Heights University Hospital

All Charges

Charge

Type

Setting

Price

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84511023
Hospital Revenue Code	916
Min. Negotiated Rate	$164.10
Max. Negotiated Rate	$164.10
Rate for Payer: Qualcare PPO/HMO/WC	$164.10

FAMILY TX W PATIENT 50 MIN

Facility

$896.00

Service Code	HCPCS 90847
Hospital Charge Code	83246265
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$268.80
Rate for Payer: Aetna Medicare Advantage	$268.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.48
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.48
Rate for Payer: Qualcare PPO/HMO/WC	$134.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84310105
Hospital Revenue Code	916
Min. Negotiated Rate	$164.10
Max. Negotiated Rate	$164.10
Rate for Payer: Qualcare PPO/HMO/WC	$164.10

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84310105
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$328.20
Rate for Payer: Aetna Medicare Advantage	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.97
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.22
Rate for Payer: Qualcare PPO/HMO/WC	$164.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$284.00

Service Code	HCPCS 90847
Hospital Charge Code	94810040
Hospital Revenue Code	916
Min. Negotiated Rate	$36.92
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$85.20
Rate for Payer: Aetna Medicare Advantage	$85.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.42
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.92
Rate for Payer: Qualcare PPO/HMO/WC	$42.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$896.00

Service Code	HCPCS 90847
Hospital Charge Code	83246100
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$268.80
Rate for Payer: Aetna Medicare Advantage	$268.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.48
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.48
Rate for Payer: Qualcare PPO/HMO/WC	$134.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	83652357
Hospital Revenue Code	916
Min. Negotiated Rate	$164.10
Max. Negotiated Rate	$164.10
Rate for Payer: Qualcare PPO/HMO/WC	$164.10

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	87506010
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$328.20
Rate for Payer: Aetna Medicare Advantage	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.97
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.22
Rate for Payer: Qualcare PPO/HMO/WC	$164.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$284.00

Service Code	HCPCS 90847
Hospital Charge Code	94810040
Hospital Revenue Code	916
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$42.60
Rate for Payer: Qualcare PPO/HMO/WC	$42.60

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	87506010
Hospital Revenue Code	916
Min. Negotiated Rate	$164.10
Max. Negotiated Rate	$164.10
Rate for Payer: Qualcare PPO/HMO/WC	$164.10

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84518023
Hospital Revenue Code	916
Min. Negotiated Rate	$164.10
Max. Negotiated Rate	$164.10
Rate for Payer: Qualcare PPO/HMO/WC	$164.10

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	83652357
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$328.20
Rate for Payer: Aetna Medicare Advantage	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.97
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.22
Rate for Payer: Qualcare PPO/HMO/WC	$164.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$800.80

Service Code	HCPCS 90847
Hospital Charge Code	87504060
Hospital Revenue Code	912
Min. Negotiated Rate	$104.10
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$240.24
Rate for Payer: Aetna Medicare Advantage	$240.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.20
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$800.80

Service Code	HCPCS 90847
Hospital Charge Code	87504060
Hospital Revenue Code	912
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	87502005
Hospital Revenue Code	916
Min. Negotiated Rate	$164.10
Max. Negotiated Rate	$164.10
Rate for Payer: Qualcare PPO/HMO/WC	$164.10

FAMILY TX W PATIENT 50 MIN

Facility

$203.00

Service Code	HCPCS 90847
Hospital Charge Code	94810080
Hospital Revenue Code	916
Min. Negotiated Rate	$30.45
Max. Negotiated Rate	$30.45
Rate for Payer: Qualcare PPO/HMO/WC	$30.45

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	87502005
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$328.20
Rate for Payer: Aetna Medicare Advantage	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.97
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.22
Rate for Payer: Qualcare PPO/HMO/WC	$164.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84518023
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$328.20
Rate for Payer: Aetna Medicare Advantage	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.97
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.22
Rate for Payer: Qualcare PPO/HMO/WC	$164.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84504060
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$328.20
Rate for Payer: Aetna Medicare Advantage	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.97
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.22
Rate for Payer: Qualcare PPO/HMO/WC	$164.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84511023
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$328.20
Rate for Payer: Aetna Medicare Advantage	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.97
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.22
Rate for Payer: Qualcare PPO/HMO/WC	$164.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84509023
Hospital Revenue Code	916
Min. Negotiated Rate	$164.10
Max. Negotiated Rate	$164.10
Rate for Payer: Qualcare PPO/HMO/WC	$164.10

FAMILY TX W PATIENT 50 MIN

Facility

$1,094.00

Service Code	HCPCS 90847
Hospital Charge Code	84206250
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$328.20
Rate for Payer: Aetna Medicare Advantage	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.97
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.22
Rate for Payer: Qualcare PPO/HMO/WC	$164.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PATIENT 50 MIN

Facility

$203.00

Service Code	HCPCS 90847
Hospital Charge Code	94810080
Hospital Revenue Code	916
Min. Negotiated Rate	$26.39
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$60.90
Rate for Payer: Aetna Medicare Advantage	$60.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.77
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.39
Rate for Payer: Qualcare PPO/HMO/WC	$30.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PT 50 MIN ADULT

Facility

$1,500.00

Service Code	HCPCS 90847
Hospital Charge Code	4535516
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$450.00
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) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

FAMILY TX W PT 50 MIN ADULT

Facility

$1,500.00

Service Code	HCPCS 90847
Hospital Charge Code	4822516
Hospital Revenue Code	916
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$450.00
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) NJ Health	$189.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$113.84

Know your out-of-pocket cost for care.

All Charges