Heights University Hospital

All Charges

Charge

Type

Setting

Price

NM CARDIAC BLOOD POOL SINGLE

Facility

$1,489.30

Service Code	HCPCS 78481
Hospital Charge Code	4500948
Hospital Revenue Code	341
Min. Negotiated Rate	$193.61
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$446.79
Rate for Payer: Aetna Medicare Advantage	$446.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.77
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.61
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.40
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM-CARDIAC SPECT SNGL ACQ

Facility

$6,851.00

Service Code	HCPCS 78451
Hospital Charge Code	4509005
Hospital Revenue Code	341
Min. Negotiated Rate	$224.40
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$2,055.30
Rate for Payer: Aetna Medicare Advantage	$2,055.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,747.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,747.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,747.01
Rate for Payer: Cigna Commercial	$3,083.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$890.63
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.65
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM-CARDIAC SPECT SNGL ACQ

Facility

$6,851.00

Service Code	HCPCS 78451
Hospital Charge Code	4509005
Hospital Revenue Code	341
Min. Negotiated Rate	$1,027.65
Max. Negotiated Rate	$1,027.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.65

NM CARDIOVASCULAR OTHER

Facility

$1,490.55

Service Code	HCPCS 78499
Hospital Charge Code	4500949
Hospital Revenue Code	341
Min. Negotiated Rate	$223.58
Max. Negotiated Rate	$223.58
Rate for Payer: Qualcare PPO/HMO/WC	$223.58

NM CARDIOVASCULAR OTHER

Facility

$1,490.55

Service Code	HCPCS 78499
Hospital Charge Code	4500949
Hospital Revenue Code	341
Min. Negotiated Rate	$193.77
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$447.17
Rate for Payer: Aetna Medicare Advantage	$447.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.09
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.77
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.58
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM CEREBRAL FLOW

Facility

$12,000.00

Service Code	HCPCS 78610
Hospital Charge Code	4500153
Hospital Revenue Code	341
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

NM CEREBRAL FLOW

Facility

$12,000.00

Service Code	HCPCS 78610
Hospital Charge Code	4500153
Hospital Revenue Code	341
Min. Negotiated Rate	$31.66
Max. Negotiated Rate	$3,600.00
Rate for Payer: Aetna Commercial	$3,600.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.00
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM CEREBROSPINAL FLD LKGE DTCT

Facility

$1,241.55

Service Code	HCPCS 78650
Hospital Charge Code	4500951
Hospital Revenue Code	341
Min. Negotiated Rate	$186.23
Max. Negotiated Rate	$186.23
Rate for Payer: Qualcare PPO/HMO/WC	$186.23

NM CEREBROSPINAL FLD LKGE DTCT

Facility

$1,241.55

Service Code	HCPCS 78650
Hospital Charge Code	4500951
Hospital Revenue Code	341
Min. Negotiated Rate	$154.28
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$372.46
Rate for Payer: Aetna Medicare Advantage	$372.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.60
Rate for Payer: Cigna Commercial	$3,083.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.40
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.23
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM CISTERNAL/C1-C2 PUNC W/ INJ

Facility

$3,257.25

Service Code	HCPCS 61055
Hospital Charge Code	4500757
Hospital Revenue Code	361
Min. Negotiated Rate	$488.59
Max. Negotiated Rate	$488.59
Rate for Payer: Qualcare PPO/HMO/WC	$488.59

NM CISTERNAL/C1-C2 PUNC W/ INJ

Facility

$3,257.25

Service Code	HCPCS 61055
Hospital Charge Code	4500757
Hospital Revenue Code	361
Min. Negotiated Rate	$423.44
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$977.17
Rate for Payer: Aetna Medicare Advantage	$977.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$830.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$830.60
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	$830.60
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.44
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$488.59
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

NM CISTERNOGRAM

Facility

$12,000.00

Service Code	HCPCS 78630
Hospital Charge Code	4500229
Hospital Revenue Code	341
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

NM CISTERNOGRAM

Facility

$12,000.00

Service Code	HCPCS 78630
Hospital Charge Code	4500229
Hospital Revenue Code	341
Min. Negotiated Rate	$196.35
Max. Negotiated Rate	$3,600.00
Rate for Payer: Aetna Commercial	$3,600.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.00
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM CISTERNOGRAPHY SPECT

