Heights University Hospital

All Charges

Charge

Type

Setting

Price

REM SUBQ CARD RHYTHM MONITOR

Facility

$3,396.55

Service Code	HCPCS 33286
Hospital Charge Code	403433286
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

REM SUBQ CARD RHYTHM MONITOR

Facility

$3,396.55

Service Code	HCPCS 33286
Hospital Charge Code	366833286
Hospital Revenue Code	361
Min. Negotiated Rate	$441.55
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,018.97
Rate for Payer: Aetna Medicare Advantage	$1,018.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$866.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$866.12
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	$866.12
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REM SUBQ CARD RHYTHM MONITOR

Facility

$3,396.55

Service Code	HCPCS 33286
Hospital Charge Code	411033286
Hospital Revenue Code	361
Min. Negotiated Rate	$441.55
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,018.97
Rate for Payer: Aetna Medicare Advantage	$1,018.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$866.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$866.12
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	$866.12
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REM SUBQ CARD RHYTHM MONITOR

Facility

$3,396.55

Service Code	HCPCS 33286
Hospital Charge Code	703033286
Hospital Revenue Code	481
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

REM SUBQ CARD RHYTHM MONITOR

Facility

$3,396.55

Service Code	HCPCS 33286
Hospital Charge Code	411033286
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

REM SUBQ CARD RHYTHM MONITOR

Facility

$3,396.55

Service Code	HCPCS 33286
Hospital Charge Code	403433286
Hospital Revenue Code	361
Min. Negotiated Rate	$441.55
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,018.97
Rate for Payer: Aetna Medicare Advantage	$1,018.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$866.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$866.12
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	$866.12
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REM SUBQ CARD RHYTHM MONITOR

Facility

$3,396.55

Service Code	HCPCS 33286
Hospital Charge Code	366833286
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

REM SUTURE W AN,OS

Facility

$3,264.00

Service Code	HCPCS 15851
Hospital Charge Code	1600000293
Hospital Revenue Code	360
Min. Negotiated Rate	$489.60
Max. Negotiated Rate	$489.60
Rate for Payer: Qualcare PPO/HMO/WC	$489.60

REM SUTURE W AN,OS

Facility

$3,264.00

Service Code	HCPCS 15851
Hospital Charge Code	1600000293
Hospital Revenue Code	360
Min. Negotiated Rate	$424.32
Max. Negotiated Rate	$4,913.48
Rate for Payer: Aetna Commercial	$979.20
Rate for Payer: Aetna Medicare Advantage	$979.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$832.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$832.32
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	$832.32
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.32
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$489.60
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REM SUTURE W AN,SS

Facility

$3,264.00

Service Code	HCPCS 15850
Hospital Charge Code	16000601
Hospital Revenue Code	360
Min. Negotiated Rate	$489.60
Max. Negotiated Rate	$489.60
Rate for Payer: Qualcare PPO/HMO/WC	$489.60

REM SUTURE W AN,SS

Facility

$3,264.00

Service Code	HCPCS 15850
Hospital Charge Code	16000601
Hospital Revenue Code	360
Min. Negotiated Rate	$424.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$979.20
Rate for Payer: Aetna Medicare Advantage	$979.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$832.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$832.32
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	$832.32
Rate for Payer: Cigna Commercial	$1,632.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.32
Rate for Payer: Qualcare PPO/HMO/WC	$489.60

REM TOT KNEE PROSTH METHLMETH

Facility

$13,561.50

Service Code	HCPCS 27488
Hospital Charge Code	1600000421
Hospital Revenue Code	360
Min. Negotiated Rate	$2,034.22
Max. Negotiated Rate	$2,034.22
Rate for Payer: Qualcare PPO/HMO/WC	$2,034.22

REM TOT KNEE PROSTH METHLMETH

Facility

$13,561.50

Service Code	HCPCS 27488
Hospital Charge Code	1600000421
Hospital Revenue Code	360
Min. Negotiated Rate	$1,762.99
Max. Negotiated Rate	$30,573.98
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Aetna Commercial	$4,068.45
Rate for Payer: Aetna Medicare Advantage	$4,068.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,458.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,458.18
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	$3,458.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,762.99
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,034.22
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	323036590
Hospital Revenue Code	450
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	323036590
Hospital Revenue Code	450
Min. Negotiated Rate	$236.90
Max. Negotiated Rate	$3,748.67
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	$236.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.83
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.99
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

REM TUNNELED CVAD W PORT/PUMP

Facility

$2,904.56

Service Code	HCPCS 36590
Hospital Charge Code	16000165
Hospital Revenue Code	360
Min. Negotiated Rate	$377.59
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$871.37
Rate for Payer: Aetna Medicare Advantage	$871.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$740.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$740.66
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	$740.66
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.59
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.68
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REM TUNNELED CVAD W PORT/PUMP

Facility

$2,904.56

Service Code	HCPCS 36590
Hospital Charge Code	16000165
Hospital Revenue Code	360
Min. Negotiated Rate	$435.68
Max. Negotiated Rate	$435.68
Rate for Payer: Qualcare PPO/HMO/WC	$435.68

REMUR ACORN 12mm 232412

Facility

$744.00

Hospital Charge Code	270635265
Hospital Revenue Code	272
Min. Negotiated Rate	$111.60
Max. Negotiated Rate	$111.60
Rate for Payer: Qualcare PPO/HMO/WC	$111.60

REMUR ACORN 12mm 232412

Facility

$744.00

Hospital Charge Code	270635265
Hospital Revenue Code	272
Min. Negotiated Rate	$96.72
Max. Negotiated Rate	$372.00
Rate for Payer: Aetna Commercial	$223.20
Rate for Payer: Aetna Medicare Advantage	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.72
Rate for Payer: Cigna Commercial	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.72
Rate for Payer: Oxford Commercial	$372.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.60
Rate for Payer: UnitedHealthcare Commercial	$372.00

REMVAL OF ANKLE/HEEL LESION-R

Facility

$20,900.00

Service Code	HCPCS 28100
Hospital Charge Code	1600000589
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
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	$7,791.93
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

REMVAL OF ANKLE/HEEL LESION-R

Facility

$20,900.00

Service Code	HCPCS 28100
Hospital Charge Code	1600000589
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

REMVAL OF SPINAL LMNA SGL LMBR

Facility

$47,548.90

Service Code	HCPCS 63047
Hospital Charge Code	16000276
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

REMVAL OF SPINAL LMNA SGL LMBR

Facility

$47,548.90

Service Code	HCPCS 63047
Hospital Charge Code	16000276
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
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	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,181.36
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REM VENTIL TUBE UNDER ANESTH

Facility

$14,464.70

Service Code	HCPCS 69424
Hospital Charge Code	16000154
Hospital Revenue Code	360
Min. Negotiated Rate	$2,169.70
Max. Negotiated Rate	$2,169.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,169.70

REM VENTIL TUBE UNDER ANESTH

Facility

$14,464.70

Service Code	HCPCS 69424
Hospital Charge Code	16000154
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Commercial	$4,339.41
Rate for Payer: Aetna Medicare Advantage	$4,339.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,688.50
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	$3,688.50
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,880.41
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,169.70
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

Know your out-of-pocket cost for care.

All Charges