Heights University Hospital

All Charges

Charge

Type

Setting

Price

FORCEPS WC BIOPSY HOT HDS25230

Facility

$173.65

Hospital Charge Code	270623501
Hospital Revenue Code	272
Min. Negotiated Rate	$22.57
Max. Negotiated Rate	$86.83
Rate for Payer: Aetna Commercial	$52.09
Rate for Payer: Aetna Medicare Advantage	$52.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.28
Rate for Payer: Cigna Commercial	$86.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.57
Rate for Payer: Oxford Commercial	$86.83
Rate for Payer: Qualcare PPO/HMO/WC	$26.05
Rate for Payer: UnitedHealthcare Commercial	$86.83

FORCEPS WC BIOPSY HOT HDS25230

Facility

$173.65

Hospital Charge Code	270623501
Hospital Revenue Code	272
Min. Negotiated Rate	$26.05
Max. Negotiated Rate	$26.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.05

FORCEPS WC BIOPSY SDF25230

Facility

$99.25

Hospital Charge Code	270623500
Hospital Revenue Code	272
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$29.77
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.90
Rate for Payer: Oxford Commercial	$49.62
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$49.62

FORCEPS WC BIOPSY SDF25230

Facility

$99.25

Hospital Charge Code	270623500
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

FORCEPTS UROLOGICAL CUP BIOPSY

Facility

$5,695.00

Hospital Charge Code	270658542
Hospital Revenue Code	272
Min. Negotiated Rate	$854.25
Max. Negotiated Rate	$854.25
Rate for Payer: Qualcare PPO/HMO/WC	$854.25

FORCEPTS UROLOGICAL CUP BIOPSY

Facility

$5,695.00

Hospital Charge Code	270658542
Hospital Revenue Code	272
Min. Negotiated Rate	$740.35
Max. Negotiated Rate	$2,847.50
Rate for Payer: Aetna Commercial	$1,708.50
Rate for Payer: Aetna Medicare Advantage	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,452.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,452.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,452.22
Rate for Payer: Cigna Commercial	$2,847.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.35
Rate for Payer: Oxford Commercial	$2,847.50
Rate for Payer: Qualcare PPO/HMO/WC	$854.25
Rate for Payer: UnitedHealthcare Commercial	$2,847.50

FORCEP VCS CLIPTIP 6.0 061212

Facility

$440.85

Hospital Charge Code	270600146
Hospital Revenue Code	272
Min. Negotiated Rate	$66.13
Max. Negotiated Rate	$66.13
Rate for Payer: Qualcare PPO/HMO/WC	$66.13

FORCEP VCS CLIPTIP 6.0 061212

Facility

$440.85

Hospital Charge Code	270600146
Hospital Revenue Code	272
Min. Negotiated Rate	$57.31
Max. Negotiated Rate	$220.43
Rate for Payer: Aetna Commercial	$132.25
Rate for Payer: Aetna Medicare Advantage	$132.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.42
Rate for Payer: Cigna Commercial	$220.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.31
Rate for Payer: Oxford Commercial	$220.43
Rate for Payer: Qualcare PPO/HMO/WC	$66.13
Rate for Payer: UnitedHealthcare Commercial	$220.43

FORCEP VEC TTS ESOPH 10 4110

Facility

$973.65

Hospital Charge Code	270603921
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

FORCEP VEC TTS ESOPH 10 4110

Facility

$973.65

Hospital Charge Code	270603921
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

FORCEP VEC TTS ESOPH 12 4112

Facility

$973.65

Hospital Charge Code	270603922
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

FORCEP VEC TTS ESOPH 12 4112

Facility

$973.65

Hospital Charge Code	270603922
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

FORCEP VEC TTS ESOPH 15 4115

Facility

$973.65

Hospital Charge Code	270603923
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

FORCEP VEC TTS ESOPH 15 4115

Facility

$973.65

Hospital Charge Code	270603923
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

FORCEP VEC TTS ESOPH 18 4118

Facility

$973.65

Hospital Charge Code	270603924
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

FORCEP VEC TTS ESOPH 18 4118

Facility

$973.65

Hospital Charge Code	270603924
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

FORCEP VEC TTS ESOPH 20 4120

Facility

$973.65

Hospital Charge Code	270603925
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

FORCEP VEC TTS ESOPH 20 4120

Facility

$973.65

Hospital Charge Code	270603925
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

FORCEP VEC TTS ESOPH 6 4106

Facility

$973.65

Hospital Charge Code	270603919
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

FORCEP VEC TTS ESOPH 6 4106

Facility

$973.65

Hospital Charge Code	270603919
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

FORCEP VEC TTS ESOPH 8 4108

Facility

$973.65

Hospital Charge Code	270603920
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

FORCEP VEC TTS ESOPH 8 4108

Facility

$973.65

Hospital Charge Code	270603920
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

FORCEP VEC TTS PHLOR 12 4812

Facility

$973.65

Hospital Charge Code	270603929
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

FORCEP VEC TTS PHLOR 12 4812

Facility

$973.65

Hospital Charge Code	270603929
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

FORCEP VEC TTS PYLOR 10 4810

Facility

$973.65

Hospital Charge Code	270603928
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

Know your out-of-pocket cost for care.

All Charges