Heights University Hospital

All Charges

Charge

Type

Setting

Price

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

Facility

$140,699.57

Service Code	MSDRG 458
Min. Negotiated Rate	$42,096.09
Max. Negotiated Rate	$140,699.57
Rate for Payer: Aetna Commercial	$140,699.57
Rate for Payer: Aetna Medicare Advantage	$45,533.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124,878.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124,878.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44,311.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124,878.51
Rate for Payer: Cigna Commercial	$89,798.52
Rate for Payer: Cigna Medicare Advantage	$44,311.67
Rate for Payer: Clover Medicare Advantage	$42,096.09
Rate for Payer: EmblemHealth Commercial	$132,935.01
Rate for Payer: Humana Medicare Advantage	$45,641.02
Rate for Payer: Oxford Commercial	$56,121.47
Rate for Payer: UnitedHealthcare Commercial	$63,703.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$44,311.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$46,970.37
Rate for Payer: Wellcare Medicare Advantage	$44,311.67

SPINAL NEEDLE 18GX8 DISP

Facility

$92.00

Hospital Charge Code	270332330
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 18GX8 DISP

Facility

$92.00

Hospital Charge Code	270332330
Hospital Revenue Code	272
Min. Negotiated Rate	$11.96
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$27.60
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.96
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$46.00

SPINAL NEEDLE 20G 3-1/2YELLOW

Facility

$15.00

Hospital Charge Code	270332214
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

SPINAL NEEDLE 20G 3-1/2YELLOW

Facility

$15.00

Hospital Charge Code	270332214
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

SPINAL NEEDLE 20G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332331
Hospital Revenue Code	272
Min. Negotiated Rate	$11.96
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$27.60
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.96
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$46.00

SPINAL NEEDLE 20G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332331
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 22G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332332
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 22G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332332
Hospital Revenue Code	272
Min. Negotiated Rate	$11.96
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$27.60
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.96
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$46.00

SPINAL NEEDLE 22GA X 3-1/2

Facility

$6.64

Hospital Charge Code	270651363
Hospital Revenue Code	270
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$3.32
Rate for Payer: Aetna Commercial	$1.99
Rate for Payer: Aetna Medicare Advantage	$1.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.69
Rate for Payer: Cigna Commercial	$3.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.86
Rate for Payer: Oxford Commercial	$3.32
Rate for Payer: Qualcare PPO/HMO/WC	$1.00
Rate for Payer: UnitedHealthcare Commercial	$3.32

SPINAL NEEDLE 22GA X 3-1/2

Facility

$6.64

Hospital Charge Code	270651363
Hospital Revenue Code	270
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

SPINAL NEEDLE 25G-3-1/2 BLUE

Facility

$15.00

Hospital Charge Code	270332213
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

SPINAL NEEDLE 25G-3-1/2 BLUE

Facility

$15.00

Hospital Charge Code	270332213
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

SPINAL NEEDLE W/K-WIRE 150MM

Facility

$116.00

Hospital Charge Code	270339011
Hospital Revenue Code	272
Min. Negotiated Rate	$15.08
Max. Negotiated Rate	$58.00
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$34.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.58
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$58.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$58.00

SPINAL NEEDLE W/K-WIRE 150MM

Facility

$116.00

Hospital Charge Code	270339011
Hospital Revenue Code	272
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

SPINAL PROCEDURES

Facility

$78,732.41

Service Code	APR-DRG 0234
Min. Negotiated Rate	$67,727.13
Max. Negotiated Rate	$78,732.41
Rate for Payer: Aetna Better Health Medicaid	$77,188.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$78,732.41
Rate for Payer: Wellpoint Medicaid Managed Care	$67,727.13

SPINAL PROCEDURES

Facility

$21,811.45

Service Code	APR-DRG 0231
Min. Negotiated Rate	$13,698.30
Max. Negotiated Rate	$21,811.45
Rate for Payer: Aetna Better Health Medicaid	$21,383.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,811.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13,698.30

