Heights University Hospital

All Charges

Charge

Type

Setting

Price

CHEST ONE VIEW

Facility

$5,870.36

Service Code	HCPCS 71045
Hospital Charge Code	2000537
Hospital Revenue Code	324
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$1,761.11
Rate for Payer: Aetna Commercial	$1,761.11
Rate for Payer: Aetna Medicare Advantage	$1,761.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,496.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,496.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,496.94
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$763.15
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$880.55
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

CHEST ONE VIEW

Facility

$5,870.36

Service Code	HCPCS 71045
Hospital Charge Code	2000537
Hospital Revenue Code	324
Min. Negotiated Rate	$880.55
Max. Negotiated Rate	$880.55
Rate for Payer: Qualcare PPO/HMO/WC	$880.55

CHEST ONE VIEW

Facility

$5,100.00

Service Code	HCPCS 71045
Hospital Charge Code	94061037
Hospital Revenue Code	324
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

CHEST ONE VIEW

Facility

$5,100.00

Service Code	HCPCS 71045
Hospital Charge Code	94061037
Hospital Revenue Code	324
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CHEST ONE VIEW PORTABLE

Facility

$6,095.93

Service Code	HCPCS 71045
Hospital Charge Code	2003069
Hospital Revenue Code	324
Min. Negotiated Rate	$914.39
Max. Negotiated Rate	$914.39
Rate for Payer: Qualcare PPO/HMO/WC	$914.39

CHEST ONE VIEW PORTABLE

Facility

$6,095.93

Service Code	HCPCS 71045
Hospital Charge Code	2003069
Hospital Revenue Code	324
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$1,828.78
Rate for Payer: Aetna Commercial	$1,828.78
Rate for Payer: Aetna Medicare Advantage	$1,828.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,554.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,554.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,554.46
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$792.47
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$914.39
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

CHEST PAIN

Facility

$6,516.34

Service Code	APR-DRG 2031
Min. Negotiated Rate	$4,650.19
Max. Negotiated Rate	$6,516.34
Rate for Payer: Aetna Better Health Medicaid	$6,388.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,516.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4,650.19

CHEST PAIN

Facility

$9,728.17

Service Code	APR-DRG 2033
Min. Negotiated Rate	$6,750.99
Max. Negotiated Rate	$9,728.17
Rate for Payer: Aetna Better Health Medicaid	$9,537.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,728.17
Rate for Payer: Wellpoint Medicaid Managed Care	$6,750.99

CHEST PAIN

Facility

$15,674.30

Service Code	APR-DRG 2034
Min. Negotiated Rate	$12,258.02
Max. Negotiated Rate	$15,674.30
Rate for Payer: Aetna Better Health Medicaid	$15,366.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,674.30
Rate for Payer: Wellpoint Medicaid Managed Care	$12,258.02

CHEST PAIN

Facility

$7,732.54

Service Code	APR-DRG 2032
Min. Negotiated Rate	$5,408.18
Max. Negotiated Rate	$7,732.54
Rate for Payer: Aetna Better Health Medicaid	$7,580.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,732.54
Rate for Payer: Wellpoint Medicaid Managed Care	$5,408.18

CHEST PAIN

Facility

$32,720.76

Service Code	MSDRG 313
Min. Negotiated Rate	$7,857.06
Max. Negotiated Rate	$32,720.76
Rate for Payer: Aetna Commercial	$24,278.32
Rate for Payer: Aetna Medicare Advantage	$7,857.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,848.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,848.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,906.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,848.24
Rate for Payer: Cigna Commercial	$15,495.12
Rate for Payer: Cigna Medicare Advantage	$10,906.92
Rate for Payer: Clover Medicare Advantage	$10,361.57
Rate for Payer: EmblemHealth Commercial	$32,720.76
Rate for Payer: Humana Medicare Advantage	$11,234.13
Rate for Payer: Oxford Commercial	$9,684.00
Rate for Payer: UnitedHealthcare Commercial	$10,992.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,906.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,561.34
Rate for Payer: Wellcare Medicare Advantage	$10,906.92

CHEST PHYSIOTHERAPY SUBSEQUENT

Facility

$128.00

Service Code	HCPCS 94668
Hospital Charge Code	9500555
Hospital Revenue Code	410
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
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	$32.64
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CHEST PHYSIOTHERAPY SUBSEQUENT

Facility

$128.00

Service Code	HCPCS 94668
Hospital Charge Code	9500555
Hospital Revenue Code	410
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CHEST PHY THERAPY MULTI***

