Heights University Hospital

All Charges

Charge

Type

Setting

Price

REMOVAL TEMP CATH

Facility

$110.00

Hospital Charge Code	2690290
Hospital Revenue Code	761
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$33.00
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.30
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$55.00

REMOVAL TEMP CATH

Facility

$110.00

Hospital Charge Code	2690290
Hospital Revenue Code	761
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

REMOVAL TUNNELED CENTRAL CATH

Facility

$2,564.40

Service Code	HCPCS 36589
Hospital Charge Code	3401170
Hospital Revenue Code	361
Min. Negotiated Rate	$384.66
Max. Negotiated Rate	$384.66
Rate for Payer: Qualcare PPO/HMO/WC	$384.66

REMOVAL TUNNELED CENTRAL CATH

Facility

$2,564.40

Service Code	HCPCS 36589
Hospital Charge Code	3401170
Hospital Revenue Code	361
Min. Negotiated Rate	$333.37
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$769.32
Rate for Payer: Aetna Medicare Advantage	$769.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$653.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$653.92
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	$653.92
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.37
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$384.66
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REMOVAL WINGUEST NAIL

Facility

$9,250.00

Hospital Charge Code	270688295
Hospital Revenue Code	272
Min. Negotiated Rate	$1,387.50
Max. Negotiated Rate	$1,387.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,387.50

REMOVAL WINGUEST NAIL

Facility

$9,250.00

Hospital Charge Code	270688295
Hospital Revenue Code	272
Min. Negotiated Rate	$1,202.50
Max. Negotiated Rate	$4,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,387.50
Rate for Payer: Aetna Commercial	$2,775.00
Rate for Payer: Aetna Medicare Advantage	$2,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,358.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,358.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,358.75
Rate for Payer: Cigna Commercial	$4,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,202.50
Rate for Payer: Oxford Commercial	$4,625.00
Rate for Payer: UnitedHealthcare Commercial	$4,625.00

REMOVE ANAL FIST COMPLEX

Facility

$12,918.40

Service Code	HCPCS 46280
Hospital Charge Code	1600000548
Hospital Revenue Code	360
Min. Negotiated Rate	$1,679.39
Max. Negotiated Rate	$6,609.93
Rate for Payer: Aetna Commercial	$3,875.52
Rate for Payer: Aetna Medicare Advantage	$3,875.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,294.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,294.19
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	$3,294.19
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,679.39
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,937.76
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE ANAL FIST COMPLEX

Facility

$12,918.40

Service Code	HCPCS 46280
Hospital Charge Code	1600000548
Hospital Revenue Code	360
Min. Negotiated Rate	$1,937.76
Max. Negotiated Rate	$1,937.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,937.76

REMOVE ANAL FIST INTER

Facility

$22,676.60

Service Code	HCPCS 46275
Hospital Charge Code	1600000508
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,802.98
Rate for Payer: Aetna Commercial	$6,802.98
Rate for Payer: Aetna Medicare Advantage	$6,802.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,782.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,782.53
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	$5,782.53
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,947.96
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE ANAL FIST INTER

Facility

$22,676.60

Service Code	HCPCS 46275
Hospital Charge Code	1600000508
Hospital Revenue Code	360
Min. Negotiated Rate	$3,401.49
Max. Negotiated Rate	$3,401.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49

REMOVE ANAL FIST SUBQ

Facility

$22,676.60

Service Code	HCPCS 46270
Hospital Charge Code	1600000296
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,802.98
Rate for Payer: Aetna Commercial	$6,802.98
Rate for Payer: Aetna Medicare Advantage	$6,802.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,782.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,782.53
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	$5,782.53
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,947.96
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE ANAL FIST SUBQ

Facility

$22,676.60

Service Code	HCPCS 46270
Hospital Charge Code	1600000296
Hospital Revenue Code	360
Min. Negotiated Rate	$3,401.49
Max. Negotiated Rate	$3,401.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49

REMOVE ANKLE IMPLANT BL

Facility

$21,418.70

Service Code	HCPCS 27704
Hospital Charge Code	16000897
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$6,425.61
Rate for Payer: Aetna Medicare Advantage	$6,425.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,461.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,461.77
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	$5,461.77
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,784.43
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,212.80
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE ANKLE IMPLANT BL

