Heights University Hospital

All Charges

Charge

Type

Setting

Price

REPAIR BLOOD VESSEL DIRCT,NECK

Facility

$33,811.30

Service Code	HCPCS 35201
Hospital Charge Code	16000935
Hospital Revenue Code	360
Min. Negotiated Rate	$5,071.69
Max. Negotiated Rate	$5,071.69
Rate for Payer: Qualcare PPO/HMO/WC	$5,071.69

REPAIR BLOOD VESSEL DIRCT,NECK

Facility

$33,811.30

Service Code	HCPCS 35201
Hospital Charge Code	16000935
Hospital Revenue Code	360
Min. Negotiated Rate	$318.43
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Better Health Medicaid	$318.43
Rate for Payer: Aetna Commercial	$10,143.39
Rate for Payer: Aetna Medicare Advantage	$10,143.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,621.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,621.88
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	$8,621.88
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,395.47
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,071.69
Rate for Payer: UnitedHealthcare Commercial	$9,851.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$324.80
Rate for Payer: Wellpoint Medicaid Managed Care	$318.43

REPAIR BLOOD VESSEL UPPER EXTR

Facility

$9,488.60

Service Code	HCPCS 35206
Hospital Charge Code	16000936
Hospital Revenue Code	360
Min. Negotiated Rate	$1,233.52
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$2,846.58
Rate for Payer: Aetna Medicare Advantage	$2,846.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,419.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,419.59
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	$2,419.59
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,233.52
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,423.29
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR BLOOD VESSEL UPPER EXTR

Facility

$9,488.60

Service Code	HCPCS 35206
Hospital Charge Code	16000936
Hospital Revenue Code	360
Min. Negotiated Rate	$1,423.29
Max. Negotiated Rate	$1,423.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,423.29

REPAIR, DIAPHRAGMATIC HERNIA

Facility

$8,536.90

Service Code	HCPCS 39540
Hospital Charge Code	1600173
Hospital Revenue Code	361
Min. Negotiated Rate	$1,280.54
Max. Negotiated Rate	$1,280.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,280.54

REPAIR, DIAPHRAGMATIC HERNIA

Facility

$8,536.90

Service Code	HCPCS 39540
Hospital Charge Code	1600173
Hospital Revenue Code	361
Min. Negotiated Rate	$892.12
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$2,561.07
Rate for Payer: Aetna Medicare Advantage	$2,561.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,176.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,176.91
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	$2,176.91
Rate for Payer: Cigna Commercial	$892.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,109.80
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,280.54
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR ELBOW DEB/ATTCH OPEN

Facility

$30,595.00

Service Code	HCPCS 24359
Hospital Charge Code	16000503
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

REPAIR ELBOW DEB/ATTCH OPEN

Facility

$30,595.00

Service Code	HCPCS 24359
Hospital Charge Code	16000503
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,178.50
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR ELBOW PERC

Facility

$38,731.07

Service Code	HCPCS 24357
Hospital Charge Code	1600000562
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,619.32
Rate for Payer: Aetna Commercial	$11,619.32
Rate for Payer: Aetna Medicare Advantage	$11,619.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,876.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,876.42
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	$9,876.42
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,035.04
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,809.66
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REPAIR ELBOW PERC

Facility

$38,731.07

Service Code	HCPCS 24357
Hospital Charge Code	1600000562
Hospital Revenue Code	360
Min. Negotiated Rate	$5,809.66
Max. Negotiated Rate	$5,809.66
Rate for Payer: Qualcare PPO/HMO/WC	$5,809.66

REPAIR ELBOW W/DEB OPEN

Facility

$10,580.92

Service Code	HCPCS 24358
Hospital Charge Code	16000549
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	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,587.14
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR ELBOW W/DEB OPEN

Facility

$10,580.92

Service Code	HCPCS 24358
Hospital Charge Code	16000549
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

REPAIR FEXTENSOR TENDON FOOT @

Facility

$9,239.00

Service Code	HCPCS 28208
Hospital Charge Code	5780085
Hospital Revenue Code	450
Min. Negotiated Rate	$1,385.85
Max. Negotiated Rate	$1,385.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,385.85

REPAIR FEXTENSOR TENDON FOOT @

Facility

$9,239.00

Service Code	HCPCS 28208
Hospital Charge Code	5780085
Hospital Revenue Code	450
Min. Negotiated Rate	$147.31
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$2,771.70
Rate for Payer: Aetna Medicare Advantage	$2,771.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,355.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,355.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,355.95
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,201.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,385.85

REPAIR FIBULA NONUNION

Facility

$58,610.40

Service Code	HCPCS 27726
Hospital Charge Code	16000567
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,583.12
Rate for Payer: Aetna Commercial	$17,583.12
Rate for Payer: Aetna Medicare Advantage	$17,583.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,945.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,945.65
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	$14,945.65
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,619.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,791.56
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REPAIR FIBULA NONUNION

Facility

$58,610.40

Service Code	HCPCS 27726
Hospital Charge Code	16000567
Hospital Revenue Code	360
Min. Negotiated Rate	$8,791.56
Max. Negotiated Rate	$8,791.56
Rate for Payer: Qualcare PPO/HMO/WC	$8,791.56

REPAIR FINGER/HAND TENDON

Facility

$10,580.92

Service Code	HCPCS 26426
Hospital Charge Code	16000845
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

REPAIR FINGER/HAND TENDON

Facility

$10,580.92

Service Code	HCPCS 26426
Hospital Charge Code	16000845
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	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,587.14
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR FOOT DISLOCATION

Facility

$26,295.79

Service Code	HCPCS 28585
Hospital Charge Code	1600000795
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

REPAIR FOOT DISLOCATION

Facility

$26,295.79

Service Code	HCPCS 28585
Hospital Charge Code	1600000795
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	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REPAIR FOREARM TENDON/MUSCLE

Facility

$14,339.40

Service Code	HCPCS 25260
Hospital Charge Code	2705792292
Hospital Revenue Code	450
Min. Negotiated Rate	$292.21
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Better Health Medicaid	$649.28
Rate for Payer: Aetna Commercial	$4,301.82
Rate for Payer: Aetna Medicare Advantage	$4,301.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,656.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,656.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,656.55
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,864.12
Rate for Payer: Qualcare PPO/HMO/WC	$2,150.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$662.27

REPAIR FOREARM TENDON/MUSCLE

Facility

$14,339.40

Service Code	HCPCS 25260
Hospital Charge Code	2705792292
Hospital Revenue Code	450
Min. Negotiated Rate	$2,150.91
Max. Negotiated Rate	$2,150.91
Rate for Payer: Qualcare PPO/HMO/WC	$2,150.91

REPAIR/GRAFT RADIUS OR ULNA

Facility

$26,701.01

Service Code	HCPCS 25425
Hospital Charge Code	16000689
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$8,010.30
Rate for Payer: Aetna Medicare Advantage	$8,010.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,808.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,808.76
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	$6,808.76
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,471.13
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.15
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REPAIR/GRAFT RADIUS OR ULNA

Facility

$26,701.01

Service Code	HCPCS 25425
Hospital Charge Code	16000689
Hospital Revenue Code	360
Min. Negotiated Rate	$4,005.15
Max. Negotiated Rate	$4,005.15
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.15

REPAIR HALLUX GIDUS BL

Facility

$37,325.80

Service Code	HCPCS 28289
Hospital Charge Code	16000218
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,197.74
Rate for Payer: Aetna Commercial	$11,197.74
Rate for Payer: Aetna Medicare Advantage	$11,197.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,518.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,518.08
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	$9,518.08
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,852.35
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,598.87
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges