Heights University Hospital

All Charges

Charge

Type

Setting

Price

VERSED INJ/5MG/1ML

Facility

$48.00

Hospital Charge Code	60634626
Hospital Revenue Code	636
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$11.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

VERSY CEM/REV/CAL BUIL78710110

Facility

$1,943.75

Hospital Charge Code	270639587
Hospital Revenue Code	272
Min. Negotiated Rate	$291.56
Max. Negotiated Rate	$291.56
Rate for Payer: Qualcare PPO/HMO/WC	$291.56

VERSY CEM/REV/CAL BUIL78710110

Facility

$1,943.75

Hospital Charge Code	270639587
Hospital Revenue Code	272
Min. Negotiated Rate	$252.69
Max. Negotiated Rate	$971.88
Rate for Payer: Aetna Commercial	$583.12
Rate for Payer: Aetna Medicare Advantage	$583.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.66
Rate for Payer: Cigna Commercial	$971.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.69
Rate for Payer: Oxford Commercial	$971.88
Rate for Payer: Qualcare PPO/HMO/WC	$291.56
Rate for Payer: UnitedHealthcare Commercial	$971.88

VERSYS ADVOCATE STDRD OFFSET

Facility

$29,335.00

Hospital Charge Code	270658835
Hospital Revenue Code	270
Min. Negotiated Rate	$4,400.25
Max. Negotiated Rate	$4,400.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,400.25

VERSYS ADVOCATE STDRD OFFSET

Facility

$29,335.00

Hospital Charge Code	270658835
Hospital Revenue Code	270
Min. Negotiated Rate	$3,813.55
Max. Negotiated Rate	$14,667.50
Rate for Payer: Aetna Commercial	$8,800.50
Rate for Payer: Aetna Medicare Advantage	$8,800.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,480.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,480.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,480.43
Rate for Payer: Cigna Commercial	$14,667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,813.55
Rate for Payer: Oxford Commercial	$14,667.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,400.25
Rate for Payer: UnitedHealthcare Commercial	$14,667.50

VERSYS EPOCH,14MM STD BODY

Facility

$22,015.00

Hospital Charge Code	270666711
Hospital Revenue Code	278
Min. Negotiated Rate	$3,302.25
Max. Negotiated Rate	$11,007.50
Rate for Payer: Aetna Commercial	$6,604.50
Rate for Payer: Aetna Medicare Advantage	$6,604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,613.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,613.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,403.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,613.82
Rate for Payer: Cigna Commercial	$11,007.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,327.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,302.25

VERSYS EPOCH,14MM STD BODY

Facility

$22,015.00

Hospital Charge Code	270666711
Hospital Revenue Code	278
Min. Negotiated Rate	$3,302.25
Max. Negotiated Rate	$5,327.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,403.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,327.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,302.25

VERSYSFMTAPER15X140STDBODYNECK

Facility

$15,948.55

Hospital Charge Code	270662350
Hospital Revenue Code	272
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$2,392.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

VERSYSFMTAPER15X140STDBODYNECK

Facility

$15,948.55

Hospital Charge Code	270662350
Hospital Revenue Code	272
Min. Negotiated Rate	$2,073.31
Max. Negotiated Rate	$7,974.27
Rate for Payer: Aetna Commercial	$4,784.56
Rate for Payer: Aetna Medicare Advantage	$4,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,066.88
Rate for Payer: Cigna Commercial	$7,974.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,073.31
Rate for Payer: Oxford Commercial	$7,974.27
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28
Rate for Payer: UnitedHealthcare Commercial	$7,974.27

VERSYS HIP SYSTEM FEMORAL HEAD

Facility

$2,721.90

Hospital Charge Code	270657130
Hospital Revenue Code	278
Min. Negotiated Rate	$408.29
Max. Negotiated Rate	$658.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.70
Rate for Payer: Qualcare PPO/HMO/WC	$408.29

VERSYS HIP SYSTEM FEMORAL HEAD

Facility

$2,721.90

Hospital Charge Code	270657130
Hospital Revenue Code	278
Min. Negotiated Rate	$408.29
Max. Negotiated Rate	$1,360.95
Rate for Payer: Aetna Commercial	$816.57
Rate for Payer: Aetna Medicare Advantage	$816.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.08
Rate for Payer: Cigna Commercial	$1,360.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.70
Rate for Payer: Qualcare PPO/HMO/WC	$408.29

