Heights University Hospital

All Charges

Charge

Type

Setting

Price

IABP INSERTION PERC

Facility

$4,732.00

Service Code	HCPCS 33967
Hospital Charge Code	5100086
Hospital Revenue Code	481
Min. Negotiated Rate	$242.11
Max. Negotiated Rate	$13,243.00
Rate for Payer: Aetna Commercial	$1,419.60
Rate for Payer: Aetna Medicare Advantage	$1,419.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,206.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,206.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,206.66
Rate for Payer: Cigna Commercial	$242.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.16
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$709.80
Rate for Payer: UnitedHealthcare Commercial	$13,243.00

IAC W/WO CONTRAST

Facility

$9,500.00

Service Code	HCPCS 70480
Hospital Charge Code	2200178
Hospital Revenue Code	351
Min. Negotiated Rate	$248.96
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	$257.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,773.00

IAC W/WO CONTRAST

Facility

$9,500.00

Service Code	HCPCS 70480
Hospital Charge Code	2200178
Hospital Revenue Code	351
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

IBANDRONATE SODIUM 1MG INJ

Facility

$3,530.83

Service Code	HCPCS J1740
Hospital Charge Code	60632241
Hospital Revenue Code	636
Min. Negotiated Rate	$529.62
Max. Negotiated Rate	$854.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$854.46
Rate for Payer: Qualcare PPO/HMO/WC	$529.62

IBANDRONATE SODIUM 1MG INJ

Facility

$3,530.83

Service Code	HCPCS J1740
Hospital Charge Code	60632241
Hospital Revenue Code	636
Min. Negotiated Rate	$9.06
Max. Negotiated Rate	$1,059.25
Rate for Payer: Cigna Commercial	$9.06
Rate for Payer: Aetna Commercial	$1,059.25
Rate for Payer: Aetna Medicare Advantage	$1,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$900.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$900.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$900.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$854.46
Rate for Payer: Qualcare PPO/HMO/WC	$529.62

IBD DIAG INDIRECT IMM FL ASSAY

Facility

$636.00

Hospital Charge Code	3009986
Hospital Revenue Code	301
Min. Negotiated Rate	$82.68
Max. Negotiated Rate	$318.00
Rate for Payer: Aetna Commercial	$190.80
Rate for Payer: Aetna Medicare Advantage	$190.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.18
Rate for Payer: Cigna Commercial	$318.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.68
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.40
Rate for Payer: UnitedHealthcare Commercial	$114.00

IBD DIAG INDIRECT IMM FL ASSAY

Facility

$636.00

Hospital Charge Code	3009986
Hospital Revenue Code	301
Min. Negotiated Rate	$95.40
Max. Negotiated Rate	$95.40
Rate for Payer: Qualcare PPO/HMO/WC	$95.40

IBD DIAG INDIRECT IMM FL ASSAY

Facility

$531.00

Service Code	HCPCS 88346
Hospital Charge Code	3009986A
Hospital Revenue Code	312
Min. Negotiated Rate	$79.65
Max. Negotiated Rate	$79.65
Rate for Payer: Qualcare PPO/HMO/WC	$79.65

IBD DIAG INDIRECT IMM FL ASSAY

Facility

$531.00

Service Code	HCPCS 88346
Hospital Charge Code	3009986A
Hospital Revenue Code	312
Min. Negotiated Rate	$69.03
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$159.30
Rate for Payer: Aetna Medicare Advantage	$159.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.41
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$78.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

IBD DIFFERENTIATION PANEL

Facility

$390.00

Service Code	HCPCS 8667191
Hospital Charge Code	39990078D
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

IBD DIFFERENTIATION PANEL

Facility

$390.00

Service Code	HCPCS 8667191
Hospital Charge Code	39990078D
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IBD DIFFERENTIATION PANEL I

Facility

$390.00

Service Code	HCPCS 8602191
Hospital Charge Code	39990078A
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

IBD DIFFERENTIATION PANEL I

Facility

$390.00

Service Code	HCPCS 8602191
Hospital Charge Code	39990078A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IBD DIFFERENTIATION PANEL I

Facility

$390.00

Service Code	HCPCS 8602191
Hospital Charge Code	39990078B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IBD DIFFERENTIATION PANEL I

Facility

$390.00

Service Code	HCPCS 8602191
Hospital Charge Code	39990078C
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IBD DIFFERENTIATION PANEL I

Facility

$390.00

Service Code	HCPCS 8602191
Hospital Charge Code	39990078B
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

IBD DIFFERENTIATION PANEL I

Facility

$390.00

Service Code	HCPCS 8602191
Hospital Charge Code	39990078C
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

IBD DIFFERENTIATION PANEL V

Facility

$390.00

Service Code	HCPCS 8667191
Hospital Charge Code	39990078E
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IBD DIFFERENTIATION PANEL V

Facility

$390.00

Service Code	HCPCS 8667191
Hospital Charge Code	39990078E
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

IBD PANEL

Facility

$3,528.00

Service Code	HCPCS 86021
Hospital Charge Code	3035092B
Hospital Revenue Code	302
Min. Negotiated Rate	$529.20
Max. Negotiated Rate	$529.20
Rate for Payer: Qualcare PPO/HMO/WC	$529.20

IBD PANEL

Facility

$98.00

Service Code	HCPCS 8667191
Hospital Charge Code	3035092D
Hospital Revenue Code	302
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

IBD PANEL

Facility

$392.00

Hospital Charge Code	3035092
Hospital Revenue Code	302
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$58.80
Rate for Payer: Qualcare PPO/HMO/WC	$58.80

IBD PANEL

Facility

$98.00

Service Code	HCPCS 8667191
Hospital Charge Code	3035092D
Hospital Revenue Code	302
Min. Negotiated Rate	$12.74
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$29.40
Rate for Payer: Aetna Medicare Advantage	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.99
Rate for Payer: Cigna Commercial	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
Rate for Payer: UnitedHealthcare Commercial	$114.00

IBD PANEL

Facility

$392.00

Hospital Charge Code	3035092
Hospital Revenue Code	302
Min. Negotiated Rate	$50.96
Max. Negotiated Rate	$196.00
Rate for Payer: Aetna Commercial	$117.60
Rate for Payer: Aetna Medicare Advantage	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.96
Rate for Payer: Cigna Commercial	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

IBD PANEL

Facility

$98.00

Service Code	HCPCS 8667191
Hospital Charge Code	3035092C
Hospital Revenue Code	302
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

Know your out-of-pocket cost for care.

All Charges