Heights University Hospital

All Charges

Charge

Type

Setting

Price

IND PSYCHOTHERAPY NON MD 60MIN

Facility

$2,000.00

Service Code	HCPCS 2000
Hospital Charge Code	4546771
Hospital Revenue Code	914
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

IND PSYCHOTX 60 MIN

Facility

$2,000.00

Service Code	HCPCS 90837
Hospital Charge Code	412390837
Hospital Revenue Code	914
Min. Negotiated Rate	$135.39
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

IND PSYCHOTX 60 MIN

Facility

$2,000.00

Service Code	HCPCS 90837
Hospital Charge Code	412390837
Hospital Revenue Code	914
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4546701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4822701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4509701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4502701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4832701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4504701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4517701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4511701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4504701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4511701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4535701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4502701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4832701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4824701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4510701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4515701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4824701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4527701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4518701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4509701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4818701
Hospital Revenue Code	914
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71.39

IND PSYCHOTX MD 30MIN

Facility

$375.00

Service Code	HCPCS 90832
Hospital Charge Code	4818701
Hospital Revenue Code	914
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

Know your out-of-pocket cost for care.

All Charges