Heights University Hospital

All Charges

Charge

Type

Setting

Price

MICROPUNCTURE PEDAL INTR 2.9/5

Facility

$340.00

Service Code	HCPCS C1894
Hospital Charge Code	270671135
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

MICROPUNCTURE PEDAL INTR 2.9/5

Facility

$340.00

Service Code	HCPCS C1894
Hospital Charge Code	270671135
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

MICROPUNCTURE SET 5FR SS

Facility

$87.55

Hospital Charge Code	270654224N
Hospital Revenue Code	272
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$26.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.38
Rate for Payer: Oxford Commercial	$43.77
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$43.77

MICROPUNCTURE SET 5FR SS

Facility

$87.55

Hospital Charge Code	270654224
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

MICROPUNCTURE SET 5FR SS

Facility

$87.55

Hospital Charge Code	270654224S
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

MICROPUNCTURE SET 5FR SS

Facility

$87.55

Hospital Charge Code	270654224N
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

MICROPUNCTURE SET 5FR SS

Facility

$87.55

Hospital Charge Code	270654224
Hospital Revenue Code	272
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$26.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.38
Rate for Payer: Oxford Commercial	$43.77
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$43.77

MICROPUNCTURE SET 5FR SS

Facility

$87.55

Hospital Charge Code	270654224S
Hospital Revenue Code	272
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$26.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.38
Rate for Payer: Oxford Commercial	$43.77
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$43.77

MICROPUNCTURE SET 5FR SS ECHOG

Facility

$122.50

Hospital Charge Code	2709000384
Hospital Revenue Code	272
Min. Negotiated Rate	$18.38
Max. Negotiated Rate	$18.38
Rate for Payer: Qualcare PPO/HMO/WC	$18.38

MICROPUNCTURE SET 5FR SS ECHOG

Facility

$122.50

Hospital Charge Code	2709000384
Hospital Revenue Code	272
Min. Negotiated Rate	$15.93
Max. Negotiated Rate	$61.25
Rate for Payer: Aetna Commercial	$36.75
Rate for Payer: Aetna Medicare Advantage	$36.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.24
Rate for Payer: Cigna Commercial	$61.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.93
Rate for Payer: Oxford Commercial	$61.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.38
Rate for Payer: UnitedHealthcare Commercial	$61.25

MICROPUNCTURE SHEATH 5FRX10CM

Facility

$3,550.00

Hospital Charge Code	270665132
Hospital Revenue Code	279
Min. Negotiated Rate	$461.50
Max. Negotiated Rate	$1,775.00
Rate for Payer: Aetna Commercial	$1,065.00
Rate for Payer: Aetna Medicare Advantage	$1,065.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$905.25
Rate for Payer: Cigna Commercial	$1,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.50
Rate for Payer: Oxford Commercial	$1,775.00
Rate for Payer: Qualcare PPO/HMO/WC	$532.50
Rate for Payer: UnitedHealthcare Commercial	$1,775.00

MICROPUNCTURE SHEATH 5FRX10CM

Facility

$3,550.00

Hospital Charge Code	270665132
Hospital Revenue Code	279
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$532.50
Rate for Payer: Qualcare PPO/HMO/WC	$532.50

MICRO SAGITTAL BLADE

Facility

$30.80

Hospital Charge Code	270654639
Hospital Revenue Code	270
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$15.40
Rate for Payer: Aetna Commercial	$9.24
Rate for Payer: Aetna Medicare Advantage	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.85
Rate for Payer: Cigna Commercial	$15.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.00
Rate for Payer: Oxford Commercial	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.62
Rate for Payer: UnitedHealthcare Commercial	$15.40

MICRO SAGITTAL BLADE

Facility

$30.80

Hospital Charge Code	270654638
Hospital Revenue Code	272
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$15.40
Rate for Payer: Aetna Commercial	$9.24
Rate for Payer: Aetna Medicare Advantage	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.85
Rate for Payer: Cigna Commercial	$15.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.00
Rate for Payer: Oxford Commercial	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.62
Rate for Payer: UnitedHealthcare Commercial	$15.40

MICRO SAGITTAL BLADE

Facility

$30.80

Hospital Charge Code	270654638
Hospital Revenue Code	272
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.62

MICRO SAGITTAL BLADE

Facility

$30.80

Hospital Charge Code	270654639
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.62

MICROSCOPIC EXAM, URINE

Facility

$390.00

Service Code	HCPCS 81015
Hospital Charge Code	3032711
Hospital Revenue Code	307
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Medicare Advantage	$1.52
Rate for Payer: Aetna Commercial	$9.88
Rate for Payer: Aetna Medicare Advantage	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.18
Rate for Payer: Cigna Commercial	$3.05
Rate for Payer: Clover Medicare Advantage	$2.90
Rate for Payer: EmblemHealth Commercial	$9.15
Rate for Payer: Humana Medicare Advantage	$3.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.23
Rate for Payer: Wellcare Medicare Advantage	$3.05

MICROSCOPIC EXAM, URINE

Facility

$390.00

Service Code	HCPCS 81015
Hospital Charge Code	3032711
Hospital Revenue Code	307
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MICROSCOPIC NEURO LASER

Facility

$258.00

Hospital Charge Code	270335115
Hospital Revenue Code	272
Min. Negotiated Rate	$38.70
Max. Negotiated Rate	$38.70
Rate for Payer: Qualcare PPO/HMO/WC	$38.70

MICROSCOPIC NEURO LASER

Facility

$258.00

Hospital Charge Code	270335115
Hospital Revenue Code	272
Min. Negotiated Rate	$33.54
Max. Negotiated Rate	$129.00
Rate for Payer: Aetna Commercial	$77.40
Rate for Payer: Aetna Medicare Advantage	$77.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.79
Rate for Payer: Cigna Commercial	$129.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.54
Rate for Payer: Oxford Commercial	$129.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.70
Rate for Payer: UnitedHealthcare Commercial	$129.00

MICROSOMAL AB

Facility

$667.59

Service Code	HCPCS 86376
Hospital Charge Code	39708042E
Hospital Revenue Code	306
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.14
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.31
Rate for Payer: Cigna Commercial	$14.55
Rate for Payer: Cigna Medicare Advantage	$7.28
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.42
Rate for Payer: Wellcare Medicare Advantage	$14.55

MICROSOMAL AB

Facility

$667.59

Service Code	HCPCS 86376
Hospital Charge Code	39708042E
Hospital Revenue Code	306
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

MICROSOMAL ANTIBODY EACH

Facility

$72.75

Service Code	HCPCS 86376
Hospital Charge Code	401386376C
Hospital Revenue Code	302
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.14
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.31
Rate for Payer: Cigna Commercial	$14.55
Rate for Payer: Cigna Medicare Advantage	$7.28
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.91
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.42
Rate for Payer: Wellcare Medicare Advantage	$14.55

MICROSOMAL ANTIBODY EACH

Facility

$72.75

Service Code	HCPCS 86376
Hospital Charge Code	401386376C
Hospital Revenue Code	302
Min. Negotiated Rate	$10.91
Max. Negotiated Rate	$10.91
Rate for Payer: Qualcare PPO/HMO/WC	$10.91

MICROSPORIDIA ID

Facility

$390.00

Service Code	HCPCS 87207
Hospital Charge Code	39900494
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges