Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR BREAST BIOPSY

Facility

$3,390.78

Hospital Charge Code	2680010
Hospital Revenue Code	361
Min. Negotiated Rate	$508.62
Max. Negotiated Rate	$508.62
Rate for Payer: Qualcare PPO/HMO/WC	$508.62

IR BREAST BIOPSY

Facility

$3,390.78

Hospital Charge Code	2680010
Hospital Revenue Code	361
Min. Negotiated Rate	$440.80
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,017.23
Rate for Payer: Aetna Medicare Advantage	$1,017.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.65
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	$864.65
Rate for Payer: Cigna Commercial	$1,695.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.80
Rate for Payer: Qualcare PPO/HMO/WC	$508.62

IR-BRONCH CLEAR AIRWAYS

Facility

$2,959.00

Service Code	HCPCS 31645
Hospital Charge Code	7411375
Hospital Revenue Code	761
Min. Negotiated Rate	$443.85
Max. Negotiated Rate	$443.85
Rate for Payer: Qualcare PPO/HMO/WC	$443.85

IR-BRONCH CLEAR AIRWAYS

Facility

$2,959.00

Service Code	HCPCS 31645
Hospital Charge Code	2690040
Hospital Revenue Code	761
Min. Negotiated Rate	$443.85
Max. Negotiated Rate	$443.85
Rate for Payer: Qualcare PPO/HMO/WC	$443.85

IR-BRONCH CLEAR AIRWAYS

Facility

$2,959.00

Service Code	HCPCS 31645
Hospital Charge Code	7411375
Hospital Revenue Code	761
Min. Negotiated Rate	$136.85
Max. Negotiated Rate	$4,594.28
Rate for Payer: Aetna Better Health Medicaid	$4,504.20
Rate for Payer: Aetna Commercial	$887.70
Rate for Payer: Aetna Medicare Advantage	$887.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.54
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.67
Rate for Payer: Oxford Commercial	$1,479.50
Rate for Payer: Qualcare PPO/HMO/WC	$443.85
Rate for Payer: UnitedHealthcare Commercial	$1,479.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,594.28

IR-BRONCH CLEAR AIRWAYS

Facility

$2,959.00

Service Code	HCPCS 31645
Hospital Charge Code	2690040
Hospital Revenue Code	761
Min. Negotiated Rate	$136.85
Max. Negotiated Rate	$4,594.28
Rate for Payer: Aetna Better Health Medicaid	$4,504.20
Rate for Payer: Aetna Commercial	$887.70
Rate for Payer: Aetna Medicare Advantage	$887.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.54
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.67
Rate for Payer: Oxford Commercial	$1,479.50
Rate for Payer: Qualcare PPO/HMO/WC	$443.85
Rate for Payer: UnitedHealthcare Commercial	$1,479.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,594.28

IR BRONCHOSCOPY FLUOROSCOPIC W

Facility

$4,353.37

Service Code	HCPCS 31625
Hospital Charge Code	7411374
Hospital Revenue Code	361
Min. Negotiated Rate	$565.94
Max. Negotiated Rate	$4,238.63
Rate for Payer: Aetna Commercial	$1,306.01
Rate for Payer: Aetna Medicare Advantage	$1,306.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,110.11
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	$1,110.11
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.94
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$653.01
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR BRONCHOSCOPY FLUOROSCOPIC W

Facility

$4,353.37

Service Code	HCPCS 31625
Hospital Charge Code	2680110
Hospital Revenue Code	361
Min. Negotiated Rate	$653.01
Max. Negotiated Rate	$653.01
Rate for Payer: Qualcare PPO/HMO/WC	$653.01

IR BRONCHOSCOPY FLUOROSCOPIC W

Facility

$4,353.37

Service Code	HCPCS 31625
Hospital Charge Code	2680110
Hospital Revenue Code	361
Min. Negotiated Rate	$565.94
Max. Negotiated Rate	$4,238.63
Rate for Payer: Aetna Commercial	$1,306.01
Rate for Payer: Aetna Medicare Advantage	$1,306.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,110.11
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	$1,110.11
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.94
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$653.01
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR BRONCHOSCOPY FLUOROSCOPIC W

Facility

$4,353.37

Service Code	HCPCS 31625
Hospital Charge Code	7411374
Hospital Revenue Code	361
Min. Negotiated Rate	$653.01
Max. Negotiated Rate	$653.01
Rate for Payer: Qualcare PPO/HMO/WC	$653.01

