Heights University Hospital

All Charges

Charge

Type

Setting

Price

DIAB MGMT GESTATIONAL

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9200029
Hospital Revenue Code	942
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$33.60
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$779.00

DIAB MGMT PATHOPHYSIOLOGY

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200016
Hospital Revenue Code	942
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

DIAB MGMT PATHOPHYSIOLOGY

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200016
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

DIAB NEW PT VS LEVEL 1

Facility

$423.00

Service Code	HCPCS 99201
Hospital Charge Code	9200025
Hospital Revenue Code	519
Min. Negotiated Rate	$63.45
Max. Negotiated Rate	$63.45
Rate for Payer: Qualcare PPO/HMO/WC	$63.45

DIAB NEW PT VS LEVEL 1

Facility

$423.00

Service Code	HCPCS 99201
Hospital Charge Code	9200025
Hospital Revenue Code	519
Min. Negotiated Rate	$54.99
Max. Negotiated Rate	$211.50
Rate for Payer: Aetna Commercial	$126.90
Rate for Payer: Aetna Medicare Advantage	$126.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.86
Rate for Payer: Cigna Commercial	$211.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.99
Rate for Payer: Qualcare PPO/HMO/WC	$63.45

DIAB NUTRITION COUNSEL EST PT

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9300004
Hospital Revenue Code	942
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$33.60
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$779.00

DIAB NUTRITION COUNSEL EST PT

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9300004
Hospital Revenue Code	942
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

DIAB NUTRITION COUNSEL EST PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200031
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

DIAB NUTRITION COUNSEL EST PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200031
Hospital Revenue Code	942
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

DIAB NUTRITION COUNSEL F/U PT

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9300005
Hospital Revenue Code	942
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$33.60
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$779.00

DIAB NUTRITION COUNSEL F/U PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200032
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

DIAB NUTRITION COUNSEL F/U PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200032
Hospital Revenue Code	942
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

DIAB NUTRITION COUNSEL F/U PT

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9300005
Hospital Revenue Code	942
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

DIAB NUTRITION COUNSEL NEW PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200033
Hospital Revenue Code	942
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

DIAB NUTRITION COUNSEL NEW PT

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9300006
Hospital Revenue Code	942
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$33.60
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$779.00

DIAB NUTRITION COUNSEL NEW PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200033
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

DIAB NUTRITION COUNSEL NEW PT

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9300006
Hospital Revenue Code	942
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

DIAG LAPARO,SEPARATE PROC

Facility

$45,838.40

Service Code	HCPCS 49320
Hospital Charge Code	1600000547
Hospital Revenue Code	360
Min. Negotiated Rate	$6,875.76
Max. Negotiated Rate	$6,875.76
Rate for Payer: Qualcare PPO/HMO/WC	$6,875.76

DIAG LAPARO,SEPARATE PROC

Facility

$45,838.40

Service Code	HCPCS 49320
Hospital Charge Code	160000209
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$13,751.52
Rate for Payer: Aetna Medicare Advantage	$13,751.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,688.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,688.79
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	$11,688.79
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,958.99
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,875.76
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

DIAG LAPARO,SEPARATE PROC

Facility

$45,838.40

Service Code	HCPCS 49320
Hospital Charge Code	1600000547
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$13,751.52
Rate for Payer: Aetna Medicare Advantage	$13,751.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,688.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,688.79
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	$11,688.79
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,958.99
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,875.76
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

DIAG LAPARO,SEPARATE PROC

Facility

$45,838.40

Service Code	HCPCS 49320
Hospital Charge Code	160000209
Hospital Revenue Code	360
Min. Negotiated Rate	$6,875.76
Max. Negotiated Rate	$6,875.76
Rate for Payer: Qualcare PPO/HMO/WC	$6,875.76

DIAGNOSTIC ANOSCOPY

Facility

$2,349.65

Service Code	HCPCS 46601
Hospital Charge Code	1600000609
Hospital Revenue Code	360
Min. Negotiated Rate	$352.45
Max. Negotiated Rate	$352.45
Rate for Payer: Qualcare PPO/HMO/WC	$352.45

DIAGNOSTIC ANOSCOPY

Facility

$2,349.65

Service Code	HCPCS 46601
Hospital Charge Code	1600000609
Hospital Revenue Code	360
Min. Negotiated Rate	$305.45
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$704.89
Rate for Payer: Aetna Medicare Advantage	$704.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.16
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	$599.16
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.45
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.45
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DIAGNOSTIC ANOSCOPY & BIOPSY

Facility

$6,942.80

Service Code	HCPCS 46607
Hospital Charge Code	1600000555
Hospital Revenue Code	360
Min. Negotiated Rate	$1,041.42
Max. Negotiated Rate	$1,041.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.42

DIAGNOSTIC ANOSCOPY & BIOPSY

Facility

$6,942.80

Service Code	HCPCS 46607
Hospital Charge Code	1600000555
Hospital Revenue Code	360
Min. Negotiated Rate	$902.56
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$2,082.84
Rate for Payer: Aetna Medicare Advantage	$2,082.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,770.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,770.41
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	$1,770.41
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$902.56
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.42
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges