Heights University Hospital

All Charges

Charge

Type

Setting

Price

CYTO FUNNEL CHAMBERS

Facility

$291.00

Hospital Charge Code	270651947
Hospital Revenue Code	270
Min. Negotiated Rate	$37.83
Max. Negotiated Rate	$145.50
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) PPO	$74.20
Rate for Payer: Cigna Commercial	$145.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.83
Rate for Payer: Oxford Commercial	$145.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.65
Rate for Payer: UnitedHealthcare Commercial	$145.50

CYTO FUNNEL CHAMBERS

Facility

$291.00

Hospital Charge Code	270651947
Hospital Revenue Code	270
Min. Negotiated Rate	$43.65
Max. Negotiated Rate	$43.65
Rate for Payer: Qualcare PPO/HMO/WC	$43.65

CYTO GASTRIC BRUSHING

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005386
Hospital Revenue Code	311
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

CYTO GASTRIC BRUSHING

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005386
Hospital Revenue Code	311
Min. Negotiated Rate	$34.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$79.45
Rate for Payer: Aetna Medicare Advantage	$79.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.54
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$47.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.73
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTO GASTRIC WASHING

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005378
Hospital Revenue Code	311
Min. Negotiated Rate	$34.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$79.45
Rate for Payer: Aetna Medicare Advantage	$79.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.54
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$47.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.73
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTO GASTRIC WASHING

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005378
Hospital Revenue Code	311
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

CYTOGENETICS & MOLECULAR INT

Facility

$130.00

Service Code	HCPCS 88291
Hospital Charge Code	38474059
Hospital Revenue Code	311
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

CYTOGENETICS & MOLECULAR INT

Facility

$130.00

Service Code	HCPCS 88291
Hospital Charge Code	38474059
Hospital Revenue Code	311
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$114.00
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) PPO	$33.15
Rate for Payer: Cigna Commercial	$36.64
Rate for Payer: Cigna Medicare Advantage	$18.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTO GYN SPEC (PAP SMEAR)

Facility

$65.65

Service Code	HCPCS 88150
Hospital Charge Code	3005303
Hospital Revenue Code	311
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

CYTO GYN SPEC (PAP SMEAR)

Facility

$65.65

Service Code	HCPCS 88150
Hospital Charge Code	3005303
Hospital Revenue Code	311
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.07
Rate for Payer: Aetna Medicare Advantage	$18.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.93
Rate for Payer: Cigna Commercial	$18.54
Rate for Payer: Cigna Medicare Advantage	$9.27
Rate for Payer: Clover Medicare Advantage	$17.61
Rate for Payer: EmblemHealth Commercial	$55.62
Rate for Payer: Humana Medicare Advantage	$19.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.65
Rate for Payer: Wellcare Medicare Advantage	$18.54

CYTOLOGY BFL CELL BLOCK

Facility

$692.10

Service Code	HCPCS 88305
Hospital Charge Code	3000502
Hospital Revenue Code	310
Min. Negotiated Rate	$39.47
Max. Negotiated Rate	$207.63
Rate for Payer: Aetna Commercial	$207.63
Rate for Payer: Aetna Medicare Advantage	$207.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.49
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.81
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTOLOGY BFL CELL BLOCK

Facility

$692.10

Service Code	HCPCS 88305
Hospital Charge Code	3000502
Hospital Revenue Code	310
Min. Negotiated Rate	$103.81
Max. Negotiated Rate	$103.81
Rate for Payer: Qualcare PPO/HMO/WC	$103.81

CYTOLOGY BRUSH

Facility

$313.00

Hospital Charge Code	270330794
Hospital Revenue Code	272
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$156.50
Rate for Payer: Aetna Commercial	$93.90
Rate for Payer: Aetna Medicare Advantage	$93.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.81
Rate for Payer: Cigna Commercial	$156.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.69
Rate for Payer: Oxford Commercial	$156.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.95
Rate for Payer: UnitedHealthcare Commercial	$156.50

CYTOLOGY BRUSH

Facility

$313.00

Hospital Charge Code	270330794
Hospital Revenue Code	272
Min. Negotiated Rate	$46.95
Max. Negotiated Rate	$46.95
Rate for Payer: Qualcare PPO/HMO/WC	$46.95

CYTOLOGY BUCCAL SMEAR

Facility

$106.59

Service Code	HCPCS 88130
Hospital Charge Code	38474019
Hospital Revenue Code	311
Min. Negotiated Rate	$8.99
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.26
Rate for Payer: Aetna Medicare Advantage	$17.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.88
Rate for Payer: Cigna Commercial	$17.98
Rate for Payer: Cigna Medicare Advantage	$8.99
Rate for Payer: Clover Medicare Advantage	$17.08
Rate for Payer: EmblemHealth Commercial	$53.94
Rate for Payer: Humana Medicare Advantage	$18.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.99
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.06
Rate for Payer: Wellcare Medicare Advantage	$17.98

CYTOLOGY BUCCAL SMEAR

Facility

$106.59

Service Code	HCPCS 88130
Hospital Charge Code	38474019
Hospital Revenue Code	311
Min. Negotiated Rate	$15.99
Max. Negotiated Rate	$15.99
Rate for Payer: Qualcare PPO/HMO/WC	$15.99

CYTOLOGY EXTENDED STUDY

Facility

$248.00

Service Code	HCPCS 88162
Hospital Charge Code	38474156
Hospital Revenue Code	311
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

CYTOLOGY EXTENDED STUDY

Facility

$248.00

Service Code	HCPCS 88162
Hospital Charge Code	38474156
Hospital Revenue Code	311
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$74.40
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$72.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTOLOGY, SCREENING

Facility

$238.00

Service Code	HCPCS 88161
Hospital Charge Code	38474155
Hospital Revenue Code	311
Min. Negotiated Rate	$30.94
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$71.40
Rate for Payer: Aetna Medicare Advantage	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.69
Rate for Payer: Cigna Commercial	$68.87
Rate for Payer: Cigna Medicare Advantage	$47.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.70
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTOLOGY, SCREENING

Facility

$238.00

Service Code	HCPCS 88161
Hospital Charge Code	38474155
Hospital Revenue Code	311
Min. Negotiated Rate	$35.70
Max. Negotiated Rate	$35.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.70

CYTOLOGY, SMEARS

Facility

$245.00

Service Code	HCPCS 88160
Hospital Charge Code	38474154
Hospital Revenue Code	311
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CYTOLOGY, SMEARS

Facility

$245.00

Service Code	HCPCS 88160
Hospital Charge Code	38474154
Hospital Revenue Code	311
Min. Negotiated Rate	$31.85
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$68.87
Rate for Payer: Cigna Medicare Advantage	$46.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTOLOGY/SMEARS***

Facility

$26.00

Hospital Charge Code	3600012
Hospital Revenue Code	309
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$7.80
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTOLOGY/SMEARS***

Facility

$26.00

Hospital Charge Code	3600012
Hospital Revenue Code	309
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.90

CYTOLOGY,THINPREP PAP

Facility

$390.00

Service Code	HCPCS 88142
Hospital Charge Code	39900311
Hospital Revenue Code	311
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.64
Rate for Payer: Aetna Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.23
Rate for Payer: Cigna Commercial	$20.26
Rate for Payer: Cigna Medicare Advantage	$10.13
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
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	$20.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.48
Rate for Payer: Wellcare Medicare Advantage	$20.26

Know your out-of-pocket cost for care.

All Charges