Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCISSOR WEIL BLAKESLEY THURCUT

Facility

$3,280.45

Hospital Charge Code	270689940
Hospital Revenue Code	272
Min. Negotiated Rate	$426.46
Max. Negotiated Rate	$1,640.22
Rate for Payer: Aetna Commercial	$984.13
Rate for Payer: Aetna Medicare Advantage	$984.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$836.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$836.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$836.51
Rate for Payer: Cigna Commercial	$1,640.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$426.46
Rate for Payer: Oxford Commercial	$1,640.22
Rate for Payer: Qualcare PPO/HMO/WC	$492.07
Rate for Payer: UnitedHealthcare Commercial	$1,640.22

SCISSOR WEIL BLAKESLEY THURCUT

Facility

$3,280.45

Hospital Charge Code	270689940
Hospital Revenue Code	272
Min. Negotiated Rate	$492.07
Max. Negotiated Rate	$492.07
Rate for Payer: Qualcare PPO/HMO/WC	$492.07

SCL-70 AB,ID

Facility

$390.00

Service Code	HCPCS 86235
Hospital Charge Code	39900202
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SCL-70 AB,ID

Facility

$390.00

Service Code	HCPCS 86235
Hospital Charge Code	39900202
Hospital Revenue Code	302
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.09
Rate for Payer: Aetna Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.70
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
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	$17.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.01
Rate for Payer: Wellcare Medicare Advantage	$17.93

SCLERODERMA AB

Facility

$489.00

Service Code	HCPCS 86235
Hospital Charge Code	38476043
Hospital Revenue Code	302
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$73.35
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCLERODERMA AB

Facility

$489.00

Service Code	HCPCS 86235
Hospital Charge Code	38476043
Hospital Revenue Code	302
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.09
Rate for Payer: Aetna Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.70
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.57
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.01
Rate for Payer: Wellcare Medicare Advantage	$17.93

SCLERODERMA-SCL70 AB ENA

Facility

$143.99

Service Code	HCPCS 86235
Hospital Charge Code	3008273
Hospital Revenue Code	302
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

SCLERODERMA-SCL70 AB ENA

Facility

$143.99

Service Code	HCPCS 86235
Hospital Charge Code	3008273
Hospital Revenue Code	302
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.09
Rate for Payer: Aetna Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.70
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.01
Rate for Payer: Wellcare Medicare Advantage	$17.93

SCLEROTHERAPY***

Facility

$439.00

Hospital Charge Code	2300390
Hospital Revenue Code	759
Min. Negotiated Rate	$65.85
Max. Negotiated Rate	$65.85
Rate for Payer: Qualcare PPO/HMO/WC	$65.85

SCLEROTHERAPY***

Facility

$439.00

Hospital Charge Code	2300390
Hospital Revenue Code	759
Min. Negotiated Rate	$57.07
Max. Negotiated Rate	$219.50
Rate for Payer: Aetna Commercial	$131.70
Rate for Payer: Aetna Medicare Advantage	$131.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.94
Rate for Payer: Cigna Commercial	$219.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.07
Rate for Payer: Qualcare PPO/HMO/WC	$65.85

SCLEROTHERAPY NEEDLE 23GA 4MN

Facility

$294.00

Hospital Charge Code	270330649
Hospital Revenue Code	272
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$147.00
Rate for Payer: Aetna Commercial	$88.20
Rate for Payer: Aetna Medicare Advantage	$88.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.97
Rate for Payer: Cigna Commercial	$147.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.22
Rate for Payer: Oxford Commercial	$147.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.10
Rate for Payer: UnitedHealthcare Commercial	$147.00

SCLEROTHERAPY NEEDLE 23GA 4MN

Facility

$294.00

Hospital Charge Code	270330649
Hospital Revenue Code	272
Min. Negotiated Rate	$44.10
Max. Negotiated Rate	$44.10
Rate for Payer: Qualcare PPO/HMO/WC	$44.10

SCLEROTX FLUID COLLECTION

Facility

$2,714.04

Service Code	HCPCS 49185
Hospital Charge Code	16000751
Hospital Revenue Code	360
Min. Negotiated Rate	$407.11
Max. Negotiated Rate	$407.11
Rate for Payer: Qualcare PPO/HMO/WC	$407.11

