Heights University Hospital

All Charges

Charge

Type

Setting

Price

TREANDA 100MG/20ML

Facility

$23,893.27

Service Code	HCPCS J9033
Hospital Charge Code	60630209
Hospital Revenue Code	636
Min. Negotiated Rate	$3,583.99
Max. Negotiated Rate	$7,167.98
Rate for Payer: Aetna Commercial	$7,167.98
Rate for Payer: Aetna Medicare Advantage	$7,167.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,092.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,092.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,092.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,782.17
Rate for Payer: Qualcare PPO/HMO/WC	$3,583.99

TREANDA 25MG/1ML

Facility

$5,973.32

Service Code	HCPCS J9033
Hospital Charge Code	60630210
Hospital Revenue Code	636
Min. Negotiated Rate	$896.00
Max. Negotiated Rate	$1,792.00
Rate for Payer: Aetna Commercial	$1,792.00
Rate for Payer: Aetna Medicare Advantage	$1,792.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,523.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,523.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,523.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,445.54
Rate for Payer: Qualcare PPO/HMO/WC	$896.00

TREANDA 25MG/1ML

Facility

$5,973.32

Service Code	HCPCS J9033
Hospital Charge Code	60630210
Hospital Revenue Code	636
Min. Negotiated Rate	$896.00
Max. Negotiated Rate	$1,445.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,445.54
Rate for Payer: Qualcare PPO/HMO/WC	$896.00

Treat Ankle Dislocation

Facility

$28,255.00

Service Code	HCPCS 27848
Hospital Charge Code	16000715
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$8,476.50
Rate for Payer: Aetna Medicare Advantage	$8,476.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,205.02
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	$7,205.02
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,673.15
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

Treat Ankle Dislocation

Facility

$28,255.00

Service Code	HCPCS 27848
Hospital Charge Code	16000715
Hospital Revenue Code	360
Min. Negotiated Rate	$4,238.25
Max. Negotiated Rate	$4,238.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25

TREAT ANKLE FRACTURE

Facility

$63,197.33

Service Code	HCPCS 28445
Hospital Charge Code	16000573
Hospital Revenue Code	360
Min. Negotiated Rate	$9,479.60
Max. Negotiated Rate	$9,479.60
Rate for Payer: Qualcare PPO/HMO/WC	$9,479.60

TREAT ANKLE FRACTURE

Facility

$63,197.33

Service Code	HCPCS 28445
Hospital Charge Code	16000573
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$18,959.20
Rate for Payer: Aetna Commercial	$18,959.20
Rate for Payer: Aetna Medicare Advantage	$18,959.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,115.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,115.32
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	$16,115.32
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,215.65
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,479.60
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TREAT BIG TOE FRACTURE TA

Facility

$12,406.91

Service Code	HCPCS 28505
Hospital Charge Code	16000517
Hospital Revenue Code	360
Min. Negotiated Rate	$1,861.04
Max. Negotiated Rate	$1,861.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04

TREAT BIG TOE FRACTURE TA

Facility

$12,406.91

Service Code	HCPCS 28505
Hospital Charge Code	16000517
Hospital Revenue Code	360
Min. Negotiated Rate	$1,612.90
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$3,722.07
Rate for Payer: Aetna Medicare Advantage	$3,722.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,163.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,163.76
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	$3,163.76
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.90
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

TREAT DISLOCATION/FRACTURE

Facility

$9,423.70

Service Code	HCPCS 23665
Hospital Charge Code	1600000772
Hospital Revenue Code	360
Min. Negotiated Rate	$1,413.56
Max. Negotiated Rate	$1,413.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56

TREAT DISLOCATION/FRACTURE

Facility

$22,425.68

Service Code	HCPCS 23670
Hospital Charge Code	16000819
Hospital Revenue Code	360
Min. Negotiated Rate	$3,363.85
Max. Negotiated Rate	$3,363.85
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85

TREAT DISLOCATION/FRACTURE

Facility

$22,425.68

Service Code	HCPCS 23670
Hospital Charge Code	16000819
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$6,727.70
Rate for Payer: Aetna Medicare Advantage	$6,727.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,718.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,718.55
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	$5,718.55
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.34
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TREAT DISLOCATION/FRACTURE

Facility

$9,423.70

Service Code	HCPCS 23665
Hospital Charge Code	1600000772
Hospital Revenue Code	360
Min. Negotiated Rate	$1,225.08
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,827.11
Rate for Payer: Aetna Medicare Advantage	$2,827.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,403.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,403.04
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	$2,403.04
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,225.08
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

TREAT ELBOW DISLOCATION

Facility

$7,914.45

Service Code	HCPCS 24605
Hospital Charge Code	5792270
Hospital Revenue Code	450
Min. Negotiated Rate	$198.74
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,374.34
Rate for Payer: Aetna Medicare Advantage	$2,374.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,018.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,018.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,018.18
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,028.88
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.17

TREAT ELBOW DISLOCATION

Facility

$7,914.45

Service Code	HCPCS 24605
Hospital Charge Code	5792270
Hospital Revenue Code	450
Min. Negotiated Rate	$1,187.17
Max. Negotiated Rate	$1,187.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.17

TREAT ELBOW FRACTURE

Facility

$61,414.00

Service Code	HCPCS 24635
Hospital Charge Code	16000826
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$18,424.20
Rate for Payer: Aetna Commercial	$18,424.20
Rate for Payer: Aetna Medicare Advantage	$18,424.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,660.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,660.57
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	$15,660.57
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,983.82
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,212.10
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TREAT ELBOW FRACTURE

Facility

$61,414.00

Service Code	HCPCS 24635
Hospital Charge Code	16000826
Hospital Revenue Code	360
Min. Negotiated Rate	$9,212.10
Max. Negotiated Rate	$9,212.10
Rate for Payer: Qualcare PPO/HMO/WC	$9,212.10

TREAT FINGER DISLOCATION

Facility

$28,255.50

Service Code	HCPCS 26785
Hospital Charge Code	16000703
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,476.65
Rate for Payer: Aetna Commercial	$8,476.65
Rate for Payer: Aetna Medicare Advantage	$8,476.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,205.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,205.15
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	$7,205.15
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,673.22
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.32
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

TREAT FINGER DISLOCATION

Facility

$28,255.50

Service Code	HCPCS 26785
Hospital Charge Code	16000703
Hospital Revenue Code	360
Min. Negotiated Rate	$4,238.32
Max. Negotiated Rate	$4,238.32
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.32

TREAT FINGER FRACTURE EACH

Facility

$15,572.00

Service Code	HCPCS 26735
Hospital Charge Code	5700412
Hospital Revenue Code	450
Min. Negotiated Rate	$217.35
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$4,671.60
Rate for Payer: Aetna Medicare Advantage	$4,671.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,970.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,970.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,970.86
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,024.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,335.80

TREAT FINGER FRACTURE EACH

Facility

$15,572.00

Service Code	HCPCS 26735
Hospital Charge Code	5700412
Hospital Revenue Code	450
Min. Negotiated Rate	$2,335.80
Max. Negotiated Rate	$2,335.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,335.80

TREAT FINGER FRACTURE EACH

Facility

$19,105.25

Service Code	HCPCS 26735
Hospital Charge Code	1600000798
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,731.57
Rate for Payer: Aetna Medicare Advantage	$5,731.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,871.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,871.84
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	$4,871.84
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,483.68
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

TREAT FINGER FRACTURE EACH

Facility

$19,105.25

Service Code	HCPCS 26735
Hospital Charge Code	1600000798
Hospital Revenue Code	360
Min. Negotiated Rate	$2,865.79
Max. Negotiated Rate	$2,865.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79

TREAT FOOT DISLOCATION

Facility

$18,387.96

Service Code	HCPCS 28606
Hospital Charge Code	1600000867
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,516.39
Rate for Payer: Aetna Medicare Advantage	$5,516.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,688.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,688.93
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	$4,688.93
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,390.43
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,758.19
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

TREAT FOOT DISLOCATION

Facility

$18,387.96

Service Code	HCPCS 28606
Hospital Charge Code	1600000867
Hospital Revenue Code	360
Min. Negotiated Rate	$2,758.19
Max. Negotiated Rate	$2,758.19
Rate for Payer: Qualcare PPO/HMO/WC	$2,758.19

Know your out-of-pocket cost for care.

All Charges