Heights University Hospital

All Charges

Charge

Type

Setting

Price

REMOVE PART OF NECK VERTEBRA

Facility

$94,563.00

Service Code	HCPCS 22110
Hospital Charge Code	1600000449
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$28,368.90
Rate for Payer: Aetna Commercial	$28,368.90
Rate for Payer: Aetna Medicare Advantage	$28,368.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,113.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,113.56
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	$24,113.56
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,293.19
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,184.45
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REMOVE PART OF NECK VERTEBRA

Facility

$94,563.00

Service Code	HCPCS 22110
Hospital Charge Code	1600000449
Hospital Revenue Code	360
Min. Negotiated Rate	$14,184.45
Max. Negotiated Rate	$14,184.45
Rate for Payer: Qualcare PPO/HMO/WC	$14,184.45

REMOVE PROSTATE REGROWTH

Facility

$34,504.00

Service Code	HCPCS 52630
Hospital Charge Code	1600000691
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,768.54
Rate for Payer: Aetna Commercial	$10,351.20
Rate for Payer: Aetna Medicare Advantage	$10,351.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,798.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,798.52
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	$8,798.52
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,485.52
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,175.60
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REMOVE PROSTATE REGROWTH

Facility

$34,504.00

Service Code	HCPCS 52630
Hospital Charge Code	1600000691
Hospital Revenue Code	360
Min. Negotiated Rate	$5,175.60
Max. Negotiated Rate	$5,175.60
Rate for Payer: Qualcare PPO/HMO/WC	$5,175.60

REMOVER CK STONE 15MM 15200

Facility

$869.65

Hospital Charge Code	270600993
Hospital Revenue Code	272
Min. Negotiated Rate	$113.05
Max. Negotiated Rate	$434.82
Rate for Payer: Aetna Commercial	$260.89
Rate for Payer: Aetna Medicare Advantage	$260.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.76
Rate for Payer: Cigna Commercial	$434.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.05
Rate for Payer: Oxford Commercial	$434.82
Rate for Payer: Qualcare PPO/HMO/WC	$130.45
Rate for Payer: UnitedHealthcare Commercial	$434.82

REMOVER CK STONE 15MM 15200

Facility

$869.65

Hospital Charge Code	270600993
Hospital Revenue Code	272
Min. Negotiated Rate	$130.45
Max. Negotiated Rate	$130.45
Rate for Payer: Qualcare PPO/HMO/WC	$130.45

REMOVER CK STONE BALLN 760-422

Facility

$1,032.85

Hospital Charge Code	270600980
Hospital Revenue Code	272
Min. Negotiated Rate	$134.27
Max. Negotiated Rate	$516.42
Rate for Payer: Aetna Commercial	$309.86
Rate for Payer: Aetna Medicare Advantage	$309.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.38
Rate for Payer: Cigna Commercial	$516.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.27
Rate for Payer: Oxford Commercial	$516.42
Rate for Payer: Qualcare PPO/HMO/WC	$154.93
Rate for Payer: UnitedHealthcare Commercial	$516.42

REMOVER CK STONE BALLN 760-422

Facility

$1,032.85

Hospital Charge Code	270600980
Hospital Revenue Code	272
Min. Negotiated Rate	$154.93
Max. Negotiated Rate	$154.93
Rate for Payer: Qualcare PPO/HMO/WC	$154.93

REMOVE RENAL TUBE W/FLUORO

Facility

$6,402.00

Service Code	HCPCS 50389
Hospital Charge Code	16000995
Hospital Revenue Code	360
Min. Negotiated Rate	$832.26
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,920.60
Rate for Payer: Aetna Medicare Advantage	$1,920.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,632.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,632.51
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	$1,632.51
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.26
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.30
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REMOVE RENAL TUBE W/FLUORO

Facility

$6,402.00

Service Code	HCPCS 50389
Hospital Charge Code	16000995
Hospital Revenue Code	360
Min. Negotiated Rate	$960.30
Max. Negotiated Rate	$960.30
Rate for Payer: Qualcare PPO/HMO/WC	$960.30

REMOVE REPLACE UR SPHINCTER

Facility

$118,523.00

Service Code	HCPCS 53447
Hospital Charge Code	1600000794
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$49,357.08
Rate for Payer: Aetna Commercial	$35,556.90
Rate for Payer: Aetna Medicare Advantage	$35,556.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,223.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,223.37
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	$30,223.37
Rate for Payer: Cigna Commercial	$49,357.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,407.99
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$17,778.45
Rate for Payer: UnitedHealthcare Commercial	$11,456.00

REMOVE REPLACE UR SPHINCTER

Facility

$118,523.00

Service Code	HCPCS 53447
Hospital Charge Code	1600000794
Hospital Revenue Code	360
Min. Negotiated Rate	$17,778.45
Max. Negotiated Rate	$17,778.45
Rate for Payer: Qualcare PPO/HMO/WC	$17,778.45

