Heights University Hospital

All Charges

Charge

Type

Setting

Price

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	404610008
Hospital Revenue Code	361
Min. Negotiated Rate	$50.44
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$509.48
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$50.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.78
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	321010008
Hospital Revenue Code	361
Min. Negotiated Rate	$50.44
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$509.48
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$50.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.78
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	404610008
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	321010005
Hospital Revenue Code	361
Min. Negotiated Rate	$441.55
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,018.97
Rate for Payer: Aetna Medicare Advantage	$1,018.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$866.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$866.12
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	$866.12
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404610005
Hospital Revenue Code	361
Min. Negotiated Rate	$441.55
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,018.97
Rate for Payer: Aetna Medicare Advantage	$1,018.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$866.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$866.12
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	$866.12
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

FNA BIOPSY/US 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 10005
Hospital Charge Code	404310005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404610005
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/US 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 10005
Hospital Charge Code	404310005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,235.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404210005
Hospital Revenue Code	361
Min. Negotiated Rate	$441.55
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,018.97
Rate for Payer: Aetna Medicare Advantage	$1,018.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$866.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$866.12
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	$866.12
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	321010005
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404210005
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	404610006
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	404610006
Hospital Revenue Code	361
Min. Negotiated Rate	$46.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$509.48
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$46.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.78
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	321010006
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	321010006
Hospital Revenue Code	361
Min. Negotiated Rate	$46.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$509.48
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$46.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.78
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	404210006
Hospital Revenue Code	361
Min. Negotiated Rate	$46.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$509.48
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$46.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.78
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	404210006
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/US EA ADD LESION

Facility

$9,500.00

Service Code	HCPCS 10006
Hospital Charge Code	404310006
Hospital Revenue Code	361
Min. Negotiated Rate	$46.47
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$46.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FNA BIOPSY/US EA ADD LESION

Facility

$9,500.00

Service Code	HCPCS 10006
Hospital Charge Code	404310006
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

FNA BX W/CT GDN 1ST LES

Facility

$2,714.04

Service Code	HCPCS 10009
Hospital Charge Code	16000529
Hospital Revenue Code	360
Min. Negotiated Rate	$352.83
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$814.21
Rate for Payer: Aetna Medicare Advantage	$814.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$692.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$692.08
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	$692.08
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.83
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$407.11
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

FNA BX W/CT GDN 1ST LES

Facility

$2,714.04

Service Code	HCPCS 10009
Hospital Charge Code	16000529
Hospital Revenue Code	360
Min. Negotiated Rate	$407.11
Max. Negotiated Rate	$407.11
Rate for Payer: Qualcare PPO/HMO/WC	$407.11

FNA BX W/CT GDN EA ADDL

Facility

$1,785.95

Service Code	HCPCS 10010
Hospital Charge Code	16000775
Hospital Revenue Code	360
Min. Negotiated Rate	$267.89
Max. Negotiated Rate	$267.89
Rate for Payer: Qualcare PPO/HMO/WC	$267.89

FNA BX W/CT GDN EA ADDL

Facility

$1,785.95

Service Code	HCPCS 10010
Hospital Charge Code	16000775
Hospital Revenue Code	360
Min. Negotiated Rate	$70.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$535.78
Rate for Payer: Aetna Medicare Advantage	$535.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.42
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	$455.42
Rate for Payer: Cigna Commercial	$70.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.17
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.89
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

FNA BX W/US GND 1ST LES

Facility

$2,714.04

Service Code	HCPCS 10005
Hospital Charge Code	16000174
Hospital Revenue Code	360
Min. Negotiated Rate	$407.11
Max. Negotiated Rate	$407.11
Rate for Payer: Qualcare PPO/HMO/WC	$407.11

FNA BX W/US GND 1ST LES

Facility

$2,714.04

Service Code	HCPCS 10005
Hospital Charge Code	16000174
Hospital Revenue Code	360
Min. Negotiated Rate	$352.83
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$814.21
Rate for Payer: Aetna Medicare Advantage	$814.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$692.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$692.08
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	$692.08
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.83
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$407.11
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

Know your out-of-pocket cost for care.

All Charges