Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHAVE SKIN LESION 0.6-1.0CM

Facility

$873.65

Service Code	HCPCS 11306
Hospital Charge Code	412311306
Hospital Revenue Code	361
Min. Negotiated Rate	$113.57
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$543.15
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
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	$222.78
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.57
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$554.01
Rate for Payer: Wellpoint Medicaid Managed Care	$543.15

SHAVE SKIN LESION 0.6-1.0CM

Facility

$873.65

Service Code	HCPCS 11306
Hospital Charge Code	412311306
Hospital Revenue Code	361
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$131.05
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SHEALTH 10 FR PINNACLE

Facility

$640.00

Service Code	HCPCS C1894
Hospital Charge Code	270695859C
Hospital Revenue Code	278
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$192.00
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.88
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

SHEALTH 10 FR PINNACLE

Facility

$640.00

Service Code	HCPCS C1894
Hospital Charge Code	270695859C
Hospital Revenue Code	278
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$154.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.88
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

SHEALTH 10 FR PINNACLE

Facility

$640.00

Service Code	HCPCS C1894
Hospital Charge Code	270695859
Hospital Revenue Code	278
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$154.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.88
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

SHEALTH 10 FR PINNACLE

Facility

$640.00

Service Code	HCPCS C1894
Hospital Charge Code	270695859
Hospital Revenue Code	278
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$192.00
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.88
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

SHEALTH 12 FR 45 CM FLEXOR

Facility

$251.50

Hospital Charge Code	270690149
Hospital Revenue Code	272
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$75.45
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.70
Rate for Payer: Oxford Commercial	$125.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.73
Rate for Payer: UnitedHealthcare Commercial	$125.75

SHEALTH 12 FR 45 CM FLEXOR

Facility

$251.50

Hospital Charge Code	270690149
Hospital Revenue Code	272
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$37.73
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

SHEALTH 12 FR 45 CM FLEXOR

Facility

$251.50

Hospital Charge Code	270690149S
Hospital Revenue Code	272
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$37.73
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

SHEALTH 12 FR 45 CM FLEXOR

Facility

$251.50

Hospital Charge Code	270690149S
Hospital Revenue Code	272
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$75.45
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.70
Rate for Payer: Oxford Commercial	$125.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.73
Rate for Payer: UnitedHealthcare Commercial	$125.75

SHEAR 9cm CURVED HARM FOC FCS9

Facility

$2,396.28

Hospital Charge Code	270640286
Hospital Revenue Code	272
Min. Negotiated Rate	$359.44
Max. Negotiated Rate	$359.44
Rate for Payer: Qualcare PPO/HMO/WC	$359.44

SHEAR 9cm CURVED HARM FOC FCS9

Facility

$2,396.28

Hospital Charge Code	270640286
Hospital Revenue Code	272
Min. Negotiated Rate	$311.52
Max. Negotiated Rate	$1,198.14
Rate for Payer: Aetna Commercial	$718.88
Rate for Payer: Aetna Medicare Advantage	$718.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$611.05
Rate for Payer: Cigna Commercial	$1,198.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$311.52
Rate for Payer: Oxford Commercial	$1,198.14
Rate for Payer: Qualcare PPO/HMO/WC	$359.44
Rate for Payer: UnitedHealthcare Commercial	$1,198.14

SHEAR CURVED 5MMX30CM LCSC5

Facility

$2,105.85

Hospital Charge Code	270624500
Hospital Revenue Code	272
Min. Negotiated Rate	$273.76
Max. Negotiated Rate	$1,052.92
Rate for Payer: Aetna Commercial	$631.75
Rate for Payer: Aetna Medicare Advantage	$631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.99
Rate for Payer: Cigna Commercial	$1,052.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.76
Rate for Payer: Oxford Commercial	$1,052.92
Rate for Payer: Qualcare PPO/HMO/WC	$315.88
Rate for Payer: UnitedHealthcare Commercial	$1,052.92

SHEAR CURVED 5MMX30CM LCSC5

Facility

$2,105.85

Hospital Charge Code	270624500
Hospital Revenue Code	272
Min. Negotiated Rate	$315.88
Max. Negotiated Rate	$315.88
Rate for Payer: Qualcare PPO/HMO/WC	$315.88

SHEAR CURVED HARM 5mm ACE23P

Facility

$1,615.00

Hospital Charge Code	270637400
Hospital Revenue Code	272
Min. Negotiated Rate	$209.95
Max. Negotiated Rate	$807.50
Rate for Payer: Aetna Commercial	$484.50
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.95
Rate for Payer: Oxford Commercial	$807.50
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Commercial	$807.50

