Heights University Hospital

All Charges

Charge

Type

Setting

Price

US INCISION OF GALLBLADDER

Facility

$17,067.55

Service Code	HCPCS 47490
Hospital Charge Code	2101152
Hospital Revenue Code	361
Min. Negotiated Rate	$2,560.13
Max. Negotiated Rate	$2,560.13
Rate for Payer: Qualcare PPO/HMO/WC	$2,560.13

US INCISION OF GALLBLADDER

Facility

$17,067.55

Service Code	HCPCS 47490
Hospital Charge Code	2101152
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,120.27
Rate for Payer: Aetna Medicare Advantage	$5,120.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,352.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,352.23
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	$4,352.23
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,218.78
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,560.13
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

US INFERIOR VENA CAVA DPLX CMP

Facility

$757.65

Service Code	HCPCS 93978
Hospital Charge Code	2301026
Hospital Revenue Code	921
Min. Negotiated Rate	$98.49
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$227.29
Rate for Payer: Aetna Medicare Advantage	$227.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.20
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.49
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.65
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

US INFERIOR VENA CAVA DPLX CMP

Facility

$757.65

Service Code	HCPCS 93978
Hospital Charge Code	2301026
Hospital Revenue Code	921
Min. Negotiated Rate	$113.65
Max. Negotiated Rate	$113.65
Rate for Payer: Qualcare PPO/HMO/WC	$113.65

US INFERIOR VENA CAVA DPLX LMT

Facility

$563.15

Service Code	HCPCS 93979
Hospital Charge Code	2301027
Hospital Revenue Code	921
Min. Negotiated Rate	$73.21
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$168.94
Rate for Payer: Aetna Medicare Advantage	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.60
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.21
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.47
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

US INFERIOR VENA CAVA DPLX LMT

Facility

$563.15

Service Code	HCPCS 93979
Hospital Charge Code	2301027
Hospital Revenue Code	921
Min. Negotiated Rate	$84.47
Max. Negotiated Rate	$84.47
Rate for Payer: Qualcare PPO/HMO/WC	$84.47

US INSERT CV CATH W/O PORT>5YR

Facility

$7,852.40

Service Code	HCPCS 36569
Hospital Charge Code	2301100
Hospital Revenue Code	361
Min. Negotiated Rate	$1,020.81
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$2,355.72
Rate for Payer: Aetna Medicare Advantage	$2,355.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,002.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,002.36
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	$2,002.36
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,020.81
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,177.86
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

US INSERT CV CATH W/O PORT>5YR

Facility

$7,852.40

Service Code	HCPCS 36569
Hospital Charge Code	2301100
Hospital Revenue Code	361
Min. Negotiated Rate	$1,177.86
Max. Negotiated Rate	$1,177.86
Rate for Payer: Qualcare PPO/HMO/WC	$1,177.86

US INTRAVASCULAR INITIAL VESSL

Facility

$905.70

Service Code	HCPCS 75945
Hospital Charge Code	2301028
Hospital Revenue Code	320
Min. Negotiated Rate	$135.85
Max. Negotiated Rate	$135.85
Rate for Payer: Qualcare PPO/HMO/WC	$135.85

US INTRAVASCULAR INITIAL VESSL

Facility

$905.70

Service Code	HCPCS 75945
Hospital Charge Code	2301028
Hospital Revenue Code	320
Min. Negotiated Rate	$117.74
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$271.71
Rate for Payer: Aetna Medicare Advantage	$271.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.95
Rate for Payer: Cigna Commercial	$452.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.74
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.85
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

US-KIDNEY TRANSPLANT

Facility

$517.00

Hospital Charge Code	2309001
Hospital Revenue Code	402
Min. Negotiated Rate	$77.55
Max. Negotiated Rate	$77.55
Rate for Payer: Qualcare PPO/HMO/WC	$77.55

