Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRANSTELEPHONIC PACE CK D/S

Facility

$180.00

Service Code	HCPCS 93293
Hospital Charge Code	74116024
Hospital Revenue Code	732
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

TRANSTELEPHONIC PACE CK D/S

Facility

$180.00

Service Code	HCPCS 93293
Hospital Charge Code	74116024
Hospital Revenue Code	732
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$1,592.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$1,404.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$1,592.00

TRANSTELEPHONIC PACE CK D/S

Facility

$160.85

Service Code	HCPCS 93293
Hospital Charge Code	5300120
Hospital Revenue Code	732
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

TRANSTELEPHONIC PACE CK D/S

Facility

$160.85

Service Code	HCPCS 93293
Hospital Charge Code	5300120
Hospital Revenue Code	732
Min. Negotiated Rate	$20.91
Max. Negotiated Rate	$1,592.00
Rate for Payer: Aetna Commercial	$48.26
Rate for Payer: Aetna Medicare Advantage	$48.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.02
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.91
Rate for Payer: Oxford Commercial	$1,404.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.13
Rate for Payer: UnitedHealthcare Commercial	$1,592.00

TRANSTELEPHONIC PACE CK D/S

Facility

$180.00

Service Code	HCPCS 93293
Hospital Charge Code	74115024
Hospital Revenue Code	732
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

TRANSTELEPHONIC PACE CK D/S

Facility

$180.00

Service Code	HCPCS 93293
Hospital Charge Code	74115024
Hospital Revenue Code	732
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$1,592.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$1,404.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$1,592.00

TRANSTELEPHONIC PACE CK D/S

Facility

$160.85

Service Code	HCPCS 93293
Hospital Charge Code	94053100
Hospital Revenue Code	732
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

TRANSTELEPHONIC PCMKR CHK SGL

Facility

$106.90

Service Code	HCPCS 93293
Hospital Charge Code	5300135
Hospital Revenue Code	921
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$32.07
Rate for Payer: Aetna Medicare Advantage	$32.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.26
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.90
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.04
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

TRANSTELEPHONIC PCMKR CHK SGL

Facility

$106.90

Service Code	HCPCS 93293
Hospital Charge Code	5300135
Hospital Revenue Code	921
Min. Negotiated Rate	$16.04
Max. Negotiated Rate	$16.04
Rate for Payer: Qualcare PPO/HMO/WC	$16.04

TRANSTELEPHONIC PCMKR MON DUAL

Facility

$128.65

Service Code	HCPCS 93293
Hospital Charge Code	5300116
Hospital Revenue Code	921
Min. Negotiated Rate	$19.30
Max. Negotiated Rate	$19.30
Rate for Payer: Qualcare PPO/HMO/WC	$19.30

TRANSTELEPHONIC PCMKR MON DUAL

Facility

$128.65

Service Code	HCPCS 93293
Hospital Charge Code	5300116
Hospital Revenue Code	921
Min. Negotiated Rate	$16.72
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$38.59
Rate for Payer: Aetna Medicare Advantage	$38.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.81
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.72
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.30
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

TRANSUR ELECTR RESECT OF PROST

Facility

$34,504.00

Service Code	HCPCS 52601
Hospital Charge Code	1600000271
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,768.54
Rate for Payer: Aetna Commercial	$10,351.20
Rate for Payer: Aetna Medicare Advantage	$10,351.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,798.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,798.52
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	$8,798.52
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,485.52
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,175.60
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

TRANSUR ELECTR RESECT OF PROST

Facility

$34,504.00

Service Code	HCPCS 52601
Hospital Charge Code	1600000271
Hospital Revenue Code	360
Min. Negotiated Rate	$5,175.60
Max. Negotiated Rate	$5,175.60
Rate for Payer: Qualcare PPO/HMO/WC	$5,175.60

TRANSUR ELECTR RESECT OF PROST

Facility

$34,504.00

Service Code	HCPCS 52601
Hospital Charge Code	1600000259
Hospital Revenue Code	360
Min. Negotiated Rate	$5,175.60
Max. Negotiated Rate	$5,175.60
Rate for Payer: Qualcare PPO/HMO/WC	$5,175.60

TRANSUR ELECTR RESECT OF PROST

Facility

$34,504.00

Service Code	HCPCS 52601
Hospital Charge Code	1600000259
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,768.54
Rate for Payer: Aetna Commercial	$10,351.20
Rate for Payer: Aetna Medicare Advantage	$10,351.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,798.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,798.52
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	$8,798.52
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,485.52
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,175.60
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

TRANSURETHRAL PROCEDURES WITH CC

Facility

$56,870.16

Service Code	MSDRG 669
Min. Negotiated Rate	$16,936.33
Max. Negotiated Rate	$56,870.16
Rate for Payer: Aetna Commercial	$52,333.26
Rate for Payer: Aetna Medicare Advantage	$16,936.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,177.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,177.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,956.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,177.51
Rate for Payer: Cigna Commercial	$33,400.59
Rate for Payer: Cigna Medicare Advantage	$18,956.72
Rate for Payer: Clover Medicare Advantage	$18,008.88
Rate for Payer: EmblemHealth Commercial	$56,870.16
Rate for Payer: Humana Medicare Advantage	$19,525.42
Rate for Payer: Oxford Commercial	$20,874.40
Rate for Payer: UnitedHealthcare Commercial	$23,694.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,956.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,094.12
Rate for Payer: Wellcare Medicare Advantage	$18,956.72