IR BRONCH WITH TRACHAEL STENT

Facility

$6,764.50

Service Code	HCPCS 31631
Hospital Charge Code	2600151
Hospital Revenue Code	361
Min. Negotiated Rate	$879.38
Max. Negotiated Rate	$16,806.60
Rate for Payer: Aetna Commercial	$2,029.35
Rate for Payer: Aetna Medicare Advantage	$2,029.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,724.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,724.95
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	$1,724.95
Rate for Payer: Cigna Commercial	$16,806.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$879.38
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,014.67
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR BRONCH WITH TRACHAEL STENT

Facility

$6,764.50

Service Code	HCPCS 31631
Hospital Charge Code	2600151
Hospital Revenue Code	361
Min. Negotiated Rate	$1,014.67
Max. Negotiated Rate	$1,014.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,014.67

IR-BX BRST PRCT W/DEVC-BI

Facility

$1,746.00

Hospital Charge Code	2690310
Hospital Revenue Code	361
Min. Negotiated Rate	$261.90
Max. Negotiated Rate	$261.90
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

IR-BX BRST PRCT W/DEVC-BI

Facility

$1,746.00

Hospital Charge Code	2690310
Hospital Revenue Code	361
Min. Negotiated Rate	$226.98
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$523.80
Rate for Payer: Aetna Medicare Advantage	$523.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.23
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	$445.23
Rate for Payer: Cigna Commercial	$873.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.98
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

IR-BX BRST PRCT W/DEVC-LT

Facility

$1,746.00

Hospital Charge Code	2690900
Hospital Revenue Code	361
Min. Negotiated Rate	$226.98
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$523.80
Rate for Payer: Aetna Medicare Advantage	$523.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.23
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	$445.23
Rate for Payer: Cigna Commercial	$873.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.98
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

IR-BX BRST PRCT W/DEVC-LT

Facility

$1,746.00

Hospital Charge Code	2690900
Hospital Revenue Code	361
Min. Negotiated Rate	$261.90
Max. Negotiated Rate	$261.90
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

IR-BX BRST PRCT W/DEVC-RT

Facility

$1,746.00

Hospital Charge Code	2690905
Hospital Revenue Code	361
Min. Negotiated Rate	$226.98
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$523.80
Rate for Payer: Aetna Medicare Advantage	$523.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.23
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	$445.23
Rate for Payer: Cigna Commercial	$873.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.98
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

IR-BX BRST PRCT W/DEVC-RT

Facility

$1,746.00

Hospital Charge Code	2690905
Hospital Revenue Code	361
Min. Negotiated Rate	$261.90
Max. Negotiated Rate	$261.90
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

IR BX LYMPH NODE BI

Facility

$9,303.00

Service Code	HCPCS 3850550
Hospital Charge Code	2250432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,209.39
Max. Negotiated Rate	$4,651.50
Rate for Payer: Aetna Commercial	$2,790.90
Rate for Payer: Aetna Medicare Advantage	$2,790.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,372.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,372.26
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	$2,372.26
Rate for Payer: Cigna Commercial	$4,651.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,209.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,395.45

IR BX LYMPH NODE BI

Facility

$9,500.00

Service Code	HCPCS 3850550
Hospital Charge Code	23001107
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

IR BX LYMPH NODE BI

Facility

$9,303.00

Service Code	HCPCS 3850550
Hospital Charge Code	2250432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,395.45
Max. Negotiated Rate	$1,395.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,395.45

IR BX LYMPH NODE BI

Facility

$9,500.00

Service Code	HCPCS 3850550
Hospital Charge Code	23001107
Hospital Revenue Code	361
Min. Negotiated Rate	$1,235.00
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

IR BX LYMPH NODE LT

Facility

$6,202.00

Service Code	HCPCS 38505LT
Hospital Charge Code	23001106
Hospital Revenue Code	361
Min. Negotiated Rate	$806.26
Max. Negotiated Rate	$3,101.00
Rate for Payer: Aetna Commercial	$1,860.60
Rate for Payer: Aetna Medicare Advantage	$1,860.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,581.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,581.51
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	$1,581.51
Rate for Payer: Cigna Commercial	$3,101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.26
Rate for Payer: Qualcare PPO/HMO/WC	$930.30

IR BX LYMPH NODE LT

Facility

$6,202.00

Service Code	HCPCS 38505LT
Hospital Charge Code	23001106
Hospital Revenue Code	361
Min. Negotiated Rate	$930.30
Max. Negotiated Rate	$930.30
Rate for Payer: Qualcare PPO/HMO/WC	$930.30

IR BX LYMPH NODE LT

Facility

$6,202.00

Service Code	HCPCS 38505LT
Hospital Charge Code	2250431
Hospital Revenue Code	361
Min. Negotiated Rate	$930.30
Max. Negotiated Rate	$930.30
Rate for Payer: Qualcare PPO/HMO/WC	$930.30

Know your out-of-pocket cost for care.

All Charges