Heights University Hospital

All Charges

Charge

Type

Setting

Price

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	7411354
Hospital Revenue Code	320
Min. Negotiated Rate	$195.54
Max. Negotiated Rate	$2,501.14
Rate for Payer: Aetna Commercial	$2,501.14
Rate for Payer: Aetna Medicare Advantage	$2,501.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$664.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,125.97
Rate for Payer: Cigna Commercial	$195.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,083.83
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	5701105
Hospital Revenue Code	320
Min. Negotiated Rate	$195.54
Max. Negotiated Rate	$2,501.14
Rate for Payer: Aetna Commercial	$2,501.14
Rate for Payer: Aetna Medicare Advantage	$2,501.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$664.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,125.97
Rate for Payer: Cigna Commercial	$195.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,083.83
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

VERTICAL BANDED GASTROPLASTY

Facility

$112,126.91

Service Code	HCPCS 43842
Hospital Charge Code	1600181
Hospital Revenue Code	361
Min. Negotiated Rate	$16,819.04
Max. Negotiated Rate	$16,819.04
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04

VERTICAL BANDED GASTROPLASTY

Facility

$112,126.91

Service Code	HCPCS 43842
Hospital Charge Code	1600181
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$56,063.46
Rate for Payer: Aetna Commercial	$33,638.07
Rate for Payer: Aetna Medicare Advantage	$33,638.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,592.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,592.36
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	$28,592.36
Rate for Payer: Cigna Commercial	$56,063.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,576.50
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$7,571.00

Service Code	APR-DRG 1111
Min. Negotiated Rate	$5,090.44
Max. Negotiated Rate	$7,571.00
Rate for Payer: Aetna Better Health Medicaid	$7,422.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,571.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5,090.44

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$8,680.50

Service Code	APR-DRG 1112
Min. Negotiated Rate	$5,644.30
Max. Negotiated Rate	$8,680.50
Rate for Payer: Aetna Better Health Medicaid	$8,510.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,680.50
Rate for Payer: Wellpoint Medicaid Managed Care	$5,644.30

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$10,535.70

Service Code	APR-DRG 1113
Min. Negotiated Rate	$7,074.42
Max. Negotiated Rate	$10,535.70
Rate for Payer: Aetna Better Health Medicaid	$10,329.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,535.70
Rate for Payer: Wellpoint Medicaid Managed Care	$7,074.42

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$21,864.80

Service Code	APR-DRG 1114
Min. Negotiated Rate	$14,816.07
Max. Negotiated Rate	$21,864.80
Rate for Payer: Aetna Better Health Medicaid	$21,436.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,864.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14,816.07

VERT INTERBODY 16X14X9MM 7D

Facility

$10,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270693815
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,075.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

VERT INTERBODY 16X14X9MM 7D

Facility

$10,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270693815
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

VERT OR INTRACRANIAL-BIL

Facility

$9,104.00

Hospital Charge Code	2690740
Hospital Revenue Code	323
Min. Negotiated Rate	$1,365.60
Max. Negotiated Rate	$1,365.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,365.60

VERT OR INTRACRANIAL-BIL

Facility

$9,104.00

Hospital Charge Code	2690740
Hospital Revenue Code	323
Min. Negotiated Rate	$1,183.52
Max. Negotiated Rate	$4,552.00
Rate for Payer: Aetna Commercial	$2,731.20
Rate for Payer: Aetna Medicare Advantage	$2,731.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,321.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,321.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,321.52
Rate for Payer: Cigna Commercial	$4,552.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,183.52
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,365.60
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

VERT OR INTRACRANIAL-RT

Facility

$3,431.00

Hospital Charge Code	2691850
Hospital Revenue Code	323
Min. Negotiated Rate	$514.65
Max. Negotiated Rate	$514.65
Rate for Payer: Qualcare PPO/HMO/WC	$514.65

VERT OR INTRACRANIAL-RT

Facility

$3,431.00

Hospital Charge Code	2691850
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

VERY LONGCHAIN FATTY ACID

Facility

$124.10

Service Code	HCPCS 82726
Hospital Charge Code	39900079
Hospital Revenue Code	301
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$63.99
Rate for Payer: Aetna Medicare Advantage	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.36
Rate for Payer: Cigna Commercial	$19.75
Rate for Payer: Cigna Medicare Advantage	$9.88
Rate for Payer: Clover Medicare Advantage	$18.76
Rate for Payer: EmblemHealth Commercial	$59.25
Rate for Payer: Humana Medicare Advantage	$20.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.61
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.93
Rate for Payer: Wellcare Medicare Advantage	$19.75

VERY LONGCHAIN FATTY ACID

Facility

$124.10

Service Code	HCPCS 82726
Hospital Charge Code	39900079
Hospital Revenue Code	301
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$18.61
Rate for Payer: Qualcare PPO/HMO/WC	$18.61

VESICA PERCU BLADDER SUSPEN

Facility

$3,975.00

Hospital Charge Code	270657820
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,192.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

VESICA PERCU BLADDER SUSPEN

Facility

$2,588.75

Hospital Charge Code	270657825
Hospital Revenue Code	278
Min. Negotiated Rate	$388.31
Max. Negotiated Rate	$626.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$626.48
Rate for Payer: Qualcare PPO/HMO/WC	$388.31

VESICA PERCU BLADDER SUSPEN

Facility

$2,588.75

Hospital Charge Code	270657825
Hospital Revenue Code	278
Min. Negotiated Rate	$388.31
Max. Negotiated Rate	$1,294.38
Rate for Payer: Aetna Commercial	$776.62
Rate for Payer: Aetna Medicare Advantage	$776.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.13
Rate for Payer: Cigna Commercial	$1,294.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$626.48
Rate for Payer: Qualcare PPO/HMO/WC	$388.31

VESICA PERCU BLADDER SUSPEN

Facility

$3,975.00

Hospital Charge Code	270657820
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

VESSEL INJECTION PROCEDURE

Facility

$200.00

Service Code	HCPCS 36299
Hospital Charge Code	5600233
Hospital Revenue Code	361
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

VESSEL INJECTION PROCEDURE

Facility

$200.00

Service Code	HCPCS 36299
Hospital Charge Code	7411436
Hospital Revenue Code	361
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
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	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

VESSEL INJECTION PROCEDURE

Facility

$200.00

Service Code	HCPCS 36299
Hospital Charge Code	7411436
Hospital Revenue Code	361
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

VESSEL INJECTION PROCEDURE

Facility

$200.00

Service Code	HCPCS 36299
Hospital Charge Code	5600233
Hospital Revenue Code	361
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
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	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

VESSEL LOOP BLUE MAXI

Facility

$7.75

Hospital Charge Code	270654606
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.33
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.01
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.88

Know your out-of-pocket cost for care.

All Charges