Heights University Hospital

All Charges

Charge

Type

Setting

Price

CRYOPRESERVATION

Facility

$2,066.45

Service Code	HCPCS 86930
Hospital Charge Code	3101169
Hospital Revenue Code	302
Min. Negotiated Rate	$309.97
Max. Negotiated Rate	$309.97
Rate for Payer: Qualcare PPO/HMO/WC	$309.97

CRYOPROBE SHARPTIPOBLONG1.7MM

Facility

$1,350.00

Hospital Charge Code	270658735
Hospital Revenue Code	278
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$405.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

CRYOPROBE SHARPTIPOBLONG1.7MM

Facility

$1,350.00

Hospital Charge Code	270658735
Hospital Revenue Code	278
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$326.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

CRYOPROBE SHARPTIP OBLONG2.4mm

Facility

$1,200.00

Hospital Charge Code	270658733
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

CRYOPROBE SHARPTIP OBLONG2.4mm

Facility

$1,200.00

Hospital Charge Code	270658733
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

CRYOPROBESHARPTIP OBLONG2.4MML

Facility

$1,350.00

Hospital Charge Code	270658736
Hospital Revenue Code	278
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$405.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

CRYOPROBESHARPTIP OBLONG2.4MML

Facility

$1,350.00

Hospital Charge Code	270658736
Hospital Revenue Code	278
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$326.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

CRYOPROBE SHARP TIP RND 1.7MM

Facility

$1,200.00

Hospital Charge Code	270658740
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

CRYOPROBE SHARP TIP RND 1.7MM

Facility

$1,200.00

Hospital Charge Code	270658740
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

CRYOSURGERY ANAL LESIONS

Facility

$1,330.15

Service Code	HCPCS 46916
Hospital Charge Code	87502940
Hospital Revenue Code	761
Min. Negotiated Rate	$51.49
Max. Negotiated Rate	$665.08
Rate for Payer: Aetna Commercial	$399.05
Rate for Payer: Aetna Medicare Advantage	$399.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.19
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.92
Rate for Payer: Oxford Commercial	$665.08
Rate for Payer: Qualcare PPO/HMO/WC	$199.52
Rate for Payer: UnitedHealthcare Commercial	$665.08

CRYOSURGERY ANAL LESIONS

Facility

$1,330.15

Service Code	HCPCS 46916
Hospital Charge Code	87502940
Hospital Revenue Code	761
Min. Negotiated Rate	$199.52
Max. Negotiated Rate	$199.52
Rate for Payer: Qualcare PPO/HMO/WC	$199.52

CRYOSURGERY PENIS LESION(S)

Facility

$1,105.55

Service Code	HCPCS 54056
Hospital Charge Code	412354056
Hospital Revenue Code	761
Min. Negotiated Rate	$44.53
Max. Negotiated Rate	$552.77
Rate for Payer: Aetna Commercial	$331.67
Rate for Payer: Aetna Medicare Advantage	$331.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.92
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.72
Rate for Payer: Oxford Commercial	$552.77
Rate for Payer: Qualcare PPO/HMO/WC	$165.83
Rate for Payer: UnitedHealthcare Commercial	$552.77

CRYOSURGERY PENIS LESION(S)

Facility

$1,105.55

Service Code	HCPCS 54056
Hospital Charge Code	412354056
Hospital Revenue Code	761
Min. Negotiated Rate	$165.83
Max. Negotiated Rate	$165.83
Rate for Payer: Qualcare PPO/HMO/WC	$165.83

CRYOTHERAPY OF SKIN FOR ACNE

Facility

$208.40

Service Code	HCPCS 17340
Hospital Charge Code	412317340
Hospital Revenue Code	761
Min. Negotiated Rate	$31.26
Max. Negotiated Rate	$31.26
Rate for Payer: Qualcare PPO/HMO/WC	$31.26

CRYOTHERAPY OF SKIN FOR ACNE

Facility

$208.40

Service Code	HCPCS 17340
Hospital Charge Code	412317340
Hospital Revenue Code	761
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$140.48
Rate for Payer: Aetna Commercial	$62.52
Rate for Payer: Aetna Medicare Advantage	$62.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.14
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.09
Rate for Payer: Oxford Commercial	$104.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.26
Rate for Payer: UnitedHealthcare Commercial	$104.20

