Heights University Hospital

All Charges

Charge

Type

Setting

Price

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	74117027
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

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	2692015
Hospital Revenue Code	921
Min. Negotiated Rate	$428.95
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	$428.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$568.20
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

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	74116027
Hospital Revenue Code	921
Min. Negotiated Rate	$428.95
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	$428.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$568.20
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

CAROTID DUPLEX SCAN LIMIT

Facility

$17,200.00

Service Code	HCPCS 93882
Hospital Charge Code	74115028
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

CAROTID DUPLEX SCAN LIMIT

Facility

$905.70

Service Code	HCPCS 93882
Hospital Charge Code	94053170
Hospital Revenue Code	921
Min. Negotiated Rate	$135.85
Max. Negotiated Rate	$135.85
Rate for Payer: Qualcare PPO/HMO/WC	$135.85

CAROTID DUPLEX SCAN LIMIT

Facility

$17,200.00

Service Code	HCPCS 93882
Hospital Charge Code	74115028
Hospital Revenue Code	921
Min. Negotiated Rate	$110.84
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	$110.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$248.96
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

CAROTID DUPLEX SCAN LIMIT

Facility

$17,200.00

Service Code	HCPCS 93882
Hospital Charge Code	2692020
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

CAROTID DUPLEX SCAN LIMIT

Facility

$789.00

Service Code	HCPCS 93882
Hospital Charge Code	74117028
Hospital Revenue Code	921
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

CAROTID DUPLEX SCAN LIMIT

Facility

$789.00

Service Code	HCPCS 93882
Hospital Charge Code	74116028
Hospital Revenue Code	921
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

CAROTID DUPLEX SCAN LIMIT

Facility

$789.00

Service Code	HCPCS 93882
Hospital Charge Code	74117028
Hospital Revenue Code	921
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

CAROTID DUPLEX SCAN LIMIT

Facility

$789.00

Service Code	HCPCS 93882
Hospital Charge Code	74116028
Hospital Revenue Code	921
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

CAROTID DUPLEX SCAN LIMIT

Facility

$17,200.00

Service Code	HCPCS 93882
Hospital Charge Code	2692020
Hospital Revenue Code	921
Min. Negotiated Rate	$110.84
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	$110.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$248.96
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

CAROTID DUPLEX SCAN LIMIT

Facility

$905.70

Service Code	HCPCS 93882
Hospital Charge Code	94053170
Hospital Revenue Code	921
Min. Negotiated Rate	$110.84
Max. Negotiated Rate	$5,061.00
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) NJ Health	$110.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.95
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.74
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.85
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

CAROTID PRUITT SHUNT

Facility

$501.00

Hospital Charge Code	270335050
Hospital Revenue Code	278
Min. Negotiated Rate	$75.15
Max. Negotiated Rate	$121.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.24
Rate for Payer: Qualcare PPO/HMO/WC	$75.15

CAROTID PRUITT SHUNT

Facility

$501.00

Hospital Charge Code	270335050
Hospital Revenue Code	278
Min. Negotiated Rate	$75.15
Max. Negotiated Rate	$250.50
Rate for Payer: Aetna Commercial	$150.30
Rate for Payer: Aetna Medicare Advantage	$150.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.75
Rate for Payer: Cigna Commercial	$250.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.24
Rate for Payer: Qualcare PPO/HMO/WC	$75.15

CAR OUTP MEAS DRG CATH CHD

Facility

$6,070.00

Service Code	HCPCS 93598
Hospital Charge Code	411093598
Hospital Revenue Code	481
Min. Negotiated Rate	$789.10
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$1,821.00
Rate for Payer: Aetna Medicare Advantage	$1,821.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,547.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,547.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,547.85
Rate for Payer: Cigna Commercial	$3,035.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$789.10
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CAR OUTP MEAS DRG CATH CHD

Facility

$6,070.00

Service Code	HCPCS 93598
Hospital Charge Code	411093598
Hospital Revenue Code	481
Min. Negotiated Rate	$910.50
Max. Negotiated Rate	$910.50
Rate for Payer: Qualcare PPO/HMO/WC	$910.50

CARPAL TUNNEL KNIFE INTEGRA

Facility

$1,097.25

Hospital Charge Code	270690828
Hospital Revenue Code	272
Min. Negotiated Rate	$142.64
Max. Negotiated Rate	$548.62
Rate for Payer: Aetna Commercial	$329.18
Rate for Payer: Aetna Medicare Advantage	$329.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.80
Rate for Payer: Cigna Commercial	$548.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.64
Rate for Payer: Oxford Commercial	$548.62
Rate for Payer: Qualcare PPO/HMO/WC	$164.59
Rate for Payer: UnitedHealthcare Commercial	$548.62

CARPAL TUNNEL KNIFE INTEGRA

Facility

$1,097.25

Hospital Charge Code	270690828
Hospital Revenue Code	272
Min. Negotiated Rate	$164.59
Max. Negotiated Rate	$164.59
Rate for Payer: Qualcare PPO/HMO/WC	$164.59

CARPAL TUNNEL TX IN LT

Facility

$2,401.70

Service Code	HCPCS 20526
Hospital Charge Code	16000793
Hospital Revenue Code	360
Min. Negotiated Rate	$312.22
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$720.51
Rate for Payer: Aetna Medicare Advantage	$720.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.43
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	$612.43
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.22
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.25
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CARPAL TUNNEL TX IN LT

Facility

$2,401.70

Service Code	HCPCS 20526
Hospital Charge Code	16000793
Hospital Revenue Code	360
Min. Negotiated Rate	$360.25
Max. Negotiated Rate	$360.25
Rate for Payer: Qualcare PPO/HMO/WC	$360.25

CARPECTOMY;ALL BONES PROXIMAL

Facility

$25,274.60

Service Code	HCPCS 25215
Hospital Charge Code	16000831
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$100,622.27
Rate for Payer: Aetna Better Health Medicaid	$98,649.28
Rate for Payer: Aetna Commercial	$7,582.38
Rate for Payer: Aetna Medicare Advantage	$7,582.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,445.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,445.02
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	$6,445.02
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,285.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,791.19
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$100,622.27
Rate for Payer: Wellpoint Medicaid Managed Care	$98,649.28

CARPECTOMY;ALL BONES PROXIMAL

Facility

$25,274.60

Service Code	HCPCS 25215
Hospital Charge Code	16000831
Hospital Revenue Code	360
Min. Negotiated Rate	$3,791.19
Max. Negotiated Rate	$3,791.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,791.19

CARPUJECT CARTRIDGE UNIT

Facility

$0.85

Hospital Charge Code	60629266
Hospital Revenue Code	270
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.43
Rate for Payer: Aetna Commercial	$0.26
Rate for Payer: Aetna Medicare Advantage	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.22
Rate for Payer: Cigna Commercial	$0.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.11
Rate for Payer: Oxford Commercial	$0.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.13
Rate for Payer: UnitedHealthcare Commercial	$0.43

CARPUJECT CARTRIDGE UNIT

Facility

$0.85

Hospital Charge Code	60629266
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.13

Know your out-of-pocket cost for care.

All Charges