Heights University Hospital

All Charges

Charge

Type

Setting

Price

FETAL BIOPHY W/O NST

Facility

$572.00

Service Code	HCPCS 76819
Hospital Charge Code	83653090
Hospital Revenue Code	402
Min. Negotiated Rate	$74.36
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$171.60
Rate for Payer: Aetna Medicare Advantage	$171.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.86
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.36
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$85.80
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

FETAL BIOPHY W/O NST

Facility

$572.00

Service Code	HCPCS 76819
Hospital Charge Code	83653090
Hospital Revenue Code	402
Min. Negotiated Rate	$85.80
Max. Negotiated Rate	$85.80
Rate for Payer: Qualcare PPO/HMO/WC	$85.80

FETAL BLD SAMPLING KIT

Facility

$72.85

Hospital Charge Code	1801026
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$10.93
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

FETAL BLD SAMPLING KIT

Facility

$72.85

Hospital Charge Code	1801026
Hospital Revenue Code	272
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$36.42
Rate for Payer: Aetna Commercial	$21.86
Rate for Payer: Aetna Medicare Advantage	$21.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.58
Rate for Payer: Cigna Commercial	$36.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.47
Rate for Payer: Oxford Commercial	$36.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.93
Rate for Payer: UnitedHealthcare Commercial	$36.42

FETAL CONTRACTION STRESS TEST

Facility

$3,008.00

Service Code	HCPCS 59020
Hospital Charge Code	1800143
Hospital Revenue Code	920
Min. Negotiated Rate	$451.20
Max. Negotiated Rate	$451.20
Rate for Payer: Qualcare PPO/HMO/WC	$451.20

FETAL CONTRACTION STRESS TEST

Facility

$3,008.00

Service Code	HCPCS 59020
Hospital Charge Code	1800143
Hospital Revenue Code	920
Min. Negotiated Rate	$45.64
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$902.40
Rate for Payer: Aetna Medicare Advantage	$902.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$767.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$767.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$767.04
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.04
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$451.20
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FETAL DOPPLER ECHO COMPLETE

Facility

$904.00

Service Code	HCPCS 76827
Hospital Charge Code	74308360
Hospital Revenue Code	402
Min. Negotiated Rate	$117.52
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$271.20
Rate for Payer: Aetna Medicare Advantage	$271.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.52
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.52
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.60
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

FETAL DOPPLER ECHO COMPLETE

Facility

$904.00

Service Code	HCPCS 76827
Hospital Charge Code	74308360
Hospital Revenue Code	402
Min. Negotiated Rate	$135.60
Max. Negotiated Rate	$135.60
Rate for Payer: Qualcare PPO/HMO/WC	$135.60

FETAL DOPPLR ECHO FOLLOW UP

Facility

$721.00

Service Code	HCPCS 76828
Hospital Charge Code	74308365
Hospital Revenue Code	402
Min. Negotiated Rate	$93.73
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$216.30
Rate for Payer: Aetna Medicare Advantage	$216.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.85
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.73
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.15
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

FETAL DOPPLR ECHO FOLLOW UP

Facility

$721.00

Service Code	HCPCS 76828
Hospital Charge Code	83653110
Hospital Revenue Code	402
Min. Negotiated Rate	$93.73
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$216.30
Rate for Payer: Aetna Medicare Advantage	$216.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.85
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.73
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.15
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

FETAL DOPPLR ECHO FOLLOW UP

Facility

$721.00

Service Code	HCPCS 76828
Hospital Charge Code	74308365
Hospital Revenue Code	402
Min. Negotiated Rate	$108.15
Max. Negotiated Rate	$108.15
Rate for Payer: Qualcare PPO/HMO/WC	$108.15

FETAL DOPPLR ECHO FOLLOW UP

Facility

$721.00

Service Code	HCPCS 76828
Hospital Charge Code	83653110
Hospital Revenue Code	402
Min. Negotiated Rate	$108.15
Max. Negotiated Rate	$108.15
Rate for Payer: Qualcare PPO/HMO/WC	$108.15

FETAL ERYTHROCYTES

Facility

$53.20

Service Code	HCPCS 85460
Hospital Charge Code	39900175
Hospital Revenue Code	305
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.05
Rate for Payer: Aetna Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.32
Rate for Payer: Cigna Commercial	$7.73
Rate for Payer: Cigna Medicare Advantage	$3.87
Rate for Payer: Clover Medicare Advantage	$7.34
Rate for Payer: EmblemHealth Commercial	$23.19
Rate for Payer: Humana Medicare Advantage	$7.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.98
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.19
Rate for Payer: Wellcare Medicare Advantage	$7.73

