Heights University Hospital

All Charges

Charge

Type

Setting

Price

GROUP CHILD OP Medicaid

Facility

$750.00

Service Code	HCPCS 90853
Hospital Charge Code	4824616
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

GROUP CHILD OP Medicaid

Facility

$750.00

Service Code	HCPCS 90853
Hospital Charge Code	4535616
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

GROUP CHILD OP Medicaid

Facility

$750.00

Service Code	HCPCS 90853
Hospital Charge Code	4504616
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

GROUP CHILD OP MEDICAID

Facility

$750.00

Service Code	HCPCS 90853
Hospital Charge Code	4824625
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

GROUP CHILD OP MEDICAID

Facility

$750.00

Service Code	HCPCS 90853
Hospital Charge Code	4824625
Hospital Revenue Code	915
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48

GROUP CHILD PH MEDICAID

Facility

$750.00

Service Code	HCPCS 90853
Hospital Charge Code	4822625
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

GROUP CHILD PH MEDICAID

Facility

$750.00

Service Code	HCPCS H0035
Hospital Charge Code	4510625
Hospital Revenue Code	913
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

GROUP CHILD PH MEDICAID

Facility

$750.00

Service Code	HCPCS H0035
Hospital Charge Code	4546764
Hospital Revenue Code	942
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$779.00

GROUP CHILD PH MEDICAID

Facility

$750.00

Service Code	HCPCS H0035
Hospital Charge Code	4510625
Hospital Revenue Code	913
Min. Negotiated Rate	$17.91
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17.91

GROUP CHILD PH MEDICAID

Facility

$750.00

Service Code	HCPCS H0035
Hospital Charge Code	4509625
Hospital Revenue Code	913
Min. Negotiated Rate	$17.91
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17.91

GROUP CHILD PH MEDICAID

Facility

$750.00

Service Code	HCPCS H0035
Hospital Charge Code	4509625
Hospital Revenue Code	913
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

GROUP CHILD PH MEDICAID

Facility

$750.00

Service Code	HCPCS H0035
Hospital Charge Code	4546764
Hospital Revenue Code	942
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

GROUP CHILD PH MEDICAID

Facility

$750.00

Service Code	HCPCS 90853
Hospital Charge Code	4822625
Hospital Revenue Code	915
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48

GROUP COUNSELING EDUC 2-4 PT

Facility

$2,700.00

Service Code	HCPCS 98961
Hospital Charge Code	9200039
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

GROUP COUNSELING EDUC 2-4 PT

Facility

$2,700.00

Service Code	HCPCS 98961
Hospital Charge Code	9200039
Hospital Revenue Code	942
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

GROUP COUNSELING EDUC 2-4 PT

Facility

$164.00

Service Code	HCPCS 98961
Hospital Charge Code	9200085
Hospital Revenue Code	942
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

GROUP COUNSELING EDUC 2-4 PT

Facility

$61.65

Service Code	HCPCS 98961
Hospital Charge Code	9300007
Hospital Revenue Code	942
Min. Negotiated Rate	$9.25
Max. Negotiated Rate	$9.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.25

GROUP COUNSELING EDUC 2-4 PT

Facility

$164.00

Service Code	HCPCS 98961
Hospital Charge Code	9200085
Hospital Revenue Code	942
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$49.20
Rate for Payer: Aetna Medicare Advantage	$49.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.82
Rate for Payer: Cigna Commercial	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.32
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.60
Rate for Payer: UnitedHealthcare Commercial	$779.00

GROUP COUNSELING EDUC 2-4 PT

Facility

$61.65

Service Code	HCPCS 98961
Hospital Charge Code	9300007
Hospital Revenue Code	942
Min. Negotiated Rate	$8.01
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$18.50
Rate for Payer: Aetna Medicare Advantage	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.72
Rate for Payer: Cigna Commercial	$30.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.01
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.25
Rate for Payer: UnitedHealthcare Commercial	$779.00

GROUP COUNSELLING EDU 5-8 PT

Facility

$61.65

Service Code	HCPCS 98962
Hospital Charge Code	9300008
Hospital Revenue Code	942
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$18.50
Rate for Payer: Aetna Medicare Advantage	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.72
Rate for Payer: Cigna Commercial	$30.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.01
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.25
Rate for Payer: UnitedHealthcare Commercial	$779.00

GROUP COUNSELLING EDU 5-8 PT

Facility

$61.65

Service Code	HCPCS 98962
Hospital Charge Code	9300008
Hospital Revenue Code	942
Min. Negotiated Rate	$9.25
Max. Negotiated Rate	$9.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.25

GROUP COUNSELLING EDU 5-8 PT

Facility

$2,700.00

Service Code	HCPCS 98962
Hospital Charge Code	9200076
Hospital Revenue Code	942
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

GROUP COUNSELLING EDU 5-8 PT

Facility

$2,700.00

Service Code	HCPCS 98962
Hospital Charge Code	9200076
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

GROUP HEALTH EDUCATION

Facility

$2,700.00

Service Code	HCPCS 99078
Hospital Charge Code	412399078
Hospital Revenue Code	942
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

GROUP HEALTH EDUCATION

Facility

$2,700.00

Service Code	HCPCS 99078
Hospital Charge Code	412399078
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

Know your out-of-pocket cost for care.

All Charges