Heights University Hospital

All Charges

Charge

Type

Setting

Price

BRA SURGI SZ 3X

Facility

$420.00

Hospital Charge Code	270600428
Hospital Revenue Code	272
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

BRA SURGI SZ LG

Facility

$192.20

Hospital Charge Code	270600425
Hospital Revenue Code	272
Min. Negotiated Rate	$24.99
Max. Negotiated Rate	$96.10
Rate for Payer: Aetna Commercial	$57.66
Rate for Payer: Aetna Medicare Advantage	$57.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.01
Rate for Payer: Cigna Commercial	$96.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: Oxford Commercial	$96.10
Rate for Payer: Qualcare PPO/HMO/WC	$28.83
Rate for Payer: UnitedHealthcare Commercial	$96.10

BRA SURGI SZ LG

Facility

$192.20

Hospital Charge Code	270600425
Hospital Revenue Code	272
Min. Negotiated Rate	$28.83
Max. Negotiated Rate	$28.83
Rate for Payer: Qualcare PPO/HMO/WC	$28.83

BRA SURGI SZ MED

Facility

$503.25

Hospital Charge Code	270604488
Hospital Revenue Code	272
Min. Negotiated Rate	$65.42
Max. Negotiated Rate	$251.62
Rate for Payer: Aetna Commercial	$150.97
Rate for Payer: Aetna Medicare Advantage	$150.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.33
Rate for Payer: Cigna Commercial	$251.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.42
Rate for Payer: Oxford Commercial	$251.62
Rate for Payer: Qualcare PPO/HMO/WC	$75.49
Rate for Payer: UnitedHealthcare Commercial	$251.62

BRA SURGI SZ MED

Facility

$503.25

Hospital Charge Code	270604488
Hospital Revenue Code	272
Min. Negotiated Rate	$75.49
Max. Negotiated Rate	$75.49
Rate for Payer: Qualcare PPO/HMO/WC	$75.49

BRA SURGI SZ SM

Facility

$503.25

Hospital Charge Code	270600424
Hospital Revenue Code	272
Min. Negotiated Rate	$75.49
Max. Negotiated Rate	$75.49
Rate for Payer: Qualcare PPO/HMO/WC	$75.49

BRA SURGI SZ SM

Facility

$503.25

Hospital Charge Code	270600424
Hospital Revenue Code	272
Min. Negotiated Rate	$65.42
Max. Negotiated Rate	$251.62
Rate for Payer: Aetna Commercial	$150.97
Rate for Payer: Aetna Medicare Advantage	$150.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.33
Rate for Payer: Cigna Commercial	$251.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.42
Rate for Payer: Oxford Commercial	$251.62
Rate for Payer: Qualcare PPO/HMO/WC	$75.49
Rate for Payer: UnitedHealthcare Commercial	$251.62

BRA SURGI SZ XLG

Facility

$204.50

Hospital Charge Code	270600426
Hospital Revenue Code	272
Min. Negotiated Rate	$26.59
Max. Negotiated Rate	$102.25
Rate for Payer: Aetna Commercial	$61.35
Rate for Payer: Aetna Medicare Advantage	$61.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.15
Rate for Payer: Cigna Commercial	$102.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.59
Rate for Payer: Oxford Commercial	$102.25
Rate for Payer: Qualcare PPO/HMO/WC	$30.68
Rate for Payer: UnitedHealthcare Commercial	$102.25

BRA SURGI SZ XLG

Facility

$204.50

Hospital Charge Code	270600426
Hospital Revenue Code	272
Min. Negotiated Rate	$30.68
Max. Negotiated Rate	$30.68
Rate for Payer: Qualcare PPO/HMO/WC	$30.68

BRAVO DELIVERY DEV CF

Facility

$7,765.00

Hospital Charge Code	270691424
Hospital Revenue Code	272
Min. Negotiated Rate	$1,009.45
Max. Negotiated Rate	$3,882.50
Rate for Payer: Aetna Commercial	$2,329.50
Rate for Payer: Aetna Medicare Advantage	$2,329.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,980.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,980.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,980.08
Rate for Payer: Cigna Commercial	$3,882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,009.45
Rate for Payer: Oxford Commercial	$3,882.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,164.75
Rate for Payer: UnitedHealthcare Commercial	$3,882.50

BRAVO DELIVERY DEV CF

Facility

$7,765.00

Hospital Charge Code	270691424
Hospital Revenue Code	272
Min. Negotiated Rate	$1,164.75
Max. Negotiated Rate	$1,164.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,164.75

BRCA COMPREHENSIVE A

Facility

$10,196.45

Service Code	HCPCS 81162
Hospital Charge Code	39708013A
Hospital Revenue Code	310
Min. Negotiated Rate	$1,529.47
Max. Negotiated Rate	$1,529.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,529.47

