Heights University Hospital

All Charges

Charge

Type

Setting

Price

CFH CRYOCAUTERY OF CERVIX

Facility

$669.00

Service Code	HCPCS 57511
Hospital Charge Code	83652149
Hospital Revenue Code	361
Min. Negotiated Rate	$100.35
Max. Negotiated Rate	$100.35
Rate for Payer: Qualcare PPO/HMO/WC	$100.35

CFH DIGITAL RECTAL EXAM

Facility

$67.00

Service Code	HCPCS G0102
Hospital Charge Code	83652527
Hospital Revenue Code	510
Min. Negotiated Rate	$8.30
Max. Negotiated Rate	$20.10
Rate for Payer: Aetna Commercial	$20.10
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$8.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

CFH DIGITAL RECTAL EXAM

Facility

$67.00

Service Code	HCPCS G0102
Hospital Charge Code	83652527
Hospital Revenue Code	510
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

CFH EAR PEERCING

Facility

$100.00

Service Code	HCPCS 69090
Hospital Charge Code	83652265
Hospital Revenue Code	761
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

CFH EAR PEERCING

Facility

$100.00

Service Code	HCPCS 69090
Hospital Charge Code	83652265
Hospital Revenue Code	761
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$50.00

CFH ECG TRACING FOR IPPE

Facility

$65.00

Service Code	HCPCS G0404
Hospital Charge Code	83652531
Hospital Revenue Code	730
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$603.00
Rate for Payer: Aetna Commercial	$19.50
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$68.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$531.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$603.00

CFH ECG TRACING FOR IPPE

Facility

$65.00

Service Code	HCPCS G0404
Hospital Charge Code	83652531
Hospital Revenue Code	730
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

CFH EPIPEN 0.31MG INJ ADU

Facility

$139.00

Service Code	HCPCS J0171
Hospital Charge Code	83652660
Hospital Revenue Code	636
Min. Negotiated Rate	$20.85
Max. Negotiated Rate	$33.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.85

CFH EPIPEN 0.31MG INJ ADU

Facility

$139.00

Service Code	HCPCS J0171
Hospital Charge Code	83652660
Hospital Revenue Code	636
Min. Negotiated Rate	$20.85
Max. Negotiated Rate	$69.50
Rate for Payer: Aetna Commercial	$41.70
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.45
Rate for Payer: Cigna Commercial	$69.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.85

CFH EPIPEN 0.3MG INHALER

Facility

$98.00

Hospital Charge Code	83652665
Hospital Revenue Code	250
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

CFH EPIPEN 0.3MG INHALER

Facility

$98.00

Hospital Charge Code	83652665
Hospital Revenue Code	250
Min. Negotiated Rate	$12.74
Max. Negotiated Rate	$49.00
Rate for Payer: Aetna Commercial	$29.40
Rate for Payer: Aetna Medicare Advantage	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.99
Rate for Payer: Cigna Commercial	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.74
Rate for Payer: Oxford Commercial	$49.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
Rate for Payer: UnitedHealthcare Commercial	$49.00

CFH FIT AND INSERT PESSARY

Facility

$669.00

Service Code	HCPCS 57160
Hospital Charge Code	83652131
Hospital Revenue Code	514
Min. Negotiated Rate	$22.74
Max. Negotiated Rate	$481.45
Rate for Payer: Aetna Commercial	$200.70
Rate for Payer: Aetna Medicare Advantage	$200.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.59
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.97
Rate for Payer: Qualcare PPO/HMO/WC	$100.35

CFH FIT AND INSERT PESSARY

Facility

$669.00

Service Code	HCPCS 57160
Hospital Charge Code	83652131
Hospital Revenue Code	514
Min. Negotiated Rate	$100.35
Max. Negotiated Rate	$100.35
Rate for Payer: Qualcare PPO/HMO/WC	$100.35

CFH FP ARTHROCENTESIS MAJOR

Facility

$227.24

Service Code	HCPCS 20610
Hospital Charge Code	83652097
Hospital Revenue Code	761
Min. Negotiated Rate	$29.54
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$68.17
Rate for Payer: Aetna Medicare Advantage	$68.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.95
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Oxford Commercial	$113.62
Rate for Payer: Qualcare PPO/HMO/WC	$34.09
Rate for Payer: UnitedHealthcare Commercial	$113.62

