Heights University Hospital

All Charges

Charge

Type

Setting

Price

RPR AA HRN RCR < 3 RDC

Facility

$16,997.60

Service Code	HCPCS 49613
Hospital Charge Code	1600000579
Hospital Revenue Code	360
Min. Negotiated Rate	$2,549.64
Max. Negotiated Rate	$2,549.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,549.64

RPR CMPLX FCCMNAXGHF 1.1-2.5CM

Facility

$1,418.75

Service Code	HCPCS 13131
Hospital Charge Code	5700490
Hospital Revenue Code	450
Min. Negotiated Rate	$152.28
Max. Negotiated Rate	$968.07
Rate for Payer: Aetna Commercial	$425.62
Rate for Payer: Aetna Medicare Advantage	$425.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$361.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$361.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$361.78
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.44
Rate for Payer: Qualcare PPO/HMO/WC	$212.81

RPR CMPLX FCCMNAXGHF 1.1-2.5CM

Facility

$1,418.75

Service Code	HCPCS 13131
Hospital Charge Code	5700490
Hospital Revenue Code	450
Min. Negotiated Rate	$212.81
Max. Negotiated Rate	$212.81
Rate for Payer: Qualcare PPO/HMO/WC	$212.81

RPR,COMPX,TRUNK,1.1CM TO 2.5CM

Facility

$5,066.40

Service Code	HCPCS 13100
Hospital Charge Code	1600000848
Hospital Revenue Code	360
Min. Negotiated Rate	$759.96
Max. Negotiated Rate	$759.96
Rate for Payer: Qualcare PPO/HMO/WC	$759.96

RPR,COMPX,TRUNK,1.1CM TO 2.5CM

Facility

$5,066.40

Service Code	HCPCS 13100
Hospital Charge Code	1600000848
Hospital Revenue Code	360
Min. Negotiated Rate	$658.63
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,519.92
Rate for Payer: Aetna Medicare Advantage	$1,519.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,291.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,291.93
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	$1,291.93
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.63
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$759.96
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

RPR DISLOCATED PERONEAL TENDNS

Facility

$19,467.90

Service Code	HCPCS 27675
Hospital Charge Code	1600000267
Hospital Revenue Code	360
Min. Negotiated Rate	$2,920.18
Max. Negotiated Rate	$2,920.18
Rate for Payer: Qualcare PPO/HMO/WC	$2,920.18

RPR DISLOCATED PERONEAL TENDNS

Facility

$19,467.90

Service Code	HCPCS 27675
Hospital Charge Code	1600000267
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,840.37
Rate for Payer: Aetna Medicare Advantage	$5,840.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,964.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,964.31
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	$4,964.31
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,530.83
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,920.18
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

RPR NONUNION CARP NAVICULAR BN

Facility

$44,916.00

Service Code	HCPCS 25440
Hospital Charge Code	16000690
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

RPR NONUNION CARP NAVICULAR BN

Facility

$44,916.00

Service Code	HCPCS 25440
Hospital Charge Code	16000690
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

RPR PARASTOMAL HERNIA RDC

Facility

$58,232.00

Service Code	HCPCS 49621
Hospital Charge Code	1600000766
Hospital Revenue Code	360
Min. Negotiated Rate	$8,734.80
Max. Negotiated Rate	$8,734.80
Rate for Payer: Qualcare PPO/HMO/WC	$8,734.80

RPR PARASTOMAL HERNIA RDC

Facility

$58,232.00

Service Code	HCPCS 49621
Hospital Charge Code	1600000766
Hospital Revenue Code	360
Min. Negotiated Rate	$739.73
Max. Negotiated Rate	$17,469.60
Rate for Payer: Aetna Commercial	$17,469.60
Rate for Payer: Aetna Medicare Advantage	$17,469.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,849.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,849.16
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	$14,849.16
Rate for Payer: Cigna Commercial	$739.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,570.16
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,734.80
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

RPR, QUAL

Facility

$63.00

Service Code	HCPCS 86592
Hospital Charge Code	38476035
Hospital Revenue Code	302
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

RPR, QUAL

Facility

$63.00

Service Code	HCPCS 86592
Hospital Charge Code	38476035
Hospital Revenue Code	302
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.83
Rate for Payer: Aetna Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.65
Rate for Payer: Cigna Commercial	$4.27
Rate for Payer: Cigna Medicare Advantage	$2.13
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.19
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.53
Rate for Payer: Wellcare Medicare Advantage	$4.27

RPR TARSOMETATARSAL JNT DISLCT

Facility

$48,992.10

Service Code	HCPCS 28615
Hospital Charge Code	16000576
Hospital Revenue Code	360
Min. Negotiated Rate	$7,348.81
Max. Negotiated Rate	$7,348.81
Rate for Payer: Qualcare PPO/HMO/WC	$7,348.81

RPR TARSOMETATARSAL JNT DISLCT

Facility

$48,992.10

Service Code	HCPCS 28615
Hospital Charge Code	16000576
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$14,697.63
Rate for Payer: Aetna Medicare Advantage	$14,697.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,492.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,492.99
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	$12,492.99
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,368.97
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,348.81
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

RPR TITER

Facility

$390.00

Service Code	HCPCS 86593
Hospital Charge Code	39900225
Hospital Revenue Code	302
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.26
Rate for Payer: Aetna Medicare Advantage	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.12
Rate for Payer: Cigna Commercial	$4.40
Rate for Payer: Cigna Medicare Advantage	$2.20
Rate for Payer: Clover Medicare Advantage	$4.18
Rate for Payer: EmblemHealth Commercial	$13.20
Rate for Payer: Humana Medicare Advantage	$4.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.66
Rate for Payer: Wellcare Medicare Advantage	$4.40

RPR TITER

Facility

$390.00

Service Code	HCPCS 86593
Hospital Charge Code	39900225
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RPR, Treponema pallidum IA

Facility

$42.06

Service Code	HCPCS 36126
Hospital Charge Code	3000078
Hospital Revenue Code	306
Min. Negotiated Rate	$5.47
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.62
Rate for Payer: Aetna Medicare Advantage	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.73
Rate for Payer: Cigna Commercial	$21.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.47
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.31
Rate for Payer: UnitedHealthcare Commercial	$114.00

RPR, Treponema pallidum IA

Facility

$42.06

Service Code	HCPCS 36126
Hospital Charge Code	3000078
Hospital Revenue Code	306
Min. Negotiated Rate	$6.31
Max. Negotiated Rate	$6.31
Rate for Payer: Qualcare PPO/HMO/WC	$6.31

RPR UMBIL HERN REDUC 5+YR

Facility

$30,877.00

Service Code	HCPCS 49585
Hospital Charge Code	16000991
Hospital Revenue Code	360
Min. Negotiated Rate	$4,631.55
Max. Negotiated Rate	$4,631.55
Rate for Payer: Qualcare PPO/HMO/WC	$4,631.55

RPR UMBIL HERN REDUC 5+YR

Facility

$30,877.00

Service Code	HCPCS 49585
Hospital Charge Code	16000991
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$15,438.50
Rate for Payer: Aetna Commercial	$9,263.10
Rate for Payer: Aetna Medicare Advantage	$9,263.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,873.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,873.64
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	$7,873.64
Rate for Payer: Cigna Commercial	$15,438.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,014.01
Rate for Payer: Qualcare PPO/HMO/WC	$4,631.55

RR ICU 1 1/2 TO 2 HOURS

Facility

$1,430.45

Hospital Charge Code	1500123
Hospital Revenue Code	710
Min. Negotiated Rate	$185.96
Max. Negotiated Rate	$715.23
Rate for Payer: Aetna Commercial	$429.13
Rate for Payer: Aetna Medicare Advantage	$429.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.76
Rate for Payer: Cigna Commercial	$715.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.96
Rate for Payer: Oxford Commercial	$715.23
Rate for Payer: Qualcare PPO/HMO/WC	$214.57
Rate for Payer: UnitedHealthcare Commercial	$715.23

RR ICU 1 1/2 TO 2 HOURS

Facility

$1,430.45

Hospital Charge Code	1500123
Hospital Revenue Code	710
Min. Negotiated Rate	$214.57
Max. Negotiated Rate	$214.57
Rate for Payer: Qualcare PPO/HMO/WC	$214.57

RR ICU 1 TO 1 1/2 HOURS

Facility

$1,252.85

Hospital Charge Code	1500115
Hospital Revenue Code	710
Min. Negotiated Rate	$187.93
Max. Negotiated Rate	$187.93
Rate for Payer: Qualcare PPO/HMO/WC	$187.93

RR ICU 1 TO 1 1/2 HOURS

Facility

$1,252.85

Hospital Charge Code	1500115
Hospital Revenue Code	710
Min. Negotiated Rate	$162.87
Max. Negotiated Rate	$626.42
Rate for Payer: Aetna Commercial	$375.86
Rate for Payer: Aetna Medicare Advantage	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.48
Rate for Payer: Cigna Commercial	$626.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.87
Rate for Payer: Oxford Commercial	$626.42
Rate for Payer: Qualcare PPO/HMO/WC	$187.93
Rate for Payer: UnitedHealthcare Commercial	$626.42

Know your out-of-pocket cost for care.

All Charges