Heights University Hospital

All Charges

Charge

Type

Setting

Price

NUTRIHEP

Facility

$36.00

Hospital Charge Code	60635161
Hospital Revenue Code	250
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$18.00

NUTRIHEP

Facility

$36.00

Hospital Charge Code	60635161
Hospital Revenue Code	250
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

NUTRIT COUNSEL 30 MIN

Facility

$61.65

Service Code	HCPCS 99402
Hospital Charge Code	9200034
Hospital Revenue Code	519
Min. Negotiated Rate	$8.01
Max. Negotiated Rate	$30.82
Rate for Payer: Aetna Commercial	$18.50
Rate for Payer: Aetna Medicare Advantage	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.72
Rate for Payer: Cigna Commercial	$30.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.01
Rate for Payer: Qualcare PPO/HMO/WC	$9.25

NUTRIT COUNSEL 30 MIN

Facility

$61.65

Service Code	HCPCS 99402
Hospital Charge Code	9200034
Hospital Revenue Code	519
Min. Negotiated Rate	$9.25
Max. Negotiated Rate	$9.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.25

NUTRIT COUNSEL 45 MIN

Facility

$131.25

Service Code	HCPCS 99403
Hospital Charge Code	9200035
Hospital Revenue Code	519
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$39.38
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

NUTRIT COUNSEL 45 MIN

Facility

$131.25

Service Code	HCPCS 99403
Hospital Charge Code	9200035
Hospital Revenue Code	519
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

NUTRIT COUNSEL 60 MIN

Facility

$150.00

Service Code	HCPCS 99404
Hospital Charge Code	9200036
Hospital Revenue Code	519
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

NUTRIT COUNSEL 60 MIN

Facility

$150.00

Service Code	HCPCS 99404
Hospital Charge Code	9200036
Hospital Revenue Code	519
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

NUTRIT COUNSEL GROUP 30 MIN

Facility

$44.85

Service Code	HCPCS 99411
Hospital Charge Code	9200037
Hospital Revenue Code	519
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$22.43
Rate for Payer: Aetna Commercial	$13.46
Rate for Payer: Aetna Medicare Advantage	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.44
Rate for Payer: Cigna Commercial	$22.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

NUTRIT COUNSEL GROUP 30 MIN

Facility

$44.85

Service Code	HCPCS 99411
Hospital Charge Code	9200037
Hospital Revenue Code	519
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

NUTRIT COUNSEL GROUP 60 MIN

Facility

$61.65

Service Code	HCPCS 99412
Hospital Charge Code	9200038
Hospital Revenue Code	519
Min. Negotiated Rate	$8.01
Max. Negotiated Rate	$30.82
Rate for Payer: Aetna Commercial	$18.50
Rate for Payer: Aetna Medicare Advantage	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.72
Rate for Payer: Cigna Commercial	$30.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.01
Rate for Payer: Qualcare PPO/HMO/WC	$9.25

NUTRIT COUNSEL GROUP 60 MIN

Facility

$61.65

Service Code	HCPCS 99412
Hospital Charge Code	9200038
Hospital Revenue Code	519
Min. Negotiated Rate	$9.25
Max. Negotiated Rate	$9.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.25

NUTRIT COUNSEL INSUL INSTRUCT

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9200028
Hospital Revenue Code	942
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$33.60
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$779.00

NUTRIT COUNSEL INSUL INSTRUCT

Facility

$112.00

Service Code	HCPCS 98960
Hospital Charge Code	9200028
Hospital Revenue Code	942
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

NUTRIT INITIAL ASSESS EACH 15

Facility

$100.00

Service Code	HCPCS 97802
Hospital Charge Code	9200041
Hospital Revenue Code	942
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

NUTRIT INITIAL ASSESS EACH 15

Facility

$100.00

Service Code	HCPCS 97802
Hospital Charge Code	9200041
Hospital Revenue Code	942
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$28.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

NUTRIT INITIAL ASSESS EACH 15

Facility

$100.00

Service Code	HCPCS 97802
Hospital Charge Code	9900001
Hospital Revenue Code	942
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

NUTRIT INITIAL ASSESS EACH 15

Facility

$100.00

Service Code	HCPCS 97802
Hospital Charge Code	9900001
Hospital Revenue Code	942
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$28.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

NUTRITION SUPPLIES

Facility

$53.05

Hospital Charge Code	270640538
Hospital Revenue Code	270
Min. Negotiated Rate	$7.96
Max. Negotiated Rate	$7.96
Rate for Payer: Qualcare PPO/HMO/WC	$7.96

NUTRITION SUPPLIES

Facility

$53.05

Hospital Charge Code	270640538
Hospital Revenue Code	270
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$26.52
Rate for Payer: Aetna Commercial	$15.91
Rate for Payer: Aetna Medicare Advantage	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.53
Rate for Payer: Cigna Commercial	$26.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$26.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.96
Rate for Payer: UnitedHealthcare Commercial	$26.52

NUTRIT REASSES EACH 15 MINUTES

Facility

$90.00

Service Code	HCPCS 97803
Hospital Charge Code	9200042
Hospital Revenue Code	942
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$24.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$779.00

NUTRIT REASSES EACH 15 MINUTES

Facility

$90.00

Service Code	HCPCS 97803
Hospital Charge Code	9900002
Hospital Revenue Code	942
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$24.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$779.00

NUTRIT REASSES EACH 15 MINUTES

Facility

$90.00

Service Code	HCPCS 97803
Hospital Charge Code	9200042
Hospital Revenue Code	942
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

NUTRIT REASSES EACH 15 MINUTES

Facility

$90.00

Service Code	HCPCS 97803
Hospital Charge Code	9900002
Hospital Revenue Code	942
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

NUTRIVENT

Facility

$28.00

Hospital Charge Code	60634854
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

Know your out-of-pocket cost for care.

All Charges