Heights University Hospital

All Charges

Charge

Type

Setting

Price

TREATMENT ZONE 50 ENDO 106CM

Facility

$12,975.00

Hospital Charge Code	2709003197
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 6CM ENDOVASCULA

Facility

$12,975.00

Hospital Charge Code	2709003191
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.75
Max. Negotiated Rate	$6,487.50
Rate for Payer: Aetna Commercial	$3,892.50
Rate for Payer: Aetna Medicare Advantage	$3,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,308.62
Rate for Payer: Cigna Commercial	$6,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.75
Rate for Payer: Oxford Commercial	$6,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25
Rate for Payer: UnitedHealthcare Commercial	$6,487.50

TREATMENT ZONE 6CM ENDOVASCULA

Facility

$12,975.00

Hospital Charge Code	2709003191
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.25
Max. Negotiated Rate	$1,946.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.25

TREAT METACARPAL FRACTURE

Facility

$48,992.10

Service Code	HCPCS 26615
Hospital Charge Code	16000256
Hospital Revenue Code	360
Min. Negotiated Rate	$7,348.81
Max. Negotiated Rate	$7,348.81
Rate for Payer: Qualcare PPO/HMO/WC	$7,348.81

TREAT METACARPAL FRACTURE

Facility

$48,992.10

Service Code	HCPCS 26615
Hospital Charge Code	16000256
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,697.63
Rate for Payer: Aetna Commercial	$14,697.63
Rate for Payer: Aetna Medicare Advantage	$14,697.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,492.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,492.99
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	$12,492.99
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,368.97
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,348.81
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TREAT METATARSAL FRACTURES

Facility

$48,992.10

Service Code	HCPCS 28485
Hospital Charge Code	16000222
Hospital Revenue Code	360
Min. Negotiated Rate	$7,348.81
Max. Negotiated Rate	$7,348.81
Rate for Payer: Qualcare PPO/HMO/WC	$7,348.81

TREAT METATARSAL FRACTURES

Facility

$48,992.10

Service Code	HCPCS 28485
Hospital Charge Code	16000222
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$14,697.63
Rate for Payer: Aetna Medicare Advantage	$14,697.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,492.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,492.99
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	$12,492.99
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,368.97
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,348.81
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TREAT PLEURODESIS W/AGENT

Facility

$2,912.40

Service Code	HCPCS 32560
Hospital Charge Code	160000236
Hospital Revenue Code	360
Min. Negotiated Rate	$378.61
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$873.72
Rate for Payer: Aetna Medicare Advantage	$873.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.66
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	$742.66
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.61
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$436.86
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

TREAT PLEURODESIS W/AGENT

Facility

$1,613.00

Service Code	HCPCS 32560
Hospital Charge Code	7411387
Hospital Revenue Code	361
Min. Negotiated Rate	$241.95
Max. Negotiated Rate	$241.95
Rate for Payer: Qualcare PPO/HMO/WC	$241.95

TREAT PLEURODESIS W/AGENT

Facility

$1,613.00

Service Code	HCPCS 32560
Hospital Charge Code	7411387
Hospital Revenue Code	361
Min. Negotiated Rate	$209.69
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$483.90
Rate for Payer: Aetna Medicare Advantage	$483.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.31
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	$411.31
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.69
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$241.95
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

TREAT PLEURODESIS W/AGENT

Facility

$1,613.00

Service Code	HCPCS 32560
Hospital Charge Code	2690045
Hospital Revenue Code	361
Min. Negotiated Rate	$241.95
Max. Negotiated Rate	$241.95
Rate for Payer: Qualcare PPO/HMO/WC	$241.95

TREAT PLEURODESIS W/AGENT

Facility

$2,912.40

Service Code	HCPCS 32560
Hospital Charge Code	160000236
Hospital Revenue Code	360
Min. Negotiated Rate	$436.86
Max. Negotiated Rate	$436.86
Rate for Payer: Qualcare PPO/HMO/WC	$436.86

