Heights University Hospital

All Charges

Charge

Type

Setting

Price

INDIVIDUAL THERAPY 45-50 MINS

Facility

$1,423.80

Service Code	HCPCS 90834
Hospital Charge Code	84504025
Hospital Revenue Code	914
Min. Negotiated Rate	$213.57
Max. Negotiated Rate	$213.57
Rate for Payer: Qualcare PPO/HMO/WC	$213.57

INDIVIDUAL THERAPY 45-50 MINS

Facility

$1,423.80

Service Code	HCPCS 90834
Hospital Charge Code	84504025
Hospital Revenue Code	914
Min. Negotiated Rate	$94.46
Max. Negotiated Rate	$427.14
Rate for Payer: Aetna Commercial	$427.14
Rate for Payer: Aetna Medicare Advantage	$427.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.07
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.09
Rate for Payer: Qualcare PPO/HMO/WC	$213.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$94.46

INDIVIDUAL THERAPY INTENSIVE

Facility

$671.00

Service Code	HCPCS 90808
Hospital Charge Code	83246015
Hospital Revenue Code	914
Min. Negotiated Rate	$87.23
Max. Negotiated Rate	$335.50
Rate for Payer: Aetna Commercial	$201.30
Rate for Payer: Aetna Medicare Advantage	$201.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.10
Rate for Payer: Cigna Commercial	$335.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.23
Rate for Payer: Qualcare PPO/HMO/WC	$100.65

INDIVIDUAL THERAPY INTENSIVE

Facility

$671.00

Service Code	HCPCS 90808
Hospital Charge Code	83246015
Hospital Revenue Code	914
Min. Negotiated Rate	$100.65
Max. Negotiated Rate	$100.65
Rate for Payer: Qualcare PPO/HMO/WC	$100.65

INDIVIDUAL TRAINING EACH 30 MI

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9200043
Hospital Revenue Code	942
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

INDIVIDUAL TRAINING EACH 30 MI

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9200043
Hospital Revenue Code	942
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$33.60
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$779.00

INDIV NUTR INIT ASSES 15 MIN

Facility

$2,700.00

Service Code	HCPCS 97802
Hospital Charge Code	9300001
Hospital Revenue Code	942
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$810.00
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	$25.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$28.86
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

INDIV NUTR INIT ASSES 15 MIN

Facility

$2,700.00

Service Code	HCPCS 97802
Hospital Charge Code	9300001
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

INDIV NUTR REASSES 15 MIN

Facility

$2,700.00

Service Code	HCPCS 97803
Hospital Charge Code	9300002
Hospital Revenue Code	942
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$810.00
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	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$24.08
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

INDIV NUTR REASSES 15 MIN

Facility

$2,700.00

Service Code	HCPCS 97803
Hospital Charge Code	9300002
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

INDIV PTHERAP OP 20-30M W/O EM

Facility

$668.00

Service Code	HCPCS 90804
Hospital Charge Code	7500040
Hospital Revenue Code	914
Min. Negotiated Rate	$86.84
Max. Negotiated Rate	$334.00
Rate for Payer: Aetna Commercial	$200.40
Rate for Payer: Aetna Medicare Advantage	$200.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.34
Rate for Payer: Cigna Commercial	$334.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.84
Rate for Payer: Qualcare PPO/HMO/WC	$100.20

INDIV PTHERAP OP 20-30M W/O EM

Facility

$668.00

Service Code	HCPCS 90804
Hospital Charge Code	7500040
Hospital Revenue Code	914
Min. Negotiated Rate	$100.20
Max. Negotiated Rate	$100.20
Rate for Payer: Qualcare PPO/HMO/WC	$100.20

INDIV PTHERAP OP 45-50M W/O EM

Facility

$939.25

Service Code	HCPCS 90806
Hospital Charge Code	7500045
Hospital Revenue Code	914
Min. Negotiated Rate	$122.10
Max. Negotiated Rate	$469.62
Rate for Payer: Aetna Commercial	$281.77
Rate for Payer: Aetna Medicare Advantage	$281.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.51
Rate for Payer: Cigna Commercial	$469.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.10
Rate for Payer: Qualcare PPO/HMO/WC	$140.89

INDIV PTHERAP OP 45-50M W/O EM

Facility

$939.25

Service Code	HCPCS 90806
Hospital Charge Code	7500045
Hospital Revenue Code	914
Min. Negotiated Rate	$140.89
Max. Negotiated Rate	$140.89
Rate for Payer: Qualcare PPO/HMO/WC	$140.89

