Heights University Hospital

All Charges

Charge

Type

Setting

Price

REVISE RECONSTR BREAST

Facility

$42,601.70

Service Code	HCPCS 19380
Hospital Charge Code	16000790
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,812.86
Rate for Payer: Aetna Commercial	$12,780.51
Rate for Payer: Aetna Medicare Advantage	$12,780.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,863.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,863.43
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	$10,863.43
Rate for Payer: Cigna Commercial	$15,812.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,538.22
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,390.26
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

REVISE/REMOVE NEUROELECTRODE

Facility

$16,134.72

Service Code	HCPCS 64585
Hospital Charge Code	1600000694
Hospital Revenue Code	360
Min. Negotiated Rate	$2,420.21
Max. Negotiated Rate	$2,420.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,420.21

REVISE/REMOVE NEUROELECTRODE

Facility

$16,134.72

Service Code	HCPCS 64585
Hospital Charge Code	1600000694
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,325.61
Rate for Payer: Aetna Commercial	$4,840.42
Rate for Payer: Aetna Medicare Advantage	$4,840.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,114.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,114.35
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	$4,114.35
Rate for Payer: Cigna Commercial	$8,325.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,097.51
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,420.21
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REVISE/REPLACE KNEE JOINT 1 CO

Facility

$12,899.50

Service Code	HCPCS 27486
Hospital Charge Code	16000448
Hospital Revenue Code	360
Min. Negotiated Rate	$1,934.92
Max. Negotiated Rate	$1,934.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,934.92

REVISE/REPLACE KNEE JOINT 1 CO

Facility

$12,899.50

Service Code	HCPCS 27486
Hospital Charge Code	16000448
Hospital Revenue Code	360
Min. Negotiated Rate	$1,676.93
Max. Negotiated Rate	$30,573.98
Rate for Payer: Aetna Commercial	$3,869.85
Rate for Payer: Aetna Medicare Advantage	$3,869.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,289.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,289.37
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	$3,289.37
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,676.93
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,934.92
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

REVISE/RMV PN/GASTR STIMUL

Facility

$15,827.28

Service Code	HCPCS 64595
Hospital Charge Code	1600000693
Hospital Revenue Code	360
Min. Negotiated Rate	$2,374.09
Max. Negotiated Rate	$2,374.09
Rate for Payer: Qualcare PPO/HMO/WC	$2,374.09

REVISE/RMV PN/GASTR STIMUL

Facility

$15,827.28

Service Code	HCPCS 64595
Hospital Charge Code	1600000693
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,325.61
Rate for Payer: Aetna Commercial	$4,748.18
Rate for Payer: Aetna Medicare Advantage	$4,748.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,035.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,035.96
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	$4,035.96
Rate for Payer: Cigna Commercial	$8,325.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,374.09
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REVISION ARTHROPLASTY,SHOULDER

Facility

$16,453.00

Service Code	HCPCS 23472
Hospital Charge Code	16000421
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$41,754.94
Rate for Payer: Aetna Commercial	$4,935.90
Rate for Payer: Aetna Medicare Advantage	$4,935.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,195.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,195.52
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	$4,195.52
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,138.89
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,467.95
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

REVISION ARTHROPLASTY,SHOULDER

Facility

$16,453.00

Service Code	HCPCS 23472
Hospital Charge Code	16000421
Hospital Revenue Code	360
Min. Negotiated Rate	$2,467.95
Max. Negotiated Rate	$2,467.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,467.95

REVISION OF AORTIC VALVE

Facility

$26,857.80

Service Code	HCPCS 92986
Hospital Charge Code	69008134
Hospital Revenue Code	481
Min. Negotiated Rate	$4,028.67
Max. Negotiated Rate	$4,028.67
Rate for Payer: Qualcare PPO/HMO/WC	$4,028.67

REVISION OF AORTIC VALVE

Facility

$26,857.80

Service Code	HCPCS 92986
Hospital Charge Code	69008134
Hospital Revenue Code	481
Min. Negotiated Rate	$3,491.51
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$8,057.34
Rate for Payer: Aetna Medicare Advantage	$8,057.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,848.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,848.74
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	$6,848.74
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,491.51
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,028.67
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

REVISION OF ARM NERVE(S)

Facility

$9,198.80

Service Code	HCPCS 64713
Hospital Charge Code	16000158
Hospital Revenue Code	360
Min. Negotiated Rate	$1,379.82
Max. Negotiated Rate	$1,379.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.82

REVISION OF ARM NERVE(S)

Facility

$9,198.80

Service Code	HCPCS 64713
Hospital Charge Code	16000158
Hospital Revenue Code	360
Min. Negotiated Rate	$1,195.84
Max. Negotiated Rate	$5,656.68
Rate for Payer: Aetna Better Health Medicaid	$5,545.76
Rate for Payer: Aetna Commercial	$2,759.64
Rate for Payer: Aetna Medicare Advantage	$2,759.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,345.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,345.69
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	$2,345.69
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,195.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.82
Rate for Payer: UnitedHealthcare Commercial	$5,529.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,656.68
Rate for Payer: Wellpoint Medicaid Managed Care	$5,545.76

REVISION OF BLADDER/URETHRA

Facility

$14,429.00

Service Code	HCPCS 51800
Hospital Charge Code	1600000621
Hospital Revenue Code	360
Min. Negotiated Rate	$1,013.25
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$4,328.70
Rate for Payer: Aetna Medicare Advantage	$4,328.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,679.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,679.39
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	$3,679.39
Rate for Payer: Cigna Commercial	$1,013.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.77
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,164.35
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REVISION OF BLADDER/URETHRA

Facility

$14,429.00

Service Code	HCPCS 51800
Hospital Charge Code	1600000621
Hospital Revenue Code	360
Min. Negotiated Rate	$2,164.35
Max. Negotiated Rate	$2,164.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,164.35

REVISION OF CALF TENDON

Facility

$10,580.92

Service Code	HCPCS 27687
Hospital Charge Code	16000304
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

REVISION OF CALF TENDON

Facility

$10,580.92

Service Code	HCPCS 27687
Hospital Charge Code	16000304
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

REVISION OF HIP OR KNEE REPLACEMENT WITH CC

Facility

$118,916.52

Service Code	MSDRG 467
Min. Negotiated Rate	$36,158.40
Max. Negotiated Rate	$118,916.52
Rate for Payer: Aetna Commercial	$118,916.52
Rate for Payer: Aetna Medicare Advantage	$38,484.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96,208.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96,208.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,061.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96,208.83
Rate for Payer: Cigna Commercial	$75,895.96
Rate for Payer: Cigna Medicare Advantage	$38,061.47
Rate for Payer: Clover Medicare Advantage	$36,158.40
Rate for Payer: EmblemHealth Commercial	$114,184.41
Rate for Payer: Humana Medicare Advantage	$39,203.31
Rate for Payer: Oxford Commercial	$47,432.77
Rate for Payer: UnitedHealthcare Commercial	$53,840.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,061.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$40,345.16
Rate for Payer: Wellcare Medicare Advantage	$38,061.47

REVISION OF HIP OR KNEE REPLACEMENT WITH MCC

Facility

$175,525.47

Service Code	MSDRG 466
Min. Negotiated Rate	$51,589.06
Max. Negotiated Rate	$175,525.47
Rate for Payer: Aetna Commercial	$175,525.47
Rate for Payer: Aetna Medicare Advantage	$56,804.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143,072.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143,072.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$54,304.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143,072.73
Rate for Payer: Cigna Commercial	$112,025.41
Rate for Payer: Cigna Medicare Advantage	$54,304.27
Rate for Payer: Clover Medicare Advantage	$51,589.06
Rate for Payer: EmblemHealth Commercial	$162,912.81
Rate for Payer: Humana Medicare Advantage	$55,933.40
Rate for Payer: Oxford Commercial	$70,012.63
Rate for Payer: UnitedHealthcare Commercial	$79,470.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$54,304.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$57,562.53
Rate for Payer: Wellcare Medicare Advantage	$54,304.27

REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC

Facility

$92,662.24

Service Code	MSDRG 468
Min. Negotiated Rate	$29,001.90
Max. Negotiated Rate	$92,662.24
Rate for Payer: Aetna Commercial	$92,662.24
Rate for Payer: Aetna Medicare Advantage	$29,987.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73,603.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73,603.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,528.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73,603.89
Rate for Payer: Cigna Commercial	$59,139.71
Rate for Payer: Cigna Medicare Advantage	$30,528.32
Rate for Payer: Clover Medicare Advantage	$29,001.90
Rate for Payer: EmblemHealth Commercial	$91,584.96
Rate for Payer: Humana Medicare Advantage	$31,444.17
Rate for Payer: Oxford Commercial	$36,960.60
Rate for Payer: UnitedHealthcare Commercial	$41,953.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,528.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$32,360.02
Rate for Payer: Wellcare Medicare Advantage	$30,528.32

REVISION OF TOTAL KNEE ARTH

Facility

$21,142.50

Service Code	HCPCS 27487
Hospital Charge Code	16000449
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$41,754.94
Rate for Payer: Aetna Commercial	$6,342.75
Rate for Payer: Aetna Medicare Advantage	$6,342.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,391.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,391.34
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	$5,391.34
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,748.53
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,171.38
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

REVISION OF TOTAL KNEE ARTH

Facility

$21,142.50

Service Code	HCPCS 27487
Hospital Charge Code	16000449
Hospital Revenue Code	360
Min. Negotiated Rate	$3,171.38
Max. Negotiated Rate	$3,171.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,171.38

REVISION OF UPPER EYELID

Facility

$7,356.39

Service Code	HCPCS 15822
Hospital Charge Code	16000661
Hospital Revenue Code	360
Min. Negotiated Rate	$956.33
Max. Negotiated Rate	$4,913.48
Rate for Payer: Aetna Commercial	$2,206.92
Rate for Payer: Aetna Medicare Advantage	$2,206.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,875.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,875.88
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	$1,875.88
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$956.33
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,103.46
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

REVISION OF UPPER EYELID

Facility

$7,356.39

Service Code	HCPCS 15822
Hospital Charge Code	16000661
Hospital Revenue Code	360
Min. Negotiated Rate	$1,103.46
Max. Negotiated Rate	$1,103.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,103.46

REVISION OPEN GASTRIC RESTRICT

Facility

$112,126.91

Service Code	HCPCS 43848
Hospital Charge Code	1600185
Hospital Revenue Code	361
Min. Negotiated Rate	$16,819.04
Max. Negotiated Rate	$16,819.04
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04

Know your out-of-pocket cost for care.

All Charges