SPINAL PROCEDURES

Facility

$49,835.87

Service Code	APR-DRG 0233
Min. Negotiated Rate	$37,920.27
Max. Negotiated Rate	$49,835.87
Rate for Payer: Aetna Better Health Medicaid	$48,858.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$49,835.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37,920.27

SPINAL PROCEDURES

Facility

$29,615.62

Service Code	APR-DRG 0232
Min. Negotiated Rate	$19,626.83
Max. Negotiated Rate	$29,615.62
Rate for Payer: Aetna Better Health Medicaid	$29,034.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,615.62
Rate for Payer: Wellpoint Medicaid Managed Care	$19,626.83

SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS

Facility

$115,038.75

Service Code	MSDRG 029
Min. Negotiated Rate	$35,101.37
Max. Negotiated Rate	$115,038.75
Rate for Payer: Aetna Commercial	$115,038.75
Rate for Payer: Aetna Medicare Advantage	$37,229.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94,554.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94,554.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$36,948.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94,554.81
Rate for Payer: Cigna Medicare Advantage	$36,948.81
Rate for Payer: Clover Medicare Advantage	$35,101.37
Rate for Payer: EmblemHealth Commercial	$110,846.43
Rate for Payer: Humana Medicare Advantage	$38,057.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$36,948.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39,165.74
Rate for Payer: Wellcare Medicare Advantage	$36,948.81

SPINAL PROCEDURES WITH MCC

Facility

$202,599.16

Service Code	MSDRG 028
Min. Negotiated Rate	$58,968.89
Max. Negotiated Rate	$202,599.16
Rate for Payer: Aetna Commercial	$202,599.16
Rate for Payer: Aetna Medicare Advantage	$65,566.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166,229.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166,229.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$62,072.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166,229.01
Rate for Payer: Cigna Medicare Advantage	$62,072.52
Rate for Payer: Clover Medicare Advantage	$58,968.89
Rate for Payer: EmblemHealth Commercial	$186,217.56
Rate for Payer: Humana Medicare Advantage	$63,934.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$62,072.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$65,796.87
Rate for Payer: Wellcare Medicare Advantage	$62,072.52

SPINAL PROCEDURES WITHOUT CC/MCC

Facility

$75,539.52

Service Code	MSDRG 030
Min. Negotiated Rate	$23,920.85
Max. Negotiated Rate	$75,539.52
Rate for Payer: Aetna Commercial	$74,021.88
Rate for Payer: Aetna Medicare Advantage	$23,955.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63,955.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63,955.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,179.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63,955.44
Rate for Payer: Cigna Medicare Advantage	$25,179.84
Rate for Payer: Clover Medicare Advantage	$23,920.85
Rate for Payer: EmblemHealth Commercial	$75,539.52
Rate for Payer: Humana Medicare Advantage	$25,935.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,179.84
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,690.63
Rate for Payer: Wellcare Medicare Advantage	$25,179.84

SPINAL STIM BATTERY

Facility

$120,000.00

Service Code	HCPCS C1778
Hospital Charge Code	270703698
Hospital Revenue Code	278
Min. Negotiated Rate	$18,000.00
Max. Negotiated Rate	$60,000.00
Rate for Payer: Aetna Commercial	$36,000.00
Rate for Payer: Aetna Medicare Advantage	$36,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,600.00
Rate for Payer: Cigna Commercial	$60,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$18,000.00

SPINAL STIM BATTERY

Facility

$120,000.00

Service Code	HCPCS C1778
Hospital Charge Code	270703698
Hospital Revenue Code	278
Min. Negotiated Rate	$18,000.00
Max. Negotiated Rate	$29,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$18,000.00

SPINAL SYSTEM DTRAX

Facility

$14,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270692492
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$4,200.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

Know your out-of-pocket cost for care.

All Charges