Heights University Hospital

All Charges

Charge

Type

Setting

Price

CFH FP FB REMOVAL,EAR

Facility

$299.00

Service Code	HCPCS 69200
Hospital Charge Code	83652267
Hospital Revenue Code	510
Min. Negotiated Rate	$20.93
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$89.70
Rate for Payer: Aetna Medicare Advantage	$89.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.87
Rate for Payer: Qualcare PPO/HMO/WC	$44.85

CFH FP FB REMOVAL,EYE-EXTERNAL

Facility

$397.00

Service Code	HCPCS 65205
Hospital Charge Code	83652263
Hospital Revenue Code	361
Min. Negotiated Rate	$59.55
Max. Negotiated Rate	$59.55
Rate for Payer: Qualcare PPO/HMO/WC	$59.55

CFH FP FB REMOVAL,EYE-EXTERNAL

Facility

$397.00

Service Code	HCPCS 65205
Hospital Charge Code	83652263
Hospital Revenue Code	361
Min. Negotiated Rate	$51.61
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$119.10
Rate for Payer: Aetna Medicare Advantage	$119.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.23
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	$101.23
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CFH FP FLU HIGH DOSE

Facility

$244.01

Service Code	HCPCS 90662
Hospital Charge Code	83652315
Hospital Revenue Code	636
Min. Negotiated Rate	$36.60
Max. Negotiated Rate	$59.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.05
Rate for Payer: Qualcare PPO/HMO/WC	$36.60

CFH FP FLU HIGH DOSE

Facility

$244.01

Service Code	HCPCS 90662
Hospital Charge Code	83652315
Hospital Revenue Code	636
Min. Negotiated Rate	$36.60
Max. Negotiated Rate	$98.16
Rate for Payer: Aetna Commercial	$73.20
Rate for Payer: Aetna Medicare Advantage	$73.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.22
Rate for Payer: Cigna Commercial	$98.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.05
Rate for Payer: Qualcare PPO/HMO/WC	$36.60

CFH FP GROUP PSY-THRPY

Facility

$291.00

Service Code	HCPCS 90853
Hospital Charge Code	83652359
Hospital Revenue Code	915
Min. Negotiated Rate	$43.65
Max. Negotiated Rate	$43.65
Rate for Payer: Qualcare PPO/HMO/WC	$43.65

CFH FP GROUP PSY-THRPY

Facility

$291.00

Service Code	HCPCS 90853
Hospital Charge Code	83652359
Hospital Revenue Code	915
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$87.30
Rate for Payer: Aetna Medicare Advantage	$87.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.20
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.83
Rate for Payer: Qualcare PPO/HMO/WC	$43.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48

CFH FP HEPVAX A & B

Facility

$142.00

Service Code	HCPCS 90636
Hospital Charge Code	83652305
Hospital Revenue Code	636
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$34.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

CFH FP HEPVAX A & B

Facility

$142.00

Service Code	HCPCS 90636
Hospital Charge Code	83652305
Hospital Revenue Code	636
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$128.16
Rate for Payer: Aetna Commercial	$42.60
Rate for Payer: Aetna Medicare Advantage	$42.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.21
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

CFH FP I&D ABSCESS/CYST/SINGLE

Facility

$369.90

Service Code	HCPCS 10060
Hospital Charge Code	83652001
Hospital Revenue Code	761
Min. Negotiated Rate	$55.48
Max. Negotiated Rate	$55.48
Rate for Payer: Qualcare PPO/HMO/WC	$55.48

CFH FP I&D ABSCESS/CYST/SINGLE

Facility

$369.90

Service Code	HCPCS 10060
Hospital Charge Code	83652001
Hospital Revenue Code	761
Min. Negotiated Rate	$29.34
Max. Negotiated Rate	$962.01
Rate for Payer: Aetna Better Health Medicaid	$943.15
Rate for Payer: Aetna Commercial	$110.97
Rate for Payer: Aetna Medicare Advantage	$110.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.32
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.09
Rate for Payer: Oxford Commercial	$184.95
Rate for Payer: Qualcare PPO/HMO/WC	$55.48
Rate for Payer: UnitedHealthcare Commercial	$184.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$962.01

CFH FP INTRALESIONAL LESION

Facility

$372.00

Service Code	HCPCS 11900
Hospital Charge Code	83652061
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 INTRALESIONAL LESION

