Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-PERC BIOPSY DISK

Facility

$758.00

Service Code	HCPCS 64999
Hospital Charge Code	2690245
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 CHOLECYSTECTOMY

Facility

$17,259.20

Service Code	HCPCS 47490
Hospital Charge Code	2670170
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

IR-PERC CHOLECYSTECTOMY

Facility

$17,259.20

Service Code	HCPCS 47490
Hospital Charge Code	321047490
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR-PERC CHOLECYSTECTOMY

Facility

$12,976.00

Service Code	HCPCS 47490
Hospital Charge Code	7411559
Hospital Revenue Code	361
Min. Negotiated Rate	$1,946.40
Max. Negotiated Rate	$1,946.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.40

IR-PERC CHOLECYSTECTOMY

Facility

$17,259.20

Service Code	HCPCS 47490
Hospital Charge Code	2670170
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR-PERC CHOLECYSTECTOMY

Facility

$12,976.00

Service Code	HCPCS 47490
Hospital Charge Code	7411559
Hospital Revenue Code	361
Min. Negotiated Rate	$1,686.88
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$3,892.80
Rate for Payer: Aetna Medicare Advantage	$3,892.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.88
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	$3,308.88
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,686.88
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.40
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR-PERC CHOLECYSTECTOMY

Facility

$17,259.20

Service Code	HCPCS 47490
Hospital Charge Code	321047490
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

IR PERC CRYO ABLATE RENAL TUMO

Facility

$21,118.85

Service Code	HCPCS 50593
Hospital Charge Code	7411613
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$25,313.84
Rate for Payer: Aetna Commercial	$6,335.65
Rate for Payer: Aetna Medicare Advantage	$6,335.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,385.31
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	$5,385.31
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,745.45
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,167.83
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

IR PERC CRYO ABLATE RENAL TUMO

Facility

$21,118.85

Service Code	HCPCS 50593
Hospital Charge Code	7411613
Hospital Revenue Code	361
Min. Negotiated Rate	$3,167.83
Max. Negotiated Rate	$3,167.83
Rate for Payer: Qualcare PPO/HMO/WC	$3,167.83

IR PERC CRYO ABLATE RENAL TUMO

Facility

$21,118.85

Service Code	HCPCS 50593
Hospital Charge Code	5600172
Hospital Revenue Code	361
Min. Negotiated Rate	$3,167.83
Max. Negotiated Rate	$3,167.83
Rate for Payer: Qualcare PPO/HMO/WC	$3,167.83

IR PERC CRYO ABLATE RENAL TUMO

Facility

$21,118.85

Service Code	HCPCS 50593
Hospital Charge Code	5600172
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$25,313.84
Rate for Payer: Aetna Commercial	$6,335.65
Rate for Payer: Aetna Medicare Advantage	$6,335.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,385.31
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	$5,385.31
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,745.45
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,167.83
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

IR-PERC DRAIN LESION-BIL

Facility

$985.00

Service Code	HCPCS 3220150
Hospital Charge Code	2690360
Hospital Revenue Code	761
Min. Negotiated Rate	$128.05
Max. Negotiated Rate	$492.50
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.05
Rate for Payer: Oxford Commercial	$492.50
Rate for Payer: Qualcare PPO/HMO/WC	$147.75
Rate for Payer: UnitedHealthcare Commercial	$492.50

IR-PERC DRAIN LESION-BIL

Facility

$985.00

Service Code	HCPCS 3220150
Hospital Charge Code	2690360
Hospital Revenue Code	761
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

IR-PERC DRAIN LESION-LT

Facility

$985.00

Service Code	HCPCS 32201LT
Hospital Charge Code	2691000
Hospital Revenue Code	761
Min. Negotiated Rate	$128.05
Max. Negotiated Rate	$492.50
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.05
Rate for Payer: Oxford Commercial	$492.50
Rate for Payer: Qualcare PPO/HMO/WC	$147.75
Rate for Payer: UnitedHealthcare Commercial	$492.50

