Heights University Hospital

All Charges

Charge

Type

Setting

Price

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	2250418
Hospital Revenue Code	361
Min. Negotiated Rate	$364.43
Max. Negotiated Rate	$364.43
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	5700312
Hospital Revenue Code	361
Min. Negotiated Rate	$315.84
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$728.85
Rate for Payer: Aetna Medicare Advantage	$728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.53
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	$619.53
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.84
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.43
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	2011456
Hospital Revenue Code	361
Min. Negotiated Rate	$315.84
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$728.85
Rate for Payer: Aetna Medicare Advantage	$728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.53
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	$619.53
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.84
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.43
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	7411380
Hospital Revenue Code	361
Min. Negotiated Rate	$315.84
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$728.85
Rate for Payer: Aetna Medicare Advantage	$728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.53
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	$619.53
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.84
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.43
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	2301102
Hospital Revenue Code	361
Min. Negotiated Rate	$315.84
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$728.85
Rate for Payer: Aetna Medicare Advantage	$728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.53
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	$619.53
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.84
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.43
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	2011456
Hospital Revenue Code	361
Min. Negotiated Rate	$364.43
Max. Negotiated Rate	$364.43
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	5701000
Hospital Revenue Code	450
Min. Negotiated Rate	$315.84
Max. Negotiated Rate	$1,493.86
Rate for Payer: Aetna Commercial	$728.85
Rate for Payer: Aetna Medicare Advantage	$728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.53
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.84
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	2250418
Hospital Revenue Code	361
Min. Negotiated Rate	$315.84
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$728.85
Rate for Payer: Aetna Medicare Advantage	$728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.53
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	$619.53
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.84
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.43
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	5700312
Hospital Revenue Code	361
Min. Negotiated Rate	$364.43
Max. Negotiated Rate	$364.43
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	5701000
Hospital Revenue Code	450
Min. Negotiated Rate	$364.43
Max. Negotiated Rate	$364.43
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	2301102
Hospital Revenue Code	361
Min. Negotiated Rate	$364.43
Max. Negotiated Rate	$364.43
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,429.51

Service Code	HCPCS 32554
Hospital Charge Code	7411380
Hospital Revenue Code	361
Min. Negotiated Rate	$364.43
Max. Negotiated Rate	$364.43
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

ASPIRATING KIT

Facility

$1,085.00

Hospital Charge Code	270683741
Hospital Revenue Code	272
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$162.75
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

ASPIRATING KIT

Facility

$1,085.00

Hospital Charge Code	270683741
Hospital Revenue Code	272
Min. Negotiated Rate	$141.05
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$325.50
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.05
Rate for Payer: Oxford Commercial	$542.50
Rate for Payer: Qualcare PPO/HMO/WC	$162.75
Rate for Payer: UnitedHealthcare Commercial	$542.50

Aspirating Reservoir (Cell SAV

Facility

$335.50

Hospital Charge Code	270661374
Hospital Revenue Code	272
Min. Negotiated Rate	$50.33
Max. Negotiated Rate	$50.33
Rate for Payer: Qualcare PPO/HMO/WC	$50.33

Aspirating Reservoir (Cell SAV

Facility

$335.50

Hospital Charge Code	270661374
Hospital Revenue Code	272
Min. Negotiated Rate	$43.62
Max. Negotiated Rate	$167.75
Rate for Payer: Aetna Commercial	$100.65
Rate for Payer: Aetna Medicare Advantage	$100.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.55
Rate for Payer: Cigna Commercial	$167.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.62
Rate for Payer: Oxford Commercial	$167.75
Rate for Payer: Qualcare PPO/HMO/WC	$50.33
Rate for Payer: UnitedHealthcare Commercial	$167.75

ASPIRATING TUBING

Facility

$96.00

Hospital Charge Code	270335496
Hospital Revenue Code	272
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$48.00
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.48
Rate for Payer: Cigna Commercial	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.48
Rate for Payer: Oxford Commercial	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$48.00

ASPIRATING TUBING

Facility

$96.00

Hospital Charge Code	270335496
Hospital Revenue Code	272
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

ASPIRATION ASSEMBLY A&A SOR100

Facility

$148.75

Hospital Charge Code	270616336
Hospital Revenue Code	272
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$22.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.31

ASPIRATION ASSEMBLY A&A SOR100

Facility

$148.75

Hospital Charge Code	270616336
Hospital Revenue Code	272
Min. Negotiated Rate	$19.34
Max. Negotiated Rate	$74.38
Rate for Payer: Aetna Commercial	$44.62
Rate for Payer: Aetna Medicare Advantage	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.93
Rate for Payer: Cigna Commercial	$74.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.34
Rate for Payer: Oxford Commercial	$74.38
Rate for Payer: Qualcare PPO/HMO/WC	$22.31
Rate for Payer: UnitedHealthcare Commercial	$74.38

ASPIRATION ASSEMBLY COBE100

Facility

$141.65

Hospital Charge Code	270605812
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

ASPIRATION ASSEMBLY COBE100

Facility

$141.65

Hospital Charge Code	270605812
Hospital Revenue Code	272
Min. Negotiated Rate	$18.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.41
Rate for Payer: Oxford Commercial	$70.83
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$70.83

ASPIRATION ASSEMBLY HAE208

Facility

$145.50

Hospital Charge Code	270605800
Hospital Revenue Code	272
Min. Negotiated Rate	$18.91
Max. Negotiated Rate	$72.75
Rate for Payer: Aetna Commercial	$43.65
Rate for Payer: Aetna Medicare Advantage	$43.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.10
Rate for Payer: Cigna Commercial	$72.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.91
Rate for Payer: Oxford Commercial	$72.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.82
Rate for Payer: UnitedHealthcare Commercial	$72.75

ASPIRATION ASSEMBLY HAE208

Facility

$145.50

Hospital Charge Code	270605800
Hospital Revenue Code	272
Min. Negotiated Rate	$21.82
Max. Negotiated Rate	$21.82
Rate for Payer: Qualcare PPO/HMO/WC	$21.82

ASPIRATION KIT SMALL VOLUME

Facility

$750.00

Hospital Charge Code	270691941
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges