Heights University Hospital

All Charges

Charge

Type

Setting

Price

REMOVAL OF SUPPORT IMPLANT

Facility

$11,677.88

Service Code	HCPCS 20680
Hospital Charge Code	16000180
Hospital Revenue Code	360
Min. Negotiated Rate	$1,518.12
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$3,503.36
Rate for Payer: Aetna Medicare Advantage	$3,503.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,977.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,977.86
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	$2,977.86
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,518.12
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,751.68
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVAL OF SUPPORT IMPLANT

Facility

$13,615.50

Service Code	HCPCS 20670
Hospital Charge Code	16000668
Hospital Revenue Code	360
Min. Negotiated Rate	$2,042.33
Max. Negotiated Rate	$2,042.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33

REMOVAL OF SUPPORT IMPLANT

Facility

$13,615.50

Service Code	HCPCS 20670
Hospital Charge Code	16000668
Hospital Revenue Code	360
Min. Negotiated Rate	$1,770.02
Max. Negotiated Rate	$4,084.65
Rate for Payer: Aetna Commercial	$4,084.65
Rate for Payer: Aetna Medicare Advantage	$4,084.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,471.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,471.95
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	$3,471.95
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.02
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REMOVAL OF TESTIS

Facility

$16,624.12

Service Code	HCPCS 54530
Hospital Charge Code	160000212
Hospital Revenue Code	360
Min. Negotiated Rate	$2,493.62
Max. Negotiated Rate	$2,493.62
Rate for Payer: Qualcare PPO/HMO/WC	$2,493.62

REMOVAL OF TESTIS

Facility

$16,624.12

Service Code	HCPCS 54530
Hospital Charge Code	160000212
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$4,987.24
Rate for Payer: Aetna Medicare Advantage	$4,987.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,239.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,239.15
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	$4,239.15
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,161.14
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,493.62
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF THYROID

Facility

$27,866.56

Service Code	HCPCS 60271
Hospital Charge Code	1600000457
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,097.46
Rate for Payer: Aetna Commercial	$8,359.97
Rate for Payer: Aetna Medicare Advantage	$8,359.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,105.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,105.97
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	$7,105.97
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,622.65
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,179.98
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REMOVAL OF THYROID

Facility

$27,866.56

Service Code	HCPCS 60271
Hospital Charge Code	1600000457
Hospital Revenue Code	360
Min. Negotiated Rate	$4,179.98
Max. Negotiated Rate	$4,179.98
Rate for Payer: Qualcare PPO/HMO/WC	$4,179.98

REMOVAL OF TOE LESIONS-T5

Facility

$20,900.00

Service Code	HCPCS 28092
Hospital Charge Code	16000719
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,270.00
Rate for Payer: Aetna Commercial	$6,270.00
Rate for Payer: Aetna Medicare Advantage	$6,270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,329.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,329.50
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	$5,329.50
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,717.00
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,135.00
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVAL OF TOE LESIONS-T5

Facility

$20,900.00

Service Code	HCPCS 28092
Hospital Charge Code	16000719
Hospital Revenue Code	360
Min. Negotiated Rate	$3,135.00
Max. Negotiated Rate	$3,135.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,135.00

REMOVAL OF TOE LESIONS-T9

Facility

$20,900.00

Service Code	HCPCS 28108
Hospital Charge Code	16000401
Hospital Revenue Code	360
Min. Negotiated Rate	$3,135.00
Max. Negotiated Rate	$3,135.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,135.00

REMOVAL OF TOE LESIONS-T9

Facility

$20,900.00

Service Code	HCPCS 28108
Hospital Charge Code	16000401
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,270.00
Rate for Payer: Aetna Commercial	$6,270.00
Rate for Payer: Aetna Medicare Advantage	$6,270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,329.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,329.50
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	$5,329.50
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,717.00
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,135.00
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVAL OF UPPER JAW

Facility

$15,638.00

Service Code	HCPCS 31225
Hospital Charge Code	1600000663
Hospital Revenue Code	360
Min. Negotiated Rate	$2,345.70
Max. Negotiated Rate	$2,345.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,345.70

