Heights University Hospital

All Charges

Charge

Type

Setting

Price

MARINOL 2.5MG CAP

Facility

$29.00

Hospital Charge Code	60635608
Hospital Revenue Code	250
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

MARINOL 2.5MG CAP

Facility

$29.00

Hospital Charge Code	60635608
Hospital Revenue Code	250
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.77
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$14.50

MARKER BREAST BX TUMARK-Q

Facility

$375.00

Service Code	HCPCS A4648
Hospital Charge Code	270669923R
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MARKER BREAST BX TUMARK-Q

Facility

$375.00

Service Code	HCPCS A4648
Hospital Charge Code	270669923
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MARKER BREAST BX TUMARK-Q

Facility

$375.00

Service Code	HCPCS A4648
Hospital Charge Code	270669923
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MARKER BREAST BX TUMARK-Q

Facility

$375.00

Service Code	HCPCS A4648
Hospital Charge Code	270669923R
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MARKER BREAST MAMMOMARK2 8 MR

Facility

$482.00

Hospital Charge Code	270646288
Hospital Revenue Code	271
Min. Negotiated Rate	$62.66
Max. Negotiated Rate	$241.00
Rate for Payer: Aetna Commercial	$144.60
Rate for Payer: Aetna Medicare Advantage	$144.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.91
Rate for Payer: Cigna Commercial	$241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.66
Rate for Payer: Oxford Commercial	$241.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.30
Rate for Payer: UnitedHealthcare Commercial	$241.00

MARKER BREAST MAMMOMARK2 8 MR

Facility

$482.00

Hospital Charge Code	270646288
Hospital Revenue Code	271
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$72.30
Rate for Payer: Qualcare PPO/HMO/WC	$72.30

MARKER BX BREAST SMARKMSS1

Facility

$403.75

Service Code	HCPCS A4648
Hospital Charge Code	270664833R
Hospital Revenue Code	278
Min. Negotiated Rate	$60.56
Max. Negotiated Rate	$97.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.71
Rate for Payer: Qualcare PPO/HMO/WC	$60.56

MARKER BX BREAST SMARKMSS1

Facility

$403.75

Service Code	HCPCS A4648
Hospital Charge Code	270664833R
Hospital Revenue Code	278
Min. Negotiated Rate	$60.56
Max. Negotiated Rate	$201.88
Rate for Payer: Aetna Commercial	$121.12
Rate for Payer: Aetna Medicare Advantage	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.96
Rate for Payer: Cigna Commercial	$201.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.71
Rate for Payer: Qualcare PPO/HMO/WC	$60.56

MARKERBXEVIVASMARKSHAPE1 13MM

Facility

$359.15

Service Code	HCPCS A4648
Hospital Charge Code	270675352R
Hospital Revenue Code	278
Min. Negotiated Rate	$53.87
Max. Negotiated Rate	$179.57
Rate for Payer: Aetna Commercial	$107.75
Rate for Payer: Aetna Medicare Advantage	$107.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.58
Rate for Payer: Cigna Commercial	$179.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.87

MARKERBXEVIVASMARKSHAPE1 13MM

Facility

$359.15

Service Code	HCPCS A4648
Hospital Charge Code	270675352R
Hospital Revenue Code	278
Min. Negotiated Rate	$53.87
Max. Negotiated Rate	$86.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.87

MARKER BX SITE TRIMMEK

Facility

$3,800.00

Hospital Charge Code	270664834
Hospital Revenue Code	270
Min. Negotiated Rate	$494.00
Max. Negotiated Rate	$1,900.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$1,140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$969.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$969.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$969.00
Rate for Payer: Cigna Commercial	$1,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.00
Rate for Payer: Oxford Commercial	$1,900.00
Rate for Payer: Qualcare PPO/HMO/WC	$570.00
Rate for Payer: UnitedHealthcare Commercial	$1,900.00

MARKER BX SITE TRIMMEK

Facility

$3,800.00

Hospital Charge Code	270664834
Hospital Revenue Code	270
Min. Negotiated Rate	$570.00
Max. Negotiated Rate	$570.00
Rate for Payer: Qualcare PPO/HMO/WC	$570.00