IR-PERC DRAIN LESION-LT

Facility

$985.00

Service Code	HCPCS 32201LT
Hospital Charge Code	2691000
Hospital Revenue Code	761
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

IR-PERC DRAIN LESION-RT

Facility

$985.00

Service Code	HCPCS 32201RT
Hospital Charge Code	2691005
Hospital Revenue Code	761
Min. Negotiated Rate	$128.05
Max. Negotiated Rate	$492.50
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.05
Rate for Payer: Oxford Commercial	$492.50
Rate for Payer: Qualcare PPO/HMO/WC	$147.75
Rate for Payer: UnitedHealthcare Commercial	$492.50

IR-PERC DRAIN LESION-RT

Facility

$985.00

Service Code	HCPCS 32201RT
Hospital Charge Code	2691005
Hospital Revenue Code	761
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

IR-PERC FNA PLEURA-BIL

Facility

$1,364.00

Service Code	HCPCS 1002250
Hospital Charge Code	7411769
Hospital Revenue Code	361
Min. Negotiated Rate	$204.60
Max. Negotiated Rate	$204.60
Rate for Payer: Qualcare PPO/HMO/WC	$204.60

IR-PERC FNA PLEURA-BIL

Facility

$3,604.80

Service Code	HCPCS 1002250
Hospital Charge Code	2690295
Hospital Revenue Code	361
Min. Negotiated Rate	$468.62
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,081.44
Rate for Payer: Aetna Medicare Advantage	$1,081.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.22
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	$919.22
Rate for Payer: Cigna Commercial	$1,802.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.62
Rate for Payer: Qualcare PPO/HMO/WC	$540.72

IR-PERC FNA PLEURA-BIL

Facility

$3,604.80

Service Code	HCPCS 1002250
Hospital Charge Code	2690295
Hospital Revenue Code	361
Min. Negotiated Rate	$540.72
Max. Negotiated Rate	$540.72
Rate for Payer: Qualcare PPO/HMO/WC	$540.72

IR-PERC FNA PLEURA-BIL

Facility

$1,364.00

Service Code	HCPCS 1002250
Hospital Charge Code	7411769
Hospital Revenue Code	361
Min. Negotiated Rate	$177.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$409.20
Rate for Payer: Aetna Medicare Advantage	$409.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$347.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$347.82
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	$347.82
Rate for Payer: Cigna Commercial	$682.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.32
Rate for Payer: Qualcare PPO/HMO/WC	$204.60

IR-PERC FNA PLEURA-LT

Facility

$2,403.20

Service Code	HCPCS 10022LT
Hospital Charge Code	2690860
Hospital Revenue Code	361
Min. Negotiated Rate	$360.48
Max. Negotiated Rate	$360.48
Rate for Payer: Qualcare PPO/HMO/WC	$360.48

IR-PERC FNA PLEURA-LT

Facility

$2,403.20

Service Code	HCPCS 10022LT
Hospital Charge Code	2690860
Hospital Revenue Code	361
Min. Negotiated Rate	$312.42
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$720.96
Rate for Payer: Aetna Medicare Advantage	$720.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.82
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	$612.82
Rate for Payer: Cigna Commercial	$1,201.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.42
Rate for Payer: Qualcare PPO/HMO/WC	$360.48

IR-PERC FNA PLEURA-LT

Facility

$1,364.00

Service Code	HCPCS 10022LT
Hospital Charge Code	7411857
Hospital Revenue Code	361
Min. Negotiated Rate	$204.60
Max. Negotiated Rate	$204.60
Rate for Payer: Qualcare PPO/HMO/WC	$204.60

IR-PERC FNA PLEURA-LT

Facility

$1,364.00

Service Code	HCPCS 10022LT
Hospital Charge Code	7411857
Hospital Revenue Code	361
Min. Negotiated Rate	$177.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$409.20
Rate for Payer: Aetna Medicare Advantage	$409.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$347.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$347.82
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	$347.82
Rate for Payer: Cigna Commercial	$682.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.32
Rate for Payer: Qualcare PPO/HMO/WC	$204.60

Know your out-of-pocket cost for care.

All Charges