Heights University Hospital

All Charges

Charge

Type

Setting

Price

REMOVAL EVENT RECORDER

Facility

$2,457.00

Service Code	HCPCS 33284
Hospital Charge Code	7411035
Hospital Revenue Code	361
Min. Negotiated Rate	$319.41
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$737.10
Rate for Payer: Aetna Medicare Advantage	$737.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$626.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$626.53
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	$626.53
Rate for Payer: Cigna Commercial	$1,228.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.41
Rate for Payer: Qualcare PPO/HMO/WC	$368.55

REMOVAL EVENT RECORDER

Facility

$2,457.00

Service Code	HCPCS 33284
Hospital Charge Code	7411035
Hospital Revenue Code	361
Min. Negotiated Rate	$368.55
Max. Negotiated Rate	$368.55
Rate for Payer: Qualcare PPO/HMO/WC	$368.55

REMOVAL FB DEEP/COMP

Facility

$13,630.25

Service Code	HCPCS 20525
Hospital Charge Code	412320525
Hospital Revenue Code	361
Min. Negotiated Rate	$1,771.93
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$4,089.07
Rate for Payer: Aetna Medicare Advantage	$4,089.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,475.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,475.71
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	$3,475.71
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,771.93
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,044.54
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVAL FB DEEP/COMP

Facility

$13,630.25

Service Code	HCPCS 20525
Hospital Charge Code	412320525
Hospital Revenue Code	361
Min. Negotiated Rate	$2,044.54
Max. Negotiated Rate	$2,044.54
Rate for Payer: Qualcare PPO/HMO/WC	$2,044.54

REMOVAL FB SIMPLE

Facility

$7,903.25

Service Code	HCPCS 20520
Hospital Charge Code	412320520
Hospital Revenue Code	361
Min. Negotiated Rate	$1,185.49
Max. Negotiated Rate	$1,185.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,185.49

REMOVAL FB SIMPLE

Facility

$7,903.25

Service Code	HCPCS 20520
Hospital Charge Code	412320520
Hospital Revenue Code	361
Min. Negotiated Rate	$1,027.42
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,370.97
Rate for Payer: Aetna Medicare Advantage	$2,370.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,015.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,015.33
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	$2,015.33
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,027.42
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,185.49
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REMOVAL FOREIGN BODY MUSCLE,SM

Facility

$6,322.68

Service Code	HCPCS 20520
Hospital Charge Code	16000792
Hospital Revenue Code	360
Min. Negotiated Rate	$821.95
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,896.80
Rate for Payer: Aetna Medicare Advantage	$1,896.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,612.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,612.28
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	$1,612.28
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$821.95
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$948.40
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REMOVAL FOREIGN BODY MUSCLE,SM

Facility

$6,322.68

Service Code	HCPCS 20520
Hospital Charge Code	16000792
Hospital Revenue Code	360
Min. Negotiated Rate	$948.40
Max. Negotiated Rate	$948.40
Rate for Payer: Qualcare PPO/HMO/WC	$948.40

REMOVAL FOREIGN BODY-VAGINA

Facility

$8,582.36

Service Code	HCPCS 57415
Hospital Charge Code	5770010
Hospital Revenue Code	450
Min. Negotiated Rate	$1,287.35
Max. Negotiated Rate	$1,287.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35

REMOVAL FOREIGN BODY-VAGINA

Facility

$8,582.36

Service Code	HCPCS 57415
Hospital Charge Code	5770010
Hospital Revenue Code	450
Min. Negotiated Rate	$40.25
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$2,574.71
Rate for Payer: Aetna Medicare Advantage	$2,574.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,188.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,188.50
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,115.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35

REMOVAL IMPACTED CERUMEN EAR

Facility

$261.00

Service Code	HCPCS 69510
Hospital Charge Code	2500367
Hospital Revenue Code	761
Min. Negotiated Rate	$33.93
Max. Negotiated Rate	$130.50
Rate for Payer: Aetna Commercial	$78.30
Rate for Payer: Aetna Medicare Advantage	$78.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.56
Rate for Payer: Cigna Commercial	$130.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.93
Rate for Payer: Oxford Commercial	$130.50
Rate for Payer: Qualcare PPO/HMO/WC	$39.15
Rate for Payer: UnitedHealthcare Commercial	$130.50

REMOVAL IMPACTED CERUMEN EAR

Facility

$261.00

Service Code	HCPCS 69510
Hospital Charge Code	2500367
Hospital Revenue Code	761
Min. Negotiated Rate	$39.15
Max. Negotiated Rate	$39.15
Rate for Payer: Qualcare PPO/HMO/WC	$39.15

REMOVAL IUD

Facility

$669.00

Service Code	HCPCS 58301
Hospital Charge Code	5770035
Hospital Revenue Code	450
Min. Negotiated Rate	$100.35
Max. Negotiated Rate	$100.35
Rate for Payer: Qualcare PPO/HMO/WC	$100.35