CFH FP ARTHROCENTESIS MAJOR

Facility

$227.24

Service Code	HCPCS 20610
Hospital Charge Code	83652097
Hospital Revenue Code	761
Min. Negotiated Rate	$34.09
Max. Negotiated Rate	$34.09
Rate for Payer: Qualcare PPO/HMO/WC	$34.09

CFH FP ARTHROCENTESIS SM JOINT

Facility

$175.91

Service Code	HCPCS 20600
Hospital Charge Code	83652093
Hospital Revenue Code	761
Min. Negotiated Rate	$22.87
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$52.77
Rate for Payer: Aetna Medicare Advantage	$52.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.86
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.87
Rate for Payer: Oxford Commercial	$87.95
Rate for Payer: Qualcare PPO/HMO/WC	$26.39
Rate for Payer: UnitedHealthcare Commercial	$87.95

CFH FP ARTHROCENTESIS SM JOINT

Facility

$175.91

Service Code	HCPCS 20600
Hospital Charge Code	83652093
Hospital Revenue Code	761
Min. Negotiated Rate	$26.39
Max. Negotiated Rate	$26.39
Rate for Payer: Qualcare PPO/HMO/WC	$26.39

CFH FP AUDIOMETRY

Facility

$101.70

Service Code	HCPCS 92552
Hospital Charge Code	83652363
Hospital Revenue Code	471
Min. Negotiated Rate	$15.26
Max. Negotiated Rate	$15.26
Rate for Payer: Qualcare PPO/HMO/WC	$15.26

CFH FP AUDIOMETRY

Facility

$101.70

Service Code	HCPCS 92552
Hospital Charge Code	83652363
Hospital Revenue Code	471
Min. Negotiated Rate	$13.22
Max. Negotiated Rate	$1,180.00
Rate for Payer: Aetna Commercial	$30.51
Rate for Payer: Aetna Medicare Advantage	$30.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.93
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.22
Rate for Payer: Oxford Commercial	$1,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.26
Rate for Payer: UnitedHealthcare Commercial	$1,180.00

CFH FP AVULSION OF NAIL PL

Facility

$372.00

Service Code	HCPCS 11730
Hospital Charge Code	83652051
Hospital Revenue Code	761
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

CFH FP AVULSION OF NAIL PL

Facility

$372.00

Service Code	HCPCS 11730
Hospital Charge Code	83652051
Hospital Revenue Code	761
Min. Negotiated Rate	$48.36
Max. Negotiated Rate	$477.79
Rate for Payer: Aetna Commercial	$111.60
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.36
Rate for Payer: Oxford Commercial	$186.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$186.00

CFH FP BRONCHODILATOR ADMIN.

Facility

$58.41

Service Code	HCPCS 94664
Hospital Charge Code	83652379
Hospital Revenue Code	419
Min. Negotiated Rate	$8.76
Max. Negotiated Rate	$8.76
Rate for Payer: Qualcare PPO/HMO/WC	$8.76

CFH FP BRONCHODILATOR ADMIN.

Facility

$58.41

Service Code	HCPCS 94664
Hospital Charge Code	83652379
Hospital Revenue Code	419
Min. Negotiated Rate	$7.59
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$17.52
Rate for Payer: Aetna Medicare Advantage	$17.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.89
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.59
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.76
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CFH FP BX SKIN SINGLE LESION

Facility

$612.00

Service Code	HCPCS 11100
Hospital Charge Code	83652027
Hospital Revenue Code	761
Min. Negotiated Rate	$79.56
Max. Negotiated Rate	$1,058.74
Rate for Payer: Aetna Better Health Medicaid	$1,037.98
Rate for Payer: Aetna Commercial	$183.60
Rate for Payer: Aetna Medicare Advantage	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.06
Rate for Payer: Cigna Commercial	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$306.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.80
Rate for Payer: UnitedHealthcare Commercial	$306.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74

CFH FP BX SKIN SINGLE LESION

Facility

$612.00

Service Code	HCPCS 11100
Hospital Charge Code	83652027
Hospital Revenue Code	761
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

Know your out-of-pocket cost for care.

All Charges