BRCA COMPREHENSIVE A

Facility

$10,196.45

Service Code	HCPCS 81162
Hospital Charge Code	39708013A
Hospital Revenue Code	310
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$6,686.36
Rate for Payer: Aetna Commercial	$5,912.61
Rate for Payer: Aetna Medicare Advantage	$1,824.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,686.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,686.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,824.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,686.36
Rate for Payer: Cigna Commercial	$1,824.88
Rate for Payer: Cigna Medicare Advantage	$912.44
Rate for Payer: Clover Medicare Advantage	$1,733.64
Rate for Payer: EmblemHealth Commercial	$5,474.64
Rate for Payer: Humana Medicare Advantage	$1,879.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,325.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,529.47
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,824.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$1,934.37
Rate for Payer: Wellcare Medicare Advantage	$1,824.88

BRCA COMPREHENSIVE B

Facility

$2,913.60

Service Code	HCPCS 81213
Hospital Charge Code	39708013B
Hospital Revenue Code	310
Min. Negotiated Rate	$437.04
Max. Negotiated Rate	$437.04
Rate for Payer: Qualcare PPO/HMO/WC	$437.04

BRCA COMPREHENSIVE B

Facility

$2,913.60

Service Code	HCPCS 81213
Hospital Charge Code	39708013B
Hospital Revenue Code	310
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,456.80
Rate for Payer: Aetna Commercial	$874.08
Rate for Payer: Aetna Medicare Advantage	$874.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$742.97
Rate for Payer: Cigna Commercial	$1,456.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$437.04
Rate for Payer: UnitedHealthcare Commercial	$114.00

BREAK OFF SCREW 1/2 THD 2X11MM

Facility

$991.95

Service Code	HCPCS C1713
Hospital Charge Code	270702742
Hospital Revenue Code	278
Min. Negotiated Rate	$148.79
Max. Negotiated Rate	$240.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.05
Rate for Payer: Qualcare PPO/HMO/WC	$148.79

BREAK OFF SCREW 1/2 THD 2X11MM

Facility

$991.95

Service Code	HCPCS C1713
Hospital Charge Code	270702742
Hospital Revenue Code	278
Min. Negotiated Rate	$148.79
Max. Negotiated Rate	$495.98
Rate for Payer: Aetna Commercial	$297.58
Rate for Payer: Aetna Medicare Advantage	$297.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.95
Rate for Payer: Cigna Commercial	$495.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.05
Rate for Payer: Qualcare PPO/HMO/WC	$148.79

BREAKPOINT CLUSTER REGION

Facility

$204.00

Hospital Charge Code	3009859
Hospital Revenue Code	301
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

BREAKPOINT CLUSTER REGION

Facility

$204.00

Hospital Charge Code	3009859
Hospital Revenue Code	301
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

BREAST 310CC HIGH PROFILE

Facility

$8,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270701714
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$1,996.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

BREAST 310CC HIGH PROFILE

Facility

$8,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270701714
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$4,125.00
Rate for Payer: Aetna Commercial	$2,475.00
Rate for Payer: Aetna Medicare Advantage	$2,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,103.75
Rate for Payer: Cigna Commercial	$4,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

BREAST 350 CC SMOOTH

Facility

$5,375.00

Service Code	HCPCS C1789
Hospital Charge Code	270701440
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

BREAST 350 CC SMOOTH

Facility

$5,375.00

Service Code	HCPCS C1789
Hospital Charge Code	270701440
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$1,612.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC

Facility

$73,957.62

Service Code	MSDRG 584
Min. Negotiated Rate	$23,360.57
Max. Negotiated Rate	$73,957.62
Rate for Payer: Aetna Commercial	$72,184.16
Rate for Payer: Aetna Medicare Advantage	$23,360.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54,031.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54,031.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,652.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54,031.32
Rate for Payer: Cigna Commercial	$46,070.00
Rate for Payer: Cigna Medicare Advantage	$24,652.54
Rate for Payer: Clover Medicare Advantage	$23,419.91
Rate for Payer: EmblemHealth Commercial	$73,957.62
Rate for Payer: Humana Medicare Advantage	$25,392.12
Rate for Payer: Oxford Commercial	$28,792.42
Rate for Payer: UnitedHealthcare Commercial	$32,682.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,652.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,131.69
Rate for Payer: Wellcare Medicare Advantage	$24,652.54

BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC

Facility

$67,815.78

Service Code	MSDRG 585
Min. Negotiated Rate	$21,051.46
Max. Negotiated Rate	$67,815.78
Rate for Payer: Aetna Commercial	$65,049.01
Rate for Payer: Aetna Medicare Advantage	$21,051.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46,312.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46,312.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,605.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46,312.56
Rate for Payer: Cigna Commercial	$41,516.16
Rate for Payer: Cigna Medicare Advantage	$22,605.26
Rate for Payer: Clover Medicare Advantage	$21,475.00
Rate for Payer: EmblemHealth Commercial	$67,815.78
Rate for Payer: Humana Medicare Advantage	$23,283.42
Rate for Payer: Oxford Commercial	$25,946.40
Rate for Payer: UnitedHealthcare Commercial	$29,451.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,605.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,961.58
Rate for Payer: Wellcare Medicare Advantage	$22,605.26

Know your out-of-pocket cost for care.

All Charges