Heights University Hospital

All Charges

Charge

Type

Setting

Price

RESECT FOOT/TOE TUMOR 3+ CM

Facility

$22,282.25

Service Code	HCPCS 28047
Hospital Charge Code	16000631
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$6,684.68
Rate for Payer: Aetna Medicare Advantage	$6,684.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,681.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,681.97
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	$5,681.97
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,896.69
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,342.34
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RESECT FOOT/TOE TUMOR 3+ CM

Facility

$22,282.25

Service Code	HCPCS 28047
Hospital Charge Code	16000631
Hospital Revenue Code	360
Min. Negotiated Rate	$3,342.34
Max. Negotiated Rate	$3,342.34
Rate for Payer: Qualcare PPO/HMO/WC	$3,342.34

RESECT FOOT/TOE TUMOR< 3CM

Facility

$16,852.60

Service Code	HCPCS 28046
Hospital Charge Code	1600000302
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$5,055.78
Rate for Payer: Aetna Medicare Advantage	$5,055.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,297.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,297.41
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	$4,297.41
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,190.84
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,527.89
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

RESECT FOOT/TOE TUMOR< 3CM

Facility

$16,852.60

Service Code	HCPCS 28046
Hospital Charge Code	1600000302
Hospital Revenue Code	360
Min. Negotiated Rate	$2,527.89
Max. Negotiated Rate	$2,527.89
Rate for Payer: Qualcare PPO/HMO/WC	$2,527.89

RESECT INFEOR TURBINATE-BILTRL

Facility

$22,083.40

Service Code	HCPCS 30140
Hospital Charge Code	1600000273
Hospital Revenue Code	360
Min. Negotiated Rate	$3,312.51
Max. Negotiated Rate	$3,312.51
Rate for Payer: Qualcare PPO/HMO/WC	$3,312.51

RESECT INFEOR TURBINATE-BILTRL

Facility

$22,083.40

Service Code	HCPCS 30140
Hospital Charge Code	1600000273
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Commercial	$6,625.02
Rate for Payer: Aetna Medicare Advantage	$6,625.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,631.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,631.27
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	$5,631.27
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,870.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,312.51
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RESECTION OF SCROTUM

Facility

$20,308.55

Service Code	HCPCS 55150
Hospital Charge Code	1600000559
Hospital Revenue Code	360
Min. Negotiated Rate	$3,046.28
Max. Negotiated Rate	$3,046.28
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28

RESECTION OF SCROTUM

Facility

$20,308.55

Service Code	HCPCS 55150
Hospital Charge Code	1600000559
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$6,092.56
Rate for Payer: Aetna Medicare Advantage	$6,092.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,178.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,178.68
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	$5,178.68
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,640.11
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RESECT LEG/ANKLE TUM < 5 CM

Facility

$17,408.40

Service Code	HCPCS 27615
Hospital Charge Code	1600000825
Hospital Revenue Code	360
Min. Negotiated Rate	$2,611.26
Max. Negotiated Rate	$2,611.26
Rate for Payer: Qualcare PPO/HMO/WC	$2,611.26

RESECT LEG/ANKLE TUM < 5 CM

Facility

$17,408.40

Service Code	HCPCS 27615
Hospital Charge Code	1600000825
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$5,222.52
Rate for Payer: Aetna Medicare Advantage	$5,222.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,439.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,439.14
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	$4,439.14
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,263.09
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,611.26
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

RESECT METATARSAL TUMOR

Facility

$17,164.20

Service Code	HCPCS 28173
Hospital Charge Code	16000632
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,149.26
Rate for Payer: Aetna Medicare Advantage	$5,149.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,376.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,376.87
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	$4,376.87
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,231.35
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RESECT METATARSAL TUMOR

Facility

$17,164.20

Service Code	HCPCS 28173
Hospital Charge Code	16000632
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

