Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUTTON PATELLA 34MM 11-150828

Facility

$3,045.00

Hospital Charge Code	270606322
Hospital Revenue Code	278
Min. Negotiated Rate	$456.75
Max. Negotiated Rate	$1,522.50
Rate for Payer: Aetna Commercial	$913.50
Rate for Payer: Aetna Medicare Advantage	$913.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$609.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$776.48
Rate for Payer: Cigna Commercial	$1,522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.89
Rate for Payer: Qualcare PPO/HMO/WC	$456.75

BUTTON PATELLA 34MM 11-150828

Facility

$3,045.00

Hospital Charge Code	270606322
Hospital Revenue Code	278
Min. Negotiated Rate	$456.75
Max. Negotiated Rate	$736.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$609.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.89
Rate for Payer: Qualcare PPO/HMO/WC	$456.75

BUTTON PROXIMAL TENODESIS

Facility

$2,175.00

Hospital Charge Code	270676803
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

BUTTON PROXIMAL TENODESIS

Facility

$2,175.00

Hospital Charge Code	270676803
Hospital Revenue Code	272
Min. Negotiated Rate	$282.75
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$652.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.75
Rate for Payer: Oxford Commercial	$1,087.50
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Commercial	$1,087.50

BUTTON ZIM PATELLA 5972-65-41

Facility

$3,436.85

Hospital Charge Code	270608597
Hospital Revenue Code	272
Min. Negotiated Rate	$446.79
Max. Negotiated Rate	$1,718.42
Rate for Payer: Aetna Commercial	$1,031.06
Rate for Payer: Aetna Medicare Advantage	$1,031.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$876.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$876.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$876.40
Rate for Payer: Cigna Commercial	$1,718.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$446.79
Rate for Payer: Oxford Commercial	$1,718.42
Rate for Payer: Qualcare PPO/HMO/WC	$515.53
Rate for Payer: UnitedHealthcare Commercial	$1,718.42

BUTTON ZIM PATELLA 5972-65-41

Facility

$3,436.85

Hospital Charge Code	270608597
Hospital Revenue Code	272
Min. Negotiated Rate	$515.53
Max. Negotiated Rate	$515.53
Rate for Payer: Qualcare PPO/HMO/WC	$515.53

BUY ROUND FLUTE 4.0 MM 6

Facility

$1,435.00

Hospital Charge Code	270658117
Hospital Revenue Code	278
Min. Negotiated Rate	$215.25
Max. Negotiated Rate	$347.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$287.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$347.27
Rate for Payer: Qualcare PPO/HMO/WC	$215.25

BUY ROUND FLUTE 4.0 MM 6

Facility

$1,435.00

Hospital Charge Code	270658117
Hospital Revenue Code	278
Min. Negotiated Rate	$215.25
Max. Negotiated Rate	$717.50
Rate for Payer: Aetna Commercial	$430.50
Rate for Payer: Aetna Medicare Advantage	$430.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$287.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.93
Rate for Payer: Cigna Commercial	$717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$347.27
Rate for Payer: Qualcare PPO/HMO/WC	$215.25

BX BREAST 1ST LESION STRTCT

Facility

$8,338.90

Service Code	HCPCS 19081
Hospital Charge Code	16000602
Hospital Revenue Code	360
Min. Negotiated Rate	$1,250.84
Max. Negotiated Rate	$1,250.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.84

BX BREAST 1ST LESION STRTCT

Facility

$8,338.90

Service Code	HCPCS 19081
Hospital Charge Code	16000602
Hospital Revenue Code	360
Min. Negotiated Rate	$1,084.06
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,501.67
Rate for Payer: Aetna Medicare Advantage	$2,501.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,126.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,126.42
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	$2,126.42
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,084.06
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.84
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

BX BREAST 1ST LESION US IMAG

Facility

$8,338.90

Service Code	HCPCS 19083
Hospital Charge Code	16000663
Hospital Revenue Code	360
Min. Negotiated Rate	$1,250.84
Max. Negotiated Rate	$1,250.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.84

BX BREAST 1ST LESION US IMAG

Facility

$8,338.90

Service Code	HCPCS 19083
Hospital Charge Code	16000663
Hospital Revenue Code	360
Min. Negotiated Rate	$1,084.06
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,501.67
Rate for Payer: Aetna Medicare Advantage	$2,501.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,126.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,126.42
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	$2,126.42
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,084.06
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.84
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

BX BREAST MR GUIDE EA ADD LESN

Facility

$4,789.30

Service Code	HCPCS 19086
Hospital Charge Code	2409030
Hospital Revenue Code	361
Min. Negotiated Rate	$718.39
Max. Negotiated Rate	$718.39
Rate for Payer: Qualcare PPO/HMO/WC	$718.39

