Heights University Hospital

All Charges

Charge

Type

Setting

Price

FP EXC.SKIN&SUBC HIDRADENIT

Facility

$2,052.00

Service Code	HCPCS 11450
Hospital Charge Code	83652049
Hospital Revenue Code	761
Min. Negotiated Rate	$158.52
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$615.60
Rate for Payer: Aetna Medicare Advantage	$615.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$523.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$523.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$523.26
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.76
Rate for Payer: Oxford Commercial	$1,026.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.80
Rate for Payer: UnitedHealthcare Commercial	$1,026.00

FP EXC.SKIN&SUBC HIDRADENIT

Facility

$2,052.00

Service Code	HCPCS 11450
Hospital Charge Code	83652049
Hospital Revenue Code	761
Min. Negotiated Rate	$307.80
Max. Negotiated Rate	$307.80
Rate for Payer: Qualcare PPO/HMO/WC	$307.80

FP FB REMOVAL, EAR

Facility

$299.00

Service Code	HCPCS 69200
Hospital Charge Code	87502655
Hospital Revenue Code	761
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$44.85
Rate for Payer: Qualcare PPO/HMO/WC	$44.85

FP FB REMOVAL, EAR

Facility

$299.00

Service Code	HCPCS 69200
Hospital Charge Code	87502655
Hospital Revenue Code	761
Min. Negotiated Rate	$20.93
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$89.70
Rate for Payer: Aetna Medicare Advantage	$89.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.87
Rate for Payer: Oxford Commercial	$149.50
Rate for Payer: Qualcare PPO/HMO/WC	$44.85
Rate for Payer: UnitedHealthcare Commercial	$149.50

FP FB REMOVAL EYE EXTERNAL

Facility

$696.50

Service Code	HCPCS 65205
Hospital Charge Code	87502545
Hospital Revenue Code	761
Min. Negotiated Rate	$25.76
Max. Negotiated Rate	$348.25
Rate for Payer: Aetna Commercial	$208.95
Rate for Payer: Aetna Medicare Advantage	$208.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.61
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.55
Rate for Payer: Oxford Commercial	$348.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.47
Rate for Payer: UnitedHealthcare Commercial	$348.25

FP FB REMOVAL EYE EXTERNAL

Facility

$696.50

Service Code	HCPCS 65205
Hospital Charge Code	87502545
Hospital Revenue Code	761
Min. Negotiated Rate	$104.47
Max. Negotiated Rate	$104.47
Rate for Payer: Qualcare PPO/HMO/WC	$104.47

FP FIRST DEGREE INITIAL TREAT

Facility

$372.00

Service Code	HCPCS 16000
Hospital Charge Code	83652075
Hospital Revenue Code	361
Min. Negotiated Rate	$48.36
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$543.15
Rate for Payer: Aetna Commercial	$111.60
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
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	$94.86
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.36
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$554.01
Rate for Payer: Wellpoint Medicaid Managed Care	$543.15

FP FIRST DEGREE INITIAL TREAT

Facility

$372.00

Service Code	HCPCS 16000
Hospital Charge Code	83652075
Hospital Revenue Code	361
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

FP FUNCT ASPIRATION ABS/HEMT

Facility

$420.44

Service Code	HCPCS 10160
Hospital Charge Code	87502440
Hospital Revenue Code	761
Min. Negotiated Rate	$63.07
Max. Negotiated Rate	$63.07
Rate for Payer: Qualcare PPO/HMO/WC	$63.07

FP FUNCT ASPIRATION ABS/HEMT

Facility

$420.44

Service Code	HCPCS 10160
Hospital Charge Code	87502440
Hospital Revenue Code	761
Min. Negotiated Rate	$54.66
Max. Negotiated Rate	$1,058.74
Rate for Payer: Aetna Better Health Medicaid	$1,037.98
Rate for Payer: Aetna Commercial	$126.13
Rate for Payer: Aetna Medicare Advantage	$126.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.21
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.66
Rate for Payer: Oxford Commercial	$210.22
Rate for Payer: Qualcare PPO/HMO/WC	$63.07
Rate for Payer: UnitedHealthcare Commercial	$210.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74

FP HEMOCULT (BLOOD OCCULT)

Facility

$390.00

Service Code	HCPCS 82270
Hospital Charge Code	87502765
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FP HEMOCULT (BLOOD OCCULT)

Facility

$390.00

Service Code	HCPCS 82270
Hospital Charge Code	87502765
Hospital Revenue Code	301
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.05
Rate for Payer: Cigna Commercial	$4.38
Rate for Payer: Cigna Medicare Advantage	$2.19
Rate for Payer: Clover Medicare Advantage	$4.16
Rate for Payer: EmblemHealth Commercial	$13.14
Rate for Payer: Humana Medicare Advantage	$4.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.64
Rate for Payer: Wellcare Medicare Advantage	$4.38

FP HM VIS E&M ESTPT LOW COM 25

Facility

$165.00

Service Code	HCPCS 99348
Hospital Charge Code	87502355
Hospital Revenue Code	510
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