SCLEROTX FLUID COLLECTION

Facility

$2,714.04

Service Code	HCPCS 49185
Hospital Charge Code	16000751
Hospital Revenue Code	360
Min. Negotiated Rate	$352.83
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$814.21
Rate for Payer: Aetna Medicare Advantage	$814.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$692.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$692.08
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	$692.08
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.83
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$407.11
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

SCLEROTX FLUID COLLECT PRQ W/I

Facility

$3,574.55

Service Code	HCPCS 49185
Hospital Charge Code	404649185
Hospital Revenue Code	361
Min. Negotiated Rate	$536.18
Max. Negotiated Rate	$536.18
Rate for Payer: Qualcare PPO/HMO/WC	$536.18

SCLEROTX FLUID COLLECT PRQ W/I

Facility

$3,574.55

Service Code	HCPCS 49185
Hospital Charge Code	404649185
Hospital Revenue Code	361
Min. Negotiated Rate	$464.69
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,072.37
Rate for Payer: Aetna Medicare Advantage	$1,072.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$911.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$911.51
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	$911.51
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.69
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$536.18
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

SCLRSL INTRPLRL AERSL TAL PWDR

Facility

$6,710.00

Hospital Charge Code	270643368
Hospital Revenue Code	270
Min. Negotiated Rate	$1,006.50
Max. Negotiated Rate	$1,006.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,006.50

SCLRSL INTRPLRL AERSL TAL PWDR

Facility

$6,710.00

Hospital Charge Code	270643368
Hospital Revenue Code	270
Min. Negotiated Rate	$872.30
Max. Negotiated Rate	$3,355.00
Rate for Payer: Aetna Commercial	$2,013.00
Rate for Payer: Aetna Medicare Advantage	$2,013.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,711.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,711.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,711.05
Rate for Payer: Cigna Commercial	$3,355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.30
Rate for Payer: Oxford Commercial	$3,355.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,006.50
Rate for Payer: UnitedHealthcare Commercial	$3,355.00

SCNDRY REPR RUPT ACHILLES TNDN

Facility

$44,916.00

Service Code	HCPCS 27654
Hospital Charge Code	16000893
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

SCNDRY REPR RUPT ACHILLES TNDN

Facility

$44,916.00

Service Code	HCPCS 27654
Hospital Charge Code	16000893
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

SCOLIOSIS SERIES

Facility

$335.00

Hospital Charge Code	94061063
Hospital Revenue Code	320
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$50.25
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCOLIOSIS SERIES

Facility

$335.00

Hospital Charge Code	94061063
Hospital Revenue Code	320
Min. Negotiated Rate	$43.55
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$100.50
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.55
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

SCOOP GALLSTONE DESJARDINS 6MM

Facility

$784.20

Hospital Charge Code	270689562
Hospital Revenue Code	272
Min. Negotiated Rate	$101.95
Max. Negotiated Rate	$392.10
Rate for Payer: Aetna Commercial	$235.26
Rate for Payer: Aetna Medicare Advantage	$235.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.97
Rate for Payer: Cigna Commercial	$392.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.95
Rate for Payer: Oxford Commercial	$392.10
Rate for Payer: Qualcare PPO/HMO/WC	$117.63
Rate for Payer: UnitedHealthcare Commercial	$392.10

SCOOP GALLSTONE DESJARDINS 6MM

Facility

$784.20

Hospital Charge Code	270689562
Hospital Revenue Code	272
Min. Negotiated Rate	$117.63
Max. Negotiated Rate	$117.63
Rate for Payer: Qualcare PPO/HMO/WC	$117.63

SCOOP GALLSTONE DESJARDINS 7MM

Facility

$784.20

Hospital Charge Code	270689563
Hospital Revenue Code	272
Min. Negotiated Rate	$101.95
Max. Negotiated Rate	$392.10
Rate for Payer: Aetna Commercial	$235.26
Rate for Payer: Aetna Medicare Advantage	$235.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.97
Rate for Payer: Cigna Commercial	$392.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.95
Rate for Payer: Oxford Commercial	$392.10
Rate for Payer: Qualcare PPO/HMO/WC	$117.63
Rate for Payer: UnitedHealthcare Commercial	$392.10

Know your out-of-pocket cost for care.

All Charges