VERTAPLEX

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692053
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,237.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

VERTAPLEX

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692053
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$15,484.74

Service Code	APR-DRG 3101
Min. Negotiated Rate	$9,108.37
Max. Negotiated Rate	$15,484.74
Rate for Payer: Aetna Better Health Medicaid	$15,181.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,484.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9,108.37

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$20,673.93

Service Code	APR-DRG 3102
Min. Negotiated Rate	$12,091.05
Max. Negotiated Rate	$20,673.93
Rate for Payer: Aetna Better Health Medicaid	$20,268.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,673.93
Rate for Payer: Wellpoint Medicaid Managed Care	$12,091.05

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$28,306.74

Service Code	APR-DRG 3103
Min. Negotiated Rate	$17,495.60
Max. Negotiated Rate	$28,306.74
Rate for Payer: Aetna Better Health Medicaid	$27,751.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,306.74
Rate for Payer: Wellpoint Medicaid Managed Care	$17,495.60

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$52,693.78

Service Code	APR-DRG 3104
Min. Negotiated Rate	$37,615.97
Max. Negotiated Rate	$52,693.78
Rate for Payer: Aetna Better Health Medicaid	$51,660.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,693.78
Rate for Payer: Wellpoint Medicaid Managed Care	$37,615.97

VERTEBRAL INTRACRANIAL-LT

Facility

$5,226.00

Hospital Charge Code	2009265
Hospital Revenue Code	323
Min. Negotiated Rate	$783.90
Max. Negotiated Rate	$783.90
Rate for Payer: Qualcare PPO/HMO/WC	$783.90

VERTEBRAL INTRACRANIAL-LT

Facility

$5,226.00

Hospital Charge Code	2009265
Hospital Revenue Code	323
Min. Negotiated Rate	$679.38
Max. Negotiated Rate	$2,613.00
Rate for Payer: Aetna Commercial	$1,567.80
Rate for Payer: Aetna Medicare Advantage	$1,567.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.63
Rate for Payer: Cigna Commercial	$2,613.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$679.38
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$783.90
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

VERTEBRAL INTRACRANIAL-RT

Facility

$3,431.00

Hospital Charge Code	2009280
Hospital Revenue Code	323
Min. Negotiated Rate	$446.03
Max. Negotiated Rate	$1,715.50
Rate for Payer: Aetna Commercial	$1,029.30
Rate for Payer: Aetna Medicare Advantage	$1,029.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$874.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$874.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$874.90
Rate for Payer: Cigna Commercial	$1,715.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$446.03
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$514.65
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

VERTEBRAL INTRACRANIAL-RT

Facility

$3,431.00

Hospital Charge Code	2009280
Hospital Revenue Code	323
Min. Negotiated Rate	$514.65
Max. Negotiated Rate	$514.65
Rate for Payer: Qualcare PPO/HMO/WC	$514.65

VERTEBR CORPCTMY,CERV SGL SEGT

Facility

$19,892.30

Service Code	HCPCS 63081
Hospital Charge Code	16001029
Hospital Revenue Code	360
Min. Negotiated Rate	$1,816.62
Max. Negotiated Rate	$9,851.00
Rate for Payer: Aetna Commercial	$5,967.69
Rate for Payer: Aetna Medicare Advantage	$5,967.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,072.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,072.54
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	$5,072.54
Rate for Payer: Cigna Commercial	$1,816.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,586.00
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,983.84
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

VERTEBR CORPCTMY,CERV SGL SEGT

Facility

$19,892.30

Service Code	HCPCS 63081
Hospital Charge Code	16001029
Hospital Revenue Code	360
Min. Negotiated Rate	$2,983.84
Max. Negotiated Rate	$2,983.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,983.84

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	7411354
Hospital Revenue Code	320
Min. Negotiated Rate	$1,250.57
Max. Negotiated Rate	$1,250.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	5701105
Hospital Revenue Code	320
Min. Negotiated Rate	$1,250.57
Max. Negotiated Rate	$1,250.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57

Know your out-of-pocket cost for care.

All Charges