Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH ESTROGEN PROGESTERON

Facility

$1,637.65

Service Code	HCPCS 84233
Hospital Charge Code	397061019
Hospital Revenue Code	301
Min. Negotiated Rate	$245.65
Max. Negotiated Rate	$245.65
Rate for Payer: Qualcare PPO/HMO/WC	$245.65

CH ESTROGEN PROGESTERON

Facility

$1,637.65

Service Code	HCPCS 84233
Hospital Charge Code	397061019
Hospital Revenue Code	301
Min. Negotiated Rate	$32.91
Max. Negotiated Rate	$321.99
Rate for Payer: Aetna Commercial	$284.73
Rate for Payer: Aetna Medicare Advantage	$87.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$87.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.99
Rate for Payer: Cigna Commercial	$87.88
Rate for Payer: Cigna Medicare Advantage	$43.94
Rate for Payer: Clover Medicare Advantage	$83.49
Rate for Payer: EmblemHealth Commercial	$263.64
Rate for Payer: Humana Medicare Advantage	$90.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$245.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$87.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$93.15
Rate for Payer: Wellcare Medicare Advantage	$87.88

CH ESTROGEN TOTAL

Facility

$424.00

Service Code	HCPCS 82672
Hospital Charge Code	397073011
Hospital Revenue Code	301
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$70.31
Rate for Payer: Aetna Medicare Advantage	$21.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.70
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	$79.51
Rate for Payer: Cigna Commercial	$21.70
Rate for Payer: Cigna Medicare Advantage	$10.85
Rate for Payer: Clover Medicare Advantage	$20.61
Rate for Payer: EmblemHealth Commercial	$65.10
Rate for Payer: Humana Medicare Advantage	$22.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.70
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23.00
Rate for Payer: Wellcare Medicare Advantage	$21.70

CH ESTROGEN TOTAL

Facility

$424.00

Service Code	HCPCS 82672
Hospital Charge Code	397073011
Hospital Revenue Code	301
Min. Negotiated Rate	$63.60
Max. Negotiated Rate	$63.60
Rate for Payer: Qualcare PPO/HMO/WC	$63.60

CH ESTROGEN TOTAL S

Facility

$134.00

Service Code	HCPCS 82672
Hospital Charge Code	397072063
Hospital Revenue Code	301
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$70.31
Rate for Payer: Aetna Medicare Advantage	$21.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.70
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	$79.51
Rate for Payer: Cigna Commercial	$21.70
Rate for Payer: Cigna Medicare Advantage	$10.85
Rate for Payer: Clover Medicare Advantage	$20.61
Rate for Payer: EmblemHealth Commercial	$65.10
Rate for Payer: Humana Medicare Advantage	$22.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.70
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23.00
Rate for Payer: Wellcare Medicare Advantage	$21.70

CH ESTROGEN TOTAL S

Facility

$134.00

Service Code	HCPCS 82672
Hospital Charge Code	397072063
Hospital Revenue Code	301
Min. Negotiated Rate	$20.10
Max. Negotiated Rate	$20.10
Rate for Payer: Qualcare PPO/HMO/WC	$20.10

CH ESTRONE E1

Facility

$375.00

Service Code	HCPCS 82679
Hospital Charge Code	397071044
Hospital Revenue Code	301
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$80.84
Rate for Payer: Aetna Medicare Advantage	$24.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.95
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	$91.42
Rate for Payer: Cigna Commercial	$24.95
Rate for Payer: Cigna Medicare Advantage	$12.47
Rate for Payer: Clover Medicare Advantage	$23.70
Rate for Payer: EmblemHealth Commercial	$74.85
Rate for Payer: Humana Medicare Advantage	$25.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26.45
Rate for Payer: Wellcare Medicare Advantage	$24.95

CH ESTRONE E1

Facility

$375.00

Service Code	HCPCS 82679
Hospital Charge Code	397071044
Hospital Revenue Code	301
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

CHEST TUBE INSERTION

Facility

$2,289.68

Service Code	HCPCS 32550
Hospital Charge Code	83080001
Hospital Revenue Code	361
Min. Negotiated Rate	$343.45
Max. Negotiated Rate	$343.45
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

CHEST TUBE INSERTION

Facility

$2,289.68

Service Code	HCPCS 32550
Hospital Charge Code	83091001
Hospital Revenue Code	361
Min. Negotiated Rate	$343.45
Max. Negotiated Rate	$343.45
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

