Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-BIOPSY TESTIS-RT

Facility

$2,349.00

Service Code	HCPCS 54500RT
Hospital Charge Code	2691725
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 THYROID-PERCT NDL

Facility

$3,392.55

Service Code	HCPCS 60100
Hospital Charge Code	2670125
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

IR BIOPSY THYROID-PERCT NDL

Facility

$1,901.69

Service Code	HCPCS 60100
Hospital Charge Code	7411638
Hospital Revenue Code	361
Min. Negotiated Rate	$247.22
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$570.51
Rate for Payer: Aetna Medicare Advantage	$570.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.93
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	$484.93
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.22
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.25
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR BIOPSY THYROID-PERCT NDL

Facility

$3,392.55

Service Code	HCPCS 60100
Hospital Charge Code	321060100
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

IR BIOPSY THYROID-PERCT NDL

Facility

$3,392.55

Service Code	HCPCS 60100
Hospital Charge Code	321060100
Hospital Revenue Code	361
Min. Negotiated Rate	$441.03
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,017.76
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.03
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR BIOPSY THYROID-PERCT NDL

Facility

$3,392.55

Service Code	HCPCS 60100
Hospital Charge Code	2670125
Hospital Revenue Code	361
Min. Negotiated Rate	$441.03
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,017.76
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.03
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR BIOPSY THYROID-PERCT NDL

Facility

$1,901.69

Service Code	HCPCS 60100
Hospital Charge Code	7411638
Hospital Revenue Code	361
Min. Negotiated Rate	$285.25
Max. Negotiated Rate	$285.25
Rate for Payer: Qualcare PPO/HMO/WC	$285.25

IR BIOPSY TRANSCATHETER

Facility

$5,100.00

Service Code	HCPCS 75970
Hospital Charge Code	2600051
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR BIOPSY TRANSCATHETER

Facility

$5,100.00

Service Code	HCPCS 75970
Hospital Charge Code	2600051
Hospital Revenue Code	320
Min. Negotiated Rate	$280.50
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR BIOPSY TRANSCATHETER

Facility

$2,287.65

Service Code	HCPCS 75970
Hospital Charge Code	7411741
Hospital Revenue Code	320
Min. Negotiated Rate	$280.50
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$686.29
Rate for Payer: Aetna Medicare Advantage	$686.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.35
Rate for Payer: Cigna Commercial	$1,143.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.39
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.15
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR BIOPSY TRANSCATHETER

Facility

$2,287.65

Service Code	HCPCS 75970
Hospital Charge Code	7411741
Hospital Revenue Code	320
Min. Negotiated Rate	$343.15
Max. Negotiated Rate	$343.15
Rate for Payer: Qualcare PPO/HMO/WC	$343.15

IR BLRY DRAIN TRSHP PERC

Facility

$2,687.25

Hospital Charge Code	2004778
Hospital Revenue Code	320
Min. Negotiated Rate	$349.34
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$806.17
Rate for Payer: Aetna Medicare Advantage	$806.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$685.25
Rate for Payer: Cigna Commercial	$1,343.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.34
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$403.09
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR BLRY DRAIN TRSHP PERC

Facility

$2,687.25

Hospital Charge Code	2004778
Hospital Revenue Code	320
Min. Negotiated Rate	$403.09
Max. Negotiated Rate	$403.09
Rate for Payer: Qualcare PPO/HMO/WC	$403.09

IR BLRY DRAIN TRSHP PERC IN OT

Facility

$2,687.25

Service Code	HCPCS 75982
Hospital Charge Code	2600048
Hospital Revenue Code	320
Min. Negotiated Rate	$349.34
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$806.17
Rate for Payer: Aetna Medicare Advantage	$806.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$685.25
Rate for Payer: Cigna Commercial	$1,343.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.34
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$403.09
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR BLRY DRAIN TRSHP PERC IN OT

Facility

$2,687.25

Service Code	HCPCS 75982
Hospital Charge Code	2600048
Hospital Revenue Code	320
Min. Negotiated Rate	$403.09
Max. Negotiated Rate	$403.09
Rate for Payer: Qualcare PPO/HMO/WC	$403.09

IR BLRY DRAIN TRSHP PERC W/CNT

Facility

$2,516.85

Hospital Charge Code	2600049
Hospital Revenue Code	320
Min. Negotiated Rate	$377.53
Max. Negotiated Rate	$377.53
Rate for Payer: Qualcare PPO/HMO/WC	$377.53

IR BLRY DRAIN TRSHP PERC W/CNT

Facility

$2,516.85

Hospital Charge Code	2600049
Hospital Revenue Code	320
Min. Negotiated Rate	$327.19
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$755.05
Rate for Payer: Aetna Medicare Advantage	$755.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$641.80
Rate for Payer: Cigna Commercial	$1,258.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.19
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$377.53
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR BONE MARROW,BX,NEEDLE-TROCA

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	7411543
Hospital Revenue Code	361
Min. Negotiated Rate	$198.77
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$458.70
Rate for Payer: Aetna Medicare Advantage	$458.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.89
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	$389.89
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.77
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR BONE MARROW,BX,NEEDLE-TROCA

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	2680195
Hospital Revenue Code	361
Min. Negotiated Rate	$198.77
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$458.70
Rate for Payer: Aetna Medicare Advantage	$458.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.89
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	$389.89
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.77
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR BONE MARROW,BX,NEEDLE-TROCA

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	2680195
Hospital Revenue Code	361
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

IR BONE MARROW,BX,NEEDLE-TROCA

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	7411543
Hospital Revenue Code	361
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

IR BRACHIAL CATH INTRO RETRO

Facility

$414.45

Service Code	HCPCS 36120
Hospital Charge Code	7411421
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR BRACHIAL CATH INTRO RETRO

Facility

$414.45

Service Code	HCPCS 36120
Hospital Charge Code	2004331
Hospital Revenue Code	361
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR BRACHIAL CATH INTRO RETRO

Facility

$414.45

Service Code	HCPCS 36120
Hospital Charge Code	2004331
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR BRACHIAL CATH INTRO RETRO

Facility

$414.45

Service Code	HCPCS 36120
Hospital Charge Code	7411421
Hospital Revenue Code	361
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

Know your out-of-pocket cost for care.

All Charges