Facility

$1,241.55

Service Code	HCPCS 78647
Hospital Charge Code	4500953
Hospital Revenue Code	341
Min. Negotiated Rate	$186.23
Max. Negotiated Rate	$186.23
Rate for Payer: Qualcare PPO/HMO/WC	$186.23

NM CISTERNOGRAPHY SPECT

Facility

$1,241.55

Service Code	HCPCS 78647
Hospital Charge Code	4500953
Hospital Revenue Code	341
Min. Negotiated Rate	$161.40
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$372.46
Rate for Payer: Aetna Medicare Advantage	$372.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.60
Rate for Payer: Cigna Commercial	$620.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.40
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.23
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM COBALT 57 .5mCi

Facility

$819.00

Service Code	HCPCS 79900
Hospital Charge Code	4500831
Hospital Revenue Code	636
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$198.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.20
Rate for Payer: Qualcare PPO/HMO/WC	$122.85

NM COBALT 57 .5mCi

Facility

$819.00

Service Code	HCPCS 79900
Hospital Charge Code	4500831
Hospital Revenue Code	636
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$409.50
Rate for Payer: Aetna Commercial	$245.70
Rate for Payer: Aetna Medicare Advantage	$245.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.84
Rate for Payer: Cigna Commercial	$409.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.20
Rate for Payer: Qualcare PPO/HMO/WC	$122.85

NM CRDIC BLD POOL MLT REST/STR

Facility

$1,784.05

Service Code	HCPCS 78483
Hospital Charge Code	4500947
Hospital Revenue Code	341
Min. Negotiated Rate	$231.93
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$535.22
Rate for Payer: Aetna Medicare Advantage	$535.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$454.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$454.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$454.93
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.93
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.61
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM CRDIC BLD POOL MLT REST/STR

Facility

$1,784.05

Service Code	HCPCS 78483
Hospital Charge Code	4500947
Hospital Revenue Code	341
Min. Negotiated Rate	$267.61
Max. Negotiated Rate	$267.61
Rate for Payer: Qualcare PPO/HMO/WC	$267.61

NM CTRL CV HMDYNMIC W/W/O EXER

Facility

$1,490.50

Service Code	HCPCS 78414
Hospital Charge Code	4500950
Hospital Revenue Code	341
Min. Negotiated Rate	$65.82
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$447.15
Rate for Payer: Aetna Medicare Advantage	$447.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.08
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.76
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.57
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM CTRL CV HMDYNMIC W/W/O EXER

Facility

$1,490.50

Service Code	HCPCS 78414
Hospital Charge Code	4500950
Hospital Revenue Code	341
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$223.57
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

NM CUREA C-13 H PYLORI

Facility

$587.25

Service Code	HCPCS 83013
Hospital Charge Code	4500882
Hospital Revenue Code	301
Min. Negotiated Rate	$88.09
Max. Negotiated Rate	$88.09
Rate for Payer: Qualcare PPO/HMO/WC	$88.09

NM CUREA C-13 H PYLORI

Facility

$587.25

Service Code	HCPCS 83013
Hospital Charge Code	4500882
Hospital Revenue Code	301
Min. Negotiated Rate	$33.68
Max. Negotiated Rate	$246.81
Rate for Payer: Aetna Commercial	$218.25
Rate for Payer: Aetna Medicare Advantage	$67.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$67.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.81
Rate for Payer: Cigna Commercial	$67.36
Rate for Payer: Cigna Medicare Advantage	$33.68
Rate for Payer: Clover Medicare Advantage	$63.99
Rate for Payer: EmblemHealth Commercial	$202.08
Rate for Payer: Humana Medicare Advantage	$69.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$67.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$71.40
Rate for Payer: Wellcare Medicare Advantage	$67.36

NM DACRYOCYSTOGRAPHY

Facility

$1,241.55

Service Code	HCPCS 78660
Hospital Charge Code	4500955
Hospital Revenue Code	341
Min. Negotiated Rate	$82.28
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$372.46
Rate for Payer: Aetna Medicare Advantage	$372.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.60
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.40
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.23
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NM DACRYOCYSTOGRAPHY

Facility

$1,241.55

Service Code	HCPCS 78660
Hospital Charge Code	4500955
Hospital Revenue Code	341
Min. Negotiated Rate	$186.23
Max. Negotiated Rate	$186.23
Rate for Payer: Qualcare PPO/HMO/WC	$186.23

Know your out-of-pocket cost for care.

All Charges