Heights University Hospital

All Charges

Charge

Type

Setting

Price

UNLISTED PX ANUS

Facility

$3,926.45

Service Code	HCPCS 46999
Hospital Charge Code	5792294
Hospital Revenue Code	450
Min. Negotiated Rate	$588.97
Max. Negotiated Rate	$588.97
Rate for Payer: Qualcare PPO/HMO/WC	$588.97

UNLISTED PX DIAPHRAGM

Facility

$46,087.00

Service Code	HCPCS 39599
Hospital Charge Code	1600000605
Hospital Revenue Code	360
Min. Negotiated Rate	$6,913.05
Max. Negotiated Rate	$6,913.05
Rate for Payer: Qualcare PPO/HMO/WC	$6,913.05

UNLISTED PX DIAPHRAGM

Facility

$46,087.00

Service Code	HCPCS 39599
Hospital Charge Code	1600000605
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$23,043.50
Rate for Payer: Aetna Commercial	$13,826.10
Rate for Payer: Aetna Medicare Advantage	$13,826.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,752.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,752.18
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	$11,752.18
Rate for Payer: Cigna Commercial	$23,043.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,991.31
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,913.05
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

UNLISTED PX LEG/ANKLE

Facility

$999.15

Service Code	HCPCS 27899
Hospital Charge Code	5792291
Hospital Revenue Code	450
Min. Negotiated Rate	$129.89
Max. Negotiated Rate	$587.42
Rate for Payer: Aetna Commercial	$299.75
Rate for Payer: Aetna Medicare Advantage	$299.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.78
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.89
Rate for Payer: Qualcare PPO/HMO/WC	$149.87

UNLISTED PX LEG/ANKLE

Facility

$999.15

Service Code	HCPCS 27899
Hospital Charge Code	5792291
Hospital Revenue Code	450
Min. Negotiated Rate	$149.87
Max. Negotiated Rate	$149.87
Rate for Payer: Qualcare PPO/HMO/WC	$149.87

UNLISTED PX LUNG/PLEURA

Facility

$3,630.70

Service Code	HCPCS 32999
Hospital Charge Code	321032999
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

UNLISTED PX LUNG/PLEURA

Facility

$3,630.70

Service Code	HCPCS 32999
Hospital Charge Code	321032999
Hospital Revenue Code	361
Min. Negotiated Rate	$471.99
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,089.21
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.99
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

UNLISTED PX LUNG/PLEURA

Facility

$2,883.20

Service Code	HCPCS 32999
Hospital Charge Code	7411389
Hospital Revenue Code	361
Min. Negotiated Rate	$432.48
Max. Negotiated Rate	$432.48
Rate for Payer: Qualcare PPO/HMO/WC	$432.48

UNLISTED PX LUNG/PLEURA

Facility

$2,883.20

Service Code	HCPCS 32999
Hospital Charge Code	7411389
Hospital Revenue Code	361
Min. Negotiated Rate	$374.82
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$864.96
Rate for Payer: Aetna Medicare Advantage	$864.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$735.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$735.22
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	$735.22
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$374.82
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$432.48
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

UNLISTED PX LUNG/PLEURA

Facility

$3,630.70

Service Code	HCPCS 32999
Hospital Charge Code	2692117
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

UNLISTED PX LUNG/PLEURA

Facility

$3,630.70

Service Code	HCPCS 32999
Hospital Charge Code	2692117
Hospital Revenue Code	361
Min. Negotiated Rate	$471.99
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,089.21
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.99
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

UNLISTED PX, SMALL INTESTINE

Facility

$11,542.70

Service Code	HCPCS 44799
Hospital Charge Code	1600000469
Hospital Revenue Code	360
Min. Negotiated Rate	$1,731.40
Max. Negotiated Rate	$1,731.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,731.40

UNLISTED PX, SMALL INTESTINE

Facility

$11,542.70

Service Code	HCPCS 44799
Hospital Charge Code	1600000469
Hospital Revenue Code	360
Min. Negotiated Rate	$1,500.55
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$3,462.81
Rate for Payer: Aetna Medicare Advantage	$3,462.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,943.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,943.39
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	$2,943.39
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,500.55
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,731.40
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

