Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-NEEDLE BIOPSY CHEST-RT

Facility

$1,478.00

Service Code	HCPCS 32400RT
Hospital Charge Code	2691015
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 LIVER PERC

Facility

$8,054.80

Service Code	HCPCS 47000
Hospital Charge Code	321047000
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 NEEDLE BIOPSY LIVER PERC

Facility

$8,054.80

Service Code	HCPCS 47000
Hospital Charge Code	2004570
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 NEEDLE BIOPSY LIVER PERC

Facility

$4,709.90

Service Code	HCPCS 47000
Hospital Charge Code	7411553
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

IR NEEDLE BIOPSY LIVER PERC

Facility

$4,709.90

Service Code	HCPCS 47000
Hospital Charge Code	7411553
Hospital Revenue Code	361
Min. Negotiated Rate	$612.29
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,412.97
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.29
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR NEEDLE BIOPSY LIVER PERC

Facility

$8,054.80

Service Code	HCPCS 47000
Hospital Charge Code	321047000
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 NEEDLE BIOPSY LIVER PERC

Facility

$8,054.80

Service Code	HCPCS 47000
Hospital Charge Code	2004570
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 NEEDLE BIOPSY LUNG/MED PERC

Facility

$4,350.20

Service Code	HCPCS 32405
Hospital Charge Code	2004125
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 LUNG/MED PERC

Facility

$4,350.20

Service Code	HCPCS 32405
Hospital Charge Code	2004125
Hospital Revenue Code	361
Min. Negotiated Rate	$565.53
Max. Negotiated Rate	$2,175.10
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	$2,175.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

IR NEEDLE BIOPSY MUSCLE PERC

Facility

$8,054.80

Service Code	HCPCS 20206
Hospital Charge Code	321020206
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 NEEDLE BIOPSY MUSCLE PERC

Facility

$8,054.80

Service Code	HCPCS 20206
Hospital Charge Code	2004562
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 NEEDLE BIOPSY MUSCLE PERC

Facility

$4,709.90

Service Code	HCPCS 20206
Hospital Charge Code	7411340
Hospital Revenue Code	361
Min. Negotiated Rate	$612.29
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,412.97
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.29
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR NEEDLE BIOPSY MUSCLE PERC

Facility

$8,054.80

Service Code	HCPCS 20206
Hospital Charge Code	321020206
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 NEEDLE BIOPSY MUSCLE PERC

Facility

$8,054.80

Service Code	HCPCS 20206
Hospital Charge Code	2004562
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 NEEDLE BIOPSY MUSCLE PERC

Facility

$4,709.90

Service Code	HCPCS 20206
Hospital Charge Code	7411340
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

IR NEEDLE BIOPSY PANCREAS PERC

Facility

$4,350.20

Service Code	HCPCS 48102
Hospital Charge Code	2004554
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 PANCREAS PERC

Facility

$4,350.20

Service Code	HCPCS 48102
Hospital Charge Code	2004554
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 PROSTATE PERC

Facility

$5,244.50

Service Code	HCPCS 55700
Hospital Charge Code	2004539
Hospital Revenue Code	361
Min. Negotiated Rate	$786.67
Max. Negotiated Rate	$786.67
Rate for Payer: Qualcare PPO/HMO/WC	$786.67

IR NEEDLE BIOPSY PROSTATE PERC

Facility

$5,244.50

Service Code	HCPCS 55700
Hospital Charge Code	2004539
Hospital Revenue Code	361
Min. Negotiated Rate	$681.78
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$1,573.35
Rate for Payer: Aetna Medicare Advantage	$1,573.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,337.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,337.35
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	$1,337.35
Rate for Payer: Cigna Commercial	$2,622.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$681.78
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$786.67
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR-NEEDLE CORE BIOPSY NECK

Facility

$7,392.00

Service Code	HCPCS 21550
Hospital Charge Code	7411351
Hospital Revenue Code	361
Min. Negotiated Rate	$1,108.80
Max. Negotiated Rate	$1,108.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,108.80

IR-NEEDLE CORE BIOPSY NECK

Facility

$7,392.00

Service Code	HCPCS 21550
Hospital Charge Code	2680050
Hospital Revenue Code	361
Min. Negotiated Rate	$1,108.80
Max. Negotiated Rate	$1,108.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,108.80

IR-NEEDLE CORE BIOPSY NECK

Facility

$7,392.00

Service Code	HCPCS 21550
Hospital Charge Code	7411351
Hospital Revenue Code	361
Min. Negotiated Rate	$960.96
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,217.60
Rate for Payer: Aetna Medicare Advantage	$2,217.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,884.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,884.96
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	$1,884.96
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$960.96
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,108.80
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR-NEEDLE CORE BIOPSY NECK

Facility

$7,392.00

Service Code	HCPCS 21550
Hospital Charge Code	2680050
Hospital Revenue Code	361
Min. Negotiated Rate	$960.96
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,217.60
Rate for Payer: Aetna Medicare Advantage	$2,217.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,884.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,884.96
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	$1,884.96
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$960.96
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,108.80
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR NEEDLE LOC TRAY

Facility

$270.00

Hospital Charge Code	4800980
Hospital Revenue Code	272
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$81.00
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.10
Rate for Payer: Oxford Commercial	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Commercial	$135.00

IR NEEDLE LOC TRAY

Facility

$270.00

Hospital Charge Code	4800980
Hospital Revenue Code	272
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

Know your out-of-pocket cost for care.

All Charges