INDIV PT IP/PH 20-30M W/ E/M**

Facility

$596.00

Service Code	HCPCS 90817
Hospital Charge Code	50015
Hospital Revenue Code	914
Min. Negotiated Rate	$89.40
Max. Negotiated Rate	$89.40
Rate for Payer: Qualcare PPO/HMO/WC	$89.40

INDIV PT IP/PH 20-30M W/ E/M**

Facility

$596.00

Service Code	HCPCS 90817
Hospital Charge Code	50015
Hospital Revenue Code	914
Min. Negotiated Rate	$77.48
Max. Negotiated Rate	$298.00
Rate for Payer: Aetna Commercial	$178.80
Rate for Payer: Aetna Medicare Advantage	$178.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.98
Rate for Payer: Cigna Commercial	$298.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.48
Rate for Payer: Qualcare PPO/HMO/WC	$89.40

INDIV PT IP/PH 20-30M W/O E/M

Facility

$122.25

Service Code	HCPCS 90816
Hospital Charge Code	50008
Hospital Revenue Code	914
Min. Negotiated Rate	$18.34
Max. Negotiated Rate	$18.34
Rate for Payer: Qualcare PPO/HMO/WC	$18.34

INDIV PT IP/PH 20-30M W/O E/M

Facility

$122.25

Service Code	HCPCS 90816
Hospital Charge Code	50008
Hospital Revenue Code	914
Min. Negotiated Rate	$15.89
Max. Negotiated Rate	$61.12
Rate for Payer: Aetna Commercial	$36.67
Rate for Payer: Aetna Medicare Advantage	$36.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.17
Rate for Payer: Cigna Commercial	$61.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: Qualcare PPO/HMO/WC	$18.34

INDIV PT IP/PH 45-50M W/ E/M**

Facility

$838.00

Service Code	HCPCS 90819
Hospital Charge Code	50020
Hospital Revenue Code	914
Min. Negotiated Rate	$125.70
Max. Negotiated Rate	$125.70
Rate for Payer: Qualcare PPO/HMO/WC	$125.70

INDIV PT IP/PH 45-50M W/ E/M**

Facility

$838.00

Service Code	HCPCS 90819
Hospital Charge Code	50020
Hospital Revenue Code	914
Min. Negotiated Rate	$108.94
Max. Negotiated Rate	$419.00
Rate for Payer: Aetna Commercial	$251.40
Rate for Payer: Aetna Medicare Advantage	$251.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.69
Rate for Payer: Cigna Commercial	$419.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.94
Rate for Payer: Qualcare PPO/HMO/WC	$125.70

INDIV PT IP/PH 45-50M W/O E/M

Facility

$165.80

Service Code	HCPCS 90818
Hospital Charge Code	50004
Hospital Revenue Code	914
Min. Negotiated Rate	$21.55
Max. Negotiated Rate	$82.90
Rate for Payer: Aetna Commercial	$49.74
Rate for Payer: Aetna Medicare Advantage	$49.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.28
Rate for Payer: Cigna Commercial	$82.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.55
Rate for Payer: Qualcare PPO/HMO/WC	$24.87

INDIV PT IP/PH 45-50M W/O E/M

Facility

$165.80

Service Code	HCPCS 90818
Hospital Charge Code	50004
Hospital Revenue Code	914
Min. Negotiated Rate	$24.87
Max. Negotiated Rate	$24.87
Rate for Payer: Qualcare PPO/HMO/WC	$24.87

INDIV PT THER OP 30-45M W/O EM

Facility

$245.80

Service Code	HCPCS 90804
Hospital Charge Code	9310086
Hospital Revenue Code	914
Min. Negotiated Rate	$36.87
Max. Negotiated Rate	$36.87
Rate for Payer: Qualcare PPO/HMO/WC	$36.87

INDIV PT THER OP 30-45M W/O EM

Facility

$245.80

Service Code	HCPCS 90804
Hospital Charge Code	9310086
Hospital Revenue Code	914
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$122.90
Rate for Payer: Aetna Commercial	$73.74
Rate for Payer: Aetna Medicare Advantage	$73.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.68
Rate for Payer: Cigna Commercial	$122.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$36.87

INDIV PT THER OP 45-50M W/ E/M

Facility

$409.00

Service Code	HCPCS 90807
Hospital Charge Code	9310083
Hospital Revenue Code	914
Min. Negotiated Rate	$53.17
Max. Negotiated Rate	$204.50
Rate for Payer: Aetna Commercial	$122.70
Rate for Payer: Aetna Medicare Advantage	$122.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.30
Rate for Payer: Cigna Commercial	$204.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.17
Rate for Payer: Qualcare PPO/HMO/WC	$61.35

Know your out-of-pocket cost for care.

All Charges