REMOVAL OF UPPER JAW

Facility

$15,638.00

Service Code	HCPCS 31225
Hospital Charge Code	1600000663
Hospital Revenue Code	360
Min. Negotiated Rate	$1,733.92
Max. Negotiated Rate	$6,873.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Aetna Commercial	$4,691.40
Rate for Payer: Aetna Medicare Advantage	$4,691.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,987.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,987.69
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	$3,987.69
Rate for Payer: Cigna Commercial	$1,733.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,032.94
Rate for Payer: Qualcare PPO/HMO/WC	$2,345.70
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF URETER

Facility

$11,332.50

Service Code	HCPCS 50660
Hospital Charge Code	1600000387
Hospital Revenue Code	360
Min. Negotiated Rate	$1,110.74
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$3,399.75
Rate for Payer: Aetna Medicare Advantage	$3,399.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,889.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,889.79
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	$2,889.79
Rate for Payer: Cigna Commercial	$1,110.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,473.22
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,699.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF URETER

Facility

$11,332.50

Service Code	HCPCS 50660
Hospital Charge Code	1600000387
Hospital Revenue Code	360
Min. Negotiated Rate	$1,699.88
Max. Negotiated Rate	$1,699.88
Rate for Payer: Qualcare PPO/HMO/WC	$1,699.88

REMOVAL OF WRIST BONE

Facility

$12,289.64

Service Code	HCPCS 25210
Hospital Charge Code	16000472
Hospital Revenue Code	360
Min. Negotiated Rate	$1,843.45
Max. Negotiated Rate	$1,843.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.45

REMOVAL OF WRIST BONE

Facility

$12,289.64

Service Code	HCPCS 25210
Hospital Charge Code	16000472
Hospital Revenue Code	360
Min. Negotiated Rate	$1,597.65
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$3,686.89
Rate for Payer: Aetna Medicare Advantage	$3,686.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,133.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,133.86
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	$3,133.86
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,597.65
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.45
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL OF WRIST LESION

Facility

$12,406.91

Service Code	HCPCS 25130
Hospital Charge Code	16000830
Hospital Revenue Code	360
Min. Negotiated Rate	$1,861.04
Max. Negotiated Rate	$1,861.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04

REMOVAL OF WRIST LESION

Facility

$12,406.91

Service Code	HCPCS 25130
Hospital Charge Code	16000830
Hospital Revenue Code	360
Min. Negotiated Rate	$1,612.90
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$3,722.07
Rate for Payer: Aetna Medicare Advantage	$3,722.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,163.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,163.76
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	$3,163.76
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.90
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVAL PULSE GENERA

Facility

$6,578.00

Service Code	HCPCS 33222
Hospital Charge Code	7411031
Hospital Revenue Code	480
Min. Negotiated Rate	$986.70
Max. Negotiated Rate	$986.70
Rate for Payer: Qualcare PPO/HMO/WC	$986.70

REMOVAL PULSE GENERA

Facility

$6,578.00

Service Code	HCPCS 33222
Hospital Charge Code	7411031
Hospital Revenue Code	480
Min. Negotiated Rate	$253.00
Max. Negotiated Rate	$4,913.48
Rate for Payer: Aetna Commercial	$1,973.40
Rate for Payer: Aetna Medicare Advantage	$1,973.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,677.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,677.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,677.39
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.14
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$986.70
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

REMOVAL SKIN TAGS EA AD 10 CM

Facility

$372.00

Service Code	HCPCS 11201
Hospital Charge Code	75190040
Hospital Revenue Code	761
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

REMOVAL SKIN TAGS EA AD 10 CM

Facility

$372.00

Service Code	HCPCS 11201
Hospital Charge Code	75190040
Hospital Revenue Code	761
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$186.00
Rate for Payer: Aetna Commercial	$111.60
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$14.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.36
Rate for Payer: Oxford Commercial	$186.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$186.00

REMOVAL SWEAT GLAND LESION

Facility

$12,396.92

Service Code	HCPCS 11451
Hospital Charge Code	16000435
Hospital Revenue Code	360
Min. Negotiated Rate	$1,859.54
Max. Negotiated Rate	$1,859.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,859.54

REMOVAL SWEAT GLAND LESION

Facility

$12,396.92

Service Code	HCPCS 11451
Hospital Charge Code	16000435
Hospital Revenue Code	360
Min. Negotiated Rate	$1,611.60
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$3,719.08
Rate for Payer: Aetna Medicare Advantage	$3,719.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,161.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,161.21
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	$3,161.21
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,611.60
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,859.54
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges