Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-BIOPSY LUNG-BI

Facility

$8,054.80

Service Code	HCPCS 3240550
Hospital Charge Code	321032405B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-BI

Facility

$8,054.80

Service Code	HCPCS 3240550
Hospital Charge Code	321032405B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$2,416.44
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-LT

Facility

$8,054.80

Service Code	HCPCS 32405LT
Hospital Charge Code	321032405L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-LT

Facility

$8,054.80

Service Code	HCPCS 32405LT
Hospital Charge Code	2691020
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-LT

Facility

$2,675.46

Service Code	HCPCS 32405LT
Hospital Charge Code	7411881
Hospital Revenue Code	761
Min. Negotiated Rate	$401.32
Max. Negotiated Rate	$401.32
Rate for Payer: Qualcare PPO/HMO/WC	$401.32

IR-BIOPSY LUNG-LT

Facility

$2,675.46

Service Code	HCPCS 32405LT
Hospital Charge Code	7411881
Hospital Revenue Code	761
Min. Negotiated Rate	$347.81
Max. Negotiated Rate	$1,337.73
Rate for Payer: Aetna Commercial	$802.64
Rate for Payer: Aetna Medicare Advantage	$802.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$682.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$682.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$682.24
Rate for Payer: Cigna Commercial	$1,337.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$347.81
Rate for Payer: Oxford Commercial	$1,337.73
Rate for Payer: Qualcare PPO/HMO/WC	$401.32
Rate for Payer: UnitedHealthcare Commercial	$1,337.73

IR-BIOPSY LUNG-LT

Facility

$8,054.80

Service Code	HCPCS 32405LT
Hospital Charge Code	321032405L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$2,416.44
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-LT

Facility

$8,054.80

Service Code	HCPCS 32405LT
Hospital Charge Code	2691020
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$2,416.44
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-RT

Facility

$2,675.46

Service Code	HCPCS 32405RT
Hospital Charge Code	7411882
Hospital Revenue Code	761
Min. Negotiated Rate	$401.32
Max. Negotiated Rate	$401.32
Rate for Payer: Qualcare PPO/HMO/WC	$401.32

IR-BIOPSY LUNG-RT

Facility

$8,054.80

Service Code	HCPCS 32405RT
Hospital Charge Code	321032405R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-RT

Facility

$2,675.46

Service Code	HCPCS 32405RT
Hospital Charge Code	7411882
Hospital Revenue Code	761
Min. Negotiated Rate	$347.81
Max. Negotiated Rate	$1,337.73
Rate for Payer: Aetna Commercial	$802.64
Rate for Payer: Aetna Medicare Advantage	$802.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$682.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$682.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$682.24
Rate for Payer: Cigna Commercial	$1,337.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$347.81
Rate for Payer: Oxford Commercial	$1,337.73
Rate for Payer: Qualcare PPO/HMO/WC	$401.32
Rate for Payer: UnitedHealthcare Commercial	$1,337.73

IR-BIOPSY LUNG-RT

Facility

$8,054.80

Service Code	HCPCS 32405RT
Hospital Charge Code	321032405R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$2,416.44
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-RT

Facility

$8,054.80

Service Code	HCPCS 32405RT
Hospital Charge Code	2691025
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-RT

Facility

$8,054.80

Service Code	HCPCS 32405RT
Hospital Charge Code	2691025
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$2,416.44
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY TESTIS-BI

Facility

$2,349.00

Service Code	HCPCS 5450050
Hospital Charge Code	2690690
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-BI

Facility

$2,349.00

Service Code	HCPCS 5450050
Hospital Charge Code	7411831
Hospital Revenue Code	361
Min. Negotiated Rate	$305.37
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$704.70
Rate for Payer: Aetna Medicare Advantage	$704.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.00
Rate for Payer: Cigna Commercial	$1,174.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.37
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-BI

Facility

$2,349.00

Service Code	HCPCS 5450050
Hospital Charge Code	2690690
Hospital Revenue Code	361
Min. Negotiated Rate	$305.37
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$704.70
Rate for Payer: Aetna Medicare Advantage	$704.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.00
Rate for Payer: Cigna Commercial	$1,174.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.37
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-BI

Facility

$2,349.00

Service Code	HCPCS 5450050
Hospital Charge Code	7411831
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-LT

Facility

$2,349.00

Service Code	HCPCS 54500LT
Hospital Charge Code	2691720
Hospital Revenue Code	361
Min. Negotiated Rate	$305.37
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$704.70
Rate for Payer: Aetna Medicare Advantage	$704.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.00
Rate for Payer: Cigna Commercial	$1,174.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.37
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-LT

Facility

$2,349.00

Service Code	HCPCS 54500LT
Hospital Charge Code	7411984
Hospital Revenue Code	361
Min. Negotiated Rate	$305.37
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$704.70
Rate for Payer: Aetna Medicare Advantage	$704.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.00
Rate for Payer: Cigna Commercial	$1,174.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.37
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-LT

Facility

$2,349.00

Service Code	HCPCS 54500LT
Hospital Charge Code	2691720
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-LT

Facility

$2,349.00

Service Code	HCPCS 54500LT
Hospital Charge Code	7411984
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-RT

Facility

$2,349.00

Service Code	HCPCS 54500RT
Hospital Charge Code	7411985
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-RT

Facility

$2,349.00

Service Code	HCPCS 54500RT
Hospital Charge Code	2691725
Hospital Revenue Code	361
Min. Negotiated Rate	$305.37
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$704.70
Rate for Payer: Aetna Medicare Advantage	$704.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.00
Rate for Payer: Cigna Commercial	$1,174.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.37
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-RT

Facility

$2,349.00

Service Code	HCPCS 54500RT
Hospital Charge Code	7411985
Hospital Revenue Code	361
Min. Negotiated Rate	$305.37
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$704.70
Rate for Payer: Aetna Medicare Advantage	$704.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.00
Rate for Payer: Cigna Commercial	$1,174.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.37
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

Know your out-of-pocket cost for care.

All Charges