility

$16,842.20

Service Code	HCPCS 51525
Hospital Charge Code	1600000812
Hospital Revenue Code	360
Min. Negotiated Rate	$842.11
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$5,052.66
Rate for Payer: Aetna Medicare Advantage	$5,052.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,294.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,294.76
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	$4,294.76
Rate for Payer: Cigna Commercial	$842.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,189.49
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.33
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL BLADDER LESION

Facility

$16,842.20

Service Code	HCPCS 51525
Hospital Charge Code	1600000812
Hospital Revenue Code	360
Min. Negotiated Rate	$2,526.33
Max. Negotiated Rate	$2,526.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.33

REMOVAL DUCT/GB CALCULI

Facility

$4,222.25

Service Code	HCPCS 47544
Hospital Charge Code	2600240
Hospital Revenue Code	361
Min. Negotiated Rate	$144.64
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,266.67
Rate for Payer: Aetna Medicare Advantage	$1,266.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.67
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	$1,076.67
Rate for Payer: Cigna Commercial	$144.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$548.89
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.34
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REMOVAL DUCT/GB CALCULI

Facility

$4,222.25

Service Code	HCPCS 47544
Hospital Charge Code	7411571
Hospital Revenue Code	361
Min. Negotiated Rate	$633.34
Max. Negotiated Rate	$633.34
Rate for Payer: Qualcare PPO/HMO/WC	$633.34

REMOVAL DUCT/GB CALCULI

Facility

$4,222.25

Service Code	HCPCS 47544
Hospital Charge Code	7411571
Hospital Revenue Code	361
Min. Negotiated Rate	$144.64
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,266.67
Rate for Payer: Aetna Medicare Advantage	$1,266.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.67
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	$1,076.67
Rate for Payer: Cigna Commercial	$144.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$548.89
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.34
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REMOVAL DUCT/GB CALCULI

Facility

$4,222.25

Service Code	HCPCS 47544
Hospital Charge Code	2600240
Hospital Revenue Code	361
Min. Negotiated Rate	$633.34
Max. Negotiated Rate	$633.34
Rate for Payer: Qualcare PPO/HMO/WC	$633.34

Know your out-of-pocket cost for care.

All Charges