Heights University Hospital

All Charges

Charge

Type

Setting

Price

SYNCHROSEAL 8MM

Facility

$3,450.00

Service Code	HCPCS A4649
Hospital Charge Code	270693939
Hospital Revenue Code	272
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$517.50
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

SYNCHROSEAL 8MM

Facility

$3,450.00

Service Code	HCPCS A4649
Hospital Charge Code	270693939
Hospital Revenue Code	272
Min. Negotiated Rate	$448.50
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,035.00
Rate for Payer: Aetna Medicare Advantage	$1,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.75
Rate for Payer: Cigna Commercial	$1,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.50
Rate for Payer: Oxford Commercial	$1,725.00
Rate for Payer: Qualcare PPO/HMO/WC	$517.50
Rate for Payer: UnitedHealthcare Commercial	$1,725.00

SYNCOPE AND COLLAPSE

Facility

$8,881.33

Service Code	APR-DRG 2042
Min. Negotiated Rate	$5,838.08
Max. Negotiated Rate	$8,881.33
Rate for Payer: Aetna Better Health Medicaid	$8,707.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,881.33
Rate for Payer: Wellpoint Medicaid Managed Care	$5,838.08

SYNCOPE AND COLLAPSE

Facility

$7,530.31

Service Code	APR-DRG 2041
Min. Negotiated Rate	$5,170.24
Max. Negotiated Rate	$7,530.31
Rate for Payer: Aetna Better Health Medicaid	$7,382.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,530.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5,170.24

SYNCOPE AND COLLAPSE

Facility

$11,375.47

Service Code	APR-DRG 2043
Min. Negotiated Rate	$7,365.90
Max. Negotiated Rate	$11,375.47
Rate for Payer: Aetna Better Health Medicaid	$11,152.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,375.47
Rate for Payer: Wellpoint Medicaid Managed Care	$7,365.90

SYNCOPE AND COLLAPSE

Facility

$37,121.07

Service Code	MSDRG 312
Min. Negotiated Rate	$9,511.41
Max. Negotiated Rate	$37,121.07
Rate for Payer: Aetna Commercial	$29,390.26
Rate for Payer: Aetna Medicare Advantage	$9,511.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,373.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,707.62
Rate for Payer: Cigna Commercial	$18,757.70
Rate for Payer: Cigna Medicare Advantage	$12,373.69
Rate for Payer: Clover Medicare Advantage	$11,755.01
Rate for Payer: EmblemHealth Commercial	$37,121.07
Rate for Payer: Humana Medicare Advantage	$12,744.90
Rate for Payer: Oxford Commercial	$11,723.02
Rate for Payer: UnitedHealthcare Commercial	$13,306.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,373.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,116.11
Rate for Payer: Wellcare Medicare Advantage	$12,373.69

SYNCOPE AND COLLAPSE

Facility

$18,860.87

Service Code	APR-DRG 2044
Min. Negotiated Rate	$15,100.65
Max. Negotiated Rate	$18,860.87
Rate for Payer: Aetna Better Health Medicaid	$18,491.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,860.87
Rate for Payer: Wellpoint Medicaid Managed Care	$15,100.65

SYNERCID 500MG/10ML

Facility

$166.00

Hospital Charge Code	60635500
Hospital Revenue Code	636
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$40.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

SYNERCID 500MG/10ML

Facility

$166.00

Hospital Charge Code	60635500
Hospital Revenue Code	636
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$49.80
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

SYNERGY BALLOON DILATION CATH

Facility

$1,342.45

Hospital Charge Code	5100560
Hospital Revenue Code	272
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$201.37
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SYNERGY BALLOON DILATION CATH

Facility

$1,342.45

Hospital Charge Code	5100560
Hospital Revenue Code	272
Min. Negotiated Rate	$174.52
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$402.74
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.52
Rate for Payer: Oxford Commercial	$671.23
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Commercial	$671.23

SYNKAYVITE/10MG/1ML

Facility

$18.00

Hospital Charge Code	60633945
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

SYNKAYVITE/10MG/1ML

Facility

$18.00

Hospital Charge Code	60633945
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

SYNKAYVITE/5MG/1ML

Facility

$13.00

Hospital Charge Code	60633944
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

SYNKAYVITE/5MG/1ML

Facility

$13.00

Hospital Charge Code	60633944
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

SYNKAYVITE/5MG/TAB

Facility

$3.00

Hospital Charge Code	60633943
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

SYNKAYVITE/5MG/TAB

Facility

$3.00

Hospital Charge Code	60633943
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

SYNOVASURE ALPHA DEFENSIN TEST

Facility

$2,250.00

Service Code	HCPCS 83516
Hospital Charge Code	270694539
Hospital Revenue Code	301
Min. Negotiated Rate	$5.76
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$37.36
Rate for Payer: Aetna Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.25
Rate for Payer: Cigna Commercial	$11.53
Rate for Payer: Cigna Medicare Advantage	$5.76
Rate for Payer: Clover Medicare Advantage	$10.95
Rate for Payer: EmblemHealth Commercial	$34.59
Rate for Payer: Humana Medicare Advantage	$11.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.22
Rate for Payer: Wellcare Medicare Advantage	$11.53

SYNOVASURE ALPHA DEFENSIN TEST

Facility

$2,250.00

Service Code	HCPCS 83516
Hospital Charge Code	270694539
Hospital Revenue Code	301
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SYNOVATOR CONCAVE 4.5MM

Facility

$766.45

Hospital Charge Code	270601297
Hospital Revenue Code	272
Min. Negotiated Rate	$99.64
Max. Negotiated Rate	$383.23
Rate for Payer: Aetna Commercial	$229.94
Rate for Payer: Aetna Medicare Advantage	$229.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.44
Rate for Payer: Cigna Commercial	$383.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.64
Rate for Payer: Oxford Commercial	$383.23
Rate for Payer: Qualcare PPO/HMO/WC	$114.97
Rate for Payer: UnitedHealthcare Commercial	$383.23

SYNOVATOR CONCAVE 4.5MM

Facility

$766.45

Hospital Charge Code	270601297
Hospital Revenue Code	272
Min. Negotiated Rate	$114.97
Max. Negotiated Rate	$114.97
Rate for Payer: Qualcare PPO/HMO/WC	$114.97

SYNOVECTOMY TENDN SHTH RADICAL

Facility

$14,854.00

Service Code	HCPCS 26145
Hospital Charge Code	16000325
Hospital Revenue Code	360
Min. Negotiated Rate	$2,228.10
Max. Negotiated Rate	$2,228.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,228.10

SYNOVECTOMY TENDN SHTH RADICAL

Facility

$14,854.00

Service Code	HCPCS 26145
Hospital Charge Code	16000325
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$4,456.20
Rate for Payer: Aetna Commercial	$4,456.20
Rate for Payer: Aetna Medicare Advantage	$4,456.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,787.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,787.77
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	$3,787.77
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,931.02
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,228.10
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

SYNOVIAL FLD DIFFERENTIAL

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38479056
Hospital Revenue Code	309
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

SYNOVIAL FLD DIFFERENTIAL

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38479056
Hospital Revenue Code	309
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

Know your out-of-pocket cost for care.

All Charges