Heights University Hospital

All Charges

Charge

Type

Setting

Price

UNIVERSAL TENODESIS

Facility

$2,227.50

Hospital Charge Code	270678631
Hospital Revenue Code	272
Min. Negotiated Rate	$289.57
Max. Negotiated Rate	$1,113.75
Rate for Payer: Aetna Commercial	$668.25
Rate for Payer: Aetna Medicare Advantage	$668.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$568.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$568.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$568.01
Rate for Payer: Cigna Commercial	$1,113.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.57
Rate for Payer: Oxford Commercial	$1,113.75
Rate for Payer: Qualcare PPO/HMO/WC	$334.12
Rate for Payer: UnitedHealthcare Commercial	$1,113.75

UNIVERSAL XTRACT SET

Facility

$9,000.00

Hospital Charge Code	270687383
Hospital Revenue Code	272
Min. Negotiated Rate	$1,170.00
Max. Negotiated Rate	$4,500.00
Rate for Payer: Aetna Commercial	$2,700.00
Rate for Payer: Aetna Medicare Advantage	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,295.00
Rate for Payer: Cigna Commercial	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.00
Rate for Payer: Oxford Commercial	$4,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00
Rate for Payer: UnitedHealthcare Commercial	$4,500.00

UNIVERSAL XTRACT SET

Facility

$9,000.00

Hospital Charge Code	270687383
Hospital Revenue Code	272
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$1,350.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

UNIV HEADBIPO COMP 45MM X 26MM

Facility

$7,945.00

Hospital Charge Code	270656566
Hospital Revenue Code	278
Min. Negotiated Rate	$1,191.75
Max. Negotiated Rate	$3,972.50
Rate for Payer: Aetna Commercial	$2,383.50
Rate for Payer: Aetna Medicare Advantage	$2,383.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,589.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,025.97
Rate for Payer: Cigna Commercial	$3,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,922.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75

UNIV HEADBIPO COMP 45MM X 26MM

Facility

$7,945.00

Hospital Charge Code	270656566
Hospital Revenue Code	278
Min. Negotiated Rate	$1,191.75
Max. Negotiated Rate	$1,922.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,589.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,922.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75

UNI WASH ******

Facility

$65.00

Hospital Charge Code	8002099
Hospital Revenue Code	279
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$19.50
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$32.50

UNI WASH ******

Facility

$65.00

Hospital Charge Code	8002099
Hospital Revenue Code	279
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

UNIWASH SKIN WS SENSICARE

Facility

$16.85

Hospital Charge Code	270302500
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

UNIWASH SKIN WS SENSICARE

Facility

$16.85

Hospital Charge Code	270302500
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

UNLISTED CASTING/STRAPPING PRO

Facility

$468.75

Service Code	HCPCS 29799
Hospital Charge Code	5780165
Hospital Revenue Code	450
Min. Negotiated Rate	$26.45
Max. Negotiated Rate	$386.97
Rate for Payer: Aetna Commercial	$140.62
Rate for Payer: Aetna Medicare Advantage	$140.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.53
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.94
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

UNLISTED CASTING/STRAPPING PRO

Facility

$468.75

Service Code	HCPCS 29799
Hospital Charge Code	5780165
Hospital Revenue Code	450
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$70.31
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

UNLISTED CYTOPATH

Facility

$66.00

Service Code	HCPCS 88199
Hospital Charge Code	38477058
Hospital Revenue Code	311
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

UNLISTED CYTOPATH

Facility

$66.00

Service Code	HCPCS 88199
Hospital Charge Code	38477058
Hospital Revenue Code	311
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$114.00

UNLISTED HYSTEROSCOPY UTERUS

Facility

$778.40

Service Code	HCPCS 58579
Hospital Charge Code	16001008
Hospital Revenue Code	360
Min. Negotiated Rate	$101.19
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$233.52
Rate for Payer: Aetna Medicare Advantage	$233.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.49
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	$198.49
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.19
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.76
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

UNLISTED HYSTEROSCOPY UTERUS

Facility

$778.40

Service Code	HCPCS 58579
Hospital Charge Code	16001008
Hospital Revenue Code	360
Min. Negotiated Rate	$116.76
Max. Negotiated Rate	$116.76
Rate for Payer: Qualcare PPO/HMO/WC	$116.76

UNLISTED JNT ARTHROSC

Facility

$11,779.44

Service Code	HCPCS 29999
Hospital Charge Code	16000247
Hospital Revenue Code	360
Min. Negotiated Rate	$1,766.92
Max. Negotiated Rate	$1,766.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,766.92

UNLISTED JNT ARTHROSC

Facility

$11,779.44

Service Code	HCPCS 29999
Hospital Charge Code	16000247
Hospital Revenue Code	360
Min. Negotiated Rate	$587.42
Max. Negotiated Rate	$3,533.83
Rate for Payer: Aetna Commercial	$3,533.83
Rate for Payer: Aetna Medicare Advantage	$3,533.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,003.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,003.76
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	$3,003.76
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,531.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,766.92
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

UNLISTED LAPAROSCOPY ABD PERIT

Facility

$26,932.08

Service Code	HCPCS 49329
Hospital Charge Code	16000488
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$8,079.62
Rate for Payer: Aetna Medicare Advantage	$8,079.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,867.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,867.68
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	$6,867.68
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,501.17
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,039.81
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

UNLISTED LAPAROSCOPY ABD PERIT

Facility

$26,932.08

Service Code	HCPCS 49329
Hospital Charge Code	16000488
Hospital Revenue Code	360
Min. Negotiated Rate	$4,039.81
Max. Negotiated Rate	$4,039.81
Rate for Payer: Qualcare PPO/HMO/WC	$4,039.81

UNLISTED LAPAROSCOPY BILIARY

Facility

$23,722.52

Service Code	HCPCS 47579
Hospital Charge Code	160000186
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,116.76
Rate for Payer: Aetna Medicare Advantage	$7,116.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,049.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,049.24
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	$6,049.24
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,083.93
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,558.38
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

UNLISTED LAPAROSCOPY BILIARY

Facility

$23,722.52

Service Code	HCPCS 47579
Hospital Charge Code	160000186
Hospital Revenue Code	360
Min. Negotiated Rate	$3,558.38
Max. Negotiated Rate	$3,558.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,558.38

UNLISTED LAPAROSCOPY PROCEDURE

Facility

$43,334.60

Service Code	HCPCS 58679
Hospital Charge Code	1600000411
Hospital Revenue Code	360
Min. Negotiated Rate	$6,500.19
Max. Negotiated Rate	$6,500.19
Rate for Payer: Qualcare PPO/HMO/WC	$6,500.19

UNLISTED LAPAROSCOPY PROCEDURE

Facility

$43,334.60

Service Code	HCPCS 58679
Hospital Charge Code	1600000411
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$13,000.38
Rate for Payer: Aetna Medicare Advantage	$13,000.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,050.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,050.32
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	$11,050.32
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,633.50
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,500.19
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

UNLISTED LAPAROSCOPY STOMACH

Facility

$25,659.60

Service Code	HCPCS 43659
Hospital Charge Code	1600000601
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,697.88
Rate for Payer: Aetna Medicare Advantage	$7,697.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,543.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,543.20
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	$6,543.20
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,335.75
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,848.94
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

UNLISTED LAPAROSCOPY STOMACH

Facility

$25,659.60

Service Code	HCPCS 43659
Hospital Charge Code	1600000601
Hospital Revenue Code	360
Min. Negotiated Rate	$3,848.94
Max. Negotiated Rate	$3,848.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,848.94

Know your out-of-pocket cost for care.

All Charges