Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR NDL BIOPSY BONE DEEP PERC

Facility

$8,054.80

Service Code	HCPCS 20225
Hospital Charge Code	2004596
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 NDL BIOPSY BONE DEEP PERC

Facility

$7,219.95

Service Code	HCPCS 20225
Hospital Charge Code	7411342
Hospital Revenue Code	361
Min. Negotiated Rate	$1,082.99
Max. Negotiated Rate	$1,082.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.99

IR NDL BIOPSY BONE DEEP PERC

Facility

$8,054.80

Service Code	HCPCS 20225
Hospital Charge Code	321020225
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 NDL BIOPSY BONE DEEP PERC

Facility

$8,054.80

Service Code	HCPCS 20225
Hospital Charge Code	321020225
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$3,933.12
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	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR NDL BIOPSY BONE DEEP PERC

Facility

$7,219.95

Service Code	HCPCS 20225
Hospital Charge Code	7411342
Hospital Revenue Code	361
Min. Negotiated Rate	$938.59
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,165.99
Rate for Payer: Aetna Medicare Advantage	$2,165.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,841.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,841.09
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	$1,841.09
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$938.59
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.99
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR NDL BIOPSY BONE DEEP PERC

Facility

$8,054.80

Service Code	HCPCS 20225
Hospital Charge Code	2004596
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$3,933.12
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	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR NDL BIOPSY BONE SUPERFIC

Facility

$8,054.80

Service Code	HCPCS 20220
Hospital Charge Code	321020220
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$3,933.12
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	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR NDL BIOPSY BONE SUPERFIC

Facility

$8,054.80

Service Code	HCPCS 20220
Hospital Charge Code	321020220
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 NDL BIOPSY BONE SUPERFIC

Facility

$8,054.80

Service Code	HCPCS 20220
Hospital Charge Code	2004588
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$3,933.12
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	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR NDL BIOPSY BONE SUPERFIC

Facility

$8,054.80

Service Code	HCPCS 20220
Hospital Charge Code	2004588
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 NDL BIOPSY BONE SUPERFIC

Facility

$3,749.80

Service Code	HCPCS 20220
Hospital Charge Code	7411341
Hospital Revenue Code	361
Min. Negotiated Rate	$562.47
Max. Negotiated Rate	$562.47
Rate for Payer: Qualcare PPO/HMO/WC	$562.47

IR NDL BIOPSY BONE SUPERFIC

Facility

$3,749.80

Service Code	HCPCS 20220
Hospital Charge Code	7411341
Hospital Revenue Code	361
Min. Negotiated Rate	$487.47
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,124.94
Rate for Payer: Aetna Medicare Advantage	$1,124.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.20
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	$956.20
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.47
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.47
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR NEEDLE BIOPSY ABD/RETROPERI

Facility

$4,350.20

Service Code	HCPCS 49180
Hospital Charge Code	2004604
Hospital Revenue Code	361
Min. Negotiated Rate	$565.53
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,305.06
Rate for Payer: Aetna Medicare Advantage	$1,305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.30
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	$1,109.30
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.53
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.53
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR NEEDLE BIOPSY ABD/RETROPERI

Facility

$4,350.20

Service Code	HCPCS 49180
Hospital Charge Code	2004604
Hospital Revenue Code	361
Min. Negotiated Rate	$652.53
Max. Negotiated Rate	$652.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

IR-NEEDLE BIOPSY CHEST-BI

Facility

$1,478.00

Service Code	HCPCS 3240050
Hospital Charge Code	7411780
Hospital Revenue Code	361
Min. Negotiated Rate	$192.14
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$443.40
Rate for Payer: Aetna Medicare Advantage	$443.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.89
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	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.14
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-BI

Facility

$1,478.00

Service Code	HCPCS 3240050
Hospital Charge Code	2690365
Hospital Revenue Code	361
Min. Negotiated Rate	$192.14
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$443.40
Rate for Payer: Aetna Medicare Advantage	$443.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.89
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	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.14
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-BI

Facility

$1,478.00

Service Code	HCPCS 3240050
Hospital Charge Code	2690365
Hospital Revenue Code	361
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-BI

Facility

$1,478.00

Service Code	HCPCS 3240050
Hospital Charge Code	7411780
Hospital Revenue Code	361
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-LT

Facility

$1,478.00

Service Code	HCPCS 32400LT
Hospital Charge Code	2691010
Hospital Revenue Code	761
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-LT

Facility

$1,478.00

Service Code	HCPCS 32400LT
Hospital Charge Code	7411879
Hospital Revenue Code	761
Min. Negotiated Rate	$192.14
Max. Negotiated Rate	$739.00
Rate for Payer: Aetna Commercial	$443.40
Rate for Payer: Aetna Medicare Advantage	$443.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.14
Rate for Payer: Oxford Commercial	$739.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.70
Rate for Payer: UnitedHealthcare Commercial	$739.00

IR-NEEDLE BIOPSY CHEST-LT

Facility

$1,478.00

Service Code	HCPCS 32400LT
Hospital Charge Code	2691010
Hospital Revenue Code	761
Min. Negotiated Rate	$192.14
Max. Negotiated Rate	$739.00
Rate for Payer: Aetna Commercial	$443.40
Rate for Payer: Aetna Medicare Advantage	$443.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.14
Rate for Payer: Oxford Commercial	$739.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.70
Rate for Payer: UnitedHealthcare Commercial	$739.00

IR-NEEDLE BIOPSY CHEST-LT

Facility

$1,478.00

Service Code	HCPCS 32400LT
Hospital Charge Code	7411879
Hospital Revenue Code	761
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-RT

Facility

$1,478.00

Service Code	HCPCS 32400RT
Hospital Charge Code	7411880
Hospital Revenue Code	761
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-RT

Facility

$1,478.00

Service Code	HCPCS 32400RT
Hospital Charge Code	7411880
Hospital Revenue Code	761
Min. Negotiated Rate	$192.14
Max. Negotiated Rate	$739.00
Rate for Payer: Aetna Commercial	$443.40
Rate for Payer: Aetna Medicare Advantage	$443.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.14
Rate for Payer: Oxford Commercial	$739.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.70
Rate for Payer: UnitedHealthcare Commercial	$739.00

IR-NEEDLE BIOPSY CHEST-RT

Facility

$1,478.00

Service Code	HCPCS 32400RT
Hospital Charge Code	2691015
Hospital Revenue Code	361
Min. Negotiated Rate	$192.14
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$443.40
Rate for Payer: Aetna Medicare Advantage	$443.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.89
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	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.14
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

Know your out-of-pocket cost for care.

All Charges