TREAT PLEURODESIS W/AGENT

Facility

$1,613.00

Service Code	HCPCS 32560
Hospital Charge Code	2690045
Hospital Revenue Code	361
Min. Negotiated Rate	$209.69
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$483.90
Rate for Payer: Aetna Medicare Advantage	$483.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.31
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	$411.31
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.69
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$241.95
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

TREAT SCAPULA FRACTURE

Facility

$26,701.00

Service Code	HCPCS 23585
Hospital Charge Code	16000678
Hospital Revenue Code	360
Min. Negotiated Rate	$4,005.15
Max. Negotiated Rate	$4,005.15
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.15

TREAT SCAPULA FRACTURE

Facility

$26,701.00

Service Code	HCPCS 23585
Hospital Charge Code	16000678
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$8,010.30
Rate for Payer: Aetna Medicare Advantage	$8,010.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,808.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,808.76
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	$6,808.76
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,471.13
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.15
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TREAT SPINAL CANAL LESION

Facility

$4,033.08

Service Code	HCPCS 62282
Hospital Charge Code	1600000497
Hospital Revenue Code	360
Min. Negotiated Rate	$524.30
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,209.92
Rate for Payer: Aetna Medicare Advantage	$1,209.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,028.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,028.44
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	$1,028.44
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$524.30
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$604.96
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

TREAT SPINAL CANAL LESION

Facility

$4,033.08

Service Code	HCPCS 62282
Hospital Charge Code	1600000497
Hospital Revenue Code	360
Min. Negotiated Rate	$604.96
Max. Negotiated Rate	$604.96
Rate for Payer: Qualcare PPO/HMO/WC	$604.96

TREAT THUMB FRACTURE

Facility

$14,272.88

Service Code	HCPCS 26665
Hospital Charge Code	16000857
Hospital Revenue Code	360
Min. Negotiated Rate	$2,140.93
Max. Negotiated Rate	$2,140.93
Rate for Payer: Qualcare PPO/HMO/WC	$2,140.93

TREAT THUMB FRACTURE

Facility

$14,272.88

Service Code	HCPCS 26665
Hospital Charge Code	16000857
Hospital Revenue Code	360
Min. Negotiated Rate	$1,855.47
Max. Negotiated Rate	$9,851.00
Rate for Payer: Aetna Commercial	$4,281.86
Rate for Payer: Aetna Medicare Advantage	$4,281.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,639.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,639.58
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	$3,639.58
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,855.47
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,140.93
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

TREAT TOE DISLOCATION

Facility

$3,213.34

Service Code	HCPCS 28635
Hospital Charge Code	16000914
Hospital Revenue Code	360
Min. Negotiated Rate	$482.00
Max. Negotiated Rate	$482.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.00

TREAT TOE DISLOCATION

Facility

$3,213.34

Service Code	HCPCS 28635
Hospital Charge Code	16000914
Hospital Revenue Code	360
Min. Negotiated Rate	$417.73
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$964.00
Rate for Payer: Aetna Medicare Advantage	$964.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.40
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	$819.40
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.73
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.00
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

TREAT TOE DISLOCATION REQ ANES

Facility

$8,575.05

Service Code	HCPCS 28635
Hospital Charge Code	5792293
Hospital Revenue Code	450
Min. Negotiated Rate	$80.78
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,572.51
Rate for Payer: Aetna Medicare Advantage	$2,572.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,186.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,186.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,186.64
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,114.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.26

TREAT TOE DISLOCATION REQ ANES

Facility

$8,575.05

Service Code	HCPCS 28635
Hospital Charge Code	5792293
Hospital Revenue Code	450
Min. Negotiated Rate	$1,286.26
Max. Negotiated Rate	$1,286.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.26

TREAT TOE FRACTURE

Facility

$23,899.60

Service Code	HCPCS 28525
Hospital Charge Code	16000575
Hospital Revenue Code	360
Min. Negotiated Rate	$3,584.94
Max. Negotiated Rate	$3,584.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94

TREAT TOE FRACTURE

Facility

$23,899.60

Service Code	HCPCS 28525
Hospital Charge Code	16000575
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$7,169.88
Rate for Payer: Aetna Medicare Advantage	$7,169.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,094.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,094.40
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	$6,094.40
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,106.95
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges