Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHUNT BYPASS JAVID CAROTID

Facility

$5,925.00

Hospital Charge Code	270656013
Hospital Revenue Code	278
Min. Negotiated Rate	$888.75
Max. Negotiated Rate	$2,962.50
Rate for Payer: Aetna Commercial	$1,777.50
Rate for Payer: Aetna Medicare Advantage	$1,777.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,510.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,510.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,510.88
Rate for Payer: Cigna Commercial	$2,962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,433.85
Rate for Payer: Qualcare PPO/HMO/WC	$888.75

SHUNT CAROTD BYPASS 14F 007755

Facility

$445.75

Service Code	HCPCS C1729
Hospital Charge Code	270629730
Hospital Revenue Code	278
Min. Negotiated Rate	$66.86
Max. Negotiated Rate	$107.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.87
Rate for Payer: Qualcare PPO/HMO/WC	$66.86

SHUNT CAROTD BYPASS 14F 007755

Facility

$445.75

Service Code	HCPCS C1729
Hospital Charge Code	270629730
Hospital Revenue Code	278
Min. Negotiated Rate	$66.86
Max. Negotiated Rate	$222.88
Rate for Payer: Aetna Commercial	$133.72
Rate for Payer: Aetna Medicare Advantage	$133.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.67
Rate for Payer: Cigna Commercial	$222.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.87
Rate for Payer: Qualcare PPO/HMO/WC	$66.86

SHUNT CAROTID ARTERY 6

Facility

$179.25

Service Code	HCPCS C1729
Hospital Charge Code	270600281
Hospital Revenue Code	278
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$89.62
Rate for Payer: Aetna Commercial	$53.77
Rate for Payer: Aetna Medicare Advantage	$53.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.71
Rate for Payer: Cigna Commercial	$89.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

SHUNT CAROTID ARTERY 6

Facility

$179.25

Service Code	HCPCS C1729
Hospital Charge Code	270600281
Hospital Revenue Code	278
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$43.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

SHUNT CAROTID BYPASS JAVID

Facility

$284.00

Hospital Charge Code	270331545
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$142.00
Rate for Payer: Aetna Commercial	$85.20
Rate for Payer: Aetna Medicare Advantage	$85.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.42
Rate for Payer: Cigna Commercial	$142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.73
Rate for Payer: Qualcare PPO/HMO/WC	$42.60

SHUNT CAROTID BYPASS JAVID

Facility

$284.00

Hospital Charge Code	270331545
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$68.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.73
Rate for Payer: Qualcare PPO/HMO/WC	$42.60

SHUNT CAROTID JAVID 007714

Facility

$411.25

Hospital Charge Code	270624964
Hospital Revenue Code	278
Min. Negotiated Rate	$61.69
Max. Negotiated Rate	$205.62
Rate for Payer: Aetna Commercial	$123.38
Rate for Payer: Aetna Medicare Advantage	$123.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.87
Rate for Payer: Cigna Commercial	$205.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.52
Rate for Payer: Qualcare PPO/HMO/WC	$61.69

SHUNT CAROTID JAVID 007714

Facility

$411.25

Hospital Charge Code	270624964
Hospital Revenue Code	278
Min. Negotiated Rate	$61.69
Max. Negotiated Rate	$99.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.52
Rate for Payer: Qualcare PPO/HMO/WC	$61.69

SHUNT CAROTID LS1408

Facility

$1,250.00

Service Code	HCPCS C1729
Hospital Charge Code	270640873
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SHUNT CAROTID LS1408

Facility

$1,250.00

Service Code	HCPCS C1729
Hospital Charge Code	270640873
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SHUNT CAROTID PRUIT INHARA T

Facility

$883.25

Hospital Charge Code	270600283
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SHUNT CAROTID PRUIT INHARA T

Facility

$883.25

Hospital Charge Code	270600283
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$264.98
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SHUNT CAROTID PRUITT T

Facility

$460.00

Hospital Charge Code	270601222
Hospital Revenue Code	272
Min. Negotiated Rate	$59.80
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$138.00
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.80
Rate for Payer: Oxford Commercial	$230.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$230.00

SHUNT CAROTID PRUITT T

Facility

$460.00

Hospital Charge Code	270601222
Hospital Revenue Code	272
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

SHUNT CARTID BYPASS 14f 007755

Facility

$421.65

Hospital Charge Code	270629720
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SHUNT CARTID BYPASS 14f 007755

Facility

$421.65

Hospital Charge Code	270629720
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SHUNT CERTAS VALVE PLUS

Facility

$31,470.00

Service Code	HCPCS L8699
Hospital Charge Code	270701951
Hospital Revenue Code	278
Min. Negotiated Rate	$4,720.50
Max. Negotiated Rate	$7,615.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,615.74
Rate for Payer: Qualcare PPO/HMO/WC	$4,720.50

SHUNT CERTAS VALVE PLUS

Facility

$31,470.00

Service Code	HCPCS L8699
Hospital Charge Code	270701951
Hospital Revenue Code	278
Min. Negotiated Rate	$4,720.50
Max. Negotiated Rate	$15,735.00
Rate for Payer: Aetna Commercial	$9,441.00
Rate for Payer: Aetna Medicare Advantage	$9,441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,024.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,024.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,024.85
Rate for Payer: Cigna Commercial	$15,735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,615.74
Rate for Payer: Qualcare PPO/HMO/WC	$4,720.50

SHUNT LUMBAR PERITONEAL CSF

Facility

$3,550.00

Hospital Charge Code	270662447
Hospital Revenue Code	278
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$1,775.00
Rate for Payer: Aetna Commercial	$1,065.00
Rate for Payer: Aetna Medicare Advantage	$1,065.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$905.25
Rate for Payer: Cigna Commercial	$1,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.10
Rate for Payer: Qualcare PPO/HMO/WC	$532.50

SHUNT LUMBAR PERITONEAL CSF

Facility

$3,550.00

Hospital Charge Code	270662447
Hospital Revenue Code	278
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$859.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.10
Rate for Payer: Qualcare PPO/HMO/WC	$532.50

SHUNT VALVE HIGH PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696361
Hospital Revenue Code	278
Min. Negotiated Rate	$833.04
Max. Negotiated Rate	$1,343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04

SHUNT VALVE HIGH PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696361
Hospital Revenue Code	278
Min. Negotiated Rate	$833.04
Max. Negotiated Rate	$2,776.80
Rate for Payer: Aetna Commercial	$1,666.08
Rate for Payer: Aetna Medicare Advantage	$1,666.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,416.17
Rate for Payer: Cigna Commercial	$2,776.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04

SHUNT VALVE LOW PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696365
Hospital Revenue Code	278
Min. Negotiated Rate	$833.04
Max. Negotiated Rate	$1,343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04

SHUNT VALVE LOW PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696365
Hospital Revenue Code	278
Min. Negotiated Rate	$833.04
Max. Negotiated Rate	$2,776.80
Rate for Payer: Aetna Commercial	$1,666.08
Rate for Payer: Aetna Medicare Advantage	$1,666.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,416.17
Rate for Payer: Cigna Commercial	$2,776.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04

Know your out-of-pocket cost for care.

All Charges