MARKER BX SMARK EVIVA 3RD SH

Facility

$403.75

Service Code	HCPCS A4648
Hospital Charge Code	270675459R
Hospital Revenue Code	278
Min. Negotiated Rate	$60.56
Max. Negotiated Rate	$201.88
Rate for Payer: Aetna Commercial	$121.12
Rate for Payer: Aetna Medicare Advantage	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.96
Rate for Payer: Cigna Commercial	$201.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.71
Rate for Payer: Qualcare PPO/HMO/WC	$60.56

MARKER BX SMARK EVIVA 3RD SH

Facility

$403.75

Service Code	HCPCS A4648
Hospital Charge Code	270675459R
Hospital Revenue Code	278
Min. Negotiated Rate	$60.56
Max. Negotiated Rate	$97.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.71
Rate for Payer: Qualcare PPO/HMO/WC	$60.56

MARKER BX TI SMARK-CELERO-12

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697947
Hospital Revenue Code	278
Min. Negotiated Rate	$61.84
Max. Negotiated Rate	$99.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84

MARKER BX TI SMARK-CELERO-12

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697947
Hospital Revenue Code	278
Min. Negotiated Rate	$61.84
Max. Negotiated Rate	$206.12
Rate for Payer: Aetna Commercial	$123.67
Rate for Payer: Aetna Medicare Advantage	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.12
Rate for Payer: Cigna Commercial	$206.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84

MARKERBXTITOPHATSMARKCELER122S

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697948
Hospital Revenue Code	278
Min. Negotiated Rate	$61.84
Max. Negotiated Rate	$206.12
Rate for Payer: Aetna Commercial	$123.67
Rate for Payer: Aetna Medicare Advantage	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.12
Rate for Payer: Cigna Commercial	$206.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84

MARKERBXTITOPHATSMARKCELER122S

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697948
Hospital Revenue Code	278
Min. Negotiated Rate	$61.84
Max. Negotiated Rate	$99.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84

MARKER BX TOPHATSMARKEVIVA2ND

Facility

$359.15

Service Code	HCPCS A4648
Hospital Charge Code	270675353R
Hospital Revenue Code	278
Min. Negotiated Rate	$53.87
Max. Negotiated Rate	$86.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.87

MARKER BX TOPHATSMARKEVIVA2ND

Facility

$359.15

Service Code	HCPCS A4648
Hospital Charge Code	270675353R
Hospital Revenue Code	278
Min. Negotiated Rate	$53.87
Max. Negotiated Rate	$179.57
Rate for Payer: Aetna Commercial	$107.75
Rate for Payer: Aetna Medicare Advantage	$107.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.58
Rate for Payer: Cigna Commercial	$179.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.87

MARKERBXTRIMARKATECTD-2S-13-XX

Facility

$388.00

Service Code	HCPCS A4648
Hospital Charge Code	270679041R
Hospital Revenue Code	278
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$194.00
Rate for Payer: Aetna Commercial	$116.40
Rate for Payer: Aetna Medicare Advantage	$116.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.94
Rate for Payer: Cigna Commercial	$194.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.90
Rate for Payer: Qualcare PPO/HMO/WC	$58.20

MARKERBXTRIMARKATECTD-2S-13-XX

Facility

$388.00

Service Code	HCPCS A4648
Hospital Charge Code	270679041R
Hospital Revenue Code	278
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$93.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.90
Rate for Payer: Qualcare PPO/HMO/WC	$58.20

MARKER BX TRIMARK TI 13CM

Facility

$338.00

Service Code	HCPCS A4648
Hospital Charge Code	270664834R
Hospital Revenue Code	278
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$169.00
Rate for Payer: Aetna Commercial	$101.40
Rate for Payer: Aetna Medicare Advantage	$101.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.19
Rate for Payer: Cigna Commercial	$169.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.80
Rate for Payer: Qualcare PPO/HMO/WC	$50.70

Know your out-of-pocket cost for care.

All Charges