RESECT NECK TUMOR 5 CM/>

Facility

$16,680.90

Service Code	HCPCS 21558
Hospital Charge Code	16000541
Hospital Revenue Code	360
Min. Negotiated Rate	$2,502.14
Max. Negotiated Rate	$2,502.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14

RESECT NECK TUMOR 5 CM/>

Facility

$16,680.90

Service Code	HCPCS 21558
Hospital Charge Code	16000541
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$5,004.27
Rate for Payer: Aetna Medicare Advantage	$5,004.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,253.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,253.63
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	$4,253.63
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,168.52
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RESECTOR STRY 4 MM 275-542

Facility

$332.65

Hospital Charge Code	270601417
Hospital Revenue Code	270
Min. Negotiated Rate	$49.90
Max. Negotiated Rate	$49.90
Rate for Payer: Qualcare PPO/HMO/WC	$49.90

RESECTOR STRY 4 MM 275-542

Facility

$332.65

Hospital Charge Code	270601417
Hospital Revenue Code	270
Min. Negotiated Rate	$43.24
Max. Negotiated Rate	$166.32
Rate for Payer: Aetna Commercial	$99.80
Rate for Payer: Aetna Medicare Advantage	$99.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.83
Rate for Payer: Cigna Commercial	$166.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.24
Rate for Payer: Oxford Commercial	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$49.90
Rate for Payer: UnitedHealthcare Commercial	$166.32

RESECT PHALANGL BS SGL TOE BL

Facility

$21,065.30

Service Code	HCPCS 28126
Hospital Charge Code	16000720
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$6,319.59
Rate for Payer: Aetna Medicare Advantage	$6,319.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,371.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,371.65
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	$5,371.65
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.49
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.80
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RESECT PHALANGL BS SGL TOE BL

Facility

$21,065.30

Service Code	HCPCS 28126
Hospital Charge Code	16000720
Hospital Revenue Code	360
Min. Negotiated Rate	$3,159.80
Max. Negotiated Rate	$3,159.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.80

RESECT SM INTEST,SGL RESECT&AN

Facility

$14,675.36

Service Code	HCPCS 44120
Hospital Charge Code	16000969
Hospital Revenue Code	360
Min. Negotiated Rate	$2,201.30
Max. Negotiated Rate	$2,201.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,201.30

RESECT SM INTEST,SGL RESECT&AN

Facility

$14,675.36

Service Code	HCPCS 44120
Hospital Charge Code	16000969
Hospital Revenue Code	360
Min. Negotiated Rate	$1,236.66
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,402.61
Rate for Payer: Aetna Medicare Advantage	$4,402.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,742.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,742.22
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	$3,742.22
Rate for Payer: Cigna Commercial	$1,236.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,907.80
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,201.30
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

RESECT THIGH/KNEE TUM 5 CM/>

Facility

$16,680.90

Service Code	HCPCS 27364
Hospital Charge Code	16000882
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$5,004.27
Rate for Payer: Aetna Medicare Advantage	$5,004.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,253.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,253.63
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	$4,253.63
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,168.52
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RESECT THIGH/KNEE TUM 5 CM/>

Facility

$16,680.90

Service Code	HCPCS 27364
Hospital Charge Code	16000882
Hospital Revenue Code	360
Min. Negotiated Rate	$2,502.14
Max. Negotiated Rate	$2,502.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14

RESERPINE 0.1 MG TAB

Facility

$4.15

Hospital Charge Code	60627643
Hospital Revenue Code	250
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

RESERPINE 0.1 MG TAB

Facility

$4.15

Hospital Charge Code	60627643
Hospital Revenue Code	250
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$2.08
Rate for Payer: Aetna Commercial	$1.25
Rate for Payer: Aetna Medicare Advantage	$1.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.06
Rate for Payer: Cigna Commercial	$2.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.54
Rate for Payer: Oxford Commercial	$2.08
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$2.08

RESERPINE TAB 0.25MG

Facility

$1.95

Hospital Charge Code	60628697
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

Know your out-of-pocket cost for care.

All Charges