Heights University Hospital

All Charges

Charge

Type

Setting

Price

FP IND PSYCHTERAPHY 45-50MTS

Facility

$576.00

Service Code	HCPCS 90806
Hospital Charge Code	83652349
Hospital Revenue Code	914
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$86.40
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

FP IND. PSYCH THERAPY 20-30 MT

Facility

$476.00

Service Code	HCPCS 90804
Hospital Charge Code	83652345
Hospital Revenue Code	914
Min. Negotiated Rate	$71.40
Max. Negotiated Rate	$71.40
Rate for Payer: Qualcare PPO/HMO/WC	$71.40

FP IND. PSYCH THERAPY 20-30 MT

Facility

$476.00

Service Code	HCPCS 90804
Hospital Charge Code	83652345
Hospital Revenue Code	914
Min. Negotiated Rate	$61.88
Max. Negotiated Rate	$238.00
Rate for Payer: Aetna Commercial	$142.80
Rate for Payer: Aetna Medicare Advantage	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.38
Rate for Payer: Cigna Commercial	$238.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.88
Rate for Payer: Qualcare PPO/HMO/WC	$71.40

FP IND PSY-THRPY INTRACT 45-50

Facility

$536.00

Service Code	HCPCS 90812
Hospital Charge Code	83652355
Hospital Revenue Code	914
Min. Negotiated Rate	$80.40
Max. Negotiated Rate	$80.40
Rate for Payer: Qualcare PPO/HMO/WC	$80.40

FP IND PSY-THRPY INTRACT 45-50

Facility

$536.00

Service Code	HCPCS 90812
Hospital Charge Code	83652355
Hospital Revenue Code	914
Min. Negotiated Rate	$69.68
Max. Negotiated Rate	$268.00
Rate for Payer: Aetna Commercial	$160.80
Rate for Payer: Aetna Medicare Advantage	$160.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.68
Rate for Payer: Cigna Commercial	$268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.68
Rate for Payer: Qualcare PPO/HMO/WC	$80.40

FP INDV PSY-THPY-INTACT 20-30

Facility

$399.00

Service Code	HCPCS 90810
Hospital Charge Code	83652353
Hospital Revenue Code	914
Min. Negotiated Rate	$59.85
Max. Negotiated Rate	$59.85
Rate for Payer: Qualcare PPO/HMO/WC	$59.85

FP INDV PSY-THPY-INTACT 20-30

Facility

$399.00

Service Code	HCPCS 90810
Hospital Charge Code	83652353
Hospital Revenue Code	914
Min. Negotiated Rate	$51.87
Max. Negotiated Rate	$199.50
Rate for Payer: Aetna Commercial	$119.70
Rate for Payer: Aetna Medicare Advantage	$119.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.75
Rate for Payer: Cigna Commercial	$199.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.87
Rate for Payer: Qualcare PPO/HMO/WC	$59.85

FP INJ SNGL TENDON LGMT APONE

Facility

$185.05

Service Code	HCPCS 20550
Hospital Charge Code	87502555
Hospital Revenue Code	761
Min. Negotiated Rate	$24.06
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$55.52
Rate for Payer: Aetna Medicare Advantage	$55.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.06
Rate for Payer: Oxford Commercial	$92.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.76
Rate for Payer: UnitedHealthcare Commercial	$92.53

FP INJ SNGL TENDON LGMT APONE

Facility

$185.05

Service Code	HCPCS 20550
Hospital Charge Code	87502555
Hospital Revenue Code	761
Min. Negotiated Rate	$27.76
Max. Negotiated Rate	$27.76
Rate for Payer: Qualcare PPO/HMO/WC	$27.76

FP INJ;SNGL TENDON,LGMT;APONE

Facility

$185.05

Service Code	HCPCS 20550
Hospital Charge Code	83652089
Hospital Revenue Code	761
Min. Negotiated Rate	$24.06
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$55.52
Rate for Payer: Aetna Medicare Advantage	$55.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.06
Rate for Payer: Oxford Commercial	$92.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.76
Rate for Payer: UnitedHealthcare Commercial	$92.53

FP INJ;SNGL TENDON,LGMT;APONE

Facility

$185.05

Service Code	HCPCS 20550
Hospital Charge Code	83652089
Hospital Revenue Code	761
Min. Negotiated Rate	$27.76
Max. Negotiated Rate	$27.76
Rate for Payer: Qualcare PPO/HMO/WC	$27.76

FP I&REMOVAL FB SUB C COMPLIC

Facility

$8,995.35

Service Code	HCPCS 10121
Hospital Charge Code	87502430
Hospital Revenue Code	761
Min. Negotiated Rate	$175.79
Max. Negotiated Rate	$4,497.68
Rate for Payer: Aetna Better Health Medicaid	$4,386.54
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	$175.79
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,474.27

FP I&REMOVAL FB SUB C COMPLIC

Facility

$8,995.35

Service Code	HCPCS 10121
Hospital Charge Code	87502430
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&REMOVAL FB.SUBC COMPLICAT

