Heights University Hospital

All Charges

Charge

Type

Setting

Price

REPAIR LEAD PACE-DEFIB,ONE

Facility

$26,605.00

Service Code	HCPCS 33218
Hospital Charge Code	5100818
Hospital Revenue Code	481
Min. Negotiated Rate	$3,458.65
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	$4,350.00
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	5100297
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	5100818
Hospital Revenue Code	481
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	5100297
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 LIVER WOUND

Facility

$13,705.32

Service Code	HCPCS 47360
Hospital Charge Code	1600000687
Hospital Revenue Code	360
Min. Negotiated Rate	$2,055.80
Max. Negotiated Rate	$2,055.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,055.80

REPAIR LIVER WOUND

Facility

$13,705.32

Service Code	HCPCS 47360
Hospital Charge Code	1600000687
Hospital Revenue Code	360
Min. Negotiated Rate	$1,781.69
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,111.60
Rate for Payer: Aetna Medicare Advantage	$4,111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,494.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,494.86
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	$3,494.86
Rate for Payer: Cigna Commercial	$1,900.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,781.69
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,055.80
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR MULTI-COMP PENIS PROS

Facility

$29,933.90

Service Code	HCPCS 54408
Hospital Charge Code	1600000482
Hospital Revenue Code	360
Min. Negotiated Rate	$4,490.09
Max. Negotiated Rate	$4,490.09
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.09

REPAIR MULTI-COMP PENIS PROS

Facility

$29,933.90

Service Code	HCPCS 54408
Hospital Charge Code	1600000482
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,768.54
Rate for Payer: Aetna Commercial	$8,980.17
Rate for Payer: Aetna Medicare Advantage	$8,980.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,633.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,633.14
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	$7,633.14
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,891.41
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.09
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REPAIR NAIL BED

Facility

$2,482.00

Service Code	HCPCS 11760
Hospital Charge Code	1600000712
Hospital Revenue Code	360
Min. Negotiated Rate	$322.66
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$744.60
Rate for Payer: Aetna Medicare Advantage	$744.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.91
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	$632.91
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.66
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$372.30
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

REPAIR NAIL BED

Facility

$2,482.00

Service Code	HCPCS 11760
Hospital Charge Code	1600000712
Hospital Revenue Code	360
Min. Negotiated Rate	$372.30
Max. Negotiated Rate	$372.30
Rate for Payer: Qualcare PPO/HMO/WC	$372.30

REPAIR NASAL SEPTAL PERFORAT

Facility

$20,083.40

Service Code	HCPCS 30630
Hospital Charge Code	1600000739
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Commercial	$6,025.02
Rate for Payer: Aetna Medicare Advantage	$6,025.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,121.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,121.27
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	$5,121.27
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,610.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.51
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REPAIR NASAL SEPTAL PERFORAT

Facility

$20,083.40

Service Code	HCPCS 30630
Hospital Charge Code	1600000739
Hospital Revenue Code	360
Min. Negotiated Rate	$3,012.51
Max. Negotiated Rate	$3,012.51
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.51

REPAIR NASAL STENOSIS

Facility

$42,339.20

Service Code	HCPCS 30465
Hospital Charge Code	1600000738
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,097.46
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: Aetna Commercial	$12,701.76
Rate for Payer: Aetna Medicare Advantage	$12,701.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,796.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,796.50
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	$10,796.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,504.10
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,350.88
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REPAIR NASAL STENOSIS

Facility

$42,339.20

Service Code	HCPCS 30465
Hospital Charge Code	1600000738
Hospital Revenue Code	360
Min. Negotiated Rate	$6,350.88
Max. Negotiated Rate	$6,350.88
Rate for Payer: Qualcare PPO/HMO/WC	$6,350.88

REPAIR NONUNION OF RAD OR ULNA

Facility

$45,935.07

Service Code	HCPCS 25400
Hospital Charge Code	16000836
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,780.52
Rate for Payer: Aetna Medicare Advantage	$13,780.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,713.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,713.44
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	$11,713.44
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,971.56
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,890.26
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REPAIR NONUNION OF RAD OR ULNA

Facility

$45,935.07

Service Code	HCPCS 25400
Hospital Charge Code	16000836
Hospital Revenue Code	360
Min. Negotiated Rate	$6,890.26
Max. Negotiated Rate	$6,890.26
Rate for Payer: Qualcare PPO/HMO/WC	$6,890.26

REPAIR OF BLADDER WOUND

Facility

$39,847.00

Service Code	HCPCS 51865
Hospital Charge Code	1600000324
Hospital Revenue Code	360
Min. Negotiated Rate	$5,977.05
Max. Negotiated Rate	$5,977.05
Rate for Payer: Qualcare PPO/HMO/WC	$5,977.05

REPAIR OF BLADDER WOUND

Facility

$39,847.00

Service Code	HCPCS 51865
Hospital Charge Code	1600000324
Hospital Revenue Code	360
Min. Negotiated Rate	$882.85
Max. Negotiated Rate	$11,954.10
Rate for Payer: Aetna Commercial	$11,954.10
Rate for Payer: Aetna Medicare Advantage	$11,954.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,160.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,160.99
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	$10,160.99
Rate for Payer: Cigna Commercial	$882.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,180.11
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,977.05
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR OF DIAPHRAGM

Facility

$17,842.40

Service Code	HCPCS 39540
Hospital Charge Code	1600000813
Hospital Revenue Code	360
Min. Negotiated Rate	$892.12
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$5,352.72
Rate for Payer: Aetna Medicare Advantage	$5,352.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,549.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,549.81
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	$4,549.81
Rate for Payer: Cigna Commercial	$892.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,319.51
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,676.36
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR OF DIAPHRAGM

Facility

$17,842.40

Service Code	HCPCS 39540
Hospital Charge Code	1600000813
Hospital Revenue Code	360
Min. Negotiated Rate	$2,676.36
Max. Negotiated Rate	$2,676.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,676.36

REPAIR OF DIGIT NERVE 1

Facility

$34,014.10

Service Code	HCPCS 64831
Hospital Charge Code	16000368
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$10,204.23
Rate for Payer: Aetna Commercial	$10,204.23
Rate for Payer: Aetna Medicare Advantage	$10,204.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,673.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,673.60
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	$8,673.60
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,421.83
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,102.11
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR OF DIGIT NERVE 1

Facility

$34,014.10

Service Code	HCPCS 64831
Hospital Charge Code	16000368
Hospital Revenue Code	360
Min. Negotiated Rate	$5,102.11
Max. Negotiated Rate	$5,102.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,102.11

REPAIR OF FINGER/HAND TENDON

Facility

$19,436.10

Service Code	HCPCS 26373
Hospital Charge Code	1600000885
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,830.83
Rate for Payer: Aetna Medicare Advantage	$5,830.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,956.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,956.21
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	$4,956.21
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,526.69
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,915.41
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPAIR OF FINGER/HAND TENDON

Facility

$19,436.10

Service Code	HCPCS 26373
Hospital Charge Code	1600000885
Hospital Revenue Code	360
Min. Negotiated Rate	$2,915.41
Max. Negotiated Rate	$2,915.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,915.41

REPAIR OF HAND OR FOOT NERVE

Facility

$21,704.79

Service Code	HCPCS 64834
Hospital Charge Code	1600000883
Hospital Revenue Code	360
Min. Negotiated Rate	$3,255.72
Max. Negotiated Rate	$3,255.72
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72

Know your out-of-pocket cost for care.

All Charges