FP HM VIS E&M ESTPT LOW COM 25

Facility

$165.00

Service Code	HCPCS 99348
Hospital Charge Code	87502355
Hospital Revenue Code	510
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$86.36
Rate for Payer: Aetna Commercial	$49.50
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$86.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.45
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

FP I&D ABCESS/CYST COMP/MULTI

Facility

$2,237.95

Service Code	HCPCS 10061
Hospital Charge Code	87502420
Hospital Revenue Code	761
Min. Negotiated Rate	$127.22
Max. Negotiated Rate	$1,118.97
Rate for Payer: Aetna Commercial	$671.38
Rate for Payer: Aetna Medicare Advantage	$671.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.68
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.93
Rate for Payer: Oxford Commercial	$1,118.97
Rate for Payer: Qualcare PPO/HMO/WC	$335.69
Rate for Payer: UnitedHealthcare Commercial	$1,118.97

FP I&D ABCESS/CYST COMP/MULTI

Facility

$2,237.95

Service Code	HCPCS 10061
Hospital Charge Code	87502420
Hospital Revenue Code	761
Min. Negotiated Rate	$335.69
Max. Negotiated Rate	$335.69
Rate for Payer: Qualcare PPO/HMO/WC	$335.69

FP I&D ABCESS/CYST COMP/MULTI

Facility

$641.65

Service Code	HCPCS 10061
Hospital Charge Code	83652003
Hospital Revenue Code	761
Min. Negotiated Rate	$83.41
Max. Negotiated Rate	$968.07
Rate for Payer: Aetna Commercial	$192.50
Rate for Payer: Aetna Medicare Advantage	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.62
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.41
Rate for Payer: Oxford Commercial	$320.82
Rate for Payer: Qualcare PPO/HMO/WC	$96.25
Rate for Payer: UnitedHealthcare Commercial	$320.82

FP I&D ABCESS/CYST COMP/MULTI

Facility

$641.65

Service Code	HCPCS 10061
Hospital Charge Code	83652003
Hospital Revenue Code	761
Min. Negotiated Rate	$96.25
Max. Negotiated Rate	$96.25
Rate for Payer: Qualcare PPO/HMO/WC	$96.25

FP I&D HEMATOMA FLUID COLLECT

Facility

$8,995.35

Service Code	HCPCS 10140
Hospital Charge Code	87502435
Hospital Revenue Code	761
Min. Negotiated Rate	$43.47
Max. Negotiated Rate	$4,497.68
Rate for Payer: Aetna Commercial	$2,698.61
Rate for Payer: Aetna Medicare Advantage	$2,698.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,293.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,293.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,293.81
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,169.40
Rate for Payer: Oxford Commercial	$4,497.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.30
Rate for Payer: UnitedHealthcare Commercial	$4,497.68

FP I&D HEMATOMA FLUID COLLECT

Facility

$8,995.35

Service Code	HCPCS 10140
Hospital Charge Code	87502435
Hospital Revenue Code	761
Min. Negotiated Rate	$1,349.30
Max. Negotiated Rate	$1,349.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.30

FP I&D HEMATOMA, FLUID COLLECT

Facility

$882.00

Service Code	HCPCS 10140
Hospital Charge Code	83652009
Hospital Revenue Code	761
Min. Negotiated Rate	$43.47
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$264.60
Rate for Payer: Aetna Medicare Advantage	$264.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.91
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.66
Rate for Payer: Oxford Commercial	$441.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.30
Rate for Payer: UnitedHealthcare Commercial	$441.00

FP I&D HEMATOMA, FLUID COLLECT

Facility

$882.00

Service Code	HCPCS 10140
Hospital Charge Code	83652009
Hospital Revenue Code	761
Min. Negotiated Rate	$132.30
Max. Negotiated Rate	$132.30
Rate for Payer: Qualcare PPO/HMO/WC	$132.30

FP IMM.ADM@ADDTN'L INTNAS/ORL

Facility

$156.00

Service Code	HCPCS 90474
Hospital Charge Code	83652301
Hospital Revenue Code	771
Min. Negotiated Rate	$13.82
Max. Negotiated Rate	$103.00
Rate for Payer: Aetna Commercial	$46.80
Rate for Payer: Aetna Medicare Advantage	$46.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.78
Rate for Payer: Cigna Commercial	$13.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.28
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.40
Rate for Payer: UnitedHealthcare Commercial	$103.00

FP IMM.ADM@ADDTN'L INTNAS/ORL

Facility

$156.00

Service Code	HCPCS 90474
Hospital Charge Code	83652301
Hospital Revenue Code	771
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$23.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

FP IND PSYCHTERAPHY 45-50MTS

Facility

$576.00

Service Code	HCPCS 90806
Hospital Charge Code	83652349
Hospital Revenue Code	914
Min. Negotiated Rate	$74.88
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$172.80
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.88
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

Know your out-of-pocket cost for care.

All Charges