CRYPRECIPITATE EACH UNIT

Facility

$291.95

Service Code	HCPCS P9012
Hospital Charge Code	3101501
Hospital Revenue Code	390
Min. Negotiated Rate	$43.79
Max. Negotiated Rate	$43.79
Rate for Payer: Qualcare PPO/HMO/WC	$43.79

CRYPRECIPITATE EACH UNIT

Facility

$291.95

Service Code	HCPCS P9012
Hospital Charge Code	3101501
Hospital Revenue Code	390
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$87.58
Rate for Payer: Aetna Medicare Advantage	$87.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.45
Rate for Payer: Cigna Commercial	$167.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.95
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.79
Rate for Payer: UnitedHealthcare Commercial	$756.00

CRYPTO AG

Facility

$152.85

Service Code	HCPCS 87328
Hospital Charge Code	3009742
Hospital Revenue Code	306
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$22.93
Rate for Payer: Qualcare PPO/HMO/WC	$22.93

CRYPTO AG

Facility

$152.85

Service Code	HCPCS 87328
Hospital Charge Code	3009742
Hospital Revenue Code	306
Min. Negotiated Rate	$6.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.78
Rate for Payer: Aetna Medicare Advantage	$13.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.64
Rate for Payer: Cigna Commercial	$13.82
Rate for Payer: Cigna Medicare Advantage	$6.91
Rate for Payer: Clover Medicare Advantage	$13.13
Rate for Payer: EmblemHealth Commercial	$41.46
Rate for Payer: Humana Medicare Advantage	$14.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.93
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.82
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.65
Rate for Payer: Wellcare Medicare Advantage	$13.82

CRYPTOCOCCAL AG,SERUM

Facility

$72.00

Service Code	HCPCS 86403
Hospital Charge Code	38479057
Hospital Revenue Code	302
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.39
Rate for Payer: Aetna Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.28
Rate for Payer: Cigna Commercial	$11.54
Rate for Payer: Cigna Medicare Advantage	$5.77
Rate for Payer: Clover Medicare Advantage	$10.96
Rate for Payer: EmblemHealth Commercial	$34.62
Rate for Payer: Humana Medicare Advantage	$11.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.23
Rate for Payer: Wellcare Medicare Advantage	$11.54

CRYPTOCOCCAL AG,SERUM

Facility

$72.00

Service Code	HCPCS 86403
Hospital Charge Code	38479057
Hospital Revenue Code	302
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

CRYPTOCOCCAL AG,TIGER

Facility

$72.00

Service Code	HCPCS 86403
Hospital Charge Code	38479059
Hospital Revenue Code	302
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.39
Rate for Payer: Aetna Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.28
Rate for Payer: Cigna Commercial	$11.54
Rate for Payer: Cigna Medicare Advantage	$5.77
Rate for Payer: Clover Medicare Advantage	$10.96
Rate for Payer: EmblemHealth Commercial	$34.62
Rate for Payer: Humana Medicare Advantage	$11.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.23
Rate for Payer: Wellcare Medicare Advantage	$11.54

CRYPTOCOCCAL AG,TIGER

Facility

$72.00

Service Code	HCPCS 86403
Hospital Charge Code	38479059
Hospital Revenue Code	302
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

CRYPTOCOCCUS AB, CSF

Facility

$125.00

Service Code	HCPCS 87449
Hospital Charge Code	3009586
Hospital Revenue Code	306
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.82
Rate for Payer: Aetna Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.89
Rate for Payer: Cigna Commercial	$11.98
Rate for Payer: Cigna Medicare Advantage	$5.99
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.70
Rate for Payer: Wellcare Medicare Advantage	$11.98

CRYPTOCOCCUS AB, CSF

Facility

$125.00

Service Code	HCPCS 87449
Hospital Charge Code	3009586
Hospital Revenue Code	306
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

Know your out-of-pocket cost for care.

All Charges