Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$1,864.00
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$6,511.44
Rate for Payer: Aetna Medicare Advantage	$6,511.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,534.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,534.72
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	$5,534.72
Rate for Payer: Cigna Commercial	$8,135.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,821.62
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REPAIR OF HAND TENDON

Facility

$6,331.60

Service Code	HCPCS 26410
Hospital Charge Code	16000844
Hospital Revenue Code	360
Min. Negotiated Rate	$823.11
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$1,899.48
Rate for Payer: Aetna Medicare Advantage	$1,899.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,614.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,614.56
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	$1,614.56
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$823.11
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$949.74
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REPAIR OF HAND TENDON

Facility

$6,331.60

Service Code	HCPCS 26410
Hospital Charge Code	16000844
Hospital Revenue Code	360
Min. Negotiated Rate	$949.74
Max. Negotiated Rate	$949.74
Rate for Payer: Qualcare PPO/HMO/WC	$949.74

REPAIR OUTER SHEATH 26FR

Facility

$615.00

Hospital Charge Code	270645669
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

REPAIR OUTER SHEATH 26FR

Facility

$615.00

Hospital Charge Code	270645669
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$184.50
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

REPAIR PARAVAG DEFECT VAG

Facility

$42,389.30

Service Code	HCPCS 57285
Hospital Charge Code	1600000473
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,659.09
Rate for Payer: Aetna Commercial	$12,716.79
Rate for Payer: Aetna Medicare Advantage	$12,716.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,809.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,809.27
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	$10,809.27
Rate for Payer: Cigna Commercial	$17,659.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,510.61
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,358.40
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REPAIR PARAVAG DEFECT VAG

Facility

$42,389.30

Service Code	HCPCS 57285
Hospital Charge Code	1600000473
Hospital Revenue Code	360
Min. Negotiated Rate	$6,358.40
Max. Negotiated Rate	$6,358.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,358.40

REPAIR ROTATOR CUFF CHRONIC

Facility

$44,916.00

Service Code	HCPCS 23412
Hospital Charge Code	16000815
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,474.80
Rate for Payer: Aetna Medicare Advantage	$13,474.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,453.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,453.58
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	$11,453.58
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,839.08
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REPAIR ROTATOR CUFF CHRONIC

Facility

$44,916.00

Service Code	HCPCS 23412
Hospital Charge Code	16000815
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

REPAIRS - DOMESTIC HOT WATER

Facility

$16,625.00

Hospital Charge Code	270659122
Hospital Revenue Code	278
Min. Negotiated Rate	$2,493.75
Max. Negotiated Rate	$4,023.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,023.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,493.75

REPAIRS - DOMESTIC HOT WATER

Facility

$16,625.00

Hospital Charge Code	270659122
Hospital Revenue Code	278
Min. Negotiated Rate	$2,493.75
Max. Negotiated Rate	$8,312.50
Rate for Payer: Aetna Commercial	$4,987.50
Rate for Payer: Aetna Medicare Advantage	$4,987.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,239.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,239.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,239.38
Rate for Payer: Cigna Commercial	$8,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,023.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,493.75

REPAIR TUNNELED CV CATH

Facility

$9,147.10

Service Code	HCPCS 36576
Hospital Charge Code	1600000732
Hospital Revenue Code	360
Min. Negotiated Rate	$1,189.12
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$2,744.13
Rate for Payer: Aetna Medicare Advantage	$2,744.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,332.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,332.51
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	$2,332.51
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,189.12
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,372.07
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

REPAIR TUNNELED CV CATH

Facility

$9,147.10

Service Code	HCPCS 36576
Hospital Charge Code	1600000732
Hospital Revenue Code	360
Min. Negotiated Rate	$1,372.07
Max. Negotiated Rate	$1,372.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,372.07

REPAIR UA/ELBOW TENDON/MUSCLE

Facility

$44,916.00

Service Code	HCPCS 24341
Hospital Charge Code	16000392
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,474.80
Rate for Payer: Aetna Medicare Advantage	$13,474.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,453.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,453.58
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	$11,453.58
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,839.08
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REPAIR UA/ELBOW TENDON/MUSCLE

