Heights University Hospital

All Charges

Charge

Type

Setting

Price

SPINAL BLADE 60

Facility

$2,563.85

Hospital Charge Code	270687792
Hospital Revenue Code	272
Min. Negotiated Rate	$333.30
Max. Negotiated Rate	$1,281.92
Rate for Payer: Aetna Commercial	$769.15
Rate for Payer: Aetna Medicare Advantage	$769.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$653.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$653.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$653.78
Rate for Payer: Cigna Commercial	$1,281.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.30
Rate for Payer: Oxford Commercial	$1,281.92
Rate for Payer: Qualcare PPO/HMO/WC	$384.58
Rate for Payer: UnitedHealthcare Commercial	$1,281.92

SPINAL CORD STIM GEN IMP VANTA

Facility

$122,085.00

Service Code	HCPCS C1767
Hospital Charge Code	270699096
Hospital Revenue Code	278
Min. Negotiated Rate	$18,312.75
Max. Negotiated Rate	$61,042.50
Rate for Payer: Aetna Commercial	$36,625.50
Rate for Payer: Aetna Medicare Advantage	$36,625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,131.67
Rate for Payer: Cigna Commercial	$61,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,544.57
Rate for Payer: Qualcare PPO/HMO/WC	$18,312.75

SPINAL CORD STIM GEN IMP VANTA

Facility

$122,085.00

Service Code	HCPCS C1767
Hospital Charge Code	270699096
Hospital Revenue Code	278
Min. Negotiated Rate	$18,312.75
Max. Negotiated Rate	$29,544.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,544.57
Rate for Payer: Qualcare PPO/HMO/WC	$18,312.75

SPINAL CORD STIMULATION IMPLAN

Facility

$122,085.00

Service Code	HCPCS C1889
Hospital Charge Code	270699302
Hospital Revenue Code	278
Min. Negotiated Rate	$18,312.75
Max. Negotiated Rate	$61,042.50
Rate for Payer: Aetna Commercial	$36,625.50
Rate for Payer: Aetna Medicare Advantage	$36,625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,131.67
Rate for Payer: Cigna Commercial	$61,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,544.57
Rate for Payer: Qualcare PPO/HMO/WC	$18,312.75

SPINAL CORD STIMULATION IMPLAN

Facility

$122,085.00

Service Code	HCPCS C1889
Hospital Charge Code	270699302
Hospital Revenue Code	278
Min. Negotiated Rate	$18,312.75
Max. Negotiated Rate	$29,544.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,544.57
Rate for Payer: Qualcare PPO/HMO/WC	$18,312.75

SPINAL DISK SURGERY ADD-ON

Facility

$29,387.89

Service Code	HCPCS 63035
Hospital Charge Code	16000489
Hospital Revenue Code	360
Min. Negotiated Rate	$4,408.18
Max. Negotiated Rate	$4,408.18
Rate for Payer: Qualcare PPO/HMO/WC	$4,408.18

SPINAL DISK SURGERY ADD-ON

Facility

$29,387.89

Service Code	HCPCS 63035
Hospital Charge Code	16000489
Hospital Revenue Code	360
Min. Negotiated Rate	$223.67
Max. Negotiated Rate	$8,816.37
Rate for Payer: Aetna Commercial	$8,816.37
Rate for Payer: Aetna Medicare Advantage	$8,816.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,493.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,493.91
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	$7,493.91
Rate for Payer: Cigna Commercial	$223.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,820.43
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,408.18
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

SPINAL DISORDERS AND INJURIES

Facility

$23,721.39

Service Code	APR-DRG 0403
Min. Negotiated Rate	$15,490.08
Max. Negotiated Rate	$23,721.39
Rate for Payer: Aetna Better Health Medicaid	$23,256.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,721.39
Rate for Payer: Wellpoint Medicaid Managed Care	$15,490.08

SPINAL DISORDERS AND INJURIES

Facility

$11,970.94

Service Code	APR-DRG 0401
Min. Negotiated Rate	$9,565.19
Max. Negotiated Rate	$11,970.94
Rate for Payer: Aetna Better Health Medicaid	$11,736.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,970.94
Rate for Payer: Wellpoint Medicaid Managed Care	$9,565.19

SPINAL DISORDERS AND INJURIES

Facility

$40,055.31

Service Code	APR-DRG 0404
Min. Negotiated Rate	$34,520.24
Max. Negotiated Rate	$40,055.31
Rate for Payer: Aetna Better Health Medicaid	$34,520.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$35,210.64
Rate for Payer: Wellpoint Medicaid Managed Care	$40,055.31

SPINAL DISORDERS AND INJURIES

Facility

$16,901.71

Service Code	APR-DRG 0402
Min. Negotiated Rate	$10,852.77
Max. Negotiated Rate	$16,901.71
Rate for Payer: Aetna Better Health Medicaid	$16,570.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,901.71
Rate for Payer: Wellpoint Medicaid Managed Care	$10,852.77

SPINAL DISORDERS AND INJURIES WITH CC/MCC

Facility

$64,396.53

Service Code	MSDRG 052
Min. Negotiated Rate	$19,765.96
Max. Negotiated Rate	$64,396.53
Rate for Payer: Aetna Commercial	$61,076.82
Rate for Payer: Aetna Medicare Advantage	$19,765.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53,479.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53,479.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,465.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53,479.98
Rate for Payer: Cigna Medicare Advantage	$21,465.51
Rate for Payer: Clover Medicare Advantage	$20,392.23
Rate for Payer: EmblemHealth Commercial	$64,396.53
Rate for Payer: Humana Medicare Advantage	$22,109.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,465.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,753.44
Rate for Payer: Wellcare Medicare Advantage	$21,465.51

SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC

Facility

$40,244.22

Service Code	MSDRG 053
Min. Negotiated Rate	$10,685.60
Max. Negotiated Rate	$40,244.22
Rate for Payer: Aetna Commercial	$33,018.50
Rate for Payer: Aetna Medicare Advantage	$10,685.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,015.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,015.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,414.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,015.66
Rate for Payer: Cigna Medicare Advantage	$13,414.74
Rate for Payer: Clover Medicare Advantage	$12,744.00
Rate for Payer: EmblemHealth Commercial	$40,244.22
Rate for Payer: Humana Medicare Advantage	$13,817.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,414.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,219.62
Rate for Payer: Wellcare Medicare Advantage	$13,414.74

SPINAL FLUID TAP DIAGNOSTIC

Facility

$2,864.05

Service Code	HCPCS 62270
Hospital Charge Code	366862270
Hospital Revenue Code	361
Min. Negotiated Rate	$372.33
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$859.22
Rate for Payer: Aetna Medicare Advantage	$859.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.33
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	$730.33
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.33
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.61
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

SPINAL FLUID TAP DIAGNOSTIC

Facility

$2,864.05

Service Code	HCPCS 62270
Hospital Charge Code	366862270
Hospital Revenue Code	361
Min. Negotiated Rate	$429.61
Max. Negotiated Rate	$429.61
Rate for Payer: Qualcare PPO/HMO/WC	$429.61

SPINAL FLUID TAP DIAGNOSTIC

Facility

$2,864.05

Service Code	HCPCS 62270
Hospital Charge Code	411062270
Hospital Revenue Code	361
Min. Negotiated Rate	$429.61
Max. Negotiated Rate	$429.61
Rate for Payer: Qualcare PPO/HMO/WC	$429.61

SPINAL FLUID TAP DIAGNOSTIC

Facility

$2,864.05

Service Code	HCPCS 62270
Hospital Charge Code	411062270
Hospital Revenue Code	361
Min. Negotiated Rate	$372.33
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$859.22
Rate for Payer: Aetna Medicare Advantage	$859.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.33
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	$730.33
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.33
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.61
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$24,311.26

Service Code	APR-DRG 3211
Min. Negotiated Rate	$15,910.36
Max. Negotiated Rate	$24,311.26
Rate for Payer: Aetna Better Health Medicaid	$23,834.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,311.26
Rate for Payer: Wellpoint Medicaid Managed Care	$15,910.36

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$64,640.51

Service Code	APR-DRG 3214
Min. Negotiated Rate	$62,499.11
Max. Negotiated Rate	$64,640.51
Rate for Payer: Aetna Better Health Medicaid	$62,499.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$63,749.09
Rate for Payer: Wellpoint Medicaid Managed Care	$64,640.51

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$29,129.70

Service Code	APR-DRG 3212
Min. Negotiated Rate	$20,622.26
Max. Negotiated Rate	$29,129.70
Rate for Payer: Aetna Better Health Medicaid	$28,558.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,129.70
Rate for Payer: Wellpoint Medicaid Managed Care	$20,622.26

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$39,790.31

Service Code	APR-DRG 3213
Min. Negotiated Rate	$34,454.09
Max. Negotiated Rate	$39,790.31
Rate for Payer: Aetna Better Health Medicaid	$39,010.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,790.31
Rate for Payer: Wellpoint Medicaid Managed Care	$34,454.09

SPINAL FUSION EXCEPT CERVICAL WITH MCC

Facility

$182,769.21

Service Code	MSDRG 459
Min. Negotiated Rate	$182,769.21
Max. Negotiated Rate	$182,769.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182,769.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182,769.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182,769.21

SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

Facility

$100,895.22

Service Code	MSDRG 460
Min. Negotiated Rate	$100,895.22
Max. Negotiated Rate	$100,895.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100,895.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100,895.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100,895.22

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC

Facility

$201,075.01

Service Code	MSDRG 457
Min. Negotiated Rate	$58,553.44
Max. Negotiated Rate	$201,075.01
Rate for Payer: Aetna Commercial	$201,075.01
Rate for Payer: Aetna Medicare Advantage	$65,072.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167,607.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167,607.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61,635.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167,607.36
Rate for Payer: Cigna Commercial	$128,331.88
Rate for Payer: Cigna Medicare Advantage	$61,635.20
Rate for Payer: Clover Medicare Advantage	$58,553.44
Rate for Payer: EmblemHealth Commercial	$184,905.60
Rate for Payer: Humana Medicare Advantage	$63,484.26
Rate for Payer: Oxford Commercial	$80,203.70
Rate for Payer: UnitedHealthcare Commercial	$91,038.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$61,635.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$65,333.31
Rate for Payer: Wellcare Medicare Advantage	$61,635.20

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC

Facility

$283,361.65

Service Code	MSDRG 456
Min. Negotiated Rate	$80,983.42
Max. Negotiated Rate	$283,361.65
Rate for Payer: Aetna Commercial	$283,361.65
Rate for Payer: Aetna Medicare Advantage	$91,702.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232,389.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232,389.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85,245.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232,389.81
Rate for Payer: Cigna Commercial	$180,849.57
Rate for Payer: Cigna Medicare Advantage	$85,245.71
Rate for Payer: Clover Medicare Advantage	$80,983.42
Rate for Payer: EmblemHealth Commercial	$255,737.13
Rate for Payer: Humana Medicare Advantage	$87,803.08
Rate for Payer: Oxford Commercial	$113,025.73
Rate for Payer: UnitedHealthcare Commercial	$128,294.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$85,245.71
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90,360.45
Rate for Payer: Wellcare Medicare Advantage	$85,245.71

Know your out-of-pocket cost for care.

All Charges