Heights University Hospital

All Charges

Charge

Type

Setting

Price

COLOGAN SHIELD

Facility

$1,698.65

Hospital Charge Code	270663604
Hospital Revenue Code	270
Min. Negotiated Rate	$254.80
Max. Negotiated Rate	$254.80
Rate for Payer: Qualcare PPO/HMO/WC	$254.80

COLONO.DIAGN.VIA COLOST.W/WOBR

Facility

$7,639.30

Hospital Charge Code	16000150
Hospital Revenue Code	360
Min. Negotiated Rate	$1,145.89
Max. Negotiated Rate	$1,145.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.89

COLONO.DIAGN.VIA COLOST.W/WOBR

Facility

$7,639.30

Hospital Charge Code	16000150
Hospital Revenue Code	360
Min. Negotiated Rate	$993.11
Max. Negotiated Rate	$3,819.65
Rate for Payer: Aetna Commercial	$2,291.79
Rate for Payer: Aetna Medicare Advantage	$2,291.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,948.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,948.02
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	$1,948.02
Rate for Payer: Cigna Commercial	$3,819.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$993.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.89

COLONOSCOPE SUBMUCOUS INJ

Facility

$8,751.70

Service Code	HCPCS 45381
Hospital Charge Code	16000367
Hospital Revenue Code	360
Min. Negotiated Rate	$1,312.76
Max. Negotiated Rate	$1,312.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76

COLONOSCOPE SUBMUCOUS INJ

Facility

$8,751.70

Service Code	HCPCS 45381
Hospital Charge Code	16000367
Hospital Revenue Code	360
Min. Negotiated Rate	$1,137.72
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$2,625.51
Rate for Payer: Aetna Medicare Advantage	$2,625.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.68
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	$2,231.68
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.72
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLONOSCOPY***

Facility

$440.00

Hospital Charge Code	2300010
Hospital Revenue Code	759
Min. Negotiated Rate	$57.20
Max. Negotiated Rate	$220.00
Rate for Payer: Aetna Commercial	$132.00
Rate for Payer: Aetna Medicare Advantage	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.20
Rate for Payer: Cigna Commercial	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Qualcare PPO/HMO/WC	$66.00

COLONOSCOPY***

Facility

$440.00

Hospital Charge Code	2300010
Hospital Revenue Code	759
Min. Negotiated Rate	$66.00
Max. Negotiated Rate	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.00

COLONOSCOPY,FLEX,DX

Facility

$8,652.00

Service Code	HCPCS 45378
Hospital Charge Code	16000208
Hospital Revenue Code	360
Min. Negotiated Rate	$1,297.80
Max. Negotiated Rate	$1,297.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,297.80

COLONOSCOPY,FLEX,DX

Facility

$8,652.00

Service Code	HCPCS 45378
Hospital Charge Code	16000208
Hospital Revenue Code	360
Min. Negotiated Rate	$1,124.76
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$2,595.60
Rate for Payer: Aetna Medicare Advantage	$2,595.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,206.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,206.26
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	$2,206.26
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,124.76
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,297.80
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)

Facility

$3,687.00

Service Code	CPT 45378
Hospital Revenue Code	750
Min. Negotiated Rate	$191.01
Max. Negotiated Rate	$3,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.01
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE

Facility

$3,687.00

Service Code	CPT 45380
Hospital Revenue Code	750
Min. Negotiated Rate	$230.23
Max. Negotiated Rate	$3,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.23
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE

Facility

$3,687.00

Service Code	CPT 45381
Hospital Revenue Code	750
Min. Negotiated Rate	$231.15
Max. Negotiated Rate	$3,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.15
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE

Facility

$3,687.00

Service Code	CPT 45385
Hospital Revenue Code	750
Min. Negotiated Rate	$311.65
Max. Negotiated Rate	$3,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$311.65
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLONOSCOPY FLEX W BX,SGL/MULT

Facility

$8,751.70

Service Code	HCPCS 45380
Hospital Charge Code	16000185
Hospital Revenue Code	360
Min. Negotiated Rate	$1,312.76
Max. Negotiated Rate	$1,312.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76

COLONOSCOPY FLEX W BX,SGL/MULT

Facility

$8,751.70

Service Code	HCPCS 45380
Hospital Charge Code	16000185
Hospital Revenue Code	360
Min. Negotiated Rate	$1,137.72
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$2,625.51
Rate for Payer: Aetna Medicare Advantage	$2,625.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.68
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	$2,231.68
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.72
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLONOSCOPY MFL FOUNDATION

Facility

$1,500.00

Hospital Charge Code	2300082MFL
Hospital Revenue Code	750
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

COLONOSCOPY MFL FOUNDATION

Facility

$1,500.00

Hospital Charge Code	2300082MFL
Hospital Revenue Code	750
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

COLONOSCOPY SHEATH FOR SNARE

Facility

$319.00

Hospital Charge Code	270332349
Hospital Revenue Code	272
Min. Negotiated Rate	$41.47
Max. Negotiated Rate	$159.50
Rate for Payer: Aetna Commercial	$95.70
Rate for Payer: Aetna Medicare Advantage	$95.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.34
Rate for Payer: Cigna Commercial	$159.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.47
Rate for Payer: Oxford Commercial	$159.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.85
Rate for Payer: UnitedHealthcare Commercial	$159.50

COLONOSCOPY SHEATH FOR SNARE

Facility

$319.00

Hospital Charge Code	270332349
Hospital Revenue Code	272
Min. Negotiated Rate	$47.85
Max. Negotiated Rate	$47.85
Rate for Payer: Qualcare PPO/HMO/WC	$47.85

COLONOSCOPY W/ABLATION LESION

Facility

$4,391.94

Service Code	HCPCS 45388
Hospital Charge Code	16000589
Hospital Revenue Code	360
Min. Negotiated Rate	$658.79
Max. Negotiated Rate	$658.79
Rate for Payer: Qualcare PPO/HMO/WC	$658.79

COLONOSCOPY W/ABLATION LESION

Facility

$4,391.94

Service Code	HCPCS 45388
Hospital Charge Code	16000589
Hospital Revenue Code	360
Min. Negotiated Rate	$570.95
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$1,317.58
Rate for Payer: Aetna Medicare Advantage	$1,317.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,119.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,119.94
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	$1,119.94
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$570.95
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$658.79
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLONOSCOPY W/BICAP CAUT***

Facility

$364.00

Hospital Charge Code	2300093
Hospital Revenue Code	759
Min. Negotiated Rate	$47.32
Max. Negotiated Rate	$182.00
Rate for Payer: Aetna Commercial	$109.20
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.82
Rate for Payer: Cigna Commercial	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

COLONOSCOPY W/BICAP CAUT***

Facility

$364.00

Hospital Charge Code	2300093
Hospital Revenue Code	759
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

COLONOSCOPY W/CONTROL BLEED

Facility

$7,639.30

Service Code	HCPCS 45382
Hospital Charge Code	16000459
Hospital Revenue Code	360
Min. Negotiated Rate	$1,145.89
Max. Negotiated Rate	$1,145.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.89

COLONOSCOPY W/CONTROL BLEED

Facility

$7,639.30

Service Code	HCPCS 45382
Hospital Charge Code	16000459
Hospital Revenue Code	360
Min. Negotiated Rate	$993.11
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$2,291.79
Rate for Payer: Aetna Medicare Advantage	$2,291.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,948.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,948.02
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	$1,948.02
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$993.11
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.89
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges