Heights University Hospital

All Charges

Charge

Type

Setting

Price

REPAIR HALLUX GIDUS BL

Facility

$37,325.80

Service Code	HCPCS 28289
Hospital Charge Code	16000218
Hospital Revenue Code	360
Min. Negotiated Rate	$5,598.87
Max. Negotiated Rate	$5,598.87
Rate for Payer: Qualcare PPO/HMO/WC	$5,598.87

REPAIR HAND JOINT

Facility

$10,580.92

Service Code	HCPCS 26540
Hospital Charge Code	16000412
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 HAND JOINT

Facility

$10,580.92

Service Code	HCPCS 26540
Hospital Charge Code	16000412
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	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,587.14
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REPAIR HAND JOINT W/GRAFT

Facility

$12,406.91

Service Code	HCPCS 26541
Hospital Charge Code	16000701
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

REPAIR HAND JOINT W/GRAFT

Facility

$12,406.91

Service Code	HCPCS 26541
Hospital Charge Code	16000701
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

REPAIR HUMERUS MALUNION WO GRA

Facility

$74,506.00

Service Code	HCPCS 24430
Hospital Charge Code	1600000789
Hospital Revenue Code	360
Min. Negotiated Rate	$11,175.90
Max. Negotiated Rate	$11,175.90
Rate for Payer: Qualcare PPO/HMO/WC	$11,175.90

REPAIR HUMERUS MALUNION WO GRA

Facility

$74,506.00

Service Code	HCPCS 24430
Hospital Charge Code	1600000789
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$30,573.98
Rate for Payer: Aetna Commercial	$22,351.80
Rate for Payer: Aetna Medicare Advantage	$22,351.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,999.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,999.03
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	$18,999.03
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,685.78
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,175.90
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REPAIR KIT ASPIRA

Facility

$166.00

Hospital Charge Code	270661651N
Hospital Revenue Code	272
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

REPAIR KIT ASPIRA

Facility

$166.00

Hospital Charge Code	270661651N
Hospital Revenue Code	272
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$49.80
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$83.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$83.00

REPAIR KIT ASPIRA

Facility

$166.00

Hospital Charge Code	270661651
Hospital Revenue Code	272
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

REPAIR KIT ASPIRA

Facility

$166.00

Hospital Charge Code	270661651
Hospital Revenue Code	272
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$49.80
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$83.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$83.00

REPAIR KNEECAP TENDON

Facility

$30,595.00

Service Code	HCPCS 27380
Hospital Charge Code	16000622
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 KNEECAP TENDON

Facility

$30,595.00

Service Code	HCPCS 27380
Hospital Charge Code	16000622
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
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	$17,279.91
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, LACERATION OF DIAPHRAG

Facility

$4,685.90

Service Code	HCPCS 39501
Hospital Charge Code	1600169
Hospital Revenue Code	361
Min. Negotiated Rate	$609.17
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$1,405.77
Rate for Payer: Aetna Medicare Advantage	$1,405.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,194.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,194.90
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	$1,194.90
Rate for Payer: Cigna Commercial	$885.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$609.17
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$702.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR, LACERATION OF DIAPHRAG

Facility

$4,685.90

Service Code	HCPCS 39501
Hospital Charge Code	1600169
Hospital Revenue Code	361
Min. Negotiated Rate	$702.88
Max. Negotiated Rate	$702.88
Rate for Payer: Qualcare PPO/HMO/WC	$702.88

REPAIR LEAD PACE-DEFIB DUAL

Facility

$9,295.75

Service Code	HCPCS 33220
Hospital Charge Code	74110075
Hospital Revenue Code	361
Min. Negotiated Rate	$1,394.36
Max. Negotiated Rate	$1,394.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,394.36

REPAIR LEAD PACE-DEFIB DUAL

Facility

$9,295.75

Service Code	HCPCS 33220
Hospital Charge Code	5100774
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.45
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$2,788.72
Rate for Payer: Aetna Medicare Advantage	$2,788.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,370.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,370.42
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	$2,370.42
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.45
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,394.36
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR LEAD PACE-DEFIB DUAL

Facility

$9,295.75

Service Code	HCPCS 33220
Hospital Charge Code	5100774
Hospital Revenue Code	361
Min. Negotiated Rate	$1,394.36
Max. Negotiated Rate	$1,394.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,394.36

REPAIR LEAD PACE-DEFIB DUAL

Facility

$9,295.75

Service Code	HCPCS 33220
Hospital Charge Code	74110075
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.45
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$2,788.72
Rate for Payer: Aetna Medicare Advantage	$2,788.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,370.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,370.42
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	$2,370.42
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.45
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,394.36
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR LEAD PACE-DEFIB ONE

Facility

$26,605.00

Service Code	HCPCS 33218
Hospital Charge Code	74110074
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$7,981.50
Rate for Payer: Aetna Medicare Advantage	$7,981.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,784.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,784.27
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	$6,784.27
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,458.65
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,990.75
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR LEAD PACE-DEFIB ONE

Facility

$26,605.00

Service Code	HCPCS 33218
Hospital Charge Code	74110074
Hospital Revenue Code	361
Min. Negotiated Rate	$3,990.75
Max. Negotiated Rate	$3,990.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,990.75

REPAIR LEAD PACE-DEFIB ONE

Facility

$26,605.00

Service Code	HCPCS 33218
Hospital Charge Code	5100773
Hospital Revenue Code	361
Min. Negotiated Rate	$3,990.75
Max. Negotiated Rate	$3,990.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,990.75

REPAIR LEAD PACE-DEFIB ONE

Facility

$26,605.00

Service Code	HCPCS 33218
Hospital Charge Code	5100773
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$7,981.50
Rate for Payer: Aetna Medicare Advantage	$7,981.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,784.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,784.27
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	$6,784.27
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,458.65
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,990.75
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR LEAD PACE-DEFIB, ONE

Facility

$26,605.00

Service Code	HCPCS 33218
Hospital Charge Code	74110034
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$7,981.50
Rate for Payer: Aetna Medicare Advantage	$7,981.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,784.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,784.27
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	$6,784.27
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,458.65
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,990.75
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR LEAD PACE-DEFIB, ONE

Facility

$26,605.00

Service Code	HCPCS 33218
Hospital Charge Code	74110034
Hospital Revenue Code	361
Min. Negotiated Rate	$3,990.75
Max. Negotiated Rate	$3,990.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,990.75

Know your out-of-pocket cost for care.

All Charges