Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR PERC ABSC DR RENAL/PERITON

Facility

$6,139.10

Hospital Charge Code	2004026
Hospital Revenue Code	361
Min. Negotiated Rate	$798.08
Max. Negotiated Rate	$3,069.55
Rate for Payer: Aetna Commercial	$1,841.73
Rate for Payer: Aetna Medicare Advantage	$1,841.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,565.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,565.47
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	$1,565.47
Rate for Payer: Cigna Commercial	$3,069.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.08
Rate for Payer: Qualcare PPO/HMO/WC	$920.87

IR PERC ABSC DR RENAL/PERITON

Facility

$6,139.10

Hospital Charge Code	2004026
Hospital Revenue Code	361
Min. Negotiated Rate	$920.87
Max. Negotiated Rate	$920.87
Rate for Payer: Qualcare PPO/HMO/WC	$920.87

IR-PERC BIOP ADR GLAND-BI

Facility

$2,866.00

Service Code	HCPCS 4918050
Hospital Charge Code	7411817
Hospital Revenue Code	361
Min. Negotiated Rate	$372.58
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$859.80
Rate for Payer: Aetna Medicare Advantage	$859.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.83
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	$730.83
Rate for Payer: Cigna Commercial	$1,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.58
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	321049180B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,047.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Cigna Commercial	$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: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	3668491805
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	411049180
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	411049180
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	3668491805
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-PERC BIOP ADR GLAND-BI

Facility

$2,866.00

Service Code	HCPCS 4918050
Hospital Charge Code	7411817
Hospital Revenue Code	361
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$429.90
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	321049180B
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	2690595
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	2690595
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-PERC BIOP ADR GLAND-LT

Facility

$2,866.00

Service Code	HCPCS 49180LT
Hospital Charge Code	2691520
Hospital Revenue Code	361
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$429.90
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-LT

Facility

$2,866.00

Service Code	HCPCS 49180LT
Hospital Charge Code	2691520
Hospital Revenue Code	361
Min. Negotiated Rate	$372.58
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$859.80
Rate for Payer: Aetna Medicare Advantage	$859.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.83
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	$730.83
Rate for Payer: Cigna Commercial	$1,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.58
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-LT

Facility

$2,866.00

Service Code	HCPCS 49180LT
Hospital Charge Code	7411954
Hospital Revenue Code	361
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$429.90
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-LT

Facility

$2,866.00

Service Code	HCPCS 49180LT
Hospital Charge Code	7411954
Hospital Revenue Code	361
Min. Negotiated Rate	$372.58
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$859.80
Rate for Payer: Aetna Medicare Advantage	$859.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.83
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	$730.83
Rate for Payer: Cigna Commercial	$1,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.58
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-RT

Facility

$2,866.00

Service Code	HCPCS 49180RT
Hospital Charge Code	7411955
Hospital Revenue Code	361
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$429.90
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-RT

Facility

$2,866.00

Service Code	HCPCS 49180RT
Hospital Charge Code	7411955
Hospital Revenue Code	361
Min. Negotiated Rate	$372.58
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$859.80
Rate for Payer: Aetna Medicare Advantage	$859.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.83
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	$730.83
Rate for Payer: Cigna Commercial	$1,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.58
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-RT

Facility

$2,866.00

Service Code	HCPCS 49180RT
Hospital Charge Code	2691525
Hospital Revenue Code	361
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$429.90
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-RT

Facility

$2,866.00

Service Code	HCPCS 49180RT
Hospital Charge Code	2691525
Hospital Revenue Code	361
Min. Negotiated Rate	$372.58
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$859.80
Rate for Payer: Aetna Medicare Advantage	$859.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.83
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	$730.83
Rate for Payer: Cigna Commercial	$1,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.58
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOPSY BREAST-RT

Facility

$2,321.00

Hospital Charge Code	2690895
Hospital Revenue Code	361
Min. Negotiated Rate	$348.15
Max. Negotiated Rate	$348.15
Rate for Payer: Qualcare PPO/HMO/WC	$348.15

IR-PERC BIOPSY BREAST-RT

Facility

$2,321.00

Hospital Charge Code	2690895
Hospital Revenue Code	361
Min. Negotiated Rate	$301.73
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$696.30
Rate for Payer: Aetna Medicare Advantage	$696.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.86
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	$591.86
Rate for Payer: Cigna Commercial	$1,160.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.73
Rate for Payer: Qualcare PPO/HMO/WC	$348.15

IR-PERC BIOPSY DISK

Facility

$758.00

Service Code	HCPCS 64999
Hospital Charge Code	7411659
Hospital Revenue Code	361
Min. Negotiated Rate	$98.54
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$227.40
Rate for Payer: Aetna Medicare Advantage	$227.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.29
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	$193.29
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.54
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.70
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR-PERC BIOPSY DISK

Facility

$758.00

Service Code	HCPCS 64999
Hospital Charge Code	7411659
Hospital Revenue Code	361
Min. Negotiated Rate	$113.70
Max. Negotiated Rate	$113.70
Rate for Payer: Qualcare PPO/HMO/WC	$113.70

IR-PERC BIOPSY DISK

Facility

$758.00

Service Code	HCPCS 64999
Hospital Charge Code	2690245
Hospital Revenue Code	361
Min. Negotiated Rate	$98.54
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$227.40
Rate for Payer: Aetna Medicare Advantage	$227.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.29
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	$193.29
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.54
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.70
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

Know your out-of-pocket cost for care.

All Charges