Facility

$132.00

Service Code	HCPCS 94667
Hospital Charge Code	9500562
Hospital Revenue Code	419
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

CHEST PHY THERAPY MULTI***

Facility

$132.00

Service Code	HCPCS 94667
Hospital Charge Code	9500562
Hospital Revenue Code	419
Min. Negotiated Rate	$17.16
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CHEST PT INITIAL OR EVAL

Facility

$178.45

Service Code	HCPCS 94667
Hospital Charge Code	9500554
Hospital Revenue Code	410
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$53.53
Rate for Payer: Aetna Medicare Advantage	$53.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.50
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.20
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.77
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CHEST PT INITIAL OR EVAL

Facility

$178.45

Service Code	HCPCS 94667
Hospital Charge Code	9500554
Hospital Revenue Code	410
Min. Negotiated Rate	$26.77
Max. Negotiated Rate	$26.77
Rate for Payer: Qualcare PPO/HMO/WC	$26.77

CH ESTRADIOL E2

Facility

$450.00

Service Code	HCPCS 82670
Hospital Charge Code	397072061
Hospital Revenue Code	301
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CH ESTRADIOL E2

Facility

$450.00

Service Code	HCPCS 82670
Hospital Charge Code	397072061
Hospital Revenue Code	301
Min. Negotiated Rate	$13.97
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$90.53
Rate for Payer: Aetna Medicare Advantage	$27.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.37
Rate for Payer: Cigna Commercial	$27.94
Rate for Payer: Cigna Medicare Advantage	$13.97
Rate for Payer: Clover Medicare Advantage	$26.54
Rate for Payer: EmblemHealth Commercial	$83.82
Rate for Payer: Humana Medicare Advantage	$28.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29.62
Rate for Payer: Wellcare Medicare Advantage	$27.94

CH ESTRIOL

Facility

$390.00

Service Code	HCPCS 82677
Hospital Charge Code	397073241
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH ESTRIOL

Facility

$390.00

Service Code	HCPCS 82677
Hospital Charge Code	397073241
Hospital Revenue Code	301
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.34
Rate for Payer: Aetna Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.60
Rate for Payer: Cigna Commercial	$24.18
Rate for Payer: Cigna Medicare Advantage	$12.09
Rate for Payer: Clover Medicare Advantage	$22.97
Rate for Payer: EmblemHealth Commercial	$72.54
Rate for Payer: Humana Medicare Advantage	$24.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.63
Rate for Payer: Wellcare Medicare Advantage	$24.18

CH ESTRIOL E3

Facility

$198.00

Service Code	HCPCS 82677
Hospital Charge Code	397071006
Hospital Revenue Code	301
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.34
Rate for Payer: Aetna Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.60
Rate for Payer: Cigna Commercial	$24.18
Rate for Payer: Cigna Medicare Advantage	$12.09
Rate for Payer: Clover Medicare Advantage	$22.97
Rate for Payer: EmblemHealth Commercial	$72.54
Rate for Payer: Humana Medicare Advantage	$24.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.63
Rate for Payer: Wellcare Medicare Advantage	$24.18

CH ESTRIOL E3

Facility

$198.00

Service Code	HCPCS 82677
Hospital Charge Code	397071006
Hospital Revenue Code	301
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$29.70
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

CH ESTROGEN FRACTION S

Facility

$767.00

Service Code	HCPCS 82671
Hospital Charge Code	397072064
Hospital Revenue Code	301
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$118.35
Rate for Payer: Aetna Commercial	$104.65
Rate for Payer: Aetna Medicare Advantage	$32.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.35
Rate for Payer: Cigna Commercial	$32.30
Rate for Payer: Cigna Medicare Advantage	$16.15
Rate for Payer: Clover Medicare Advantage	$30.68
Rate for Payer: EmblemHealth Commercial	$96.90
Rate for Payer: Humana Medicare Advantage	$33.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.71
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$115.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$34.24
Rate for Payer: Wellcare Medicare Advantage	$32.30

CH ESTROGEN FRACTION S

Facility

$767.00

Service Code	HCPCS 82671
Hospital Charge Code	397072064
Hospital Revenue Code	301
Min. Negotiated Rate	$115.05
Max. Negotiated Rate	$115.05
Rate for Payer: Qualcare PPO/HMO/WC	$115.05

Know your out-of-pocket cost for care.

All Charges