Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE BIOPSY CHIBA 20GA 15CM

Facility

$60.00

Hospital Charge Code	270661637
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

NEEDLEBIOPSYCHIBA20GA15CM ECHO

Facility

$59.50

Hospital Charge Code	2709006289
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLEBIOPSYCHIBA20GA15CM ECHO

Facility

$59.50

Hospital Charge Code	2709006289
Hospital Revenue Code	272
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$17.85
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.74
Rate for Payer: Oxford Commercial	$29.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$29.75

NEEDLE BIOPSY CHIBA 22GA 10CM

Facility

$57.50

Hospital Charge Code	270661638
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

NEEDLE BIOPSY CHIBA 22GA 10CM

Facility

$57.50

Hospital Charge Code	270661638
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

NEEDLEBIOPSYCHIBA22GA10CM ECHO

Facility

$59.50

Hospital Charge Code	2709006290
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLEBIOPSYCHIBA22GA10CM ECHO

Facility

$59.50

Hospital Charge Code	2709006290
Hospital Revenue Code	272
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$17.85
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.74
Rate for Payer: Oxford Commercial	$29.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$29.75

NEEDLE BIOPSY CHIBA 22GA 15CM

Facility

$65.00

Hospital Charge Code	270661639
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

NEEDLE BIOPSY CHIBA 22GA 15CM

Facility

$57.50

Hospital Charge Code	270661639N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

NEEDLE BIOPSY CHIBA 22GA 15CM

Facility

$65.00

Hospital Charge Code	270661639
Hospital Revenue Code	272
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$19.50
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$32.50

NEEDLE BIOPSY CHIBA 22GA 15CM

Facility

$57.50

Hospital Charge Code	270661639N
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

NEEDLE, BIOPSY COAXIAL

Facility

$314.00

Hospital Charge Code	2008140
Hospital Revenue Code	272
Min. Negotiated Rate	$40.82
Max. Negotiated Rate	$157.00
Rate for Payer: Aetna Commercial	$94.20
Rate for Payer: Aetna Medicare Advantage	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.07
Rate for Payer: Cigna Commercial	$157.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.82
Rate for Payer: Oxford Commercial	$157.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.10
Rate for Payer: UnitedHealthcare Commercial	$157.00

NEEDLE, BIOPSY COAXIAL

Facility

$314.00

Hospital Charge Code	2008140
Hospital Revenue Code	272
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$47.10
Rate for Payer: Qualcare PPO/HMO/WC	$47.10

NEEDLE BIOPSY LIVER *******

Facility

$160.00

Hospital Charge Code	8003279
Hospital Revenue Code	279
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

NEEDLE BIOPSY LIVER *******

Facility

$160.00

Hospital Charge Code	8003279
Hospital Revenue Code	279
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$80.00

NEEDLE BIOPSY MENGHINI****

Facility

$285.00

Hospital Charge Code	8001455
Hospital Revenue Code	279
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

NEEDLE BIOPSY MENGHINI****

Facility

$285.00

Hospital Charge Code	8001455
Hospital Revenue Code	279
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$142.50

NEEDLE BIOPSY MUSCLE PERC

Facility

$9,500.00

Service Code	HCPCS 20206
Hospital Charge Code	2250454
Hospital Revenue Code	361
Min. Negotiated Rate	$1,235.00
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

NEEDLE BIOPSY MUSCLE PERC

Facility

$9,500.00

Service Code	HCPCS 20206
Hospital Charge Code	2250454
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

NEEDLE BIOPSY PERCUCUT 21G 10C

Facility

$301.00

Hospital Charge Code	270331269
Hospital Revenue Code	272
Min. Negotiated Rate	$39.13
Max. Negotiated Rate	$150.50
Rate for Payer: Aetna Commercial	$90.30
Rate for Payer: Aetna Medicare Advantage	$90.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.75
Rate for Payer: Cigna Commercial	$150.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.13
Rate for Payer: Oxford Commercial	$150.50
Rate for Payer: Qualcare PPO/HMO/WC	$45.15
Rate for Payer: UnitedHealthcare Commercial	$150.50

NEEDLE BIOPSY PERCUCUT 21G 10C

Facility

$301.00

Hospital Charge Code	270331269
Hospital Revenue Code	272
Min. Negotiated Rate	$45.15
Max. Negotiated Rate	$45.15
Rate for Payer: Qualcare PPO/HMO/WC	$45.15

NEEDLE BIOPSY SILVERMAN****

Facility

$285.00

Hospital Charge Code	8001463
Hospital Revenue Code	279
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

NEEDLE BIOPSY SILVERMAN****

Facility

$285.00

Hospital Charge Code	8001463
Hospital Revenue Code	279
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$142.50

NEEDLE BIOPSYS KIT PASSIVE

Facility

$4,240.00

Hospital Charge Code	270703106
Hospital Revenue Code	270
Min. Negotiated Rate	$551.20
Max. Negotiated Rate	$2,120.00
Rate for Payer: Aetna Commercial	$1,272.00
Rate for Payer: Aetna Medicare Advantage	$1,272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,081.20
Rate for Payer: Cigna Commercial	$2,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$551.20
Rate for Payer: Oxford Commercial	$2,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$636.00
Rate for Payer: UnitedHealthcare Commercial	$2,120.00

NEEDLE BIOPSYS KIT PASSIVE

Facility

$4,240.00

Hospital Charge Code	270703106
Hospital Revenue Code	270
Min. Negotiated Rate	$636.00
Max. Negotiated Rate	$636.00
Rate for Payer: Qualcare PPO/HMO/WC	$636.00

Know your out-of-pocket cost for care.

All Charges