TRANSURETHRAL PROCEDURES WITH MCC

Facility

$98,462.05

Service Code	MSDRG 668
Min. Negotiated Rate	$30,582.84
Max. Negotiated Rate	$98,462.05
Rate for Payer: Aetna Commercial	$98,462.05
Rate for Payer: Aetna Medicare Advantage	$31,864.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77,738.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77,738.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,192.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77,738.94
Rate for Payer: Cigna Commercial	$62,841.32
Rate for Payer: Cigna Medicare Advantage	$32,192.46
Rate for Payer: Clover Medicare Advantage	$30,582.84
Rate for Payer: EmblemHealth Commercial	$96,577.38
Rate for Payer: Humana Medicare Advantage	$33,158.23
Rate for Payer: Oxford Commercial	$39,274.00
Rate for Payer: UnitedHealthcare Commercial	$44,579.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,192.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$34,124.01
Rate for Payer: Wellcare Medicare Advantage	$32,192.46

TRANSURETHRAL PROCEDURES WITHOUT CC/MCC

Facility

$40,189.08

Service Code	MSDRG 670
Min. Negotiated Rate	$10,664.87
Max. Negotiated Rate	$40,189.08
Rate for Payer: Aetna Commercial	$32,954.45
Rate for Payer: Aetna Medicare Advantage	$10,664.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,464.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,464.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,396.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,464.32
Rate for Payer: Cigna Commercial	$21,032.47
Rate for Payer: Cigna Medicare Advantage	$13,396.36
Rate for Payer: Clover Medicare Advantage	$12,726.54
Rate for Payer: EmblemHealth Commercial	$40,189.08
Rate for Payer: Humana Medicare Advantage	$13,798.25
Rate for Payer: Oxford Commercial	$13,144.68
Rate for Payer: UnitedHealthcare Commercial	$14,920.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,396.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,200.14
Rate for Payer: Wellcare Medicare Advantage	$13,396.36

TRANSURETHRAL PROSTATECTOMY

Facility

$9,819.46

Service Code	APR-DRG 4821
Min. Negotiated Rate	$6,389.46
Max. Negotiated Rate	$9,819.46
Rate for Payer: Aetna Better Health Medicaid	$9,626.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,819.46
Rate for Payer: Wellpoint Medicaid Managed Care	$6,389.46

TRANSURETHRAL PROSTATECTOMY

Facility

$12,156.36

Service Code	APR-DRG 4822
Min. Negotiated Rate	$8,338.10
Max. Negotiated Rate	$12,156.36
Rate for Payer: Aetna Better Health Medicaid	$11,918.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,156.36
Rate for Payer: Wellpoint Medicaid Managed Care	$8,338.10

TRANSURETHRAL PROSTATECTOMY

Facility

$22,134.44

Service Code	APR-DRG 4823
Min. Negotiated Rate	$15,178.03
Max. Negotiated Rate	$22,134.44
Rate for Payer: Aetna Better Health Medicaid	$21,700.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,134.44
Rate for Payer: Wellpoint Medicaid Managed Care	$15,178.03

TRANSURETHRAL PROSTATECTOMY

Facility

$37,197.83

Service Code	APR-DRG 4824
Min. Negotiated Rate	$30,294.78
Max. Negotiated Rate	$37,197.83
Rate for Payer: Aetna Better Health Medicaid	$36,468.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$37,197.83
Rate for Payer: Wellpoint Medicaid Managed Care	$30,294.78

TRANSURETHRAL PROSTATECTOMY WITH CC/MCC

Facility

$55,459.53

Service Code	MSDRG 713
Min. Negotiated Rate	$16,405.98
Max. Negotiated Rate	$55,459.53
Rate for Payer: Aetna Commercial	$50,694.48
Rate for Payer: Aetna Medicare Advantage	$16,405.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,972.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,972.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,486.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,972.15
Rate for Payer: Cigna Commercial	$32,354.67
Rate for Payer: Cigna Medicare Advantage	$18,486.51
Rate for Payer: Clover Medicare Advantage	$17,562.18
Rate for Payer: EmblemHealth Commercial	$55,459.53
Rate for Payer: Humana Medicare Advantage	$19,041.11
Rate for Payer: Oxford Commercial	$20,220.73
Rate for Payer: UnitedHealthcare Commercial	$22,952.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,486.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,595.70
Rate for Payer: Wellcare Medicare Advantage	$18,486.51

TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC

Facility

$42,514.05

Service Code	MSDRG 714
Min. Negotiated Rate	$11,538.97
Max. Negotiated Rate	$42,514.05
Rate for Payer: Aetna Commercial	$35,655.42
Rate for Payer: Aetna Medicare Advantage	$11,538.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,464.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,464.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,171.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,464.32
Rate for Payer: Cigna Commercial	$22,756.31
Rate for Payer: Cigna Medicare Advantage	$14,171.35
Rate for Payer: Clover Medicare Advantage	$13,462.78
Rate for Payer: EmblemHealth Commercial	$42,514.05
Rate for Payer: Humana Medicare Advantage	$14,596.49
Rate for Payer: Oxford Commercial	$14,222.03
Rate for Payer: UnitedHealthcare Commercial	$16,143.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,171.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,021.63
Rate for Payer: Wellcare Medicare Advantage	$14,171.35

TRANSURETHRAL RSCTN BLDDR NECK

Facility

$23,841.70

Service Code	HCPCS 52500
Hospital Charge Code	1600000310
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$7,152.51
Rate for Payer: Aetna Medicare Advantage	$7,152.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,079.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,079.63
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	$6,079.63
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,099.42
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,576.26
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges