Heights University Hospital

All Charges

Charge

Type

Setting

Price

REMOVE SPINE FIXATION DEVICE

Facility

$13,677.00

Service Code	HCPCS 61783
Hospital Charge Code	1600000622
Hospital Revenue Code	360
Min. Negotiated Rate	$224.72
Max. Negotiated Rate	$4,103.10
Rate for Payer: Aetna Commercial	$4,103.10
Rate for Payer: Aetna Medicare Advantage	$4,103.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,487.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,487.64
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	$3,487.64
Rate for Payer: Cigna Commercial	$224.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,778.01
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,051.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REMOVE SPINE FIXATION DEVICE

Facility

$11,542.64

Service Code	HCPCS 22850
Hospital Charge Code	1600000479
Hospital Revenue Code	360
Min. Negotiated Rate	$1,731.40
Max. Negotiated Rate	$1,731.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,731.40

REMOVE SPINE FIXATION DEVICE

Facility

$11,542.64

Service Code	HCPCS 22850
Hospital Charge Code	1600000479
Hospital Revenue Code	360
Min. Negotiated Rate	$1,500.54
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$3,462.79
Rate for Payer: Aetna Medicare Advantage	$3,462.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,943.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,943.37
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	$2,943.37
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,500.54
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,731.40
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REMOVE SPINE LAMINA 1/2 THRC

Facility

$26,295.79

Service Code	HCPCS 63003
Hospital Charge Code	16001019
Hospital Revenue Code	360
Min. Negotiated Rate	$3,944.37
Max. Negotiated Rate	$3,944.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37

REMOVE SPINE LAMINA 1/2 THRC

Facility

$26,295.79

Service Code	HCPCS 63003
Hospital Charge Code	16001019
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$7,888.74
Rate for Payer: Aetna Medicare Advantage	$7,888.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,705.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,705.43
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	$6,705.43
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.45
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REMOVE THYROID LESION

Facility

$49,367.70

Service Code	HCPCS 60200
Hospital Charge Code	1600000749
Hospital Revenue Code	360
Min. Negotiated Rate	$7,405.15
Max. Negotiated Rate	$7,405.15
Rate for Payer: Qualcare PPO/HMO/WC	$7,405.15

REMOVE THYROID LESION

Facility

$49,367.70

Service Code	HCPCS 60200
Hospital Charge Code	1600000749
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,810.31
Rate for Payer: Aetna Commercial	$14,810.31
Rate for Payer: Aetna Medicare Advantage	$14,810.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,588.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,588.76
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	$12,588.76
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,417.80
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,405.15
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REMOVE TNL CV CATH LT

Facility

$5,901.40

Service Code	HCPCS 36589
Hospital Charge Code	16000458
Hospital Revenue Code	360
Min. Negotiated Rate	$767.18
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,770.42
Rate for Payer: Aetna Medicare Advantage	$1,770.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,504.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,504.86
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	$1,504.86
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.18
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$885.21
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REMOVE TNL CV CATH LT

Facility

$5,901.40

Service Code	HCPCS 36589
Hospital Charge Code	16000458
Hospital Revenue Code	360
Min. Negotiated Rate	$885.21
Max. Negotiated Rate	$885.21
Rate for Payer: Qualcare PPO/HMO/WC	$885.21

REMOVE TONSILS & ADNIDS<12YRS

Facility

$30,218.69

Service Code	HCPCS 42820
Hospital Charge Code	1600000272
Hospital Revenue Code	360
Min. Negotiated Rate	$4,532.80
Max. Negotiated Rate	$4,532.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,532.80

REMOVE TONSILS & ADNIDS<12YRS

Facility

$30,218.69

Service Code	HCPCS 42820
Hospital Charge Code	1600000272
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,097.46
Rate for Payer: Aetna Commercial	$9,065.61
Rate for Payer: Aetna Medicare Advantage	$9,065.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,705.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,705.77
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	$7,705.77
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,928.43
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,532.80
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE/TRANSPLANT TENDON

Facility

$9,043.00

Service Code	HCPCS 23440
Hospital Charge Code	16000544
Hospital Revenue Code	360
Min. Negotiated Rate	$1,356.45
Max. Negotiated Rate	$1,356.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,356.45