Facility

$44,916.00

Service Code	HCPCS 24341
Hospital Charge Code	16000392
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

REP ARTEAL BLK OPEN TIBIOPERNL

Facility

$7,917.57

Service Code	HCPCS 35459
Hospital Charge Code	5100603
Hospital Revenue Code	361
Min. Negotiated Rate	$1,029.28
Max. Negotiated Rate	$3,958.78
Rate for Payer: Aetna Commercial	$2,375.27
Rate for Payer: Aetna Medicare Advantage	$2,375.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,018.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,018.98
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	$2,018.98
Rate for Payer: Cigna Commercial	$3,958.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,029.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.64

REP ARTEAL BLK OPEN TIBIOPERNL

Facility

$7,917.57

Service Code	HCPCS 35459
Hospital Charge Code	5100603
Hospital Revenue Code	361
Min. Negotiated Rate	$1,187.64
Max. Negotiated Rate	$1,187.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.64

REP ARTEIRL BLK OPEN BRAC/BRAN

Facility

$7,917.57

Service Code	HCPCS 35458
Hospital Charge Code	5100597
Hospital Revenue Code	361
Min. Negotiated Rate	$1,029.28
Max. Negotiated Rate	$3,958.78
Rate for Payer: Aetna Commercial	$2,375.27
Rate for Payer: Aetna Medicare Advantage	$2,375.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,018.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,018.98
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	$2,018.98
Rate for Payer: Cigna Commercial	$3,958.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,029.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.64

REP ARTEIRL BLK OPEN BRAC/BRAN

Facility

$7,917.57

Service Code	HCPCS 35458
Hospital Charge Code	5100597
Hospital Revenue Code	361
Min. Negotiated Rate	$1,187.64
Max. Negotiated Rate	$1,187.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.64

REP ARTERIAL BLCK OPEN FEM-POP

Facility

$9,003.10

Service Code	HCPCS 35456
Hospital Charge Code	5100595
Hospital Revenue Code	361
Min. Negotiated Rate	$1,350.46
Max. Negotiated Rate	$1,350.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.46

REP ARTERIAL BLCK OPEN FEM-POP

Facility

$9,003.10

Service Code	HCPCS 35456
Hospital Charge Code	5100595
Hospital Revenue Code	361
Min. Negotiated Rate	$1,170.40
Max. Negotiated Rate	$4,501.55
Rate for Payer: Aetna Commercial	$2,700.93
Rate for Payer: Aetna Medicare Advantage	$2,700.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.79
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	$2,295.79
Rate for Payer: Cigna Commercial	$4,501.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.46

REP ARTERIAL BLOCK OPEN AORTIC

Facility

$9,002.90

Service Code	HCPCS 35452
Hospital Charge Code	5100601
Hospital Revenue Code	361
Min. Negotiated Rate	$1,170.38
Max. Negotiated Rate	$4,501.45
Rate for Payer: Aetna Commercial	$2,700.87
Rate for Payer: Aetna Medicare Advantage	$2,700.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.74
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	$2,295.74
Rate for Payer: Cigna Commercial	$4,501.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.43

REP ARTERIAL BLOCK OPEN AORTIC

Facility

$9,002.90

Service Code	HCPCS 35452
Hospital Charge Code	5100601
Hospital Revenue Code	361
Min. Negotiated Rate	$1,350.43
Max. Negotiated Rate	$1,350.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.43

REP ARTERIAL BLOCK OPEN ILIAC

Facility

$9,003.10

Service Code	HCPCS 35454
Hospital Charge Code	5100599
Hospital Revenue Code	361
Min. Negotiated Rate	$1,170.40
Max. Negotiated Rate	$4,501.55
Rate for Payer: Aetna Commercial	$2,700.93
Rate for Payer: Aetna Medicare Advantage	$2,700.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.79
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	$2,295.79
Rate for Payer: Cigna Commercial	$4,501.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.46

REP ARTERIAL BLOCK OPEN ILIAC

Facility

$9,003.10

Service Code	HCPCS 35454
Hospital Charge Code	5100599
Hospital Revenue Code	361
Min. Negotiated Rate	$1,350.46
Max. Negotiated Rate	$1,350.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.46

Know your out-of-pocket cost for care.

All Charges