Heights University Hospital

All Charges

Charge

Type

Setting

Price

URETHRAL PROCEDURES WITHOUT CC/MCC

Facility

$43,155.51

Service Code	MSDRG 672
Min. Negotiated Rate	$11,780.13
Max. Negotiated Rate	$43,155.51
Rate for Payer: Aetna Commercial	$36,400.60
Rate for Payer: Aetna Medicare Advantage	$11,780.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,385.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,912.98
Rate for Payer: Cigna Commercial	$23,231.92
Rate for Payer: Cigna Medicare Advantage	$14,385.17
Rate for Payer: Clover Medicare Advantage	$13,665.91
Rate for Payer: EmblemHealth Commercial	$43,155.51
Rate for Payer: Humana Medicare Advantage	$14,816.73
Rate for Payer: Oxford Commercial	$14,519.27
Rate for Payer: UnitedHealthcare Commercial	$16,480.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,385.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,248.28
Rate for Payer: Wellcare Medicare Advantage	$14,385.17

URETHRAL REPAIR PROCEDURES

Facility

$16,607.90

Service Code	HCPCS 53502
Hospital Charge Code	93500202
Hospital Revenue Code	360
Min. Negotiated Rate	$2,491.18
Max. Negotiated Rate	$2,491.18
Rate for Payer: Qualcare PPO/HMO/WC	$2,491.18

URETHRAL REPAIR PROCEDURES

Facility

$16,607.90

Service Code	HCPCS 53502
Hospital Charge Code	93500203
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$4,982.37
Rate for Payer: Aetna Medicare Advantage	$4,982.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,235.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,235.01
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	$4,235.01
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,159.03
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,491.18
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

URETHRAL REPAIR PROCEDURES

Facility

$16,607.90

Service Code	HCPCS 53502
Hospital Charge Code	93500203
Hospital Revenue Code	361
Min. Negotiated Rate	$2,491.18
Max. Negotiated Rate	$2,491.18
Rate for Payer: Qualcare PPO/HMO/WC	$2,491.18

URETHRAL REPAIR PROCEDURES

Facility

$16,607.90

Service Code	HCPCS 53502
Hospital Charge Code	93500202
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$4,982.37
Rate for Payer: Aetna Medicare Advantage	$4,982.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,235.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,235.01
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	$4,235.01
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,159.03
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,491.18
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

URETHRAL STRICTURE

Facility

$43,106.16

Service Code	MSDRG 697
Min. Negotiated Rate	$11,761.58
Max. Negotiated Rate	$43,106.16
Rate for Payer: Aetna Commercial	$36,343.28
Rate for Payer: Aetna Medicare Advantage	$11,761.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,599.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,599.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,368.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,599.37
Rate for Payer: Cigna Commercial	$23,195.33
Rate for Payer: Cigna Medicare Advantage	$14,368.72
Rate for Payer: Clover Medicare Advantage	$13,650.28
Rate for Payer: EmblemHealth Commercial	$43,106.16
Rate for Payer: Humana Medicare Advantage	$14,799.78
Rate for Payer: Oxford Commercial	$14,496.41
Rate for Payer: UnitedHealthcare Commercial	$16,454.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,368.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,230.84
Rate for Payer: Wellcare Medicare Advantage	$14,368.72

URETRAL STENTS 10 FR 24 CM

Facility

$618.00

Service Code	HCPCS C2617
Hospital Charge Code	270679884
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

URETRAL STENTS 10 FR 24 CM

Facility

$618.00

Service Code	HCPCS C2617
Hospital Charge Code	270679884
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$309.00
Rate for Payer: Aetna Commercial	$185.40
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.59
Rate for Payer: Cigna Commercial	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

URETRAL STENTS 8 FR 24 CM

Facility

$618.00

Service Code	HCPCS C2617
Hospital Charge Code	270623954
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$309.00
Rate for Payer: Aetna Commercial	$185.40
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.59
Rate for Payer: Cigna Commercial	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

URETRAL STENTS 8 FR 24 CM

Facility

$618.00

Service Code	HCPCS C2617
Hospital Charge Code	270623954
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

URIC ACID

Facility

$6.36

Service Code	HCPCS 84550CF
Hospital Charge Code	8200336RS
Hospital Revenue Code	301
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.95

URIC ACID

Facility

$6.36

Service Code	HCPCS 84550CF
Hospital Charge Code	8200336RS
Hospital Revenue Code	301
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$1.91
Rate for Payer: Aetna Medicare Advantage	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.62
Rate for Payer: Cigna Commercial	$3.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.83
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.95
Rate for Payer: UnitedHealthcare Commercial	$114.00

URIC ACID (24 HR UR)

Facility

$390.00

Service Code	HCPCS 84560
Hospital Charge Code	3007929
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

URIC ACID (24 HR UR)

Facility

$390.00

Service Code	HCPCS 84560
Hospital Charge Code	3007929
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID,24HR URINE

Facility

$227.00

Service Code	HCPCS 84560
Hospital Charge Code	38479044
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID,24HR URINE

Facility

$227.00

Service Code	HCPCS 84560
Hospital Charge Code	38479044
Hospital Revenue Code	301
Min. Negotiated Rate	$34.05
Max. Negotiated Rate	$34.05
Rate for Payer: Qualcare PPO/HMO/WC	$34.05

URIC ACID, BODY FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3008372
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID, BODY FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3008372
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID OTH SOURCE

Facility

$390.00

Service Code	HCPCS 84560
Hospital Charge Code	39990241L
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID OTH SOURCE

Facility

$390.00

Service Code	HCPCS 84560
Hospital Charge Code	39990241L
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

URIC ACID, PERICARDIAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007930
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID, PERICARDIAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007930
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID, PERITONEAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007932
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID, PERITONEAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007932
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID, PLEURAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007931
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

Know your out-of-pocket cost for care.

All Charges