Heights University Hospital

All Charges

Charge

Type

Setting

Price

REMOVAL OF KIDNEY LESION

Facility

$9,262.80

Hospital Charge Code	1600000860
Hospital Revenue Code	360
Min. Negotiated Rate	$1,389.42
Max. Negotiated Rate	$1,389.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,389.42

REMOVAL OF KIDNEY LESION

Facility

$9,262.80

Hospital Charge Code	1600000860
Hospital Revenue Code	360
Min. Negotiated Rate	$1,204.16
Max. Negotiated Rate	$4,631.40
Rate for Payer: Aetna Commercial	$2,778.84
Rate for Payer: Aetna Medicare Advantage	$2,778.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,362.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,362.01
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	$2,362.01
Rate for Payer: Cigna Commercial	$4,631.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,204.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,389.42

REMOVAL OF KNEECAP

Facility

$30,595.00

Service Code	HCPCS 27350
Hospital Charge Code	16000561
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF KNEECAP

Facility

$30,595.00

Service Code	HCPCS 27350
Hospital Charge Code	16000561
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

REMOVAL OF LARYNX LESION

Facility

$19,096.15

Service Code	HCPCS 31300
Hospital Charge Code	1600000702
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Commercial	$5,728.85
Rate for Payer: Aetna Medicare Advantage	$5,728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,869.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,869.52
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	$4,869.52
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,482.50
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,864.42
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVAL OF LARYNX LESION

Facility

$19,096.15

Service Code	HCPCS 31300
Hospital Charge Code	1600000702
Hospital Revenue Code	360
Min. Negotiated Rate	$2,864.42
Max. Negotiated Rate	$2,864.42
Rate for Payer: Qualcare PPO/HMO/WC	$2,864.42

REMOVAL OF LUNG LESION

Facility

$23,450.23

Service Code	HCPCS 32540
Hospital Charge Code	1600000406
Hospital Revenue Code	360
Min. Negotiated Rate	$3,517.53
Max. Negotiated Rate	$3,517.53
Rate for Payer: Qualcare PPO/HMO/WC	$3,517.53

REMOVAL OF LUNG LESION

Facility

$23,450.23

Service Code	HCPCS 32540
Hospital Charge Code	1600000406
Hospital Revenue Code	360
Min. Negotiated Rate	$1,776.26
Max. Negotiated Rate	$7,035.07
Rate for Payer: Aetna Commercial	$7,035.07
Rate for Payer: Aetna Medicare Advantage	$7,035.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,979.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,979.81
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	$5,979.81
Rate for Payer: Cigna Commercial	$1,776.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,048.53
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,517.53
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF NAIL BED

Facility

$1,822.15

Service Code	HCPCS 11750
Hospital Charge Code	412311750
Hospital Revenue Code	361
Min. Negotiated Rate	$236.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$546.64
Rate for Payer: Aetna Medicare Advantage	$546.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$464.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$464.65
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	$464.65
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$236.88
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.32
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REMOVAL OF NAIL BED

Facility

$1,822.15

Service Code	HCPCS 11750
Hospital Charge Code	412311750
Hospital Revenue Code	361
Min. Negotiated Rate	$273.32
Max. Negotiated Rate	$273.32
Rate for Payer: Qualcare PPO/HMO/WC	$273.32

REMOVAL OF NAIL PLATE

Facility

$990.50

Service Code	HCPCS 11730
Hospital Charge Code	412311730
Hospital Revenue Code	361
Min. Negotiated Rate	$148.57
Max. Negotiated Rate	$148.57
Rate for Payer: Qualcare PPO/HMO/WC	$148.57

REMOVAL OF NAIL PLATE

Facility

$990.50

Service Code	HCPCS 11730
Hospital Charge Code	412311730
Hospital Revenue Code	361
Min. Negotiated Rate	$128.76
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$297.15
Rate for Payer: Aetna Medicare Advantage	$297.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.58
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	$252.58
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.76
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.57
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REMOVAL OF NAIL PLATE ADD-ON

Facility

$495.25

Service Code	HCPCS 11732
Hospital Charge Code	412311732
Hospital Revenue Code	361
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$74.29
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

REMOVAL OF NAIL PLATE ADD-ON

Facility

$495.25

Service Code	HCPCS 11732
Hospital Charge Code	412311732
Hospital Revenue Code	361
Min. Negotiated Rate	$16.14
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$148.57
Rate for Payer: Aetna Medicare Advantage	$148.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.29
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	$126.29
Rate for Payer: Cigna Commercial	$16.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.38
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.29
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REMOVAL OF PANCREAS

Facility

$38,810.60

Service Code	HCPCS 48155
Hospital Charge Code	1600000695
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,643.18
Rate for Payer: Aetna Commercial	$11,643.18
Rate for Payer: Aetna Medicare Advantage	$11,643.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,896.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,896.70
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	$9,896.70
Rate for Payer: Cigna Commercial	$1,869.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,045.38
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,821.59
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF PANCREAS

Facility

$38,810.60

Service Code	HCPCS 48155
Hospital Charge Code	1600000695
Hospital Revenue Code	360
Min. Negotiated Rate	$5,821.59
Max. Negotiated Rate	$5,821.59
Rate for Payer: Qualcare PPO/HMO/WC	$5,821.59

REMOVAL OF PELVIC STRUCTURES

Facility

$48,449.00

Service Code	HCPCS 51597
Hospital Charge Code	1600000727
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,534.70
Rate for Payer: Aetna Commercial	$14,534.70
Rate for Payer: Aetna Medicare Advantage	$14,534.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,354.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,354.50
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	$12,354.50
Rate for Payer: Cigna Commercial	$2,213.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,298.37
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,267.35
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF PELVIC STRUCTURES

Facility

$48,449.00

Service Code	HCPCS 51597
Hospital Charge Code	1600000727
Hospital Revenue Code	360
Min. Negotiated Rate	$7,267.35
Max. Negotiated Rate	$7,267.35
Rate for Payer: Qualcare PPO/HMO/WC	$7,267.35

REMOVAL OF PELVIS CONTENTS

Facility

$15,702.60

Service Code	HCPCS 58240
Hospital Charge Code	1600000729
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,710.78
Rate for Payer: Aetna Medicare Advantage	$4,710.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,004.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,004.16
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	$4,004.16
Rate for Payer: Cigna Commercial	$2,920.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,041.34
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,355.39
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF PELVIS CONTENTS

Facility

$15,702.60

Service Code	HCPCS 58240
Hospital Charge Code	1600000729
Hospital Revenue Code	360
Min. Negotiated Rate	$2,355.39
Max. Negotiated Rate	$2,355.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,355.39

REMOVAL OF PENIS

Facility

$23,731.00

Service Code	HCPCS 54125
Hospital Charge Code	1600000767
Hospital Revenue Code	360
Min. Negotiated Rate	$814.70
Max. Negotiated Rate	$7,119.30
Rate for Payer: Aetna Commercial	$7,119.30
Rate for Payer: Aetna Medicare Advantage	$7,119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,051.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,051.40
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	$6,051.40
Rate for Payer: Cigna Commercial	$814.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,085.03
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,559.65
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REMOVAL OF PENIS

Facility

$23,731.00

Service Code	HCPCS 54125
Hospital Charge Code	1600000767
Hospital Revenue Code	360
Min. Negotiated Rate	$3,559.65
Max. Negotiated Rate	$3,559.65
Rate for Payer: Qualcare PPO/HMO/WC	$3,559.65

REMOVAL OF PM GENERATOR

Facility

$48,966.00

Service Code	HCPCS 33233
Hospital Charge Code	411033233
Hospital Revenue Code	481
Min. Negotiated Rate	$7,344.90
Max. Negotiated Rate	$7,344.90
Rate for Payer: Qualcare PPO/HMO/WC	$7,344.90

REMOVAL OF PM GENERATOR

Facility

$48,966.00

Service Code	HCPCS 33233
Hospital Charge Code	411033233
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$14,689.80
Rate for Payer: Aetna Medicare Advantage	$14,689.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,486.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,486.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,486.33
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,365.58
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,344.90
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF SUPPORT IMPLANT

Facility

$11,677.88

Service Code	HCPCS 20680
Hospital Charge Code	16000180
Hospital Revenue Code	360
Min. Negotiated Rate	$1,751.68
Max. Negotiated Rate	$1,751.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,751.68

Know your out-of-pocket cost for care.

All Charges