Facility

$1,490.00

Service Code	HCPCS 10121
Hospital Charge Code	83652007
Hospital Revenue Code	761
Min. Negotiated Rate	$175.79
Max. Negotiated Rate	$4,474.27
Rate for Payer: Aetna Better Health Medicaid	$4,386.54
Rate for Payer: Aetna Commercial	$447.00
Rate for Payer: Aetna Medicare Advantage	$447.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.95
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.70
Rate for Payer: Oxford Commercial	$745.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.50
Rate for Payer: UnitedHealthcare Commercial	$745.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,474.27

FP I&REMOVAL FB.SUBC COMPLICAT

Facility

$1,490.00

Service Code	HCPCS 10121
Hospital Charge Code	83652007
Hospital Revenue Code	761
Min. Negotiated Rate	$223.50
Max. Negotiated Rate	$223.50
Rate for Payer: Qualcare PPO/HMO/WC	$223.50

FP I& REMOVAL FB SUB CUT SIMPL

Facility

$1,822.15

Service Code	HCPCS 10120
Hospital Charge Code	87502425
Hospital Revenue Code	761
Min. Negotiated Rate	$273.32
Max. Negotiated Rate	$273.32
Rate for Payer: Qualcare PPO/HMO/WC	$273.32

FP I& REMOVAL FB SUB CUT SIMPL

Facility

$1,822.15

Service Code	HCPCS 10120
Hospital Charge Code	87502425
Hospital Revenue Code	761
Min. Negotiated Rate	$91.25
Max. Negotiated Rate	$1,058.74
Rate for Payer: Aetna Better Health Medicaid	$1,037.98
Rate for Payer: Aetna Commercial	$546.64
Rate for Payer: Aetna Medicare Advantage	$546.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$464.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$464.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$464.65
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$236.88
Rate for Payer: Oxford Commercial	$911.08
Rate for Payer: Qualcare PPO/HMO/WC	$273.32
Rate for Payer: UnitedHealthcare Commercial	$911.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74

FP NAIL EXCISION/PARTIAL/COMP

Facility

$2,081.00

Service Code	HCPCS 11750
Hospital Charge Code	87502495
Hospital Revenue Code	761
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$1,040.50
Rate for Payer: Aetna Commercial	$624.30
Rate for Payer: Aetna Medicare Advantage	$624.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.65
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.53
Rate for Payer: Oxford Commercial	$1,040.50
Rate for Payer: Qualcare PPO/HMO/WC	$312.15
Rate for Payer: UnitedHealthcare Commercial	$1,040.50

FP NAIL EXCISION/PARTIAL/COMP

Facility

$2,081.00

Service Code	HCPCS 11750
Hospital Charge Code	87502495
Hospital Revenue Code	761
Min. Negotiated Rate	$312.15
Max. Negotiated Rate	$312.15
Rate for Payer: Qualcare PPO/HMO/WC	$312.15

FP NAIL EXCISION/PARTIAL/COMP

Facility

$2,081.00

Service Code	HCPCS 11750
Hospital Charge Code	83652057
Hospital Revenue Code	761
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$1,040.50
Rate for Payer: Aetna Commercial	$624.30
Rate for Payer: Aetna Medicare Advantage	$624.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.65
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.53
Rate for Payer: Oxford Commercial	$1,040.50
Rate for Payer: Qualcare PPO/HMO/WC	$312.15
Rate for Payer: UnitedHealthcare Commercial	$1,040.50

FP NAIL EXCISION/PARTIAL/COMP

Facility

$2,081.00

Service Code	HCPCS 11750
Hospital Charge Code	83652057
Hospital Revenue Code	761
Min. Negotiated Rate	$312.15
Max. Negotiated Rate	$312.15
Rate for Payer: Qualcare PPO/HMO/WC	$312.15

FP PARING BENIGN 2-4 LESIONS

Facility

$650.00

Service Code	HCPCS 11056
Hospital Charge Code	87502560
Hospital Revenue Code	761
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

FP PARING BENIGN 2-4 LESIONS

Facility

$650.00

Service Code	HCPCS 11056
Hospital Charge Code	87502560
Hospital Revenue Code	761
Min. Negotiated Rate	$36.59
Max. Negotiated Rate	$477.79
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

FP PARING BENIGN > 4 LESIONS

Facility

$1,400.00

Service Code	HCPCS 11057
Hospital Charge Code	83652025
Hospital Revenue Code	761
Min. Negotiated Rate	$45.25
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$420.00
Rate for Payer: Aetna Medicare Advantage	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.00
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$700.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00
Rate for Payer: UnitedHealthcare Commercial	$700.00

FP PARING BENIGN > 4 LESIONS

Facility

$1,400.00

Service Code	HCPCS 11057
Hospital Charge Code	83652025
Hospital Revenue Code	761
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

Know your out-of-pocket cost for care.

All Charges