Facility

$21,418.70

Service Code	HCPCS 27704
Hospital Charge Code	16000897
Hospital Revenue Code	360
Min. Negotiated Rate	$3,212.80
Max. Negotiated Rate	$3,212.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,212.80

REMOVE BLADDER CREATE POUCH

Facility

$49,737.20

Service Code	HCPCS 51596
Hospital Charge Code	1600000539
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,921.16
Rate for Payer: Aetna Commercial	$14,921.16
Rate for Payer: Aetna Medicare Advantage	$14,921.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,682.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,682.99
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	$12,682.99
Rate for Payer: Cigna Commercial	$2,265.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,465.84
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,460.58
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE BLADDER CREATE POUCH

Facility

$49,737.20

Service Code	HCPCS 51596
Hospital Charge Code	1600000539
Hospital Revenue Code	360
Min. Negotiated Rate	$7,460.58
Max. Negotiated Rate	$7,460.58
Rate for Payer: Qualcare PPO/HMO/WC	$7,460.58

REMOVE BLADDER /REVISE TRACT

Facility

$99,356.96

Service Code	HCPCS 51590
Hospital Charge Code	1600000440
Hospital Revenue Code	360
Min. Negotiated Rate	$14,903.54
Max. Negotiated Rate	$14,903.54
Rate for Payer: Qualcare PPO/HMO/WC	$14,903.54

REMOVE BLADDER /REVISE TRACT

Facility

$99,356.96

Service Code	HCPCS 51590
Hospital Charge Code	1600000440
Hospital Revenue Code	360
Min. Negotiated Rate	$1,856.45
Max. Negotiated Rate	$29,807.09
Rate for Payer: Aetna Commercial	$29,807.09
Rate for Payer: Aetna Medicare Advantage	$29,807.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,336.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,336.02
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	$25,336.02
Rate for Payer: Cigna Commercial	$1,856.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,916.40
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,903.54
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE BY LIGAT INT HEM2+GRPS

Facility

$22,676.60

Service Code	HCPCS 46946
Hospital Charge Code	1600000341
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,802.98
Rate for Payer: Aetna Commercial	$6,802.98
Rate for Payer: Aetna Medicare Advantage	$6,802.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,782.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,782.53
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	$5,782.53
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,947.96
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE BY LIGAT INT HEM2+GRPS

Facility

$22,676.60

Service Code	HCPCS 46946
Hospital Charge Code	1600000341
Hospital Revenue Code	360
Min. Negotiated Rate	$3,401.49
Max. Negotiated Rate	$3,401.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49

REMOVE BY LIGAT INT HEM GRP

Facility

$22,676.60

Service Code	HCPCS 46945
Hospital Charge Code	1600000262
Hospital Revenue Code	360
Min. Negotiated Rate	$3,401.49
Max. Negotiated Rate	$3,401.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49

REMOVE BY LIGAT INT HEM GRP

Facility

$22,676.60

Service Code	HCPCS 46945
Hospital Charge Code	1600000262
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,802.98
Rate for Payer: Aetna Commercial	$6,802.98
Rate for Payer: Aetna Medicare Advantage	$6,802.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,782.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,782.53
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	$5,782.53
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,947.96
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE CERV ARTIF DISC

Facility

$9,215.84

Service Code	HCPCS 22864
Hospital Charge Code	1600000800
Hospital Revenue Code	360
Min. Negotiated Rate	$1,382.38
Max. Negotiated Rate	$1,382.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,382.38

REMOVE CERV ARTIF DISC

Facility

$9,215.84

Service Code	HCPCS 22864
Hospital Charge Code	1600000800
Hospital Revenue Code	360
Min. Negotiated Rate	$1,198.06
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$2,764.75
Rate for Payer: Aetna Medicare Advantage	$2,764.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,350.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,350.04
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	$2,350.04
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,198.06
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,382.38
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REMOVE DEVITAL TISSUE WOUND

Facility

$1,319.00

Service Code	HCPCS 97602
Hospital Charge Code	412397602
Hospital Revenue Code	510
Min. Negotiated Rate	$88.55
Max. Negotiated Rate	$477.79
Rate for Payer: Aetna Commercial	$395.70
Rate for Payer: Aetna Medicare Advantage	$395.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.35
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.47
Rate for Payer: Qualcare PPO/HMO/WC	$197.85

Know your out-of-pocket cost for care.

All Charges