UNLISTED SURG PATHOLOGY PROCD

Facility

$66.00

Service Code	HCPCS 88399
Hospital Charge Code	38477060
Hospital Revenue Code	312
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 SURG PATHOLOGY PROCD

Facility

$66.00

Service Code	HCPCS 88399
Hospital Charge Code	38477060
Hospital Revenue Code	312
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

UNLSTD LAPAROSCOPY HERNIA PROC

Facility

$17,954.72

Service Code	HCPCS 49659
Hospital Charge Code	16000166
Hospital Revenue Code	360
Min. Negotiated Rate	$2,693.21
Max. Negotiated Rate	$2,693.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.21

UNLSTD LAPAROSCOPY HERNIA PROC

Facility

$17,954.72

Service Code	HCPCS 49659
Hospital Charge Code	16000166
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$5,386.42
Rate for Payer: Aetna Medicare Advantage	$5,386.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,578.45
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	$4,578.45
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,334.11
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.21
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

UNLSTD MUSCULOSKELTL SYSTEM OP

Facility

$11,149.60

Service Code	HCPCS 20999
Hospital Charge Code	16000322
Hospital Revenue Code	360
Min. Negotiated Rate	$587.42
Max. Negotiated Rate	$3,344.88
Rate for Payer: Aetna Commercial	$3,344.88
Rate for Payer: Aetna Medicare Advantage	$3,344.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,843.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,843.15
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	$2,843.15
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,449.45
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,672.44
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

UNLSTD MUSCULOSKELTL SYSTEM OP

Facility

$11,149.60

Service Code	HCPCS 20999
Hospital Charge Code	16000322
Hospital Revenue Code	360
Min. Negotiated Rate	$1,672.44
Max. Negotiated Rate	$1,672.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,672.44

UNLSTD PROC DENTOALVEOLAR STRT

Facility

$8,124.18

Service Code	HCPCS 41899
Hospital Charge Code	16000741
Hospital Revenue Code	360
Min. Negotiated Rate	$564.04
Max. Negotiated Rate	$2,437.25
Rate for Payer: Aetna Commercial	$2,437.25
Rate for Payer: Aetna Medicare Advantage	$2,437.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,071.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,071.67
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	$2,071.67
Rate for Payer: Cigna Commercial	$564.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,056.14
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.63
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

UNLSTD PROC DENTOALVEOLAR STRT

Facility

$8,124.18

Service Code	HCPCS 41899
Hospital Charge Code	16000741
Hospital Revenue Code	360
Min. Negotiated Rate	$1,218.63
Max. Negotiated Rate	$1,218.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.63

UNLSTD PROCD PHARYNX ADENOIDS

Facility

$1,129.88

Service Code	HCPCS 42999
Hospital Charge Code	16000585
Hospital Revenue Code	360
Min. Negotiated Rate	$169.48
Max. Negotiated Rate	$169.48
Rate for Payer: Qualcare PPO/HMO/WC	$169.48

UNLSTD PROCD PHARYNX ADENOIDS

Facility

$1,129.88

Service Code	HCPCS 42999
Hospital Charge Code	16000585
Hospital Revenue Code	360
Min. Negotiated Rate	$146.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$338.96
Rate for Payer: Aetna Medicare Advantage	$338.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.12
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	$288.12
Rate for Payer: Cigna Commercial	$564.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.88
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.48
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

UNLSTD PROCEDRE PELVIS/HIP JNT

Facility

$19,503.55

Service Code	HCPCS 27299
Hospital Charge Code	16000876
Hospital Revenue Code	360
Min. Negotiated Rate	$2,925.53
Max. Negotiated Rate	$2,925.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.53

UNLSTD PROCEDRE PELVIS/HIP JNT

Facility

$19,503.55

Service Code	HCPCS 27299
Hospital Charge Code	16000876
Hospital Revenue Code	360
Min. Negotiated Rate	$587.42
Max. Negotiated Rate	$5,851.06
Rate for Payer: Aetna Commercial	$5,851.06
Rate for Payer: Aetna Medicare Advantage	$5,851.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,973.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,973.41
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	$4,973.41
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,535.46
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.53
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

Know your out-of-pocket cost for care.

All Charges