SHEAR CURVED HARM 5mm ACE23P

Facility

$1,615.00

Hospital Charge Code	270637400
Hospital Revenue Code	272
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$242.25
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

SHEAR ENDOSCOPIC HOOK 5MM 33CM

Facility

$368.17

Hospital Charge Code	270600110
Hospital Revenue Code	272
Min. Negotiated Rate	$55.23
Max. Negotiated Rate	$55.23
Rate for Payer: Qualcare PPO/HMO/WC	$55.23

SHEAR ENDOSCOPIC HOOK 5MM 33CM

Facility

$368.17

Hospital Charge Code	270600110
Hospital Revenue Code	272
Min. Negotiated Rate	$47.86
Max. Negotiated Rate	$184.09
Rate for Payer: Aetna Commercial	$110.45
Rate for Payer: Aetna Medicare Advantage	$110.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.88
Rate for Payer: Cigna Commercial	$184.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.86
Rate for Payer: Oxford Commercial	$184.09
Rate for Payer: Qualcare PPO/HMO/WC	$55.23
Rate for Payer: UnitedHealthcare Commercial	$184.09

SHEAR ENDOSCOPIC HOOK 5MM 36CM

Facility

$298.96

Hospital Charge Code	270600111
Hospital Revenue Code	272
Min. Negotiated Rate	$44.84
Max. Negotiated Rate	$44.84
Rate for Payer: Qualcare PPO/HMO/WC	$44.84

SHEAR ENDOSCOPIC HOOK 5MM 36CM

Facility

$298.96

Hospital Charge Code	270600111
Hospital Revenue Code	272
Min. Negotiated Rate	$38.86
Max. Negotiated Rate	$149.48
Rate for Payer: Aetna Commercial	$89.69
Rate for Payer: Aetna Medicare Advantage	$89.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.23
Rate for Payer: Cigna Commercial	$149.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.86
Rate for Payer: Oxford Commercial	$149.48
Rate for Payer: Qualcare PPO/HMO/WC	$44.84
Rate for Payer: UnitedHealthcare Commercial	$149.48

SHEAR HARMONIC ACE 7 45CM

Facility

$3,135.64

Hospital Charge Code	270669362
Hospital Revenue Code	272
Min. Negotiated Rate	$407.63
Max. Negotiated Rate	$1,567.82
Rate for Payer: Aetna Commercial	$940.69
Rate for Payer: Aetna Medicare Advantage	$940.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$799.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$799.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$799.59
Rate for Payer: Cigna Commercial	$1,567.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.63
Rate for Payer: Oxford Commercial	$1,567.82
Rate for Payer: Qualcare PPO/HMO/WC	$470.35
Rate for Payer: UnitedHealthcare Commercial	$1,567.82

SHEAR HARMONIC ACE 7 45CM

Facility

$3,135.64

Hospital Charge Code	270669362
Hospital Revenue Code	272
Min. Negotiated Rate	$470.35
Max. Negotiated Rate	$470.35
Rate for Payer: Qualcare PPO/HMO/WC	$470.35

SHEAR HARMONIC COAGULATING CRV

Facility

$2,115.00

Hospital Charge Code	270659479
Hospital Revenue Code	272
Min. Negotiated Rate	$317.25
Max. Negotiated Rate	$317.25
Rate for Payer: Qualcare PPO/HMO/WC	$317.25

SHEAR HARMONIC COAGULATING CRV

Facility

$2,115.00

Hospital Charge Code	270659479
Hospital Revenue Code	272
Min. Negotiated Rate	$274.95
Max. Negotiated Rate	$1,057.50
Rate for Payer: Aetna Commercial	$634.50
Rate for Payer: Aetna Medicare Advantage	$634.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.33
Rate for Payer: Cigna Commercial	$1,057.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.95
Rate for Payer: Oxford Commercial	$1,057.50
Rate for Payer: Qualcare PPO/HMO/WC	$317.25
Rate for Payer: UnitedHealthcare Commercial	$1,057.50

SHEAR HS FOCUS 9CM

Facility

$2,895.12

Hospital Charge Code	270673935
Hospital Revenue Code	272
Min. Negotiated Rate	$376.37
Max. Negotiated Rate	$1,447.56
Rate for Payer: Aetna Commercial	$868.54
Rate for Payer: Aetna Medicare Advantage	$868.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.26
Rate for Payer: Cigna Commercial	$1,447.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$376.37
Rate for Payer: Oxford Commercial	$1,447.56
Rate for Payer: Qualcare PPO/HMO/WC	$434.27
Rate for Payer: UnitedHealthcare Commercial	$1,447.56

Know your out-of-pocket cost for care.

All Charges