US-KIDNEY TRANSPLANT

Facility

$517.00

Hospital Charge Code	2309001
Hospital Revenue Code	402
Min. Negotiated Rate	$67.21
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$155.10
Rate for Payer: Aetna Medicare Advantage	$155.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.84
Rate for Payer: Cigna Commercial	$258.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.21
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.55
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US KIDNEY TRANSPLANT BILATERAL

Facility

$6,700.00

Service Code	HCPCS 76776
Hospital Charge Code	94061506
Hospital Revenue Code	402
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

US KIDNEY TRANSPLANT BILATERAL

Facility

$6,700.00

Service Code	HCPCS 76776
Hospital Charge Code	2301029
Hospital Revenue Code	402
Min. Negotiated Rate	$73.53
Max. Negotiated Rate	$2,010.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US KIDNEY TRANSPLANT BILATERAL

Facility

$6,700.00

Service Code	HCPCS 76776
Hospital Charge Code	94061506
Hospital Revenue Code	402
Min. Negotiated Rate	$73.53
Max. Negotiated Rate	$2,010.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US KIDNEY TRANSPLANT BILATERAL

Facility

$6,700.00

Service Code	HCPCS 76776
Hospital Charge Code	2301029
Hospital Revenue Code	402
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

US KIDNEY TRANSPLANT LEFT

Facility

$571.55

Service Code	HCPCS 76776
Hospital Charge Code	2301030
Hospital Revenue Code	402
Min. Negotiated Rate	$85.73
Max. Negotiated Rate	$85.73
Rate for Payer: Qualcare PPO/HMO/WC	$85.73

US KIDNEY TRANSPLANT LEFT

Facility

$571.55

Service Code	HCPCS 76776
Hospital Charge Code	2301030
Hospital Revenue Code	402
Min. Negotiated Rate	$73.53
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$171.47
Rate for Payer: Aetna Medicare Advantage	$171.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.75
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.30
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$85.73
Rate for Payer: UnitedHealthcare Commercial	$1,981.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US KIDNEY TRANSPLANT RIGHT

Facility

$571.55

Service Code	HCPCS 76776
Hospital Charge Code	2301031
Hospital Revenue Code	402
Min. Negotiated Rate	$85.73
Max. Negotiated Rate	$85.73
Rate for Payer: Qualcare PPO/HMO/WC	$85.73

US KIDNEY TRANSPLANT RIGHT

Facility

$571.55

Service Code	HCPCS 76776
Hospital Charge Code	2301031
Hospital Revenue Code	402
Min. Negotiated Rate	$73.53
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$171.47
Rate for Payer: Aetna Medicare Advantage	$171.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.75
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.30
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$85.73
Rate for Payer: UnitedHealthcare Commercial	$1,981.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US LE ARTERIAL DUPLEX RIGHT

Facility

$1,079.25

Service Code	HCPCS 93926
Hospital Charge Code	2301032
Hospital Revenue Code	920
Min. Negotiated Rate	$161.89
Max. Negotiated Rate	$161.89
Rate for Payer: Qualcare PPO/HMO/WC	$161.89

US LE ARTERIAL DUPLEX RIGHT

Facility

$1,079.25

Service Code	HCPCS 93926
Hospital Charge Code	2301032
Hospital Revenue Code	920
Min. Negotiated Rate	$140.30
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$323.77
Rate for Payer: Aetna Medicare Advantage	$323.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.21
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.30
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.89
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

US LE ARTRAL DPPLR 1-2 LVL BL

Facility

$17,200.00

Service Code	HCPCS 93922
Hospital Charge Code	2301065
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

US LE ARTRAL DPPLR 1-2 LVL BL

Facility

$17,200.00

Service Code	HCPCS 93922
Hospital Charge Code	2301065
Hospital Revenue Code	921
Min. Negotiated Rate	$253.00
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

US NDL BIOPSY BONE DEEP PERC

Facility

$7,219.95

Service Code	HCPCS 20225
Hospital Charge Code	2101061
Hospital Revenue Code	361
Min. Negotiated Rate	$1,082.99
Max. Negotiated Rate	$1,082.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.99

Know your out-of-pocket cost for care.

All Charges