FETAL ERYTHROCYTES

Facility

$53.20

Service Code	HCPCS 85460
Hospital Charge Code	39900175
Hospital Revenue Code	305
Min. Negotiated Rate	$7.98
Max. Negotiated Rate	$7.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.98

FETAL FIBRONECTIN

Facility

$456.15

Service Code	HCPCS 82731
Hospital Charge Code	38474060
Hospital Revenue Code	301
Min. Negotiated Rate	$68.42
Max. Negotiated Rate	$68.42
Rate for Payer: Qualcare PPO/HMO/WC	$68.42

FETAL FIBRONECTIN

Facility

$587.25

Service Code	HCPCS 82731
Hospital Charge Code	3001303
Hospital Revenue Code	301
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$236.00
Rate for Payer: Aetna Commercial	$208.69
Rate for Payer: Aetna Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$64.41
Rate for Payer: Cigna Medicare Advantage	$32.20
Rate for Payer: Clover Medicare Advantage	$61.19
Rate for Payer: EmblemHealth Commercial	$193.23
Rate for Payer: Humana Medicare Advantage	$66.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$64.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$68.27
Rate for Payer: Wellcare Medicare Advantage	$64.41

FETAL FIBRONECTIN

Facility

$456.15

Service Code	HCPCS 82731
Hospital Charge Code	38474060
Hospital Revenue Code	301
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$236.00
Rate for Payer: Aetna Commercial	$208.69
Rate for Payer: Aetna Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$64.41
Rate for Payer: Cigna Medicare Advantage	$32.20
Rate for Payer: Clover Medicare Advantage	$61.19
Rate for Payer: EmblemHealth Commercial	$193.23
Rate for Payer: Humana Medicare Advantage	$66.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.42
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$64.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$68.27
Rate for Payer: Wellcare Medicare Advantage	$64.41

FETAL FIBRONECTIN

Facility

$587.25

Service Code	HCPCS 82731
Hospital Charge Code	3001303
Hospital Revenue Code	301
Min. Negotiated Rate	$88.09
Max. Negotiated Rate	$88.09
Rate for Payer: Qualcare PPO/HMO/WC	$88.09

FETAL HEMOGLOBIN (KLEIHAUER)

Facility

$167.25

Service Code	HCPCS 85460
Hospital Charge Code	3100161
Hospital Revenue Code	305
Min. Negotiated Rate	$25.09
Max. Negotiated Rate	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$25.09

FETAL HEMOGLOBIN (KLEIHAUER)

Facility

$167.25

Service Code	HCPCS 85460
Hospital Charge Code	3100161
Hospital Revenue Code	305
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.05
Rate for Payer: Aetna Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.32
Rate for Payer: Cigna Commercial	$7.73
Rate for Payer: Cigna Medicare Advantage	$3.87
Rate for Payer: Clover Medicare Advantage	$7.34
Rate for Payer: EmblemHealth Commercial	$23.19
Rate for Payer: Humana Medicare Advantage	$7.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.19
Rate for Payer: Wellcare Medicare Advantage	$7.73

FETAL NON-STRESS EA ADDTL FETU

Facility

$1,898.40

Service Code	HCPCS 59025
Hospital Charge Code	83653015
Hospital Revenue Code	920
Min. Negotiated Rate	$284.76
Max. Negotiated Rate	$284.76
Rate for Payer: Qualcare PPO/HMO/WC	$284.76

FETAL NON-STRESS EA ADDTL FETU

Facility

$1,898.40

Service Code	HCPCS 59025
Hospital Charge Code	74308345
Hospital Revenue Code	920
Min. Negotiated Rate	$246.79
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$569.52
Rate for Payer: Aetna Medicare Advantage	$569.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.09
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.79
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$284.76
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FETAL NON-STRESS EA ADDTL FETU

Facility

$1,898.40

Service Code	HCPCS 59025
Hospital Charge Code	74308345
Hospital Revenue Code	920
Min. Negotiated Rate	$284.76
Max. Negotiated Rate	$284.76
Rate for Payer: Qualcare PPO/HMO/WC	$284.76

FETAL NON-STRESS EA ADDTL FETU

Facility

$1,898.40

Service Code	HCPCS 59025
Hospital Charge Code	83653015
Hospital Revenue Code	920
Min. Negotiated Rate	$246.79
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$569.52
Rate for Payer: Aetna Medicare Advantage	$569.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.09
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.79
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$284.76
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FETAL NON-STRESS TEST

Facility

$752.25

Service Code	HCPCS 59025
Hospital Charge Code	73190139
Hospital Revenue Code	720
Min. Negotiated Rate	$97.79
Max. Negotiated Rate	$2,979.00
Rate for Payer: Aetna Commercial	$225.68
Rate for Payer: Aetna Medicare Advantage	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.82
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.79
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.84
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

Know your out-of-pocket cost for care.

All Charges