Facility

$372.00

Service Code	HCPCS 11900
Hospital Charge Code	83652061
Hospital Revenue Code	761
Min. Negotiated Rate	$23.11
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	$23.11
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 MMR VACCINE

Facility

$130.00

Service Code	HCPCS 90707
Hospital Charge Code	83652327
Hospital Revenue Code	636
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$31.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.46
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

CFH FP MMR VACCINE

Facility

$130.00

Service Code	HCPCS 90707
Hospital Charge Code	83652327
Hospital Revenue Code	636
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$39.00
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.46
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

CFH FP PARING BENIGN LES 1

Facility

$512.00

Service Code	HCPCS 11055
Hospital Charge Code	83652019
Hospital Revenue Code	761
Min. Negotiated Rate	$32.61
Max. Negotiated Rate	$477.79
Rate for Payer: Aetna Commercial	$153.60
Rate for Payer: Aetna Medicare Advantage	$153.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.56
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.56
Rate for Payer: Oxford Commercial	$256.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.80
Rate for Payer: UnitedHealthcare Commercial	$256.00

CFH FP PARING BENIGN LES 1

Facility

$512.00

Service Code	HCPCS 11055
Hospital Charge Code	83652019
Hospital Revenue Code	761
Min. Negotiated Rate	$76.80
Max. Negotiated Rate	$76.80
Rate for Payer: Qualcare PPO/HMO/WC	$76.80

CFH FP PEAKFLOW

Facility

$241.00

Service Code	HCPCS 94150
Hospital Charge Code	83652377
Hospital Revenue Code	460
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$36.15
Rate for Payer: Qualcare PPO/HMO/WC	$36.15

CFH FP PEAKFLOW

Facility

$241.00

Service Code	HCPCS 94150
Hospital Charge Code	83652377
Hospital Revenue Code	460
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$72.30
Rate for Payer: Aetna Medicare Advantage	$72.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$306.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.33
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.15
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

CFH FP PULSE OXIMETRY

Facility

$10.41

Service Code	HCPCS 94760
Hospital Charge Code	83652383
Hospital Revenue Code	460
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$1.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.56

CFH FP PULSE OXIMETRY

Facility

$10.41

Service Code	HCPCS 94760
Hospital Charge Code	83652383
Hospital Revenue Code	460
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$3.12
Rate for Payer: Aetna Medicare Advantage	$3.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.65
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.35
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.56
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

CFH FP TETANUS/DIPHTHERIA

Facility

$2,913.40

Service Code	HCPCS 90715
Hospital Charge Code	83652329
Hospital Revenue Code	636
Min. Negotiated Rate	$437.01
Max. Negotiated Rate	$705.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$705.04
Rate for Payer: Qualcare PPO/HMO/WC	$437.01

CFH FP TETANUS/DIPHTHERIA

Facility

$2,913.40

Service Code	HCPCS 90715
Hospital Charge Code	83652329
Hospital Revenue Code	636
Min. Negotiated Rate	$39.48
Max. Negotiated Rate	$874.02
Rate for Payer: Aetna Commercial	$874.02
Rate for Payer: Aetna Medicare Advantage	$874.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$742.92
Rate for Payer: Cigna Commercial	$39.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$705.04
Rate for Payer: Qualcare PPO/HMO/WC	$437.01

CFH FP TYMPANOMETER

Facility

$194.00

Service Code	HCPCS 92567
Hospital Charge Code	83652365
Hospital Revenue Code	471
Min. Negotiated Rate	$25.22
Max. Negotiated Rate	$1,180.00
Rate for Payer: Aetna Commercial	$58.20
Rate for Payer: Aetna Medicare Advantage	$58.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.47
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.22
Rate for Payer: Oxford Commercial	$1,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.10
Rate for Payer: UnitedHealthcare Commercial	$1,180.00

CFH FP TYMPANOMETER

Facility

$194.00

Service Code	HCPCS 92567
Hospital Charge Code	83652365
Hospital Revenue Code	471
Min. Negotiated Rate	$29.10
Max. Negotiated Rate	$29.10
Rate for Payer: Qualcare PPO/HMO/WC	$29.10

Know your out-of-pocket cost for care.

All Charges