REMOVAL IUD

Facility

$669.00

Service Code	HCPCS 58301
Hospital Charge Code	5770035
Hospital Revenue Code	450
Min. Negotiated Rate	$86.97
Max. Negotiated Rate	$725.69
Rate for Payer: Aetna Commercial	$200.70
Rate for Payer: Aetna Medicare Advantage	$200.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.59
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.97
Rate for Payer: Qualcare PPO/HMO/WC	$100.35

REMOVAL KIDNEY OPEN RADICAL

Facility

$27,043.80

Service Code	HCPCS 50230
Hospital Charge Code	1600000686
Hospital Revenue Code	360
Min. Negotiated Rate	$4,056.57
Max. Negotiated Rate	$4,056.57
Rate for Payer: Qualcare PPO/HMO/WC	$4,056.57

REMOVAL KIDNEY OPEN RADICAL

Facility

$27,043.80

Service Code	HCPCS 50230
Hospital Charge Code	1600000686
Hospital Revenue Code	360
Min. Negotiated Rate	$1,240.22
Max. Negotiated Rate	$8,113.14
Rate for Payer: Aetna Commercial	$8,113.14
Rate for Payer: Aetna Medicare Advantage	$8,113.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,896.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,896.17
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	$6,896.17
Rate for Payer: Cigna Commercial	$1,240.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,515.69
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,056.57
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL NONBIODEG RX DELIV IMP

Facility

$2,130.55

Service Code	HCPCS 11982
Hospital Charge Code	412311982
Hospital Revenue Code	761
Min. Negotiated Rate	$319.58
Max. Negotiated Rate	$319.58
Rate for Payer: Qualcare PPO/HMO/WC	$319.58

REMOVAL NONBIODEG RX DELIV IMP

Facility

$2,130.55

Service Code	HCPCS 11982
Hospital Charge Code	412311982
Hospital Revenue Code	761
Min. Negotiated Rate	$115.00
Max. Negotiated Rate	$1,065.28
Rate for Payer: Aetna Commercial	$639.16
Rate for Payer: Aetna Medicare Advantage	$639.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.29
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.97
Rate for Payer: Oxford Commercial	$1,065.28
Rate for Payer: Qualcare PPO/HMO/WC	$319.58
Rate for Payer: UnitedHealthcare Commercial	$1,065.28

REMOVAL OF ADENOIDS 1< 12YRS

Facility

$42,339.20

Service Code	HCPCS 42830
Hospital Charge Code	1600000385
Hospital Revenue Code	360
Min. Negotiated Rate	$6,350.88
Max. Negotiated Rate	$6,350.88
Rate for Payer: Qualcare PPO/HMO/WC	$6,350.88

REMOVAL OF ADENOIDS 1< 12YRS

Facility

$42,339.20

Service Code	HCPCS 42830
Hospital Charge Code	1600000385
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,701.76
Rate for Payer: Aetna Commercial	$12,701.76
Rate for Payer: Aetna Medicare Advantage	$12,701.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,796.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,796.50
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	$10,796.50
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,504.10
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,350.88
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVAL OF ANAL TAGS

Facility

$16,487.80

Service Code	HCPCS 46230
Hospital Charge Code	1600000851
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,609.93
Rate for Payer: Aetna Commercial	$4,946.34
Rate for Payer: Aetna Medicare Advantage	$4,946.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,204.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,204.39
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	$4,204.39
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,143.41
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,473.17
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REMOVAL OF ANAL TAGS

Facility

$16,487.80

Service Code	HCPCS 46230
Hospital Charge Code	1600000851
Hospital Revenue Code	360
Min. Negotiated Rate	$2,473.17
Max. Negotiated Rate	$2,473.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,473.17

REMOVAL OF ARM FOREIGN BODY

Facility

$9,299.48

Service Code	HCPCS 24201
Hospital Charge Code	16000822
Hospital Revenue Code	360
Min. Negotiated Rate	$1,208.93
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$2,789.84
Rate for Payer: Aetna Medicare Advantage	$2,789.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,371.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,371.37
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	$2,371.37
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.93
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,394.92
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REMOVAL OF ARM FOREIGN BODY

Facility

$9,299.48

Service Code	HCPCS 24201
Hospital Charge Code	16000822
Hospital Revenue Code	360
Min. Negotiated Rate	$1,394.92
Max. Negotiated Rate	$1,394.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,394.92

REMOVAL OF BLADDER

Facility

$31,076.20

Service Code	HCPCS 51570
Hospital Charge Code	1600000523
Hospital Revenue Code	360
Min. Negotiated Rate	$4,661.43
Max. Negotiated Rate	$4,661.43
Rate for Payer: Qualcare PPO/HMO/WC	$4,661.43

Know your out-of-pocket cost for care.

All Charges