BX BREAST MR GUIDE EA ADD LESN

Facility

$4,789.30

Service Code	HCPCS 19086
Hospital Charge Code	2409030
Hospital Revenue Code	361
Min. Negotiated Rate	$81.31
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,436.79
Rate for Payer: Aetna Medicare Advantage	$1,436.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,221.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,221.27
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	$1,221.27
Rate for Payer: Cigna Commercial	$81.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$718.39
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

BX PROSTATE,NEEDLE OR PUNCH

Facility

$10,187.80

Service Code	HCPCS 55700
Hospital Charge Code	1600000847
Hospital Revenue Code	360
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

BX PROSTATE,NEEDLE OR PUNCH

Facility

$10,187.80

Service Code	HCPCS 55700
Hospital Charge Code	1600000847
Hospital Revenue Code	360
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$5,093.90
Rate for Payer: Aetna Commercial	$3,056.34
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$5,093.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.41
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

BX-SKIN SQ/MM,EA ADDTL

Facility

$994.50

Service Code	HCPCS 11200
Hospital Charge Code	1600000404
Hospital Revenue Code	360
Min. Negotiated Rate	$129.28
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$298.35
Rate for Payer: Aetna Medicare Advantage	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.60
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	$253.60
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.28
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$149.18
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

BX-SKIN SQ/MM,EA ADDTL

Facility

$994.50

Service Code	HCPCS 11200
Hospital Charge Code	1600000404
Hospital Revenue Code	360
Min. Negotiated Rate	$149.18
Max. Negotiated Rate	$149.18
Rate for Payer: Qualcare PPO/HMO/WC	$149.18

BX SKIN, SQ TISSUE, MUC MEMB

Facility

$1,720.85

Service Code	HCPCS 11100
Hospital Charge Code	2250455
Hospital Revenue Code	361
Min. Negotiated Rate	$223.71
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$1,037.98
Rate for Payer: Aetna Commercial	$516.25
Rate for Payer: Aetna Medicare Advantage	$516.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$438.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$438.82
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	$438.82
Rate for Payer: Cigna Commercial	$860.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.71
Rate for Payer: Qualcare PPO/HMO/WC	$258.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

BX SKIN, SQ TISSUE, MUC MEMB

Facility

$1,720.85

Service Code	HCPCS 11100
Hospital Charge Code	2250455
Hospital Revenue Code	361
Min. Negotiated Rate	$258.13
Max. Negotiated Rate	$258.13
Rate for Payer: Qualcare PPO/HMO/WC	$258.13

BYETTA 10MCG SYRINGE

Facility

$1,154.00

Hospital Charge Code	60635679
Hospital Revenue Code	250
Min. Negotiated Rate	$173.10
Max. Negotiated Rate	$173.10
Rate for Payer: Qualcare PPO/HMO/WC	$173.10

BYETTA 10MCG SYRINGE

Facility

$1,154.00

Hospital Charge Code	60635679
Hospital Revenue Code	250
Min. Negotiated Rate	$150.02
Max. Negotiated Rate	$577.00
Rate for Payer: Aetna Commercial	$346.20
Rate for Payer: Aetna Medicare Advantage	$346.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.27
Rate for Payer: Cigna Commercial	$577.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.02
Rate for Payer: Oxford Commercial	$577.00
Rate for Payer: Qualcare PPO/HMO/WC	$173.10
Rate for Payer: UnitedHealthcare Commercial	$577.00

BYETTA 5MCG INJ

Facility

$859.00

Hospital Charge Code	60635557
Hospital Revenue Code	250
Min. Negotiated Rate	$111.67
Max. Negotiated Rate	$429.50
Rate for Payer: Aetna Commercial	$257.70
Rate for Payer: Aetna Medicare Advantage	$257.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.04
Rate for Payer: Cigna Commercial	$429.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.67
Rate for Payer: Oxford Commercial	$429.50
Rate for Payer: Qualcare PPO/HMO/WC	$128.85
Rate for Payer: UnitedHealthcare Commercial	$429.50

BYETTA 5MCG INJ

Facility

$859.00

Hospital Charge Code	60635557
Hospital Revenue Code	250
Min. Negotiated Rate	$128.85
Max. Negotiated Rate	$128.85
Rate for Payer: Qualcare PPO/HMO/WC	$128.85

BYSTOLIC 20MG TABLE

Facility

$21.44

Service Code	NDC 456142030
Hospital Charge Code	60635788
Hospital Revenue Code	250
Min. Negotiated Rate	$2.79
Max. Negotiated Rate	$10.72
Rate for Payer: Aetna Commercial	$6.43
Rate for Payer: Aetna Medicare Advantage	$6.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.47
Rate for Payer: Cigna Commercial	$10.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.79
Rate for Payer: Oxford Commercial	$10.72
Rate for Payer: Qualcare PPO/HMO/WC	$3.22
Rate for Payer: UnitedHealthcare Commercial	$10.72

Know your out-of-pocket cost for care.

All Charges