Heights University Hospital

All Charges

Charge

Type

Setting

Price

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4511703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4527703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4502703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4510703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4517703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4832703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4504703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4546703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4818703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4832703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4510703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4509703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4546703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4824703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4518703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4535703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4822703
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD 60 MIN

Facility

$500.00

Service Code	HCPCS 90837
Hospital Charge Code	4502703
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD W E&M 60 MIN

Facility

$500.00

Service Code	HCPCS 90838
Hospital Charge Code	4518706
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD W E&M 60 MIN

Facility

$500.00

Service Code	HCPCS 90838
Hospital Charge Code	4824706
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$118.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD W E&M 60 MIN

Facility

$500.00

Service Code	HCPCS 90838
Hospital Charge Code	4511706
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD W E&M 60 MIN

Facility

$500.00

Service Code	HCPCS 90838
Hospital Charge Code	4509706
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD W E&M 60 MIN

Facility

$500.00

Service Code	HCPCS 90838
Hospital Charge Code	4832706
Hospital Revenue Code	914
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD W E&M 60 MIN

Facility

$500.00

Service Code	HCPCS 90838
Hospital Charge Code	4527706
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$118.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

IND PSYCHOTX MD W E&M 60 MIN

Facility

$500.00

Service Code	HCPCS 90838
Hospital Charge Code	4504706
Hospital Revenue Code	914
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$118.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

Know your out-of-pocket cost for care.

All Charges