Heights University Hospital

All Charges

Charge

Type

Setting

Price

FINE NEEDLE ASPIRATION PERMANE

Facility

$806.00

Service Code	HCPCS 88173
Hospital Charge Code	3005387
Hospital Revenue Code	311
Min. Negotiated Rate	$94.39
Max. Negotiated Rate	$241.80
Rate for Payer: Aetna Commercial	$241.80
Rate for Payer: Aetna Medicare Advantage	$241.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.53
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$94.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.90
Rate for Payer: UnitedHealthcare Commercial	$114.00

FINE NEEDLE ASPIRATION PERMANE

Facility

$806.00

Service Code	HCPCS 88173
Hospital Charge Code	3005387
Hospital Revenue Code	311
Min. Negotiated Rate	$120.90
Max. Negotiated Rate	$120.90
Rate for Payer: Qualcare PPO/HMO/WC	$120.90

FINE NEEDLE ASPIRATION W IMAGE

Facility

$1,901.69

Service Code	HCPCS 10022
Hospital Charge Code	75190005
Hospital Revenue Code	510
Min. Negotiated Rate	$247.22
Max. Negotiated Rate	$950.85
Rate for Payer: Aetna Commercial	$570.51
Rate for Payer: Aetna Medicare Advantage	$570.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.93
Rate for Payer: Cigna Commercial	$950.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.22
Rate for Payer: Qualcare PPO/HMO/WC	$285.25

FINE NEEDLE ASPIRATION W IMAGE

Facility

$1,901.69

Service Code	HCPCS 10022
Hospital Charge Code	75190005
Hospital Revenue Code	510
Min. Negotiated Rate	$285.25
Max. Negotiated Rate	$285.25
Rate for Payer: Qualcare PPO/HMO/WC	$285.25

FINE NEEDLE ASP W/O IMAGING

Facility

$1,870.85

Service Code	HCPCS 10021
Hospital Charge Code	412310021
Hospital Revenue Code	361
Min. Negotiated Rate	$243.21
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$561.25
Rate for Payer: Aetna Medicare Advantage	$561.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.07
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	$477.07
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.21
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$280.63
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FINE NEEDLE ASP W/O IMAGING

Facility

$1,870.85

Service Code	HCPCS 10021
Hospital Charge Code	412310021
Hospital Revenue Code	361
Min. Negotiated Rate	$280.63
Max. Negotiated Rate	$280.63
Rate for Payer: Qualcare PPO/HMO/WC	$280.63

FINGER *************

Facility

$55.00

Hospital Charge Code	8002008
Hospital Revenue Code	279
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

FINGER *************

Facility

$55.00

Hospital Charge Code	8002008
Hospital Revenue Code	279
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$27.50

FINGER CAST APPLICATION

Facility

$475.00

Service Code	HCPCS 29086
Hospital Charge Code	5780125
Hospital Revenue Code	450
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$386.97
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.75
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

FINGER CAST APPLICATION

Facility

$475.00

Service Code	HCPCS 29086
Hospital Charge Code	5780125
Hospital Revenue Code	450
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

FINGER CONTROL MITT CLOSED W/

Facility

$86.85

Hospital Charge Code	270650279
Hospital Revenue Code	271
Min. Negotiated Rate	$13.03
Max. Negotiated Rate	$13.03
Rate for Payer: Qualcare PPO/HMO/WC	$13.03

FINGER CONTROL MITT CLOSED W/

Facility

$86.85

Hospital Charge Code	270650279
Hospital Revenue Code	271
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$43.42
Rate for Payer: Aetna Commercial	$26.05
Rate for Payer: Aetna Medicare Advantage	$26.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.15
Rate for Payer: Cigna Commercial	$43.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.29
Rate for Payer: Oxford Commercial	$43.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.03
Rate for Payer: UnitedHealthcare Commercial	$43.42

FINGERCOT UAO799-1

Facility

$12.50

Hospital Charge Code	270601244
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$6.25
Rate for Payer: Aetna Commercial	$3.75
Rate for Payer: Aetna Medicare Advantage	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Oxford Commercial	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$6.25

FINGERCOT UAO799-1

Facility

$12.50

Hospital Charge Code	270601244
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

FINGER-LT 2ND DIGIT

Facility

$251.00

Service Code	HCPCS 73140F1
Hospital Charge Code	94061329
Hospital Revenue Code	320
Min. Negotiated Rate	$32.63
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$75.30
Rate for Payer: Aetna Medicare Advantage	$75.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.00
Rate for Payer: Cigna Commercial	$125.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.63
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.65
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER-LT 2ND DIGIT

Facility

$251.00

Service Code	HCPCS 73140F1
Hospital Charge Code	94061329
Hospital Revenue Code	320
Min. Negotiated Rate	$37.65
Max. Negotiated Rate	$37.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.65

FINGER-LT 3RD DIGIT

Facility

$311.00

Service Code	HCPCS 73140F2
Hospital Charge Code	94061331
Hospital Revenue Code	320
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$46.65
Rate for Payer: Qualcare PPO/HMO/WC	$46.65

FINGER-LT 3RD DIGIT

Facility

$311.00

Service Code	HCPCS 73140F2
Hospital Charge Code	94061331
Hospital Revenue Code	320
Min. Negotiated Rate	$40.43
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$93.30
Rate for Payer: Aetna Medicare Advantage	$93.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.31
Rate for Payer: Cigna Commercial	$155.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.43
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.65
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER-LT 5TH DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F4
Hospital Charge Code	94061335
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-LT 5TH DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F4
Hospital Charge Code	94061335
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER-LT HAND, 4TH DI

Facility

$5,100.00

Service Code	HCPCS 73140F3
Hospital Charge Code	94061333
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER-LT HAND, 4TH DI

Facility

$5,100.00

Service Code	HCPCS 73140F3
Hospital Charge Code	94061333
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-LT HAND, THUMB

Facility

$5,100.00

Service Code	HCPCS 73140FA
Hospital Charge Code	94061347
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-LT HAND, THUMB

Facility

$5,100.00

Service Code	HCPCS 73140FA
Hospital Charge Code	94061347
Hospital Revenue Code	320
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

FINGER PULSE OXIMETER ECONOMY

Facility

$271.90

Hospital Charge Code	270665870
Hospital Revenue Code	270
Min. Negotiated Rate	$40.78
Max. Negotiated Rate	$40.78
Rate for Payer: Qualcare PPO/HMO/WC	$40.78

Know your out-of-pocket cost for care.

All Charges