CHEST TUBE INSERTION

Facility

$2,289.68

Service Code	HCPCS 32550
Hospital Charge Code	83091001
Hospital Revenue Code	361
Min. Negotiated Rate	$297.66
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$686.90
Rate for Payer: Aetna Medicare Advantage	$686.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.87
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	$583.87
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.45
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CHEST TUBE INSERTION

Facility

$2,289.68

Service Code	HCPCS 32550
Hospital Charge Code	83080001
Hospital Revenue Code	361
Min. Negotiated Rate	$297.66
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$686.90
Rate for Payer: Aetna Medicare Advantage	$686.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.87
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	$583.87
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.45
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CHEST TUBE INSERTION

Facility

$2,289.68

Service Code	HCPCS 32550
Hospital Charge Code	83092001
Hospital Revenue Code	361
Min. Negotiated Rate	$297.66
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$686.90
Rate for Payer: Aetna Medicare Advantage	$686.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.87
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	$583.87
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.45
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CHEST TUBE INSERTION

Facility

$2,289.68

Service Code	HCPCS 32550
Hospital Charge Code	83092001
Hospital Revenue Code	361
Min. Negotiated Rate	$343.45
Max. Negotiated Rate	$343.45
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

CHEST TWO VIEWS

Facility

$5,100.00

Service Code	HCPCS 71046
Hospital Charge Code	94061039
Hospital Revenue Code	324
Min. Negotiated Rate	$35.17
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	$35.17
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 TWO VIEWS

Facility

$6,439.57

Service Code	HCPCS 71046
Hospital Charge Code	2000545
Hospital Revenue Code	324
Min. Negotiated Rate	$965.94
Max. Negotiated Rate	$965.94
Rate for Payer: Qualcare PPO/HMO/WC	$965.94

CHEST TWO VIEWS

Facility

$6,439.57

Service Code	HCPCS 71046
Hospital Charge Code	2000545
Hospital Revenue Code	324
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$1,931.87
Rate for Payer: Aetna Commercial	$1,931.87
Rate for Payer: Aetna Medicare Advantage	$1,931.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,642.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,642.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,642.09
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$837.14
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$965.94
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

CHEST TWO VIEWS

Facility

$5,100.00

Service Code	HCPCS 71046
Hospital Charge Code	94061039
Hospital Revenue Code	324
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CHEST VALVE HEIMLICH

Facility

$70.88

Hospital Charge Code	270649366
Hospital Revenue Code	272
Min. Negotiated Rate	$10.63
Max. Negotiated Rate	$10.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.63

CHEST VALVE HEIMLICH

Facility

$70.88

Hospital Charge Code	270649366
Hospital Revenue Code	272
Min. Negotiated Rate	$9.21
Max. Negotiated Rate	$35.44
Rate for Payer: Aetna Commercial	$21.26
Rate for Payer: Aetna Medicare Advantage	$21.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.07
Rate for Payer: Cigna Commercial	$35.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.21
Rate for Payer: Oxford Commercial	$35.44
Rate for Payer: Qualcare PPO/HMO/WC	$10.63
Rate for Payer: UnitedHealthcare Commercial	$35.44

CHEST W/ CONTRAST

Facility

$9,500.00

Service Code	HCPCS 71260
Hospital Charge Code	2200087
Hospital Revenue Code	352
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CHEST W/ CONTRAST

Facility

$9,500.00

Service Code	HCPCS 71260
Hospital Charge Code	2200087
Hospital Revenue Code	352
Min. Negotiated Rate	$319.58
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$417.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,773.00

CHEST W/O CONTRAST

Facility

$9,500.00

Service Code	HCPCS 71250
Hospital Charge Code	2200103
Hospital Revenue Code	352
Min. Negotiated Rate	$248.96
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,773.00

CHEST W/O CONTRAST

Facility

$9,500.00

Service Code	HCPCS 71250
Hospital Charge Code	2200103
Hospital Revenue Code	352
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CHEST W/O & HIGH RES CHEST

Facility

$9,500.00

Service Code	HCPCS 71250
Hospital Charge Code	2200104
Hospital Revenue Code	352
Min. Negotiated Rate	$248.96
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,773.00

Know your out-of-pocket cost for care.

All Charges