REMOVE/TRANSPLANT TENDON

Facility

$9,043.00

Service Code	HCPCS 23440
Hospital Charge Code	16000544
Hospital Revenue Code	360
Min. Negotiated Rate	$1,175.59
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$2,712.90
Rate for Payer: Aetna Medicare Advantage	$2,712.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,305.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,305.97
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	$2,305.97
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,175.59
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,356.45
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE VAD DIFFERENT SESSION

Facility

$2,750.00

Service Code	HCPCS 33992
Hospital Charge Code	411033992
Hospital Revenue Code	361
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

REMOVE VAD DIFFERENT SESSION

Facility

$2,750.00

Service Code	HCPCS 33992
Hospital Charge Code	411033992
Hospital Revenue Code	361
Min. Negotiated Rate	$177.67
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
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	$701.25
Rate for Payer: Cigna Commercial	$177.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE VAGINAL WALL PARTIAL

Facility

$10,659.96

Service Code	HCPCS 57106
Hospital Charge Code	1600000806
Hospital Revenue Code	360
Min. Negotiated Rate	$1,598.99
Max. Negotiated Rate	$1,598.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,598.99

REMOVE VAGINAL WALL PARTIAL

Facility

$10,659.96

Service Code	HCPCS 57106
Hospital Charge Code	1600000806
Hospital Revenue Code	360
Min. Negotiated Rate	$1,385.79
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$3,197.99
Rate for Payer: Aetna Medicare Advantage	$3,197.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,718.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,718.29
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	$2,718.29
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,385.79
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,598.99
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE VERT BODY DCMPRN LMBR

Facility

$23,970.90

Service Code	HCPCS 63090
Hospital Charge Code	16001031
Hospital Revenue Code	360
Min. Negotiated Rate	$3,595.64
Max. Negotiated Rate	$3,595.64
Rate for Payer: Qualcare PPO/HMO/WC	$3,595.64

REMOVE VERT BODY DCMPRN LMBR

Facility

$23,970.90

Service Code	HCPCS 63090
Hospital Charge Code	16001031
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,191.27
Rate for Payer: Aetna Commercial	$7,191.27
Rate for Payer: Aetna Medicare Advantage	$7,191.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,112.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,112.58
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	$6,112.58
Rate for Payer: Cigna Commercial	$1,989.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,116.22
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,595.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REMOVE WRIST/FOREARM LESION

Facility

$10,580.92

Service Code	HCPCS 25116
Hospital Charge Code	16000616
Hospital Revenue Code	360
Min. Negotiated Rate	$1,587.14
Max. Negotiated Rate	$1,587.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,587.14

REMOVE WRIST/FOREARM LESION

Facility

$10,580.92

Service Code	HCPCS 25116
Hospital Charge Code	16000616
Hospital Revenue Code	360
Min. Negotiated Rate	$1,375.52
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$3,174.28
Rate for Payer: Aetna Medicare Advantage	$3,174.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,698.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,698.13
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	$2,698.13
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,375.52
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,587.14
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REMOVE WRIST JOINT LINING

Facility

$12,406.91

Service Code	HCPCS 25105
Hospital Charge Code	16000471
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

REMOVE WRIST JOINT LINING

Facility

$12,406.91

Service Code	HCPCS 25105
Hospital Charge Code	16000471
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

REMOV PERM PACE W/REPLC SNG

Facility

$38,922.60

Service Code	HCPCS 33227
Hospital Charge Code	5100771
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Medicare Advantage	$11,676.78
Rate for Payer: Aetna Commercial	$11,676.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,925.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,925.26
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	$9,925.26
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,059.94
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,838.39
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

REMOV PERM PACE W/REPLC SNG

Facility

$38,922.60

Service Code	HCPCS 33227
Hospital Charge Code	74110072
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$11,676.78
Rate for Payer: Aetna Medicare Advantage	$11,676.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,925.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,925.26
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	$9,925.26
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,059.94
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,838.39
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

Know your out-of-pocket cost for care.

All Charges