REMOVE REPL PENIS PROSTH

Facility

$94,816.00

Service Code	HCPCS 54410
Hospital Charge Code	1600000673
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$49,357.08
Rate for Payer: Aetna Commercial	$28,444.80
Rate for Payer: Aetna Medicare Advantage	$28,444.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,178.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,178.08
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	$24,178.08
Rate for Payer: Cigna Commercial	$49,357.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,326.08
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.40
Rate for Payer: UnitedHealthcare Commercial	$11,456.00

REMOVE REPL PENIS PROSTH

Facility

$94,816.00

Service Code	HCPCS 54410
Hospital Charge Code	1600000673
Hospital Revenue Code	360
Min. Negotiated Rate	$14,222.40
Max. Negotiated Rate	$14,222.40
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.40

REMOVER SKIN STAPLE

Facility

$3.63

Hospital Charge Code	270649490
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$1.81
Rate for Payer: Aetna Commercial	$1.09
Rate for Payer: Aetna Medicare Advantage	$1.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.93
Rate for Payer: Cigna Commercial	$1.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.47
Rate for Payer: Oxford Commercial	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$0.54
Rate for Payer: UnitedHealthcare Commercial	$1.81

REMOVER SKIN STAPLE

Facility

$3.63

Hospital Charge Code	270649490
Hospital Revenue Code	270
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$0.54
Rate for Payer: Qualcare PPO/HMO/WC	$0.54

REMOVER VCS CLIP

Facility

$509.65

Hospital Charge Code	270600143
Hospital Revenue Code	272
Min. Negotiated Rate	$66.25
Max. Negotiated Rate	$254.82
Rate for Payer: Aetna Commercial	$152.90
Rate for Payer: Aetna Medicare Advantage	$152.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.96
Rate for Payer: Cigna Commercial	$254.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.25
Rate for Payer: Oxford Commercial	$254.82
Rate for Payer: Qualcare PPO/HMO/WC	$76.45
Rate for Payer: UnitedHealthcare Commercial	$254.82

REMOVER VCS CLIP

Facility

$509.65

Hospital Charge Code	270600143
Hospital Revenue Code	272
Min. Negotiated Rate	$76.45
Max. Negotiated Rate	$76.45
Rate for Payer: Qualcare PPO/HMO/WC	$76.45

REMOVE SELF-CONTD PENIS PROS

Facility

$29,904.60

Service Code	HCPCS 54415
Hospital Charge Code	1600000314
Hospital Revenue Code	360
Min. Negotiated Rate	$4,485.69
Max. Negotiated Rate	$4,485.69
Rate for Payer: Qualcare PPO/HMO/WC	$4,485.69

REMOVE SELF-CONTD PENIS PROS

Facility

$29,904.60

Service Code	HCPCS 54415
Hospital Charge Code	1600000314
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,971.38
Rate for Payer: Aetna Commercial	$8,971.38
Rate for Payer: Aetna Medicare Advantage	$8,971.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,625.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,625.67
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	$7,625.67
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,887.60
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,485.69
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE SPINAL LAMINA ADD-ON

Facility

$47,548.90

Service Code	HCPCS 63048
Hospital Charge Code	16000319
Hospital Revenue Code	360
Min. Negotiated Rate	$203.03
Max. Negotiated Rate	$14,264.67
Rate for Payer: Aetna Commercial	$14,264.67
Rate for Payer: Aetna Medicare Advantage	$14,264.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,124.97
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	$12,124.97
Rate for Payer: Cigna Commercial	$203.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,181.36
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REMOVE SPINAL LAMINA ADD-ON

Facility

$47,548.90

Service Code	HCPCS 63048
Hospital Charge Code	16000319
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

REMOVE SPINE ELTRD PLATE

Facility

$11,517.52

Service Code	HCPCS 63662
Hospital Charge Code	1600000877
Hospital Revenue Code	360
Min. Negotiated Rate	$1,497.28
Max. Negotiated Rate	$8,325.61
Rate for Payer: Aetna Commercial	$3,455.26
Rate for Payer: Aetna Medicare Advantage	$3,455.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,936.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,936.97
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	$2,936.97
Rate for Payer: Cigna Commercial	$8,325.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,497.28
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,727.63
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE SPINE ELTRD PLATE

Facility

$11,517.52

Service Code	HCPCS 63662
Hospital Charge Code	1600000877
Hospital Revenue Code	360
Min. Negotiated Rate	$1,727.63
Max. Negotiated Rate	$1,727.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,727.63

REMOVE SPINE FIXATION DEVICE

Facility

$13,677.00

Service Code	HCPCS 61783
Hospital Charge Code	1600000622
Hospital Revenue Code	360
Min. Negotiated Rate	$2,051.55
Max. Negotiated Rate	$2,051.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,051.55

Know your out-of-pocket cost for care.

All Charges