Heights University Hospital

All Charges

Charge

Type

Setting

Price

REMOVE IUD

Facility

$2,913.65

Service Code	HCPCS 58301
Hospital Charge Code	160000204
Hospital Revenue Code	360
Min. Negotiated Rate	$378.77
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$874.10
Rate for Payer: Aetna Medicare Advantage	$874.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.98
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	$742.98
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.77
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$437.05
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REMOVE KIDNEY OPEN

Facility

$35,934.16

Service Code	HCPCS 50220
Hospital Charge Code	160000202
Hospital Revenue Code	360
Min. Negotiated Rate	$1,049.07
Max. Negotiated Rate	$10,780.25
Rate for Payer: Aetna Commercial	$10,780.25
Rate for Payer: Aetna Medicare Advantage	$10,780.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,163.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,163.21
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	$9,163.21
Rate for Payer: Cigna Commercial	$1,049.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,671.44
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,390.12
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE KIDNEY OPEN

Facility

$35,934.16

Service Code	HCPCS 50220
Hospital Charge Code	160000202
Hospital Revenue Code	360
Min. Negotiated Rate	$5,390.12
Max. Negotiated Rate	$5,390.12
Rate for Payer: Qualcare PPO/HMO/WC	$5,390.12

Remove knee joint lining

Facility

$33,638.52

Service Code	HCPCS 27335
Hospital Charge Code	16000508
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$10,091.56
Rate for Payer: Aetna Medicare Advantage	$10,091.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,577.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,577.82
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	$8,577.82
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,373.01
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,045.78
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

Remove knee joint lining

Facility

$33,638.52

Service Code	HCPCS 27335
Hospital Charge Code	16000508
Hospital Revenue Code	360
Min. Negotiated Rate	$5,045.78
Max. Negotiated Rate	$5,045.78
Rate for Payer: Qualcare PPO/HMO/WC	$5,045.78

REMOVE LAGB

Facility

$144,581.09

Service Code	HCPCS 43772
Hospital Charge Code	1600165
Hospital Revenue Code	361
Min. Negotiated Rate	$21,687.16
Max. Negotiated Rate	$21,687.16
Rate for Payer: Qualcare PPO/HMO/WC	$21,687.16

REMOVE LAGB

Facility

$144,581.09

Service Code	HCPCS 43772
Hospital Charge Code	1600165
Hospital Revenue Code	361
Min. Negotiated Rate	$6,055.00
Max. Negotiated Rate	$43,374.33
Rate for Payer: Aetna Commercial	$43,374.33
Rate for Payer: Aetna Medicare Advantage	$43,374.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,000.00
Rate for Payer: Cigna Commercial	$9,181.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,795.54
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$21,687.16
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE LUNG CATHETER-LT

Facility

$416.00

Service Code	HCPCS 32552LT
Hospital Charge Code	7411888
Hospital Revenue Code	361
Min. Negotiated Rate	$54.08
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.80
Rate for Payer: Aetna Medicare Advantage	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.08
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	$106.08
Rate for Payer: Cigna Commercial	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.08
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE LUNG CATHETER-LT

Facility

$416.00

Service Code	HCPCS 32552LT
Hospital Charge Code	2691085
Hospital Revenue Code	361
Min. Negotiated Rate	$54.08
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.80
Rate for Payer: Aetna Medicare Advantage	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.08
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	$106.08
Rate for Payer: Cigna Commercial	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.08
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE LUNG CATHETER-LT

Facility

$416.00

Service Code	HCPCS 32552LT
Hospital Charge Code	7411888
Hospital Revenue Code	361
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE LUNG CATHETER-LT

Facility

$416.00

Service Code	HCPCS 32552LT
Hospital Charge Code	2691085
Hospital Revenue Code	361
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE LUNG CATHETER-RT

Facility

$3,630.70

Service Code	HCPCS 32552RT
Hospital Charge Code	2691090
Hospital Revenue Code	361
Min. Negotiated Rate	$471.99
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,089.21
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$1,815.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.99
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

REMOVE LUNG CATHETER-RT

Facility

$416.00

Service Code	HCPCS 32552RT
Hospital Charge Code	7411889
Hospital Revenue Code	361
Min. Negotiated Rate	$54.08
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.80
Rate for Payer: Aetna Medicare Advantage	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.08
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	$106.08
Rate for Payer: Cigna Commercial	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.08
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE LUNG CATHETER-RT

Facility

$3,630.70

Service Code	HCPCS 32552RT
Hospital Charge Code	321032552R
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

REMOVE LUNG CATHETER-RT

Facility

$3,630.70

Service Code	HCPCS 32552RT
Hospital Charge Code	2691090
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

REMOVE LUNG CATHETER-RT

Facility

$3,630.70

Service Code	HCPCS 32552RT
Hospital Charge Code	321032552R
Hospital Revenue Code	361
Min. Negotiated Rate	$471.99
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,089.21
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$1,815.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.99
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

REMOVE LUNG CATHETER-RT

Facility

$416.00

Service Code	HCPCS 32552RT
Hospital Charge Code	7411889
Hospital Revenue Code	361
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE MESHFROMABD WALL

Facility

$1,214.08

Service Code	HCPCS 11008
Hospital Charge Code	1600000570
Hospital Revenue Code	360
Min. Negotiated Rate	$182.11
Max. Negotiated Rate	$182.11
Rate for Payer: Qualcare PPO/HMO/WC	$182.11

REMOVE MESHFROMABD WALL

Facility

$1,214.08

Service Code	HCPCS 11008
Hospital Charge Code	1600000570
Hospital Revenue Code	360
Min. Negotiated Rate	$157.83
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$364.22
Rate for Payer: Aetna Medicare Advantage	$364.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.59
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	$309.59
Rate for Payer: Cigna Commercial	$263.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.83
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$182.11
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28140
Hospital Charge Code	1600000415
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
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	$5,099.64
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28140
Hospital Charge Code	1600000415
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

REMOVE MTP FOOT JNT LINING EA

Facility

$17,164.20

Service Code	HCPCS 28072
Hospital Charge Code	16000904
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,149.26
Rate for Payer: Aetna Medicare Advantage	$5,149.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,376.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,376.87
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	$4,376.87
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,231.35
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE MTP FOOT JNT LINING EA

Facility

$17,164.20

Service Code	HCPCS 28072
Hospital Charge Code	16000904
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

REMOVE MUTI-COMP PENIS PROS

Facility

$20,308.55

Service Code	HCPCS 54406
Hospital Charge Code	1600000725
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$6,092.56
Rate for Payer: Aetna Medicare Advantage	$6,092.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,178.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,178.68
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	$5,178.68
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,640.11
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE MUTI-COMP PENIS PROS

Facility

$20,308.55

Service Code	HCPCS 54406
Hospital Charge Code	1600000725
Hospital Revenue Code	360
Min. Negotiated Rate	$3,046.28
Max. Negotiated Rate	$3,046.28
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28

Know your out-of-pocket cost for care.

All Charges